7/27/2019 Cambridge Entry Form Equestrian

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CAMBRIDGE A&P SOCIETY (INC) EQUESTRIAN ENTRY FORMEntries close Friday 8 November 2013 (entries received after this date will occur late entry penalty)

Cheques crossed a/c payee only and made payable to Cambridge A & P SocietyRobyn Brettell | Secretary/Treasurer | PO Box 333 | Cambridge | Ph: (07) 827 5542 | Email: robxtwo@clear.net.nz

Name of Exhibit Name of Exhibitor Sire Dam Reg No Class Numbers Entered Entry Fee

Name Total Entry Fees

Postal Address RAS Drug Levy $1 per class

Ground Fee $5 per animal (up to max 15)

LATE ENTRY FEE

Telephone Email: TOTAL FEES

This show is run under the Rules & Regulations of The Royal Agricultural Society of NZ and of Cambridge A & P Society (Inc) and the attention of Exhibitors is

drawn to the conditions relating to the misuse of drugs and the intention of the Committee to undertake random testing for forbidden substances.

EXHIBITOR DECLARATION

I accept the Associations conditions of entry and indemnify the Association under the provisions of the Health & Safety in Employment Act 1993 and my signature onthis entry form and/or participation in the competition/s denotes my acceptance of the RAS Forbidden Substance Rules, Regulations & Conditions.

HEIGHT CERTIFICATES: A current RAS height certicate performance card must accompany animal / ride r in all classes where applicable.

Signed:

Date:

OFFICIAL USE ONLY Receipt No: Amount: Competitor Back No:

NOTE:

There is no gate charge for public or

competitors and thus no tickets are

sent to you. Exhibitors do not require

back numbers.