northern nsw hack championship - emma's website · the northern nsw show horse association...

The Northern NSW Show Horse Association Inc.Official Show Horse Council of Australiasia Inc. Qualifier for the 2016

Proudly presents

Northern NSW Hack Championship

21st 22nd 23rd & 24th May 2015

Judges: Clint Bilson Kerry Tempest-Clarke Melinda Ralph Tracie-Lee Wells

Working Hunter: Wendy Pollard

Hack Challenge: Open Wendy Pollard Amateur Sandra James

Entries Close Last Mail 15th April 2015

Enquires: [email protected]

Show Secretary: Di McMahon : 0413474074 : 0266290269

President: Cherie Jennings : 0412433432 Club Secretary: Libby Went : 0266280262

Stabling Coordinator: Jo Robson : 0415197343

“THE RUBY ANNIVERSARY” RPSBS Feature ShowJudges: Kerry Patchett Paul Dopper

1. The Event shall be run in accordance with the Show Horse Council of Australasia Inc. Competition Rules,General Rules and Special Rules pertaining to this show. A copy of the Competition Rules can beobtained from your Association Secretary or from the Show Secretary, Mrs. Dianne McMahon - Tel. (02)66290269. Copies will also be available from the Secretary’s Office at the Show or they can bedownloaded from the Council’s webpage www.showhorsecouncilaust.com.au

2. The Northern NSW Show Horse Association Inc Committee reserves the right itself to interpret allquestions and conditions and shall make any relevant decisions in regard to, or arising from any incident ator pertaining to this Show, without claim for damages or recourse of any kind. Any questions not covered inthe Conditions of Entry will be decided by The Northern NSW Show Horse Association Inc. Committee. Itsdecision will be final.

3. Entry and Competition in the Event are voluntary. By Entry it is the Absolute Liability of all participants toagree to be bound by the decisions of The Northern NSW Show Horse Association Inc. Committee and/orShow Horse Council of Australasia Inc. and compete in accordance with all Rules applicable to theCompetition.

4. Entry to this Event shall constitute an agreement and affirmation by the Exhibitor(s)/Owner(s), ResponsibleOfficer (which includes Lessee(s)/Manager/Rider/Handler) to compete subject to and in accordance withthe Show Horse Council of Australasia Inc. Competition Rules and Conditions applicable to this Event.

5. Exhibitors must choose between entry in Open Hack, Galloway or Pony Classes and Show Hunter Hack,Galloway or Pony Classes. No exhibit can be shown in both the Open and Show Hunter Classes. Onceentries have been received by Northern NSW Show Horse Association Inc they cannot be changed underany circumstances, including postponement of the show.

6. A Saddle Horse will be over 15hh, a Galloway will be over 14hh and not exceeding 15hh, a Pony will be14hh and under.

7. All Horse Registration Papers are required to be in order at time of entry. A full copy of the papers (shallaccompany ALL HORSE and RIDING EVENT Entries, or Entries will NOT be accepted.

8. Copies of Council Membership cards or of receipts of Hack Association membership for the 2014/15membership year shall accompany all entries. Exhibitors/Competitors the S.H.C. Risk Management Policyapplies to all persons competing &/or attending the Event. A Copy of the Policy will be available on the dayat the Show Office or can be downloaded from the Council’s webpagewww.showhorsecouncilaust.com.au

9. Entry Fees shall accompany the Entry Form and are non-refundable after the closing date for anycircumstances including postponement of the show.

10. Should any information or fees be omitted from the Entry, the entry will not be catalogued until informationis received and all monies have cleared the bank. (this information must be received prior to the closingdate)

11. A Handling Fee of $25.00 will apply to any Entry that is incorrect, these entries will be returned to theExhibitor and stables will not be allocated until the correct entries are received.

12. Numbers corresponding to the catalogue shall be worn. Breast Plate numbers on horses in Led and Saddleclasses. Riding classes will be issued a separate breast plate number. Horse entries shall be cataloguedas per Exhibitor(s) on Entry Form.

13. The Show Horse Council of Australasia Inc. shall not be responsible for the loss of, or for any damage orinjury occasioned to any Exhibit or the property of any Exhibitor(s) from any cause whatsoever.

14. The Exhibitors and Competitors enter and compete entirely at their own risk.15. Except where any ineligibility is officially determined, the Judge’s decision is FINAL. A Judge’s decision

representing his/her individual preference cannot be protested against.16. All protests shall be in writing to the Ground Jury accompanied by a fee of $50.00 and are to be received

no later than one hour after the Event, after which time no protest shall be entered.17. No outside assistance is to be displayed during Competition. Penalty of Disqualification may apply to

breach of this Regulation.18. Drug Testing will be carried out during the three days of the Show in accordance with Show Horse Council

of Australasia Inc. requirements and Show Horse Council of Australasia Inc. Competition Rules on DRUGSand DRUG TESTING (Rules 7.1 - 7.12) together with the Department of Sport and Recreation DopingPolicy, or in accordance with the relevant Laboratory Sample Collection Protocol. Compliance with thisRule is mandatory for all Exhibits and Persons Responsible. Drug Penalties as adopted in the Show HorseCouncil of Australasia Inc. Competition Rules (7.8a & 7.8b) will apply. Registration papers must beproduced if a horse is called up for Drug Testing. Drug testing guidelines can be obtained from the ShowOffice on the days of the event or can be downloaded from the Council’s webpagewww.showhorsecouncilaust.com.au

19 It is the intention of these Regulations that all horses shall perform at the time of competition on theirmerits, without the aid of any Drug(s) or Prohibited Substance(s) which will affect the conduct, performanceor appearance of the horse.

20. It is the Absolute Liability of the Owner(s)/Competitor/Exhibitor(s)/Responsible Officer to ensure that anyhorse exhibited by them in this competition is free from any Prohibited/Banned Drug or Substance at thetime of Competition. Failure to adhere to this Rule may render the Competitor/Exhibit/Owner(s)/Exhibitor(s)/Responsible Officer liable to disqualification and/or disciplinary action as determined by the Show HorseCouncil of Australasia Inc.

21. Results of Drug Testing may be published.22. A TREATMENT FORM (available from the Show Secretary or can be downloaded from the Council’s

webpage www.showhorsecouncilaust.com.au ) shall be completed and lodged by the Responsible Officerfor ANY HORSE WHICH HAS BEEN ADMINISTERED ANY DRUG OR PROHIBITED SUBSTANCE within14 DAYS prior to this Competition. The Treatment Form shall be accompanied by a VETERINARYCERTIFICATE containing full details of any ailment and/or injury and treatment and be forwarded to theShow Secretary within 24 hours of the initial treatment. If initial treatment occurs within 24 hours ofcommencement of the Show the Treatment Form must be lodged with the Show Secretary as soon aspossible, but no later than 7.00am on the day of Competition. Where the horse requires continuedtreatment (after the Form is lodged), a written report detailing the treatment shall be submitted prior to theday of Competition.

