SHOW HOLDING BODY : Greyton Riding Club          
DATE : Saturday 6 December 2008

Entry form: - closing date 19/11/08 – Please complete a form for each horse and rider combination

 

Class

 

HORSE

 

 

OWNER

 

RIDER and riders age

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stable (R70/night)

 

 

 

AHS Vac

Ground levy (per horse) (R40)

 

 

Date ……………………………….
BatchNo ……………………………

Medical levy (per rider) (R20)

 

 

Date………………………………….
Batch No ……………………………

 

 

 

Flu Vac

 

 

 

Date………………………
Batch No ……………………………

 

Total Due

 

 

*Name ……………………………………………                              Address …………………………………………...

*Tel No (day) ……………………………                                                     ……………………………………………..

Cell No …………………………………………                                             ………………………………………………

*Cell No of person responsible for your horses and or children at the show:   ………………………………………
*Email or fax:( please write clearly)

Please fax this form back to 028 254 9413

Indemnity: The organizers & sponsors, nor their representatives and officials will be held responsible for loss, damage, theft or injury sustained by horses, riders, appointed officials, the public or their property whatsoever.

 
Signature ………………………………………………..    Date ……………………………………………….
Signature of guardian if under 18