Ride to Time State Championship ~ Entry Form

Saturday 20th August 2016

Moonee Valley Racecourse

Alexandra Avenue Moonee Ponds (MW Map 28 K5)

ENTRY FORM (separate entries required for each rider)

ZONE :

RIDER NAME:

RIDER ADDRESS:

RIDER PHONE NUMBER/S:

EMAIL ADDRESS:

SECTION QUALIFIED FORGrade

QUALIFICATION DETAILS

DATE / VENUE / QUALIFIED TIMES
(Optional if known)

Please complete the attached and return with this entry

  1. Racing Victoria Media Release form
  2. Racing Victoria Rider Profile form
  3. Provide a photo of horse/rider combination

Entries and additional forms/photo to be sent to:

To:

Cc:

ENTRIES CLOSE AT 5PM FRIDAY 5TH AUGUST 2016.

PHOTO/MEDIA PERMISSION FORM 2016

The Ride to Time Program will garner interest from local print and film media and serve as a great source of promotion for the program and the Pony Club. In order to make sure the privacy of riders and individuals are protected, we ask that you fill out the below form.

Name:
Pony Club /Zone:
Address:
Phone:
Email:

I, (Parent and riders name if rider under 18) give Racing Victoria, permission to use the photos/film footage taken from the Ride to Time Program on both training qualifier days and the finals, for the purposes of promoting our Pony Club, …………………………………………………………… (Club and Zone name) and Racing Victoria’s Education Programs.

I understand that Racing Victoria will be notified of individual riders or other individuals that are not to be filmed or photographed prior before filming or photography commences.

I understand that Racing Victoria will willingly provide this material to the Pony Club to use for their promotional needs without any expectation of fees, profit or royalties attached.

I am aware that these photo/s or video footage may be published accompanying editorials and advertising for RVL in: (Please tick appropriate boxes)

 Local media, print or news items

 RV website

 RV newsletters or publications

 Subzero Facebook page

 Television Coverage of RV Programs

I am aware that Racing Victoria will use my photos/film footage in good judgment and as agreed to by me and that I have the right to revoke permission for use. This revocation does not apply to printed/film media that has already been produced and released, but applies to any subsequent productions.

Signed: Dated:

RIDER PROFILE 2016

NAME

AGE

GRADE

HORSE’S NAME:

HORSE’S COLOUR:

HORSE’S AGE

IS YOUR HORSE A RETIRED RACEHORSE?

IF YES, DO YOU KNOW IT’S RACING NAME?

WHAT IS YOUR FAVOURITE ACTIVITY TO DO WITH YOUR HORSE/PONY?

HOW DID YOU HEAR ABOUT THE RIDE TO TIME PROGRAM?

WHY DID YOU WANT TO TAKE PART IN THE RIDE TO TIME PROGRAM?

HOW MUCH DID YOU KNOW ABOUT TRACK RIDING AND OTHER CAREERS IN THE INDUSTRY BEFORE THE PROGRAM?

HAVE YOU ENJOYED THE TRAINING DAYS?

WHAT HAVE YOU LEARNED FROM THE PROGRAM?

ARE YOU INTERESTED IN DOING A COURSE TO FURTHER YOUR SKILLS AS A STABLE HAND/TRACK RIDER?

WOULD YOU LIKE TO WORK IN THE RACING INDUSTRY? WHAT AREA IN PARTICULAR?

IS THERE A PARTICULAR TRAINER YOU WOULD LIKE TO WORK FOR?

IF YOU HAVE ONE, WHO IS YOUR FAVOURITE RACEHORSE/TRAINER/JOCKEY ETC AND WHY?

APART FROM QUALIFYING FOR THE STATE CHAMPIONSHIPS, WHAT WAS THE HIGHLIGHT OF THE PROGRAM FOR YOU?

WHAT ARE YOU MOST LOOKING FORWARD TO ABOUT THE CHAMPIONSHIPS?

WILL YOU DO THE PROGRAM AGAIN NEXT YEAR?

WOULD YOU ENCOURAGE OTHER PCAV MEMBERS TO DO THE PROGRAM?

DO YOU HAVE ANY SUGGESTIONS TO IMPROVE THE PROGRAM?

IS THERE ANY OTHER INTERESTING INFORMATION ABOUT YOU, YOUR HORSE OR YOUR RACING/EQUESTRIAN BACKGROUND THAT YOU WOULD LIKE UNDER YOUR NAME IN THE RACEBOOK?