Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Waitemata Youngstock Championship Show

Entry Form

One pony/horse combination per entry form.


Saturday 16th May 2015 8.30am start
Matakana Equestrian Park
1151 Leigh Road, Matakana
Show Co-ordinator Anna Paratene 0212334073
Email: andy@yakkacontracting.co.nz

Exhibitor Information

Acct: BNZ 06 0541 0486883 00


Please use your name as per entry form as a reference

Office Use Only


Payment: cash chq # _________
Bank Payment _____________

Classes Entered -$8 per class (max $30 per horse/pony)

Name _______________________________________
Address _____________________________________

Phone (_____)_______________________
Email __________

Horse Information
Name _______________________________________
Breeding ______________________________________

Fees
Total class fees

Ground Fee

$10.00

Yard($10.00)

Catalogue($4.00)

TOTAL FEES

Release on File
Signature of Rider _________________________________
Signature of Parent/Legal Guardian (required if exhibitor is less than 18 years of age)
______________________________________

Entires close Tuesday 12th of May 2015 :


Entries will be accepted on the day with a late
entry fee of $10 per horse/pony

You might also like