NORTHERN QUEENSLAND SHOW HORSE CHAMPIONSHIPS ENTRIES CLOSE: 30TH MAY 2014

This entry form can be used for up to five exhibits. Please complete all required sections and submit this form.

PLEASE NOTE: In addition to the submission of this form the "Declaration of Agreement" must be signed by the relevant parties and posted to MREG with all required documents before entries will be accepted.

Mackay Regional Equestrian Group Inc

Po Box 3410 NORTH MACKAY QLD 4740

CONTACT DETAILS

Name:

Address:

Phone:

Email:

STABLING & CAMPING

STABLING: $25/night/stable CAMPING: $15/night

Nights: Thursday Friday Saturday Sunday Nil

No. Horses: 1 2 3 4 5 Nil

PLEASE NOTE: Stable numbers are limited and will be allocated on a first in, first served basis.

Stables will not be allocate until full payment has been recieved.

ENTRY DETAILS $60 Opens | $40 Riders | $35 First Season | $15 Childs | $10 Leds (includes drug levy, ground fees, etc)

Owner: Membership No:

Exhibitor: Membership No:

Rider: Membership No:

Horse Name: Registration No:

Class No(s):

Entry Fees:

Owner: Membership No:

Exhibitor: Membership No:

Rider: Membership No:

Horse Name: Registration No:

Class No(s):

Entry Fees:

Owner: Membership No:

Exhibitor: Membership No:

Rider: Membership No:

Horse Name: Registration No:

Class No(s):

Entry Fees:

Owner: Membership No:

Exhibitor: Membership No:

Rider: Membership No:

Horse Name: Registration No:

Class No(s):

Entry Fees:

Owner: Membership No:

Exhibitor: Membership No:

Rider: Membership No:

Horse Name: Registration No:

Class No(s):

Entry Fees:

Please ensure to send all required documents for each exhibit- i.e. copy of horse registration papers, current SHC height certificate (of held), copy of SHC membership (owners & riders), copy of birth certificate (if under 18 years).

CONDITIONS OF ENTRY

Entry in this event shall constitute an agreement and an affirmation from all participants (which include, without limitations the Owners, Responsible Officer, Leasee, Manager, Agent, Rider and Handler of the Horse) for themselves: 1. We have reas the Show Horse Council of Australasia Inc. Competition Rules and Regulations and Conditions of Entry applicable to this Show. 2. I/we shall compete subject to and agree to be bound by the Show Horse Council of Australasia Inc. Competition Rules and Regulations and Conditions of Entry applicable to this show. 3. By voluntary participation in this Show, I/we accept as final any decision of the Show Horse Council of Australasia Inc. and/or the Mackay Regional Equestrian Group Inc. committee in regard to any incident arising from or in connection with this Show. 4. I/we agree to indemnify the Show Horse Council of Australasia Inc. and or the officials of this show, harmless for my any action taken in relation to this event.

I have read and agree to the above terms and conditions of entry

Owner Name:

Responsible Officers:

Competitor Name:

PLEASE NOTE: In addition to the submission of this form the "Declaration of Agreement" must be signed by the relevant parties and posted to MREG with all required documents before entries will be accepted.

SUMMARY

Entries:

Stabling:

Camping:

AMOUNT PAYABLE:

PAYMENT DETAILS

Account Name: Mackay Regional Equestrian Group Inc BSB: 014640 Account Number: 180484283

PLEASE NOTE: Please use your surname as a reference for your payment. Stables for this event will not be allocated before payment has been recieved.

