CTG Winter Series Entry Form

Central TREC Group - Winter Series Entry Form
Please select which event you are entering - use a separate form for each date (and each horse)

Moulton 1 - 11 October 2020 Moulton 2 - 15 November 2020 Moulton 3 - 10 January 2021 Moulton 4 - 28 February 2021
Name

First Name Last Name
Horse name
Horse Height
(please use decimal between hands and inches e.g. 15.1)
Please tick all that apply

I am a member of Central TREC Group I am a member of TREC GB I am a member of another TREC group I am not a member of any of the above
If you are a Central TREC Group member please note your membership number below
Remember membership renewals are due 1 October 2020
If you are a member of TREC GB please note your membership number below
If you are a member of another TREC GB club please let us know which club below

Select which classes you wish to enter (full entry fee details can be found in the schedule)

CTG Member

TREC GB Red
Member

Other TREC Club member

Non-member

Open (CTG £13, TREC GB/other club £15, non member £17)

Open Intermediate (CTG £13, TREC GB/other club £15, non member £17)

Intermediate (CTG £13, TREC GB/other club £15, non member £17)

Pairs (CTG £10, TREC GB/other club £11, non member £13)

In Hand (CTG £10, TREC GB/other club £11, non member £13)

Novice Horse (CTG £13, TREC GB/other club £15, non member £17)

Newcomer (CTG £13, TREC GB/other club £15, non member £17)

Name of pairs partner (if relevant)

First Name Last Name
Total cost of entry
Payment method(s) used

Online shop (preferred) PayPal (send payment to paypal@trecgroup.co.uk) BACS (sort code 08 92 99, account 65796977, ref MOULTON 1-4 SURNAME) CTG vouchers Cheque - please email entries@trecgroup.co.uk for postal address, and note that cheque payments are subject to a £2.50 admin refund
Please quote the code(s) of any CTG vouchers used in payment below
Email - this will be used to send out start times / competitor information so please make sure it is spelt correctly
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number - This number may be used if there is a problem on the day and we need to contact competitors

Area Code Phone Number
We will set up a WhatsApp group for each competition, as a way of giving urgent or short notice messages to competitors. Please indicate below if you would like your phone number to be added to the relevant group

Yes please No thank you
I have read and agree to abide by the Central TREC Group & TREC GB rules, including current Covid-19 restrictions. Any competitor not complying with the National Government Guidelines may be asked to leave the venue. I am happy for any photographs taken to be used in event reports and publicity for the club and TREC GB. I further accept and acknowledge that horse riding is by nature a high risk sport and I take part entirely at my own risk.

Clear
Emergency contact details

These should be for a person who can be contacted on the day of the event in case of emergency
Name of emergency contact

First Name Last Name
Phone Number of emergency contact

Area Code Phone Number
Helpers

Are you able to help for part of the day or bring someone who can - if so please fill in the helper JotForm so we have a record of who is available.
Rider under 16 years old?
If the competitor is under 16 a parent or guardian must sign. A parental consent form must also be sent for any riders under 16 (see next page)

Parental consent form

Please complete if the rider is under 16
Name of child

First Name Last Name
Date of birth

Month Day Year
Date
Any disabilities or special needs
Name of parent or guardian

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number (for use in emergencies)

Area Code Phone Number
If you are not attending the event with your child who will be responsible for them at the event:-
Name:blanks Phone number blank
Additional details: (any information, given in confidence, of which the organisers should be aware – specific dietary needs, details of any medication, allergies etc.)
DECLARATION: I have received comprehensive details of this event and consent to my child taking part in the activities indicated. I consent to my child receiving any medical treatment, which in the opinion of a qualified medical practitioner, may be necessary. I am aware that photographs will be taken during the TREC event for promotional purposes and give consent for my child to feature in such photos. Signed Parent / Guardian

Clear
Signed child

Clear
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm

Central TREC Group - Winter Series Entry Form

Emergency contact details

Helpers

Rider under 16 years old?

Parental consent form