2022 Entry Form

2022 Entry Form

7th - 9th October 2022
Entries Open 1st July & Close 31st July
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number
Please enter a valid phone number.Format: 0000-000-000.
Date of Birth

MonthDayYear
Occupation
Emergency Contact
Emergency Contact Number
Please enter a valid phone number.Format: 0000-000-000.
Ambulance Fund Compulsory

Fund NameMembership Number
Bank Details (for direct debit of any prize money won)

BSB

Street Address Line 2

BSBAccount Number

Account Name
Entry - Category
prevnext( X )
Open Challenge
Open to any person, male or female, 18 years & over (includes $30 bib deposit).

$350.00AUD Quantity



Ladies Challenge
Open to any female competitor, 18 years & over. This entry is not eligible for Open Final (includes $30 bib deposit).

$250.00AUD Quantity



Junior Challenge
Open to any competitor male or female 14-17 yrs at 07/10/2022 (includes $30 bib deposit). Entries must include a copy of competitors birth certificate

$200.00AUD Quantity



Striplings Challenge
Open to any competitor male or female aged 9 - 14 yrs at 07/10/2022. (Includes $30 bib deposit). Entries must include a copy of competitors birth certificate

$90.00AUD Quantity



ABCRA Weekend Membership - Adult
$45.00AUD



ABCRA Weekend Membership - Junior
$20.00AUD



Adult Weekend Pass - Early Bird Special
$30.00AUD Quantity



Family Weekend Pass - Early Bird Special
$70.00AUD Quantity



Child (13-17 years) Weekend Pass - Early Bird Special
$20.00AUD Quantity



Total

$0.00AUD
A competitor is eligible for the novice final if never made a top ten final in any of the four major challenges
MOST NOTABLE EVENTS/TITLES PREVIOUSLY WON
Waiver - Please download and attach this form

ABCRA Waiver
ABCRA Member Number (if already a member)
Upload Waiver & Birth Certificate

Cancelof
PAYMENTS

You will receive a confirmation email of your entry acceptance on 1st August, 2022. Once your entry is accepted, payment must be made by direct deposit before 13th August 2022. Entries will be placed at the bottom of a waiting list if payment isn’t received by this date.

Account Name: Battle on the Bidgee Inc BSB: 082 867 ACC: 156 328 766
Any cancellation/scratching will incur a $50 administration fee. Entries scratched from Monday 5th September 2022 without a Doctor or Vet Certificate will not be refunded.
HORSE INFORMATION

Please list horse details below as per nsw department of primary industries guidelines regarding all horses at this event (please refer to nsw pic extension).

Please list ASH # & name if applicable, as the ASH Society sponsor each section

- must be a competition eligible australian stock horse, meaning that it is registered and the owner is a financial member (excludes for breeding purposes only)
Horse Info

Horse Name

Horse Identification

ASH/QH Rego #Horse Owner

Property/PIC Address
Should be Empty:

2022 Entry Form

Entries Open 1st July & Close 31st July