23. The decision as to whether the horse will be permitted to start shall be made by the Ground Jury.Veterinary advice may be sought if considered necessary. The Exhibitor/Competitor shall be advised ofthe decision prior to the commencement time. No (a) claim shall be made against or (b) appeal made tothe Ground Jury or Council if, by such decision of the Ground Jury, the Entry is not permitted to start.

24. The Committee reserves the right to refuse or withdraw any Entry/Entries without having to assign areason.

25. In this Competition, “Horse” refers to a Saddle Horse, a Galloway or a Pony26. All information supplied by the Exhibitor(s) and/or Owner(s) and/or Responsible Officer, (i.e. the person in

charge of the horse) shall be true and correct and represent that the horse/rider is eligible to compete. Ifthis information is found to be false, the exhibit shall be ineligible to compete. The Show Horse Council ofAustralasia Inc may discipline the Exhibitor(s) and/or Owner(s) and/or Responsible Officer of the Entry.

27. Horse entries shall only be accepted where the name(s) and signature(s) of the current registeredOwner(s) &/or Lessee(s), Responsible Officers and Exhibitors/Competitors appear on the Entry Form.

28. Where an Owner of the horse shall be in charge of the horse during the Competition, then THAT Owner isrequired to sign the Entry Form as the Responsible Officer.

29. If a person other than an Owner shall be in charge of the horse during the Competition, then THAT personis required to sign the Entry Form as the Responsible Officer.

30. Where a horse is registered and/or entered in the name of a minor (under 18 years), the Entry Form shallbe signed by the parent/legal guardian.

31. In the event of Disciplinary Action, the person(s) considered responsible shall be the Owner(s) and/or theResponsible Officer and/or the person in charge of the horse at the time of the Offence.

32. The Organising Committee and/or the Show Horse Council of Australasia Inc. and/or the Ground Jury,reserve the right to alter the number of Finalists, Program, Judges, Schedule or Timetable.

33. Horse Numbers and registration papers must be produced at time of measuring. Only current Show HorseCouncil of Australia Inc. Measuring Certificates will be recognised.

34. Show Horse Council measurers will be in attendance to measure horses and issue official measuringcertificates.

35. Exhibitors of Horses holding Current or Life Official Show Horse Council Measuring Certificates arerequired to provide a copy of such Certificates with their entries. This will enable the Breast Plate of theEntry to be stamped, Height recorded & colour sticker attached prior to the Show and be ready for pick upat the Show Office. Horses for which Current Certificates have been supplied will not be required for furtherverifying i.e. NO standing in line at the Measuring Box. Marshalling Stewards will check that Breast Platesare in order before horses are permitted to entry the Ring. Any exhibit Breast Plates that are found not tobe in order will not be able to compete until Measured by the Official Measurer, no event will be held up forthese exhibits to be measured. At his/her discretion, the Show Horse Council of Australasia Inc. OfficialMeasurer may require any horse to be measured.

36. The horse’s endorsed breastplate shall be displayed for the Marshalling Steward for verification prior toentering the ring for Competition. Any breach of this Regulation may incur disqualification.

37. Where a competitor has a clash with classes in more than one ring at one time: they must notify the RingMaster or Stewards in all rings concerned. The Ring Master can approve for a horse to be held in the ringallowing the rider to move from ring to ring. (The handler must be dressed appropriately and act only at thedirection of the Ring Master)

38. Grand National Qualifiers Classes- All Mounts will be required to present to the judges therefore willrequire a rider.

39. In Riding Classes, two Riders in the same Section cannot ride the same horse. Entries received withmounts TBA WILL NOT be accepted. Any changes to mounts on the day WILL NOT be accepted unlessrequests are made to the Ground Jury prior to the event. Requests must be accompanied by a NEWFULLY COMPLETED Rider Class Entry Form stating Horses Names and Signed by all requiredsignatories.

40. In a Rider Class Six years and under Nine years, the mount shall not exceed 14hh.41. In a Rider Class Nine years and under Twelve Years, the mount shall not exceed 14.2hh.42. Riders in Rider Class under Seventeen Years are required to wear Jodhpur boots.43. All Riders are required to wear an approved helmet and riding boots at all times. Any breach of this Rule,

may incur disqualification from the Competition.44. Lunging on the main arena is NOT permitted at any time. Lunging is only permitted in designated areas.

Exercising of horses on the Main Arena will be at the discretion of the Ground Committee.45. Major Prize Money will be forwarded on confirmation of Swabbing Results.46. Dogs must be kept of leads at all times.47. CLOSING DATE OF ENTRIES: Last Mail on the 15th April 2015. LATE ENTRIES WILL BE ACCEPTED

up to 21st April 2015 a Late Entry Fee of $50 will apply.48. PRELIMINARY COMPETITION for both Open and Hunter for Ponies, Galloway’s and Hacks three years of

age and over that have not placed 1st, 2nd or 3rd in an individual OPEN or SHOW HUNTER Hack Event at aRoyal Show – or been Winner of the title “Horse of the Year” or the title “Show Hunter of the Year” or thetitle “Runner-Up Horse of the Year” or the title Runner-Up Show Hunter of the Year” at ANY Horse of theYear Show – or been the Champion of any Horse of the Year Intermediate or Preliminary Competition.Any Performance gained AFTER the close of entry will be counted. Royal Shows include Bathurst Royal,Toowoomba Royal and Launceston Royal.

49. AMATEUR: A person who, for the past three years, has not received any fee, sponsorship, gift orreward or be or have been in any way subsidised or reimbursed for his/her services connected in anyrespect whatsoever with Coaching, Training, Riding or Showing of any horse for any other person. Anaward or prize money or trophy won as a prize in an official competition shall not affect Amateur status.AMATEUR COMPETITION: The horse shown in an Amateur Class must be owned & exhibited by theRider who is an Amateur and/or a member of the Rider’s Immediate Family, for a period of not less thanthree months. The horse must not have been shown, or ridden or trained by a Non-Amateur, within theprevious three months.IMMEDIATE FAMILY: Spouse, brother, sister, child, parents, grand-parents, grand-children. Step, andpersons living in a de-facto relationship, for the purpose of this section, shall be considered to be married.

50. Royal Shows shall include Toowoomba Royal, Bathurst Royal and Launceston Royal.51. First Season Horses must not have started their show careers under saddle prior to the 1st June 201452. Owners/Exhibitors must supply a Statutory Declaration stating their Horses eligibility for entry in First

Season classes, Newcomers Classes and Amateur Classes and their Own Eligibility for Amateur Classes.53. All Grand National Qualifying classes will be judged by 3 Judges independently using the Show Horse

Council of Australasia Inc. approved Point Score System where the worst score is dropped off, any Horsesor Riders tying on equal points will be decided by going back to the appointed section Pony/Galloway orHack judge to decide the result. In the case of Riding Classes the Tie Breaking Judge will be advertisedprior to commencement of the classes by way of Notice Board and over the public address system. TheShow Horse Council of Australasia and the Northern NSW Show Horse Inc. committee reserves the right tocorrect any clerical errors made in the course of carrying out their duties.

