SPC Freshman's Day 2024

Strathalbyn Pony Club

Freshman's Show Jumping
Name*

First NameLast Name
Date Of Birth*

DayMonthYear
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Postal Code
PIC Number*
Member of:*
Pony Club Name (if applicable)*
Please put NA if you are not associated with a pony club

Horse Details

If you are riding more than one horse please complete a new form for each horse. PLEASE NOTE: 2 rounds per height & Maximum of 5 rounds per horse
Horses Name*
PC Card Number/ EA Number*
Grade on Pony Club Card*
Please put NA if you are not associated with a pony club
Show Jumping Round 1*
Show Jumping Round 2
Show Jumping Round 3
Show Jumping Round 4
Show Jumping Round 5
Payment Per round & Gate Fee (please select the amount of rounds)
prevnext( X )
Round 1
$8.00AUD



Round 2
$8.00AUD



Round 3
$8.00AUD



Round 4
$8.00AUD



Round 5
$8.00AUD



Day Participation for Non Pony Club Member Fee
$20.00AUD



Gate FeePer Horse
$5.00AUD



Total

$0.00AUD
Please advise of any scratching by emailing strathponyclub2022@gmail.com

Closing date: Friday 8th October 5pm

Please pay by bank deposit to:
BSB: 085921
Acc No: 207639290
Acc Name: Strathalbyn Pony Club
REFERENCE: Surname and SJ.

NO ENTRIES ON THE DAY

Please forward a copy of the transfer receipt and entry form to the above email address to confirm payment.

Neither the organizing committee of any event to which these rules apply nor the pony club Association of South Australia Inc. accepts any liability for any accident, damage, injury to horses, owners, riders, grounds, spectators or any other persons.
Should be Empty:

Strathalbyn Pony Club