Mansfield Pony Club
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Mansfield Horse Trials 2018 Entry
Please enter 1 horse at a time
*
Indicates required field
Name
*
First
Last
Name of Horse
*
Grade, please choose one from the drop down box
*
Grade 1 PC $50
Grade 1 Open $60
Grade 2 PC $50
Grade 2 Open $60
Grade 3 PC $50
Grade 3 Open $60
Grade 4 PC $50
Grade 4 Open $60
Grade 5 PC $50
Grade 5 Open $60
Club
*
Membership number
*
*Open riders please remember to fill in a Day Attendance form and bring proof of membership to another riding organsation or pay the $10 per day attendance fee, you can find them under the Horse Trials program tab on the home page and email to The Event Secretary fiona@foxdairies.com.au
*Open Riders only - I declare I am competent to ride at the level I have entered
*
Tick Yes
Address Horse is Traveling To and From
*
XC Judge Name (If there is no name for PCAV riders you will not be entered)
*
Phone Number
*
Email
*
Camping
*
1 x Night Camping @ $10
2 X Nights Camping @ $20
Yards are full and there is a waiting list
Dinner Tickets
Select number of adult tickets @ $25 each
*
x0
x1
x2
x3
x4
x5
x6
Select number of childrens tickets @ $15 each
*
x0
x1
x2
x3
x4
x5
x6
Select number of family tickets a $60 each
*
x0
x1
x2
x3
x4
x5
x6
Total $
*
Payment to be made into Bendigo Bank BSB 633000 Ac # 140751975
with your Name and HT
as the reference and a copy to be emailed to fiona@foxdairies.com.au
Comment
*
Submit