54. Current DPI Regulations must be adhered to for this event, inter state exhibitors need to contact theirrelevant state body for advice about attending this event.

55. Any person/persons who are found to be camping and have not paid for a camping site will be asked toleave the grounds. The Northern NSW Show Horse Association Inc. committee reserves the right to alsoasked for their horses removal, no refund in this case will be given for stabling fee’s that have been paid bythe offending exhibitor.

56. Please note if you do not receive a confirmation of entries and information letter we HAVE NOTRECEIVED OR PROCESSED YOUR ENTRIES AND YOU WILL NOT BE ABLE TO COMPETE AT OURSHOW.

57. Stabling will be allocated on the basis of distance travelled and days staying. We cannot guarantee stablesfor local competitors.

58. Working hunter classes will only be run if conditions are warranted as safe, if the weather is inclement andwe do not run these classes the committee will refund entry monies.

Conducted by the Northern NSW Show Horse Association Inc.

Affiliate of the SHOW HORSE COUNCIL of AUSTRALASIA Inc. (ABN: 51 590 953 920)

GENERAL INFORMATION PERTAINING TO THE CHAMPIONSHIPS. Please read the Regulations and Conditions of Entry in the front of the program and for fulfill all the

requirements otherwise your nominations will be returned as incomplete.

PLEASE ENSURE THAT YOU HAVE INCLUDED THE FOLLOWING;

First Season Ridden Horses must not have started their show careers under saddle prior to the 1st June2014. Statutory Declarations must accompany all nominations of Ridden First Season Horses confirmingthis. Newcomer Led Horses must be entered in the Newcomer Ridden.

Statutory Declarations must accompany all Amateur Hack Class nominations confirming that thenomination meets all Amateur Eligibility Requirements, please refer to the Rule and Regulations in the frontof the program.

Copies of Birth Certificates must accompany all nominations for Riders entered in Riding Classes under 21years.

Copies of National Saddle Horse Registration Papers must accompany all nominations of Horses enteredin Grand National Qualifying classes (Open Show Hunters, Open Hack, Amateur Hack, Preliminary Hackand all mounts in Riding Classes). Exhibitors of horses pending the issue of papers must forward with theirnominations a photocopy of BOTH SIDES of the National Saddle Horse Application Registration Form.Horses with incomplete transfers at the time of nomination will be deemed to be ineligible.

Current copies (2013/14) of Show Horse Council membership cards or copies of receipts provingmembership of an Affiliated State or Clubs must accompany all nominations to this event.

Please ensure that all the paperwork and the correct money are included when you return your entries,otherwise your entries will be return and a $25.00 fee will be incurred and stables will not be allocated untilcorrected entries are received.

STABLE BOOKINGS STRICTLY RUN FROM MIDDAY ONE DAY TO MIDDAY THE NEXT DAY. Allhorses must be removed from their stables by MIDDAY if you have not booked for the following Night toallow the next Exhibitors into the stables. THIS WILL BE STRICTLY ENFORCED. If you have anyconcerns in regards to this please contact us prior to the Show. Stables will be allocated in the order thatCORRECT entries are received.

Please read Rules and Regulations 35, Re: Exhibits holding Current SHC Measuring Certificates.

INFORMATION

While the showground has excellent showground stables some of the stables have 4 rail dividers. Foradded safety it is recommended that you may wish to bring some tarps or Hessian to tie between thestables.

No bedding is supplied for the stables. STRAW IS NOT PERMITTED IN THE STABLES, ONLYSHAVINGS CAN BE USED.

For Produce and Bedding supplies contact PAT YOUNGBERRY AT B&B PRODUCE 32 Casino StreetSouth Lismore on 02 66218366 fax 02 6621 8095 Mobile 0422169460

For all Veterinary requirements contact LISMORE CENTRAL VETERINARY CLINIC 02 66220044 Contact Farrier – Dallas Rapmund 0458 781512 If you have any queries Dianne McMahon on 02 66290269 or 0413 474 074, Cherie Jennings on 02

66285235 or 0412 433432, Jo Robson 0266832252

Note first point of contact with all competitors will be via email so please print this clearly on your entryform.

Please Note: Lismore is a High Risk Hendra Area. Please complete the attachedHendra information form and return with your entries.Your horse does not need to be vaccinated to attend our event. However you must complete aninfo sheet for each horse entered.

2015 Yes Optus Business Direct - Northern NSW Hack Championships

Commencing at 10:30 amThursday 21st May 2015Ring 1

Class 100 Child Handler 12 year and under

Class 101 Child Handler over 12 Years & under 17 years

All First Place getters will be eligible to compete at the 2015 Grand National

Class 102 Ridden Shetland Pony – ridden by a child under 14yrs

Class 103 Childs Pony n/e 12.2hh - ridden by a child under 17yrs

Class 104 Childs Pony over 12.2hh and n/e 14hh – ridden by a child under 17yrs

Class 105 Childs Galloway over 14hh n/e 15hh - ridden by a child under 17yrs

Class 106 Childs Show Hack over 15hh - Ridden by a child under 17yrs

Childs Hunters

Class 107 Childs Show Hunter Pony n/e 12.2hh - ridden by a child under 17yrs

Class 108 Childs Show Hunter Pony over 12.2hh and n/e 14hh - ridden by a child under 17yrs

Class 109 Childs Show Hunter Galloway over 14hh and n/e 15hh - ridden by a child under 17yrs

Class 110 Childs Show Hunter Hack over 15h - ridden by a child under 17yrs

Events to be Judged on the circle (heats where required) First, Second & Third Placings

Class 111 Childs Ridden Show Pony n/e. 12.2hh Rider 12 years and under

Class 112 Childs Ridden Show Pony over 12.2hh & n/e. 13.2hh Rider 14 years and under

Class 113 Childs Ridden Show Pony over 13.2 hh n/e14.2hh Rider 16 years and under

Champion & Runner Up Ridden Show Pony Exhibit - Workouts

Class 114 Childs Ridden Show Hunter Pony n/e 12.2hh Rider 12 years and under

Class 115 Childs Ridden Show Hunter Pony over 12.2hh & n/e13.2hh Rider 14 years & under

Class 116 Childs Ridden Show Hunter Pony over 13.2hh & n/e 14.2hh Rider 16 years & under.

Champion & Runner Up Ridden Show Hunter Pony Exhibit – Workouts

RPSBS RUBY ANNIVERSARY SUPREME RIDDEN CHILDS PONY EXHIBIT – Champion Hunter & ChampionShow Pony Eligible

Child Handler Classes Nomination $15.00

Children’s RPSBS Classes Nomination $25.00Judges: Kerry Patchett Paul Dopper

Grand National Qualifying Children’s Classes Nomination $35.00Judges Clint Bilson / Kerry Tempest-Clarke

Commencing 2pmThursday 21st May 2015Ring 2

Class 117 Working Hunter Pony

Class 118 Working Hunter Galloway

Class 119 Working Hunter Hack

These classes will only be run if the conditions are safe and the ground is secure under foot. Should the weathermean we cannot hold these events for safety reasons we will refund entries.

