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WILL & EMILY CLINIC 2016
The Will & Emily Clinic will be held over 2 days the 7th & 8th of January. Please fill out the entry form below to enter.
*
Indicates required field
Name
*
First
Last
Rider Age
*
I understand that a parent or guardian must be present whilst riding
*
Yes
Address
*
Phone Number
*
Email
*
Mount
*
Club
*
Horse Trials Grade
*
Grade 1
Grade 2
Grade 3
[object Object]
Address horse will come from
*
Address horse will go to
*
I acknowledge the rules and conditions of entry including the biosecurity requiirements
*
Yes
Clinic Fee $180 MPC $190 NON MPC
*
$
Camping Fee $10 per night
*
$
Yard Fee $10 per yard
*
$
Total Amount to be Paid
*
Please make payments to Mansfield Pony Club V
ia Bendigo Bank BSB-633000 AC-140751975,
put the riders name as a reference!
Submit