GROVE HUNT PONY CLUB

BOOKING FORM 2014

Please book a place for camp:

1I enclose my completed medical form

2I enclose my payment of £200 (cheques made payable to Grove Hunt Pony Club).

3I confirm that my child is a current member of the Pony Club and that

confirmation of a place will be emailed.

I have read the Factsheet and Rules relating to Camp and I agreeto abide by all pony club rules.

Signed Parent/Guardian: …………………………………………………………….

Signed member- ……………………………………………………………………….

Details of member

FULL NAME: ………………………………………………………………………………

ADDRESS: ………………………………………………………………………………..

……………………………………………………………………………………………….

……………………………………………………………………………………………….

CONTACT NAMES AND TELEPHONE NUMBER (ATLEAST 2)

…………………………………………………………………………………………………

…………………………………………………………………………………………………

AGE (at start of camp) ……………………….

What activities you take part in regularly with your pony, and whether this interest is competitive or not (please tick).

Dressage / Showjumping / Mnted Games / Hunter Trials
One Day Events / Hunting / Endurance Riding / Le Trec
Polo / Polocross / Tetrathlon / Other
Please tick which is relevant to you. Please also state below what level, height you are competing at and whether you are a member of any other association ie BSJA, British Eventing.

What Pony Club Efficiency Tests do you hold? (please tick)

D / D+ / C
C+ / Riding & Road Safety / Other

Are you interested in being involved in teams? (please tick if applicable)

Dressage / Showjumping / Eventing
Mounted Games / ODE / Tetrathlon

Details of pony/horse

NAME: ………………………………………..

HEIGHT: ……………………………………….

AGE: ……………………………………….

OWNER’S NAME AND CONTACT TELEPHONE NUMBER (IF DIFFERENT FROM ABOVE) ……………………………………………………………………….

…………………………………………………………………………………………….

VET’S NAME & TELEPHONE NUMBER:…………………………….………………

FARRIER’S NAME & TELEPHONE NUMBER:………………………………………

DETAILS OF ANY SIGNIFICANT PROBLEMS THE STABLE MANAGER NEEDS TO KNOW ABOUT (eg recurrent colic/laminitis/wind sucking) ………………………………………………………………………………………………… …………………………………………………………………………………………………

DETAILS OF ANY SIGNIFICANT BEHAVIOURAL PROBLEMS THE INSTRUCTORS NEED TO KNOW ABOUT (bucking/kicking/biting/barging)

…………………………………………………………………………………………………

…………………………………………………………………………………………………

IS YOUR PONY/HORSE UPTODATE WITH VACINATIONS? YES/NO

Guardian/Parent’s signature……………………………………………………….

Date: ………………………………………………………………………………….

At the end of camp we will be holding a competition on the Friday. Please select below which height and class you wish to do.

Combined training:

55cm + PC walk/trot test 2013

65cm + PC introductory test 2007

75cm + PC eventing novice dressage test.

ODE

65cm SJ and XC + PC introductory test 2007

75cm SJ and XC + PC novice eventing test

90cm SJ and XC + PC novice eventing test

These are not exact and we may change to suit weather conditions or other circumstances, this will be to the judgement of the committee members.

If you wish to only do a dressage test please note below.

………………………………………………………………………………..

Please send to –

Fiona Hopkinson

50 High Road

Carlton-in-Lindrick

Worksop

Notts

S81 9EB

Cheques made payable to Grove Hunt Pony Club