Three Phases

Phase 1 Jumping - competitors eliminated in the jumping phase do not progress to phase 2

Phase 2 Ridden Phase

Phase 3 Led Phase

Results will be announced when all horses have completed all three phases.

Working Hunter Classes Nomination $35.00Champion & Runner Up, Top 5

Judge: Wendy Pollard

Friday 22nd May 2015Commencing at 7.30am

Statutory Declarations must accompany all First Season nominations ridden and led. Exhibitorsmust choose between entry in Open Show Classes or Show Hunter Classes, ridden and led. Noexhibit can be shown in both the Open Show Horse and Show Hunter Classes. First SeasonHorses must not have started under saddle prior to the 1st June 2014.

FIRST SEASON LED HORSES MUST BE ENTERED IN THE FIRST SEASON RIDDEN.

Class 120 First Season Led Show Hunter Pony n/e 12.2h Championship

Class 121 First Season Led Show Hunter Pony over 12.2h & n/e 14h Championship

Class 122 First Season Led Show Hunter Galloway over14h & n/e 15h Championship

Class 123 First Season Led Show Hunter Hack over 15h Championship

Class 124 Open Led Show Hunter Pony n/e 12.2h Championship

Class 125 Open Led Show Hunter Pony over 12.2h & n/e 14h Championship

Class 126 Open Led Show Hunter Galloway over14h & n/e 15h Championship

Class 127 Open Led Large Show Hunter Hack over 15h Championship

Statutory Declarations must be accompany all First Season nominations, must not havestarted under saddle prior to the 1st June 2014

Class 128 First Season Ridden Small Show Hunter Pony n/e 12.2h ChampionshipClass 129 First Season Ridden Large Show Hunter Pony over 12.2h & n/e 14h Championship

Class 130 First Season Ridden Show Small Hunter Galloway over 14h & n/e 14.2h ChampionshipClass 131 First Season Ridden Show Large Hunter Galloway over 14.2h & n/e 15h Championship

Class 132 First Season Ridden Small Show Hunter Hack over 15h & n/e 16h ChampionshipClass 133 First Season Ridden Large Show Hunter Hack over 16h Championship

First Season Led Show Hunter Championship Nomination Fee $15.00Champion & Runner Up / Top Five

Open Led Show Hunter Championship Nomination Fee $15.00Champion & Runner Up / Top Five

Ridden First Season Ridden Show Hunter Championship Nomination Fee $35.00Champion & Runner Up / Top Five

Champion & Runner Up / Top Five

Friday 22nd May 2015Commencing at 7.30am


FIRST SEASON LED HORSES MUST BE ENTERED IN THE FIRST SEASON RIDDEN.Class 134 First Season Led Show Pony n/e 12.2h Championship

Class 135 First Season Led Show Pony over 12.2h & n/e 14h Championship

Class 136 First Season Led Show Galloway over 14h & n/e 14.2h Championship

Class 137 First Season Led Show Galloway over 14.2h & n/e 15h Championship

Class 138 First Season Led Show Hack over 15h & n/e 16h Championship

Class 139 First Season Led Show Hack over 16h Championship

Class 140 Open Led Show Pony n/e 12.2h Championship

Class 141 Open Led Show Pony over 12.2h & n/e 14h Championship

Class 142 Open Led Show Galloway over 14h & n/e 14.2h Championship

Class 143 Open Led Show Galloway over 14.2h & n/e 15h Championship

Class 144 Open Led Show Hack over 15h & n/e 16h Championship

Class 145 Open Led Show Hack over 16h Championship


Class 146 First Season Ridden Small Show Pony n/e 12.2h Championship

Class 147 First Season Ridden Large Show Pony over 12.2h & n/e 14h Championship

Class 148 First Season Ridden Small Show Galloway over 14h & n/e 14.2h Championship

Class 149 First Season Ridden Large Show Galloway over 14.2h & n/e 15h Championship

Class 150 First Season Ridden Small Show Hack over 15h & n/e 16h Championship

Class 151 First Season Ridden Large Show Hack over 16h Championship

Open Led Show Horse Championship Nomination $15.00Champion & Runner Up / Top Five

Ridden First Season Show Horse Championship Nomination $35.00Champion & Runner Up / Top Five

First Season Led Show Horse Championship Nomination $15.00Champion & Runner Up / Top Five

Friday 22nd May 2015Day Commences 7:30am

Class 152 Led Riding Pony Stallion n/e 14.2h

Class 153 Show Pony Mare/Gelding n/e 12.2h

Class 154 Show Pony Mare/Gelding over 12.2h & n/e 13.2h

Class 155 Show Pony Mare/Gelding over 13.2h & n/e 14.2h

Champion & Res Champion Led RPSBS Senior Mare/Gelding/Stallion from classes 151 / 152 / 153 / 154

Class 156 Youngstock RP Led Colt or Gelding Yearling and under n/e 13.3 ½h and 2yrs n/e 14.0 1/2h

Class 157 Youngstock RP Led Colt or Gelding 3yrs n/e 14.1 ½ h

Champion & Res Champion Led RP Young stock Colt or Gelding form classes 155 / 156

Class 158 Youngstock RP Filly Yearling and under n/e 13.3 ½h and 2yrs n/e 14.0 1/2h

Class 159 Youngstock RP Filly 3yrs n/e 14.1 ½ h

Champion & Res Champion Led RP Youngstock Filly form classes 157 / 158

Class 160 Show Hunter Stallion

Class 160 Show Hunter Pony Mare/Gelding n/e 12.2h

Class 162 Show Hunter Pony over 12.2h & n/e 13.2h

Class 163 Show Hunter Pony over 13.2h & n/e 14.2h

Champion & Res Champion Led RPSBS Show Hunter Senior Mare/Gelding from Classes 159 160 161 162

Class 164 RPSBS – Show Hacks Open Type over 14.2h and n/e 15.2h

Class 165 RPSBS – Show Hacks Open Type over 15.2h

Champion & Res Champion Led RPSBS Open Show Hacks from Classes 163 & 164

Class 166 RPSBS – Show Hacks Hunter Type over 14.2h and n/e 15.2h

Class 167 RPSBS – Show Hacks Hunter Type over 15.2h

Champion & Res Champion Led RPSBS Show Hunter Hack from Classes 165 & 166

RPSBS RUBY ANNIVERSARY SUPREME LED RIDING PONY EXHIBIT - All Champion Eligible

Australian Riding Pony Feature ShowAll horses entered in the following classes must be registered with

Show Pony Led Championships Nomination $15.00Champion & Runner Up & Top Five Judge: Paul Dopper

Show Hunter Pony Led Championships Nomination $15.00Champion & Runner Up & Top Five Judge: Kerry Patchett

RPSBS – Show Hack Led Championships – Hunter and Open Nomination $15.00Champion & Runner Up & Top Five Judge: Kerry Patchett

Youngstock Led Championships Nomination $15.00Champion & Runner Up & Top Five Judge: Paul Dopper

Friday 22nd May 2015Day Commences 7:30am

Riding Classes, two Riders in the same Section cannot ride the same horse. A Rider Six years and underNine years, the mount shall not exceed 14hh. A Rider Nine years and under Twelve Years, the mount shallnot exceed 14.2hh.

