Clubhouse Membership Application Form

Please complete the form below to apply for Queensland Off-The-Track (QOTT) Clubhouse Membership.

You must be a Queensland resident and owner of an OTT Horse to join the QOTT Clubhouse.

Where possible, please provide all requested information (including your full address) to facilitate prompt processing of your application.

Please allow 14 business days for your application to be processed. Once your application has been processed we will contact you by the email address provided below.

Please ensure you check your junk/spam folders for an email from us.

Applicant Acknowledgements

Before completing this form, please read the Queensland Off-The-Track Clubhouse Membership Terms & Conditions (www.racingqueensland.com.au/animal-care/off-the-track/qott-clubhouse)

I have read the QOTT Clubhouse Membership Terms & Conditions

By submitting the Queensland Off-The-Track Clubhouse Membership Application Form, you understand and agree that QOTT or Racing Queensland may use and disclose the personal information provided by you for the purpose of processing your application and to facilitate the operation and administration of the QOTT Clubhouse. The personal information collected in this form may also be used or disclosed by QOTT or Racing Queensland in accordance with its Privacy Policy: https://www.racingqueensland.com.au/privacy-policy. Please tick.

Yes, I acknowledge and understand that my personal information is collected and may be used or disclosed by QOTT or Racing Queensland in accordance with its Privacy Policy: https://www.racingqueensland.com.au/privacy-policy

From time to time, QOTT would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please indicate your preference below. Please tick.

Yes, I give permission to be contacted by Queensland Off-The-Track and I would like to receive future QOTT Program news and information.
No, thank you. I only wish to receive communications from QOTT about my Clubhouse Membership

Application

Please complete all details in questions below.

First Name*

Last Name*

I confirm that I live in Queensland

Email*

Phone Number*

House Number & Street Name*

Suburb*

Postcode*

State*

QLD

Date of Birth*

Do you own an OTT horse?*

Yes
No (Not eligible for QOTT Clubhouse Membership)