Online Gymkhana Registration

2026 Quindanning Picnic Races

Gymkhana Registration
ENTRANT INFORMATION
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

EVENT NOMINATION

Notes: Please see the Program for full class descriptions and entry requirements. One form per entrant. Competitors are still required to purchase entry tickets. Tickets available online www.quindanningraces.com.au
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Lead In Gymkhana EventsBending, Can Race, Egg and Spoon Race, and Mintie Race - must do a minimum of 3 to qualify for the gymkhana races
$4.00AUD Quantity



Sub Junior Gymkhana Events -12yrs and underBending, Western Bending, Flag Race, Walk Trot Gallop, Mintie Race and Sack Race - must do a minimum of 3 to qualify for the gymkhana races
$6.00AUD Quantity



Junior Gymkhana Events -16yrs and underBending, Western Bending, Flag Race, Walk Trot Gallop, Mintie Race and Sack Race - must do a minimum of 3 to qualify for the gymkhana races
$8.00AUD Quantity



Senior Gymkhana Events - 17yrs and overBending, Western Bending, Flag Race, Walk Trot Gallop, Mintie Race and Sack Race - must do a minimum of 3 to qualify for the gymkhana races
$10.00AUD Quantity



Masters Gymkhana Events - 40yrs and overBending, Western Bending, Flag Race, Walk Trot Gallop, Mintie Race and Sack Race - must do a minimum of 3 to qualify for the gymkhana races
$10.00AUD Quantity



Junior Barrel Race
$10.00AUD Quantity



Senior Barrel Race
$20.00AUD Quantity



Total

$0.00AUD
Please select the gymkhana race you would like to enter - please note horses may only start in 1 race

Lead In Race - Danny Day Memorial - 100mPony Race - up to and including 12.2 hands - 200mPony Race - 12.2 to 13.2 hands - 300mPony Race - 13.2 to 14.2 hands - 300mOpen Race - Basil Fletcher Memorial - 300mOpen Race - Jumbo Memorial Sprint - 500mAdult Race - Jerry Taylor Memorial - 300mPowder Puff Gymkhana Race (ladies only) - 600mWhoopas and Walers Race - 400m
Bank Details for Payment of Entry Fees -

Please note - payment is required at the time of entry

BSB 086-852

Account Number - 5083 81158

Account Name - Quindanning Picnic Race Club

Reference - your name

RELEASE and WAIVER OF LIABILITY
I hereby agree that I have entered in to the above events and races hosted by the Quindanning Picnic Race Club and agree on the following conditions:

1. That no representation whatsoever has been made to me by the race club as to the conditions of the track or the facilities of the race club.

2. That I am entering the events voluntarily and on the understanding that I fully accept that these events may result in death or injury to me and/or my property because of their hazardous nature.

To the full extent permitted by law and otherwisw, I voluntarily:

3. Waive all legal and equitable rights of action against the Quindanning Picnic Race Club in relation to any claim arising from and relating to the race day

4. Accept full responsibility and liability for any and all loss, damage, injury, claim or death arising or relating to my participation n the race day

5. If applicable, I have explained the content and effect of this Release and Waiver of Liabiity to the minors/children under my care and confirm that I am signing this Waiver on their behalf
Signature

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2026 Quindanning Picnic Races

ENTRANT INFORMATION

EVENT NOMINATION

RELEASE and WAIVER OF LIABILITY