Entry Form 9th Feb indd

Eventing Southland - ODHT Aparima
Sunday 9th February 2014
Entries close 23rd January 2014
Class 1
C4 2009
Class 2
AB Lime CNC2*
(registered graded horses) Accumulator
Prize Money $150 - $100 - $70 - Prizes & Rosettes
Member Non Member
$70.00
$80.00
$75.00
B4 2009
The Saddlery Warehouse CNC1*
$65.00
(registered graded horses) Accumulator
Prize Money $100 - $75 - $50 - $30 - Prizes & Rosettes
Class 3
B4 2009
Southern Vet Services Ltd CNC105
$50.00
(registered ungraded horses) Accumulator Prizes & Rosettes
$60.00
Class 4
A2 2009
Steve Batt CNC 95
$45.00
(registered ungraded horses) Accumulator Prizes & Rosettes
$55.00
Class 5
A2 2009
Foveaux Communications - Farmlands 95cm
$45.00
(PC Member or U 21) Accumulator Prizes & Rosettes
$55.00
Class 6
L1 2009
Rik Van Miltenburg CNC80
$45.00
(registered ungraded horses) Accumulator Prizes & Rosettes
$55.00
Class 7
L1 2009
Foveaux Communications - Farmlands 80cm
(PC Member or U 21) Accumulator Prizes & Rosettes $45.00
Class 8
L2 2009
PGG Wrightson CNC65
$45.00
(registered ungraded horses) Accumulator Prizes & Rosettes
$55.00
Class 9
L21 2009
Foveaux Communications - Farmlands 65cm
$40.00
(PC Member or U 21) Accumulator Prizes & Rosettes
$50.00
$55.00
Hinterland Saddlery Prize
Horse/Pony gear prize package to the value of $1500.00.
Open to every rider that enters and starts at our 4 graded events and a
bonus entry for riders placed 1st, 2nd & 3rd in each class.
Entries close 23rd January 2014
Entries unpaid by closing date will not be included in the draw
NO LATE ENTRIES WILL BE ACCEPTED
Eventing Southland
C/ J Heatherington
58 Winton-Wreys Bush Highway
No 3 RD, Winton 9783
Rider Rep:
Refund Rule:
Special Conditions:
Bank account number
03- 0915- 0311763- 00 (name as reference)
[email protected]
027 6767691 or 03 236 1310
Corinne Ward
Accommodation: $10.00 per night - bookings essential
Less 20% with medical or vet certificate
(a) Strictly NO DOGS allowed (b) All entries include Vet / Medical & Programme
Eventing Southland - ODE Aparima
Sunday 9th February 2014
Entry Form (one per entry)
Pony Club Members Classes 5, 7 & 9
(please use this entry form)
Rider Name:
_______________________________ Pony Club Branch: ______________________
Member of Eventing Southland Yes / No
Horse/Pony Name: __________________________
Class No. __________ Entry Fee $ ___________
Payment made (please circle)
Direct credit $
Cheque $
Address: _____________________________________________________________________________
Email: _______________________________________ Mobile: _______________________________
Helpers Name: _______________________________ Mobile: _______________________________
Entries close 23rd January - Unpaid entries will not be included in the draw
NO LATE ENTRIES WILL BE ACCEPTED
Eventing Southland
C/ J Heatherington
58 Winton-Wreys Bush Highway
No 3 RD, Winton 9783
Bank account number
03- 0915- 0311763- 00 (name as reference)
[email protected]
027 6767691 or 03 236 1310
Disclaimer of Liability
Neither, Eventing Southland or their representatives accept liability for any accidents, damages, injury or illness
to horses, riders, helpers and spectators or to any personal property whatsoever. This event is being run under
ESNZ Rules and Guidelines of Equestrian Federation New Zealand.
SIGNED: ____________________________________________
In order for entry to be accepted, this must be signed. Under 18yrs a parent/guardian must sign.