fc-int01-generateAppearances: fc-int01-status: fc-int01-statusError: fc-int01-dateOrder: 2fc-int01-dataModelVersion: 175fc-int01-submit: AMOUNT PAYABLE:_Eiyaq51Gs4ZeDqErkjn3ig: Camping:_oSHb3zn6gAPjsVb*aS2zsQ: Stabling:_M4RTGf6yQ0NzEvr759eeSg: Entries:_TMSrQmzhbrfXRfb5beyO0A: Competitor Name:_Q3mQp*v01Bpxj5TAGzZV7w: Responsible Officers:_dA8-GHdbJ*HmTwP6jMOY*Q: Owner Name:_BYIrEbmqJagQYWhVsPCVjg: Column1_bu-MJZ1lJQWC1f9AKIgsOA: Column51_fly4bEZMevzvD7j7F23HUA: Column50_*jGxW-tlplBsOrxtDsuZDw: Column49_92N4PHuyYzoBNwJ6WBVQCA: Column48_aCI2nSB5Rc8Fgl4DoRhA*A: Column47_K4lf-qoQhVBZBLnkAfEzLw: Entry Fees:_fXJFBDoiUkN5WLeSeRbatw: Column46_hQe1EM4eus5xW7nK0gsipA: Column45_KYSAbN9PawV2VV1yNwTJfw: Column44_nqWfKOXH4GPHBmmq-30pZg: Column43_E8SH9oc75AlDPP2wqRfzqA: Column42_pnVJ*PmfF5QMlNU0DLPHzg: Class No(s):_1ksk6fv8ggRNfD1L0vzieA: Registration No:_XeYZU-L6eUuQrboXqNDvow: Horse Name:_8hciwSn1YRhMYKkr2wZgqw: Membership No:_fPznQDBmebxgDNOgaOJjpA: Rider:_t*N9QsMH7eMC-cFOYfXEBA: Membership No:_Zwi4KyyLh0BmgKGDWpblIA: Exhibitor:_SDQ4JaFuBNEZq*hmVmAr2Q: Membership No:_dnjQQ1iehOgvp6ZeYkItfQ: Owner:_LHcQVbWsZZsX8UhtLbf6kw: Column41_Bul8VHJiZeuxTFdmokmZOQ: Column40_c1M-2cwViUDIJlYyyrOS8A: Column39_kPi81jqSLNR30d-G9JBuow: Column38_kZNt8NUyawPXNoTfo6-Iag: Column37_TmWXRJ*XZEuI-j5fiHBcXw: Entry Fees:_TATNV3UKAh8WNeyBkS-Xlg: Column36_inuavj2lwpcnO56FxXCHrA: Column35_4zSi4Dqsp0dSTyVEg3Mkaw: Column34_L4vSqv8DkE2Mt8A1kM5LXQ: Column33_Tornjy7NZhOQsA6aw6xcpw: Column32_Chg30CibRyq83hTjk8Tvfw: Class No(s):_e-05S86CizXF*qW-xt2ADQ: Registration No:_OwmJtQfkJmXX82wqMsqPQQ: Horse Name:_pDey7dyBX2iuqrcXF0PrkQ: Membership No:_lJkiOqIFB6oTVnHK3vQtlw: Rider:_DqjSeA3hxTjJqyDlQFodrQ: Membership No:_xNoA42BxB4fAxVQ04pf0YA: Exhibitor:_MxbORbVcjn2uyEAgjDEmRg: Membership No:_2SbG2x-T3envoEgseaOPEg: Owner:_g0xyYkx1IFgpi-8qTqnUIA: Column31_7cKTBps5eETmFSidE8jvQA: Column30_fWYo3kYRNcL5zlEsnIIvCw: Column29_LU7ItH6PcwGNAKout2GXHw: Column28_rkVtueGbaa9vy34wCPo4Wg: Column27_0*9dPgnA7NH7DFQjIPvEFQ: Entry Fees:_SGBxUZRkovBQd2Nlntb0Pg: Column26_3y3wl0HqKCRgUdi7EryXiw: Column25_bdAMvL9niVmuzaSq9ua5jQ: Column24_7j86bbavA3R0VxF0eIWW0w: Column23_kO-BDcD-8gIqAHoO*4a5vA: Column22_xyQDreQ8vXDYwY89cSFKMg: Class No(s):_pNqW-NDlBnzCixKLiZFIzw: