Pleasant View Farm Entry form

Pleasant View Farm 8th/9th January 2022

Cambridge Waikato Endurance Club
We will be running under mandate rules, this way we can have as many people as possible taking advantage of our ride!

Please make sure that everyone signs in either with the QR scanner. Vaccine passports are required. We ask for mask wearing around the caravan as it is a high traffic area.

On behalf of the Land Owner, we would like riders to make a small donation to the Spina Bifida NZ, there will be a donation box at the entry caravan.

Please note there will be a $15 casual membership fee for riders who are not ESNZ members. Any rides over 39km, you need to be a member of a club and a member of ESNZ. See ESNZ Endurance or our website for clearer guidelines.
Name

First Name Last Name
ESNZ membership type
ESNZ membership #
Endurance Club (If you are a member of one)
Junior(under 21) or Senior

Junior Senior
Phone Number

Area Code Phone Number
Address
Email
example@example.com
Number of non riding people with you
Emergency Contact( Name and Number)
Horses Name
Horses Age and gender(M, G, S)
Horses ESNZ # (if applicable)
Ride Category

Novice Intermediate Open
Class
Extra Information
For CTR riders who would like to put forward a ride buddy enter their name in here. They will still need to complete their own entry form. Ride out times will be given on the day.
Tick Below

I agree
Payment: Internet Banking- account 03 1568 0079553 000 use name as reference.

Pre-Entry and Pre-Payment are required.
Should be Empty:

Pleasant View Farm 8th/9th January 2022