Class 168 Junior Rider 6years & Under 9 Years ChampionshipJudges: Clint Bilson Kerry Tempest-Clarke Tracie-Lee Wells

Class 169 Junior Rider 9 years & under 12 years ChampionshipJudges: Melinda Ralph Tracie-Lee Wells Kerry Tempest-Clarke

Class 170 Intermediate Rider 12 years & under 15 years ChampionshipJudges: Tracie-Lee Wells Kerry Tempest-Clarke Clint Bilson

Class 171 Senior Rider 15 years & under 17 years ChampionshipJudges: Clint Bilson Melinda Ralph Tracie-Lee Wells

Class 172 Adult Rider 17 years & under 21 years ChampionshipJudges: Clint Bilson Melinda Ralph Tracie-Lee Wells

Class 173 Adult Rider 21 years & over ChampionshipJudges: Melinda Ralph Tracie-Lee Wells Kerry Tempest-Clarke

Class 174 Adult Rider over 30 years ChampionshipJudges: Melinda Ralph Clint Bilson Kerry Tempest- Clarke

Grand National Qualifying Riding Championships Nomination $35.00Champion & Runner Up, Top10, Top5 & Smartest on Parade

Saturday 23rd May 2015Day Commences 7:30 am

PRELIMINARY SHOW HUNTER COMPETITION for Ponies, Galloway’s and Hacks three years of age and over that havenot placed 1st, 2nd or 3rd in an individual OPEN or SHOW HUNTER Hack Event at a Royal Show – or been Winner of thetitle “Horse of the Year” or the title “Show Hunter of the Year” or the title “Runner-Up Horse of the Year” or the title Runner-Up Show Hunter of the Year” at ANY Horse of the Year Show – or been the Champion of any Horse of the YearIntermediate or Preliminary Competition. Any Performance gained AFTER the close of entry will be counted. RoyalShows include Bathurst Royal, Toowoomba Royal and Launceston Royal.

Class 175 Preliminary Small Show Hunter Pony n/e 12.2h Championship

Class 176 Preliminary Large Show Hunter Pony over 12.2h & n/e 14h Championship

Class 177 Preliminary Small Show Hunter Galloway over 14h & n/e 14.2h Championship

Class 178 Preliminary Large Show Hunter Galloway over 14.2h & n/e 15h Championship

Class 178 Preliminary Small Show Hunter Hack over 15h & n/e 16h Championship

Class 180 Preliminary Large Show Hunter Hack over 16h Championship

Statutory Declarations must be accompany all Amateur nominations

AMATEUR A person who, for the past three years, has not received any fee, sponsorship, gift or reward or be or havebeen in any way subsidised or reimbursed for his/her services connected in any respect whatsoever with Coaching, Training,Riding or Showing of any horse for any other person. An award or prizemoney or trophy won as a prize in an official competitionshall not affect Amateur status.

AMATEUR COMPETITION The horse shown in an Amateur Class must be owned & exhibited by the rider who is anAmateur and/or a member of the Rider’s immediate family, for a period of not less than three months. The horse must not havebeen shown, or ridden or trained by a non-amateur within the previous three months.

IMMEDIATE FAMILY Spouse, brother, sister, child, parents, grand-parents, grand-children, step and persons living in aDe-facto relationship, for the purpose of this section, shall be considered to be married.i

Class 181 Amateur Small Show Hunter Pony n/e 12.2h Championship

Class 182 Amateur Large Show Hunter Pony over 12.2h & n/e 14h Championship

Class 183 Amateur Small Show Hunter Galloway over 14h & n/e 14.2h Championship

Class 184 Amateur Large Show Hunter Galloway over 14.2h & n/e 15h Championship

Class 185 Amateur Small Show Hunter Hack over 15h & n/e 16h Championship

Class 186 Amateur Large Show Hunter Hack over 16h Championship

Preliminary Show Hunter Hack Championship Nomination $25.00Champion & Runner Up & Top Five

Amateur Show Hunter Championship Nomination Fee $25.00Champion & Runner Up & Top Five


PRELIMINARY HACK COMPETITION for Ponies, Galloway’s and Hacks three years of age and over that have not placed1st, 2nd or 3rd in an individual OPEN or SHOW HUNTER Hack Event at a Royal Show – or been Winner of the title “Horseof the Year” or the title “Show Hunter of the Year” or the title “Runner-Up Horse of the Year” or the title Runner-up ShowHunter or the Year at ANY Horse of the Year Show – or been the Champion of any Horse of the Year Intermediate orPreliminary Competition. Any Performance gained AFTER the close of entry will be counted. Royal Shows includeBathurst Royal, Toowoomba Royal and Launceston Royal.

Class 187 Preliminary Small Show Pony n/e 12.2h Championship

Class 188 Preliminary Large Show Pony over 12.2h & n/e 14h Championship

Class 189 Preliminary Small Show Galloway over 14h & n/e 14.2h Championship

Class 190 Preliminary Large Show Galloway over 14.2h & n/e 15h Championship

Class 191 Preliminary Small Show Hack over 15h & n/e 16h Championship

Class 192 Preliminary Large Show Hack over 16h Championship

Statutory Declarations must be accompany all Amateur nominations

AMATEUR A person who, for the past three years, has not received any fee, sponsorship, gift or reward or be or havebeen in any way subsidised or reimbursed for his/her services connected in any respect whatsoever withCoaching, Training, Riding or Showing of any horse for any other person. An award or prizemoney ortrophy won as a prize in an official competition shall not affect Amateur status.

AMATEUR COMPETITION The horse shown in an Amateur Class must be owned & exhibited by the rider who is an Amateurand/or a member of the Rider’s immediate family, for a period of not less than three months. The horsemust not have been shown, or ridden or trained by a non-amateur within the previous three months.

IIMMEDIATE FAMILY Spouse, brother, sister, child, parents, grand-parents, grand-children, step and persons living in aDe-facto relationship, for the purpose of this section, shall be considered to be married.

Class 193 Amateur Small Show Pony n/e 12.2h Championship

Class 194 Amateur Large Show Pony over 12.2h & n/e 14h Championship

Class 195 Amateur Small Show Galloway over 14h & n/e 14.2h Championship

Class 196 Amateur Large Show Galloway over 14.2h & n/e 15h Championship

Class 197 Amateur Small Show Hack over 15h & n/e 16h Championship

Class 198 Amateur Large Show Hack over 16h Championship

Preliminary Show Horse Championship Nomination $25.00Champion & Runner Up & Top Five

Amateur Show Horse Championship Nomination $25.00Champion & Runner Up & Top Five


All horses entered in the following classes must be registered with the RPSBS.

Class 199 Leading Rein Pony n/e 12h, Rider 3 years & under 8 years on the first day of the Show

Class 200 First Ridden Pony, n/e 12.2h, Rider 12 years and under on the first day of the Show

Champion & Runner Up from Classes 198 / 199 First, Second & Third Places

All exhibitors entering in the Newcomer Classes MUST forward a copy of the current newcomer card with entries. Poniesentered in the Newcomer Section MUST NOT have started under saddle as per their State Newcomer Rule Date: Victoria Mustnot have stared under saddle prior to 1st Feb. 2015: NSW Must not have started under saddle prior to 1st January 2015: QldMust not have started under saddle prior to 1st July 2014. Newcomer cards available from your state secretary.

Class 201 Newcomer Ridden Pony, n/e 12.2h

Class 202 Newcomer Ridden Pony, over 12.2h & n/e 13.2h

Class 203 Newcomer Ridden Pony, over 13.2h & n/e 14.2h

Champion & Runner from Classes, 200, 201,202 First, Second & Third Places

Class 204 Ridden Show Pony n/e 12.2h

Class 205 Ridden Show Pony over 12.2h & n/e 13.2h

Class 206 Ridden Show Pony over 13.2h & n/e 14.2h


Class 207 Ridden Show Hunter Pony n/e 12.2h

Class 208 Ridden Show Hunter Pony over 12.2h & n/e 13.2h

Class 209 Ridden Show Hunter Pony over 13.2h & n/e 14.2h


Open Ridden Show Hunter Pony Championship Paul Dopper Nomination $25.00

Australian Riding Pony Feature ShowJudges: Paul Dopper : Kerry Patchett

Ridden Mini Show Pony Kerry Patchett Nomination $25.00

Newcomers Ridden Pony Championship Nomination $25.00

Open Ridden Show Pony Championship Nomination $25.00

Ridden RPSBS Show Hack Continue Next Page.


Class 210 RPSBS – Ridden Show Hacks Open Type over 14.2h and n/e 15.2h

Class 211 RPSBS – Ridden Show Hacks Open Type over 15.2h

Champion & Runner from classes 209, 210 First Second & Third Places

Class 212 RPSBS – Ridden Show Hacks Hunter Type over 14.2h and n/e 15.2h

Class 213 RPSBS – Ridden Show Hacks Hunter Type over 15.2h

Champion & Runner Up from classes 211, 212 First Second & Third Places

RPSBS RUBY ANNIVERSARY SUPREME RIDDEN RIDING PONY EXHIBIT – All Champions Eligible

Exhibitors must choose between entry in Open Show Hack, Galloway or Pony Classes and Show Hunter Hack,Galloway or Pony Classes. No exhibit can be shown in both the Open Show Horse and Show Hunter Classes.

Class 214 Lead Rein Hunter Pony n/e 12h, Rider under 8yrs on the day of the ShowJudges: Kerry Tempest-Clarke Melinda Ralph Tracie-Lee Wells

Class 215 Open Large Show Hunter Pony Hack over 12.2h & n/e 14h ChampionshipJudges: Tracie-Lee Wells Kerry Tempest-Clarke Clint Bilson

Class 216 Open Small Show Hunter Pony Hack n/e 12.2h ChampionshipJudges: Kerry Tempest-Clarke Clint Bilson Melinda Ralph

Class 217 Open Small Show Hunter Galloway Hack over 14h & n/e 14.2h ChampionshipJudges: Clint Bilson Melinda Ralph Tracie-Lee Wells

Class 218 Open Large Show Hunter Galloway Hack over 14.2h & n/e 15h ChampionshipJudges: Kerry Tempest-Clarke Clint Bilson Melinda Ralph

Class 219 Open Small Show Hunter Hack over 15h & n/e 16h ChampionshipJudges: Clint Bilson Melinda Ralph Tracie-Lee Wells

Class 220 Open Large Show Hunter Hack over 16h ChampionshipJudges: Melinda Ralph Tracie-Lee Wells Kerry Tempest-Clarke

Statutory Declarations must be accompany all Amateur nominationsOpen to horses of all Heights

Class 221 ‘The Garry Robson Hack Challenge’ Open to All Competitors - Top 10 in the RiddenPhase will be stripped for the Led Phase

Class 222 ‘The Garry Robson Hack Challenge’ Amateur Status - Top 10 in the Ridden Phase willbe stripped for the Led Phase

Northern NSW Super Hack Challenge Spectacular Nomination $40.00Champion & Runner Up, Top 10, Top 5

Judges: Wendy Pollard / Open Sandra James / Amateur

Grand National Qualifying Leading Rein and Show Hunter Hack ClassesChampion & Runner Up, Top 10, Top 5 & Smartest on Parade

Nomination $35.00

RPSBS – Ridden Show Hacks Open & Hunter Type Nomination $25.00

Sunday 24th May 2015Commencing at 8am

Exhibitors must choose between entry in Open Show Hack, Galloway or Pony Classesand Show Hunter Hack, Galloway or Pony Classes. No exhibit can be shown in both the

Open Show Horse and Show Hunter Classes.

Class 223 Lead Rein Pony n/e 12h, Rider under 8yrs on the day of the ShowJudges: Melinda Ralph Tracie-Lee Wells Kerry Tempest-Clarke

Class 224 Open Small Show Galloway Hack over 14h & n/e 14.2h ChampionshipJudges: Tracie-Lee Wells Kerry Tempest-Clarke Clint Bilson

Class 225 Open Large Saddle Hack over 16h ChampionshipJudges: Kerry Tempest-Clarke Clint Bilson Melinda Ralph

Class 226 Open Large Show Galloway Hack over 14.2h & n/e 15h ChampionshipJudges: Clint Bilson Melinda Ralph Tracie-Lee Wells

Class 227 Open Small Show Pony Hack n/e 12.2h ChampionshipJudges: Melinda Ralph Tracie-Lee Wells Kerry Tempest- Clarke

Class 228 Open Small Saddle Hack over 15h & n/e 16h ChampionshipJudges: Melinda Ralph Kerry Tempest-Clarke Clint Bilson

Class 229 Open Large Show Pony Hack over 12.2h & n/e 14h ChampionshipJudges: Kerry Tempest-Clarke Clint Bilson Tracie-Lee Wells

Grand National Qualifying Open Show Hack Classes Nomination $35.00Champion & Runner Up, Top 10, Top 5 & Smartest on Parade

2015 Yes ‘Optus’ Business Direct - NSW Hack ChampionshipsRECORD OF ENTRY COVER SHEET

Entries To: Show SecretaryNorthern NSW Show Horse Association IncP.O Box 3172Wamberal. NSW 2260ENTRIES CLOSE LAST MAIL 15TH APRIL 2015- NO LATE ENTRIES WILL BE ACCEPTED

Name of Exhibitor …………………………………………………….Address ……………………………………………………..

……………………………………………………..Telephone Number ……………………. Mobile ……………………….....Email Address …………………………………………………….