Registration No:_FEIrwILHivFPsFWTGQghfg: Horse Name:_acNibN5Yy8-OzjOjRCJm*w: Membership No:_cdlbI*CCCyq053r0xM8eAg: Rider:_V*XdL7QX0jtwC-n0nnlG4g: Membership No:_1LvxQmO**tOghg4SoWOObw: Exhibitor:_5vhz7Ziaik69-EBGgC-zKA: Membership No:_XL1olEcbRG3XRmV48VUcuA: Owner:_SoHGRyEapajzLoTg6N5rwg: Column21_zuQdu8IPzWwjwJD6gWBoAA: Column20_WtZ5KdeB2VNv5OMeby7*Zg: Column19_qjN7Jb8xvYUO19ZS8OAzeg: Column18_aglkMjz4RQfqOWmjjUz9EA: Column17_OxJCcxCgCrL5a-MOrKMU2w: Entry Fees:_3w2Jc9kXwWB1n0TQB2v4vQ: Column16_Ak1w7Z7NvlB4CryoHqV-hw: Column15_YWA3pcYiWrdVx81LpI67iA: Column14_CH-R1pntiP2F*-gbDPJkcg: Column13_-4ZOa2hgN-8CJXnmx-yHmg: Column12_WEJPBf58OK1kWYUl2ewR7A: Class No(s):_xc2Ymh7NSwsAGu27zTBxww: Registration No:_N1G32VyGjWwK8WO1Ntdnlg: Horse Name:_0U-cFWaGUnDky-FiQvVJHg: Membership No:_VRgpTvkB3ZhF2t2ev0wpdg: Rider:_1KJ-hLN1SeP*i1vaqTOo4w: Membership No:_9fMh6qtLwwGxSaZQGvRd1Q: Exhibitor:_dsKE01OsuQYVjEFrULV3xA: Membership No:_x0Kvp7zbw6LDLcPorLEz7A: Owner:_sEi7d6Ehr4n-JMh8CX148w: Column11_4M-L8T*Bn3VQ*reF76aiyQ: Column9_tvz5MmEMpq6o9Hr2VNI9Aw: Column8_AuXguIWbHVp7QoT32N3o6A: Column7_NakbDWV1Cziz0hl*rHQzWA: Column6_78dRz3RHCiRVP*EVzZdjoQ: Entry Fees:_oIVesF13iz9oj8SN93knoQ: Column10_58wZeSSaIkbqsgUdzc4CDg: Column5_5Ea1bsUZFKvYWf*AiJ816g: Column4_Gknbcvy1MSDoddyN1KTvXw: Column3_HOA6DBSL4XTuGkuIw6NFKw: Column2_*PZSJ3tFB6jfh5rw4gxxSQ: Class No(s):_DEDTe7hrxK3Uf1Kxb1Wp*g: Registration No:_wbfPdaj-nQdt55LFbCuFmQ: Horse Name:_h37ADnHxgRNvHPxvkteJRw: Membership No:_OeaYZ3ptS9VaEZeLzlfWvw: Rider:_bIbtkP59ORTOSTawSKtBlg: Membership No:_y3L3bUwTfoMWXMgJ57h7FQ: Exhibitor: _eOXW8SO3mWAcwfPu8SxQ5Q: Membership No:_njCYF2yQoxHtvHUqaDJhdA: Owner:_0KUKk*j6FXbNNHFZVtF8HA: No_ Horses:_5_v6a73NCPdz*LUkyGd*ifxw: No_ Horses:_4_v6a73NCPdz*LUkyGd*ifxw: No_ Horses:_3_v6a73NCPdz*LUkyGd*ifxw: No_ Horses:_2_v6a73NCPdz*LUkyGd*ifxw: No_ Horses:_1_v6a73NCPdz*LUkyGd*ifxw: No_ Horses:_0_v6a73NCPdz*LUkyGd*ifxw: Nights:_4_hrRf847l9Zms6mK8P0MVeA: Nights:_3_hrRf847l9Zms6mK8P0MVeA: Nights:_2_hrRf847l9Zms6mK8P0MVeA: Nights:_1_hrRf847l9Zms6mK8P0MVeA: Nights:_0_hrRf847l9Zms6mK8P0MVeA: Email:_zVcTZ0BKMRpkNLDzbzJL8A: Phone:_mGe6Bk7fKsan*HltTpEFdw: Address:_NYfRtHUUGMvLChb*X5TWWA: Name:_7V-PkpTypP6P6YVZqXl-7g: