VJA Membership Application VJA Membership Application form * Any rider who is licensed in Victoria can apply to become a member of the Victorian Jockeys’ Association (VJA). Members receive support and advocacy through the VJA Board and Executive. Members are encouraged to actively engage with the Board on issues impacting riders. In completing this form I consent to: - Becoming a member of the VJA and the Australian Jockeys’ Association (AJA). - Receiving communications via SMS, phone and email from the VJA. - Contributing $8 per riding fee to the VJA of which $1.50 will be forwarded to the AJA. - Keeping the VJA informed of any changes to my contact details. Date MM DD YYYY Name * First Name Last Name Email * Mobile (###) ### #### Next of Kin Next of Kin Mobile Acknowledgment * I acknowledge and confirm my membership application ✓ box to confirm your acknowledgement Thank you!
