NW Zone Games entry Form 2017

PONY CLUB TASMANIA Inc.
NORTH WEST ZONE GAMES
CHEDULE AND ENTRY FORM
Hosted by Kentish Pony & Hack Club Inc
at Spring St Sheffield Tas 7306
on 21st May 2017
General Information
Entry fee $100 per team.
Entry Detail
 Direct Deposit to Kentish Pony & Hack Club, BSB 06 7015 Acc. 2800 1716
Address of DC/...to whom communications are to be sent.
Club…………………………………….
Reference - club name / nwzgames
 Cheque Payment to Kentish Pony & Hack Club PO Box 38 Sheffield 7306
Name: ..........................................................................................................
Entries close at 8pm on 14th May 2017
Town/Suburb: .............................................................................. Postcode:
Address:
.....................................................................................................................
 Gear check starts at 9am
 Competition starts at 10.00am
 On the day, one of the nominated tie breakers will be drawn
and used as a tie breaker if required.
 Absolutely no late entries will be accepted.
 CANTEEN - OPEN FOR BREAKFAST TIL END OF COMPETITION
 Entries & queries to:
Phone: .........................................................................................................
Email ............................................................................... ……………………
Tie Breaker: …………………………
Disclaimer
Neither the organising committee, its members, the PCAT Inc, the property
owners, nor any official or helpers accept liability for any accident, damage,
illness or injury to horses, owners, riders, spectators, or any other person,
or property, whatsoever.
Jean Treloar
[email protected] / 0408122793
I agree to abide by the conditions governing these games.
DCs—please read the latest rules and regulations
before selecting a team.
Signed: ......................... for and on behalf of the Club
Position ……… ……………………………
PC Handbook Section 9 Forms
10.9
January 2015
Please enter numbers 1 to 4 (or 5 where applicable) beside the relevant riders, showing the games in which riders will participate. Riders must ride in the games as selected, however the
ORDER of riding is not critical. It is the coach’s responsibility to ensure the last rider is wearing the hat cover. Each horse and rider must compete in 12 games – as per PCT Handbook
Section 9 (3 - TEAMS) Prince Philip Mounted Games, August 2016. All coaches and DC’s please read this section.
Club Representative or DC ……………………………….
B
E
N
D
I
N
G
One Reserve
allowed in each age
group.
S
W
O
R
D
C
A
N
A
D
I
A
N
Riders Name
SENIOR (rider under
25 as at 01-Jan 2017.
Date of
Birth
Res)
JUNIOR (rider under
16yrs
Age
of
Horses Name
P
O
N
Y
E
X
P
R
E
S
S
P
O
S
T
M
A
N
’
S
C
H
A
S
E
B
O
T
T
L
E
H
O
U
S
E
W
I
V
E
S
S
C
U
R
R
Y
B
A
L
L
O
O
N
W
I
N
D
S
O
R
C
A
S
T
L
E
H
U
R
D
L
E
P
O
N
Y
S
T
I
C
K
C
L
U
B
P
E
G
G
I
N
G
S
T
E
P
P
I
N
G
S
T
O
N
E
S
B
A
L
L
5
F
L
A
G
&
B
U
C
K
E
T
Horse
as at the 01-jan-2017
Res)
Helper
Lane Stewards
PC Handbook Section 9 Forms
Name
Name
10.9
January 2015
TEAM RESUMÉ
………………………………..……………………. Club
Please provide any interesting information regarding the team on this sheet.
Type over lines
PC Handbook Section 9 Forms
10.9
January 2015