Please print email address clearly as this will be first point of contact

Horse Entries and Stabling/Camping Amt from Entry FormsTotals from Horse Entry Form One $Totals from Horse Entry Form Two $Totals from Horse Entry Form Three $Totals from Horse Entry Form Four $Totals from Horse Entry Form Five $Totals from Horse Entry Form Six $Totals from Horse Entry Form Seven $

Totals from Rider Entry Form One $Totals from Rider Entry Form Two $Totals from Rider Entry Form Three $Totals from Rider Entry Form Four $Totals from Rider Entry Form Five $

Total From Riding Pony Entry Form Horse One $Total From Riding Pony Entry Form Horse Two $Total From Riding Pony Entry Form Horse Three $Total From Riding Pony Entry Form Horse Four $Total From Riding Pony Entry Form Horse Five $Total From Riding Pony Entry Form Horse Six $Total From Riding Pony Entry Form Horse Seven $

Total Stabling Fees From Form $

Total Camping Fees From Form $

$TOTAL FEE $

Signature ……………………………………….. Date …………………POST TO: Show Secretary

Northern NSW Show Horse AssociationP.O. Box 3172Wamberal NSW 2260

HORSE ENTRY FORM(One Form per Horse)

EXHIBITOR/S ___________________________________________________________________ADDRESS ___________________________________________________________________

__________________________________________________________________Telephone No _____________________________Mobile _______________________________Email Address _________________________________________________________________

Name of SHC Council or Constituent Affiliated Club for which you a member ______________________________

NAME OF EXHIBIT______________________________________ NSH REG No_______________

Copy of both sides of current Registration Papers must be supplied with the entry & be in the names of theOwner/s identified below

EVENT Hunter = HOpen = O

CLASSNUMBER

ENTRY FEE TOTAL AMOUNT

Child Handler $15.00 $

First Season Led $15.00 $

Open Led $15.00 $

First Season Ridden $35.00 $

Preliminary Hacks $25.00 $

Amateur Hacks $25.00 $

Saddle Hack Challenge $40.00 $

Leading Rein Pony n/e 12h $35.00 $

Childs Hack $35.00 $

Open Hacks $35.00 $

Working Hunter $35.00 $

Compulsory Drug Levy Per Horse $15.00 $15.00Cataloguing Fee perHorse

Per Horse $5.00 $5.00

Breast Plate No Fee Per Horse $5.00 $5.00Ground Usage Per Horse $5.00 $5.00

Please transfer total to Record of EntrySheet

TOTAL DUE $

Signatures below affirm you have read and agree to the requirements of entry listed on the reverseside of this form.

Name of Owner/s ________________________________________________________________________

Signature/s ___________________________________Name/s to be those shown on supplied Horse’s Registration Papers

Name of Responsible Officer _____________________________Membership No. ______________________________

Signature ____________________________________________

Name of Competitor ______________________________Signature __________________________Name/s to be those shown at the top of the Entry

BREAST PLATE

Requirements of Entry – Horse Entry Form

Entry in this event shall constitute an agreement and affirmation from all participants (which include, without limitation, theOwner, Responsible Officer, Lessee, Manager, Agent, Rider, Handler and the Horse) for themselves.

1. I / we have read the Show Horse Council of Australasia Inc. Competition Rules & Regulations and Conditions ofEntry applicable to this Show.

2. I / we will compete subject to and agree to be bound by the Show Horse Council of Australasia Inc. CompetitionRules and Regulations, and Conditions of Entry applicable to this Show.

3. By voluntarily participation in this Show, I / we will accept as final any decision of the Show Horse Council ofAustralasia Inc. and or the Northern NSW Show Horse Association Inc. committee in regard to any incident arisingfrom 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 forany action taken in relation to this event.

5. PLEASE READ RULES AND REGULATIONS CLAUSE 7 RE: HORSE REGISTRATIONS AND TRANFERS.

YOUR ENTRY FORM SIGNATURES CONFIRM YOU HAVE READ ANDAGREE TO THE ABOVE REQUIREMENTS OF HORSE ENTRY

ENTRY FORM – RIDING CLASSES(One Form per Competitor)

COMPETITOR: _____________________________________________________________________

ADDRESS __________________________________________________________________________

__________________________________________________________________________

TELEPHONE____________________________MOBILE ________________________

Email Address: ____________________________________________________________

Name of SHC Council or Constituent Affiliated Club of which you are a member_____________________________

NAME OF MOUNT: ________________________________________________________

REGISTRATION No: ____________ Attention is drawn to Regulations 7,40,41,42 & 43

(Copy of both sides of current Registration Papers must be supplied with this entry)(Copy of Birth Certificate is required if competitor is under 21 years of age)

Riding Class Class Number Entry Fee Total Amount$35.00

Compulsory Drug Levy If not paid on horse form $15.00Compulsory Catalogue Fee If not paid on horse forms $5.00Ground Usage Fee If not paid on horse form $5.00Rider Number $5.00

Please transfer total to Record of Entry Sheet Total AmountOwed

$

Signatures below affirm you have read and agree to the requirements of entry listed on the reverseside of this form.Name of Competitor: __________________________________________________________________

Signature ___________________ Parent / Guardian Signature ___________________________(If competitor is under the age of 18 years the Parent/Guardian must sign)

Name of Mounts Owner/s __________________________________(Name/s are to be those shown on supplied Horse’s Registration Papers)

Signature/s _________________________

Name of Responsible Officer: _________________________Membership Number_______________

Signature: __________________________________________

Post to: Show Secretary – Northern NSW Show Horse Association – P.O. Box 3172 – WamberalNSW 2260

BREAST PLATE

Requirement of Entry - Riding Classes.






10. ENTRIES WITH MOUNTS TO BE ADVISED WILL NOT BE ACCEPTED, PLEASE READ CLAUSE 40 OFTHE RULES AND REGULATIONS. Riders must wear armband numbers and the mount must wear their allocatedbreast plate numbers.

