Biosecurity
HORSE HEALTH DECLARATION
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LIEC (Lockyher Indoor Equestrian Centre) PIC: QAGT 1412
DALBY SHOW GROUNDS PIC NUMBER QADB 0072
Event Name
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Arrival Date
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-
Day
-
Month
Year
Date
Owner/Person in Charge of Horses
*
Property Address
*
Street Address
Street Address Line 2
City
State
Postal Code
Email
*
Phone
*
Property of Origin of Horses
(If different to above)
Address
Street Address
Street Address Line 2
City
State
Post Code
PIC Number
Property Identification Code
Are you stabling Horse/s overnight?
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Yes
No
Date of arrival (if stabling)
-
Day
-
Month
Year
Date
Date of departure (if stabling)
-
Day
-
Month
Year
Date
Horse #1
Horse #2
Horse #3
Horse #4
Horse #5
Horse #6
Terms and Conditions
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I agree to terms below
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