Show Horse Council of Victoria Inc. PO Box 5374 CRANBOURNE VIC 3977 P: 0488 791 060 E: shcv@eques.com.au W: www.shcv.com.

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2013 SHCV Junior Equestrian Showcase Sunday 6 October 2013 Tatura Park, Tatura, VIC. Entries Close: 15 September 2013

ENQUIRIES EMAIL: SHCV Secretary: SHCV President: shcv@eques.com.au Nicole Morrison Tony Norris preferred M: 0488 791 060 M: 0417 037 647

PAYMENT Cheque, Money Order, Credit Card, EFT ENTRY FORMS STABLING: PART 1 NAME OF HORSE ONE FORM PER HORSE
Name of horse: SHC Reg. No. Current SHC Horse Height:

SHCV, PO Box 5374, Cranbourne VIC 3977

Registered Owners name. If more than one owner, please attach another form. Registered Owners Address: Registered Owners Email: Registered Owners Contact Number: Name of Emergency Contact for Registered Owner:

Membership Club

Membership Number:

Registered Owners Mobile Phone Number: Phone Number of Emergency Contact for Registered Owner :

SECTIONS A, B, C, D, and E
CLASSES FOR WHICH THIS HORSE IS ENTERED, INCLUDING RIDER CLASSES, SMARTEST ON PARADE etc. Section: Class No: Entry Fee $ Short Description of Class: Name of Nominated Rider/Handler: Member No.

TOTAL

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You have detailed the name of a rider and/or a handler (Led Classes) for classes in Section A, B, C, D and E. You are now required to provide information in support of each nominated rider or handler. As each person must be under 17 years of age, a parent or legal guardian must also sign the entry form. If there is more than one nominated rider/handler for the same horse, please copy this page and complete
Name of Rider: Address: Email: Contact Number: Emergency Contact: Mobile Phone Number: Phone Number of Emergency Contact: As under 17yrs, DOB Membership Club Membership Number:

As the nominated rider or handler is under 17 years of age, please complete the following Name of Legal Guardian or Parent; Address: Email: Contact Number: Emergency Contact: Mobile Phone Number: Phone Number of Emergency Contact: Membership Club Membership Number:

ALL SECTIONS BELOW MUST BE COMPLETED/SIGNED OR ENTRIES CAN NOT BE ACCEPTED Name of Owner/s:
(As shown on Horse Registration Papers) (MUST be a current financial member of SHC)

Signature of Owner/s:
(Parent/Guardian to sign if under 18yrs)

Membership Number:

____________________________________________________ ______________________________________________ ______________________________ Name of Rider/Handler:

(MUST be a current financial member of SHC)

Signature of Rider:

Membership Number:

___________________________________________________ ______________________________________________ _______________________________ Name of Responsible Officer: Signature of Responsible Officer: Membership Number:
(MUST be a current Financial Member of SHCV) (This person must be over 18yrs and will be responsible for the horse)

_______________________________________________
NOTE:

_______________________________________________ _______________________________

ALL NAMES & SIGNATURES MUST BE PROVIDED IN EACH LOCATION

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APPLICATION PROCESS Complete form (one form per horse) If entered via www.nominate.com.au, please attach a copy of your receipt. Attach payment Forward to: SHCV, PO Box 5374, Cranbourne VIC 3977 Closing date: 15 September 2013 Attach the following documents: o CHECKLIST (Please tick to confirm they are attached) Copy of Horse Registration papers (both sides) Copy of current SHC Height Certificate Copy of membership cards of all owners Copy of membership cards of all riders As rider and/or handler is under 17 years of age, copy of Birth Certificate All pages of the entry form fully completed and signed as required Stabling Form (if required) we encourage use of stables on day of competition DESCRIPTION OF FEES Section A Section B Section C Section D Section D Section E Stabling Requirements Swabbing Levy per Horse Catalogue Donation Cheque / Money Order / Credit Card (Please select Payment Type) - NIL printed Any Donations towards the expenses of the running of the show would be gratefully appreciated TOTAL AMOUNT PAYABLE: $ Classes 1 to 9 Classes 10 to 13 Classes 14 to 17 Classes 18 to 27 Classes 28 & 29 Classes 30 to 38 PAYMENTS $20 $20 $20 $40 $20 $20 $

STABLING attach one form per horse $15.00 per horse (compulsory) $15.00 NIL

NOTE: any incomplete or incorrect entry form will incur an administration fee of $20 NOTE: cheque or money order to be made payable to SHCV Inc. CREDIT CARD PAYMENT CARD DETAILS CREDIT CARD PAYMENT OPTION: I wish to pay by Total Amount: Card Number: Expiry Date: Name on Card: $.......................................... __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ ___ ___ / ___ ___ ................................................................................ Mastercard Visa

Cardholders Signature: .................................................................................... OFFICE USE ONLY Entry Form Recd: Entry Processed: Fees Processed: