Nomination

Before submitting this nomination, read the flyer for the event, pay the nomination fee and note the banking reference number. Your nomination will not be registered unless prior payment is made. Please note ride fees will only be refunded if a notice from a vet or doctor is provided or the event is cancelled.

Event
  • - select an option -
  • 23 February Come & Try Judgepoint Training
Field is required!
Field is required!
Rider 1 Surname
Field is required!
Field is required!
Rider 1 Given Name
Field is required!
Field is required!
Member
  • - select an option -
  • Member
  • Non Member
Field is required!
Field is required!
Email
Field is required!
Field is required!
Phone
Field is required!
Field is required!
Photo Permission
  • - select an option -
  • YES
  • NO
Field is required!
Field is required!
Camping Overnight?
  • - select an option -
  • YES
  • NO
Field is required!
Field is required!
Horse Name
Field is required!
Field is required!
Hendra Vaccination
  • - select an option -
  • YES
  • NO
  • NOT CURRENT
Field is required!
Field is required!
Division
  • - select an option -
  • Open
  • Novice
  • Junior
  • Team
  • Training
Field is required!
Field is required!
Enter the name of your team mate (each team member is required to submit a separate nomination.)
Field is required!
Field is required!
(team entry only)
Field is required!
Field is required!
Rider 2 Surname
Field is required!
Field is required!
Rider 2 Given Name
Field is required!
Field is required!
Payment Details
Field is required!
Field is required!
I confirm I have paid the following amount by internet/telephone bank transfer.
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
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