Will & Emily Clinic 2016

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 *

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 Via Bendigo Bank BSB-633000 AC-140751975, put the riders name as a reference!

Submit