Goodbye Winter Rein

Class Entry,20th and 21st September, Burpengary NRHA Membership not required for this show.

One (1) Horse Per Form
Rider's Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you a member of SQS
If no a $30 Event membership will be applied.
Riders NRHA Membership if applicable
Upload Current NRHA Membership Card

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Horses Name
Horse NRHA License Number
Upload Horse NRHA Licence

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Owners Membership NRHA Card number
Owner's Name if different to rider
Saturday Classes Only 1 judges Fee for concurrent classes. *Denotes Concurrent (S) denotes NRHA Classes Must have NRHA Membership and NRHA Horse License
Sunday Classes Only 1 judges Fee for concurrent classes. *Denotes Concurrent (S) denotes NRHA Classes Must have NRHA Membership and NRHA Horse License
Entry Fees
Judges Fees
Judges Fees
Number of nights (Stables) @ $25 per night
Number of Stables
Camping Nights @ $20 per night
Total Stabling and Camping
Total Payable includes $20 Office Fee
Please pay Total Payable as a Direct Deposit to

Southern Queensland Sliders

with your name as the description

BSB 064401

A/c 11022594

.Thank you for supporting the Southern Queensland Sliders
Should be Empty:

Class Entry,20th and 21st September, Burpengary NRHA Membership not required for this show.