YOUR ENTRY FORM SIGNATURES CONFIRMS YOU HAVE READ ANDAGREE TO THE ABOVE REQUIREMENTS OF RIDER CLASS ENTRY

ENTRY FORM – RIDING PONY FEATURE SHOW(One Form per Horse)

EXHIBITOR/S: _____________________________________________________________________ADDRESS: ______________________________________________________________________

______________________________________________________________________Telephone No: ______________________________Mobile: _________________________________Email Address: ______________________________________________________________________

You MUST BE a Financial Member of the Riding Pony Stud Book Society Ltd to compete in these classesNAME OF EXHIBIT ……………………………………. ARP Reg. No ……………………………Australian Riding Pony Stud Book Ltd - Membership Number _________________________

(All entries will be checked by the RPSB Ltd for validity of current Membership and Ownership, please have allpaperwork in order before entering)

EVENT CLASS NUMBER ENTRY FEE TOTAL AMOUNTShow Pony Led $10.00 $Show Hunter Led $10.00 $Show Hack Led $10.00 $Newcomer Ridden $20.00 $Mini Pony Ridden $20.00 $Show Pony Ridden $20.00 $Show Hunter Ridden $20.00 $Show Hack Ridden $20.00 $Childs Show or Hunter $20.00 $Compulsory Drug Levy If not paid in another class $15.00 $Cataloguing Fee per Horse If not paid in another class $5.00 $Breast Plate No Fee If not paid in another class $5.00 $Ground Usage If not paid in another class $5.00 $Please transfer total to Record of Entry Sheet TOTAL DUE $






15.SIGNATURES BELOW AFFIRM YOU HAVE READ AND AGREE TO THE ABOVE REQUIREMENTS OF ENTRYCOMPETITORS MUST PROVIDE THE DETAILS BELOWName of Owner/s _____________________________________________________________________Signature/s __________________________________________________________________________

Names are to be those shown on supplied Horse’s Registration PapersName of Responsible Officer ___________________________________________________________Signature ___________________________________________________________________________Name of Competitor __________________________________________________________________Signature ___________________________________________________________________________

Names are to be those shown at the top of the Entry

STABLING & CAMPING FORM

Exhibitors Name __________________________________________________________________Address __________________________________________________________________

__________________________________________________________________Telephone Number ___________________________Mobile Number: ______________________Email Address: __________________________________________________________________

Stables Cost is $20.00 each per day/nightDay/Night is strictly from midday one day to midday the next day

All Horses MUST be removed from their stables prior to Midday if you have not booked for thefollowing night.

Please fill in the number of Stables required below for the Days you require themSun 15/ Mon 16 Tue 17/ Wed 18/ Thur 19/ Fri 20/ Sat 21/ Sun 22/ Total $

$Or $100.00 per STABLE for the week and $100.00 per Camp site for the week

Camping Cost is $20.00 per Night for each Camping Vehicle

Please fill in the number of sites required below for the Days you require themSun 15/ Mon 16 Tue 17/ Wed 18/ Thur 19/ Fri 20/ Sat 21/ Sun 22/ Total $

$

Registration Numbers: Truck/Float ______________Car_______________

Please fill in your registration numbers if camping. Camping sites will be regularly checked. The number of stablesavailable is LIMITED. Booking will be placed in the order that they are received for allocation. Incorrect orincomplete entries will be returned to you and stables WILL NOT be allocated until the corrected entries arereceived. Our aim is to TRY and please all of our Exhibitors, with that in mind if your have any special requests onwhere/who you would like to be stabled with please fill in the request in the space provided below. We will TRY toaccommodate your needs but make NO GUARANTEES. Alterative stabling is available off the ground at ‘HuntingBoy Lodge’ Ballina Racecourse 02 66864149 if we are unable to successfully accommodate all horses.

PLEASE PUT YOUR EMAIL ADDRESS ON THIS FORM SO WE CAN EMAIL YOU YOUR STABLEALLOCATION BEFORE YOUR ARRIVAL. PLEASE PRINT EMAIL CLEARLY AS THIS WILL BETHE MAIN POINT OF CONTACT. NO BEDDING IS SUPPLIED. Please read the covering letter for allfeed, bedding and veterinary and farrier contact numbers.

NO BEDDING STRAW IS PERMITTED IN ANY OF THE SHOWGROUND STABLESStables will be allocated on basis of distance travelled and number of days staying. We cannot guarantee stables forlocal competitors.

Horse 1 Height ……… Hendra Vac Y/N Horse 4 Height ……… Hendra Vac Y/NHorse 2 Height ……… Hendra Vac Y/N Horse 5 Height ……… Hendra Vac Y/NHorse 3 Height …….. Hendra Vac Y/N Horse 6 Height ……… Hendra Vac Y/N……………………………………………………………………………………………………………..……………………………………………………………………………………………………………..……………………………………………………………………………………………………………..……………………………………………………………………………………………………………..

FOR ALL STABLE INQUIRES CONTACT JO ROBSON ON 02 66832252 – 0415 197 343OR EMAIL: [email protected]

Payment Options

Cheque Payable: Northern NSW Show Horse Assoc.

Direct Debit: BSB: 637 000Account Number 716085619

Reference: Please Quote Your Name.

A copy of your direct debit MUST be attached to your entries.

Credit Card: Complete and return the below with your entries

Card please tick Visa Mastercard

Amount $ ………………………

Name ……………………………………………………………

Credit Card No ……………………………………………………………

Expiry Date ………………………….

Signature ……………………………………………………….

Date …………………………

I give my authority for the credit card amount to be changed in the event of an error in mycalculations.(You will be emailed a notification of the new amount owed and once you have replied to this theadditional amount will be processed.)

……………………………………………… …………………………………………Signature Date

Please print your name clearly

………………………………………………

Entries that are not paid in full will not be catalogued

Entry Check List1 Have you read the Regulations and Condition of Entry ?

2 Have you completed ALL details on the Entry Forms, signedin all areas.

3 Have Entry Forms been signed by ALL Owners/Lessees?Shown on Registration Papers

4 Have Entry Forms been signed by the Resposible Officerwho must be a member of an Affiliate?

5 Have you completed a separate COVER SHEET for entries indifferent exhibitor's names?

6 Have you provided a separate Entry Form for eachHorse & Rider

7 Attached Copies:Membership Cards( for each competitor, owner ,lessee, responsible officer as applicable.)

Horse Registration Papers(both Sides)

Birth Certificates

SHC Measuring Certificate - current

Hendra Vac Cert.

8 RPSBS EntriesMembership Cards

Horse Registration Papers(both Sides)

Newcomer Card

9 Completed Stabling form

10 Completed Payment form

11 Hendra Info Sheet

Statutory Declaration OATHS ACT 1900, NSW, EIGHTH SCHEDULE

I, .................................................................................... , do solemnly and sincerely declare that [name of declarant]

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and I make this solemn declaration conscientiously believing the same to be true, and by virtue

of the provisions of the Oaths Act 1900.

Declared at: .................................................... on ........................................................................ [place] [date]

....................................................................... [signature of declarant]

in the presence of an authorised witness, who states:

I, ...................................................................... , a ......................................................................., [name of authorised witness] [qualification of authorised witness]

certify the following matters concerning the making of this statutory declaration by the person

who made it: [* please cross out any text that does not apply]

1. *I saw the face of the person OR *I did not see the face of the person because the person

was wearing a face covering, but I am satisfied that the person had a special justification

for not removing the covering, and

2. *I have known the person for at least 12 months OR *I have not known the person for at

least 12 months, but I have confirmed the person’s identity using an identification

document and the document I relied on was ......................................................................... [describe identification document relied on]

................................................................. ..................................................................... [signature of authorised witness] [date]

Oaths Act 1867

STATUTORY DECLARATION

QUEENSLAND

TO WIT I,

of , in the State of Queensland

do solemnly and sincerely declare that,

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of the Oaths Act 1867. Taken and Declared before me, at this day of 20 ,

Justice of the Peace Declarant

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