10.8.1

PCAT CHAMPIONSHIP ENTRY FORM
EVENTING (TRIALS) RIDER
This form is to be completed by the Rider and given to DC prior to Championship entries being completed
One form for each horse qualified.
Please type or print CLEARLY.
RIDER’S NAME: / Age at 1st Jan: / Date of Birth:
Email address: / Phone # (H): / (M):
CLUB: / Thisyear’s PCAT member #:
HORSE’S OFFICIAL NAME:
GRADE: / 1 / 2 / 3A / 3B / 3C / PENALTY POINTS: / 10
Delete those not applicable / Delete if not applicable see Aug 12 addendum
Do you need a first-time championships rider’s BADGE? / Do you need a BAR for riding the first time THIS grade?
QUALIFYING EVENTS:List horse & rider’s two qualifying rounds on different days since CLOSING DATES of last championships.
Date / HOST ORGANISATION & VENUE / Grade / Dressage / XC / SJ / Place
Penalties / Penalties / Penalties
PLEASE ENTER THREE DATES OF QUALIFYING RALLIES FOR RIDER AND ONE FOR THE HORSE
since closing date of last championships
Rider / Horse
I agree to the conditions of entry and certify that the above is a true record. I am a bona fide member of the above Pony Club and am eligible as per the PCAT Rules for State Championships and the Trials.
SIGNED BY COMPETITOR(or Parent/Guardian if under 18 yrs):
Riders must return this completed form to their DC
DCs to send this completed form (check all is filled in) with club’s team entry form/s.
COMMENTARY INFORMATION
RIDER Name / CLUB & ZONE
Year joined PC / Other PC joined / Highest Efficiency Test gained / D D* C K C* B A H
DELETE those not applicable
Best PC Experience / Best competition results gained
College/School / Year / Employment
HORSE Name / Height
Horse’s Breed / Yrs owned/ridden
Sire / Dam
Stable Name / Temperament
Other Horses ridden at PCAT events:
Any other interesting information (write on back of form if needed)

10.8.2

PCAT CHAMPIONSHIP ENTRY FORM

GRADE 1 & 2 EVENTING (TRIALS) TEAMS

Instructions: This form is to be completed by the District Commissioner. Please type or print CLEARLY.

Enter all qualified riders in riding order. Please tick the Qualified column to confirm that both horse & rider are rally

qualified & have sufficient event qualifications to participate in this championship as per the PCAT rules.

Add additional forms if required. If entries exceed maximum numbers, a ballot will take place.

Clubs with insufficient numbers to form a team, and excess club members, should form Joint Club Teams.

Joint Club team entries should be on a separate form submitted by a Zone Official.

PONY CLUB or ZONE: / NAME OF DC:
DC’s ADDRESS: / P/code:
Ph No:(h): / (m): / Email:
Team / Grade / Competitor’s Name / Age at 1st Jan / Quali-fied / Horse’s Name
Individuals

Please indicate which riders are reserves for which teams. You may take a rider out of your second team as a

substitute for one nominated in your first team, & so on, if necessary. However, these MUST BE NOTIFIED at time

of entry. Please indicate if a rider listed here is part of a Joint Club team.

We agree to abide by the conditions of entry. The above riders are bona fide members of the above Pony Club (Zone)

& are eligible as per the PCAT Rules for State Horse Trials.

SIGNED BY DISTRICT COMMISSIONER: / DATE:

Please send completed form by EMAIL if possible as well as forward a printed copy together with each rider’s entry form

& the entry fees to the Event secretary no later than 18 days prior to the start of competition –see schedule.

LATE ENTRIES WILL NOT BE ACCEPTED

INFORMATION FOR THE COMMENTARY

Year Club affiliated with PCAT: / No. Club Members: / Zone:

Any other interesting information:

10.8.3

PCAT CHAMPIONSHIP ENTRY FORM

GRADE 3 EVENTING (TRIALS) TEAMS

Instructions: This form is to be completed by the District Commissioner. Please type or print CLEARLY.

Enter all qualified riders from your club in riding order. If entries exceed maximum numbers a ballot will take place.

Please tick the Qualified column to confirm that both horse and rider are rally qualified and have sufficient event

qualifications to participate in this championship as per the PCAT rules.

Add additional forms if required.

Riders from clubs without a rider in every age group will be eligible for a Joint Club team. (submitted by zone)

PONY CLUB or ZONE: / NAME OF DC:
DC’s ADDRESS / P/code:
Ph No:(h): / (m): / Email:
Group / Competitor’s Name / Age at 1st Jan / Quali-fied / Horse’s Name

We agree to abide by the conditions of entry. The above riders are bona fide members of the above Pony Club (Zone)

and are eligible as per the PCAT Rules for State Horse Trials.

SIGNED BY DISTRICT COMMISSIONER: / DATE:

Please send completed form by EMAIL if possible as well as forward a printed copy together with each rider’s entry

form and the entry fees to the Event secretary no later than 18 days prior to the start of competition –see schedule.

LATE ENTRIES WILL NOT BE ACCEPTED

INFORMATION FOR THE COMMENTARY

Year Club affiliated with PCAT: / No. Club Members: / Zone:

Any other interesting information:

10.8.4

PAYMENT SUMMARY FORM

PCAT EVENTING CHAMPIONSHIPS (TRIALS) 2013

NAME OF CLUB:

D.C. or CONTACT:

Home Phone: Mobile:

Email:

TOTAL
No. of Entries – all grades (including dinner & ambulance) / @ / $90.00 / ea / $
Riders second entry / @ / $55.00 / ea / $
Other Dinner tickets – must inc. one club rep / @ / $35.00 / ea / $
No. of Eventing first timer badges / @ / $5.00 / ea / $
No. of Grade bars / 1 / 2 / 3 / @ / $3.00 / ea / $
TOTAL
Shirts / Ladies / 8 / 10 / 12 / @ / $40.00 / $
14 / 16 / 18
20 / 22 / 24
Mens / S / M / L / @ / $40.00 / $
XL / 2XL / 3XL
4XL / 5XL / 6XL
Caps / @ / $12.00 / $
Payment due / TOTAL: / $

Email copies of this and club entry form to ASAP followed bythis form sent by post, together

with a cheque unless electronic payment executed, for all the fees due as listed on it and hard copies of the riders’ form

10.8.1 (one per horse) and the club entry forms 10.8.2 and 10.8.3 to

PCAT Eventing Championships

Entry Secretary

P O Box 390, WYNYARD. 7325

on or before 20th February, 2012.

PLEASE MAKE CHEQUES PAYABLE to: Inglis Pony Club Inc.

ELECTRONIC PAYMENT to: BSB 06 7010 Act #2801 3307 - reference of club name and for Trials