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G4/5 Eventing Clinic with Em McQueen
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Indicates required field
Name
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First
Last
Age of Rider:
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I wish to participate in the two day clinic with Wil and Em on the 13th and 14th January, 2020. I understand that a parent/guardian must be present while riding. By checking the box below, I am acknowledging my understanding of this.
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I understand
Insurance:
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Pony Club
HRCAV/EA/Other
Open (will attract $15 Day Attendance Fee)
Please note that although you have the option here to enter two horses, this will be limited to only one horse if we have large entries.
Completed Day Attendance Form (if applicable):
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Max file size: 20MB
Name of Pony Club (if applicable)
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Email
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Contact Number:
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Fees that I will be paying:
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Clinic Fee x 1 MPC Member $160
Clinic Fee x 1 Non-MPC Member $180
Yard x 1 Outside ($20) weekend fee
Yard x 1 Undercover ($30) weekend fee
Camping x 1 Family $15
Day Attendance Fee ($30) 2 x days OPEN RIDERS ONLY
Total Paid:
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Bank details:
Mansfield Pony Club
BSB: 633000
Acc: 140751975
Please upload a copy of your proof of payment here:
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Max file size: 20MB
Horse Name
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Horse Trials Grade
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Address horse coming from prior to the event:
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Address horse is returning to after the event:
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Comment
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Submit