Nominate

Saturday 24th July - Arena Sorting (midday start)
@ Currabubula Recreation Reserve (Currabubula Pony Club)

5 runs/rider

Open $70/person ($14/run)
Youth $50/person ($10/run)
Junior $35/person ($7/run)
*A Youth/Junior riding in Open division pays Open fees*

* Indicates required field

Division *

CONTACT PERSON

First & Last Name (Yth & Jnr-must be a parent/guardian) *

First

Last

Mobile Number *

Email *

Single, Two-Rider or Team Nomination? *

RIDER/S

Rider 1 *

Rider 2 *

Rider 3 *

Rider 4 *

Rider 5 *

Will you require camping/stables *

Yes No

Unpowered camping site - $10/family/night
Stables - $13/stable/night

If YES, please tell us in detail what camping/stables are required for each family incl, arrival and departure and amount payable *

Please make EFT payment/s no later than Wednesday 21st July
EFT DETAILS
Peel Valley Team Penning
BSB 082842
Account 408024583
Please use your surname as the reference

CLICK TO SUBMIT YOUR NOMINATION

Please make EFT payment/s no later than Wednesday 21st JulyEFT DETAILSPeel Valley Team PenningBSB 082842Account 408024583Please use your surname as the reference

Please make EFT payment/s no later than Wednesday 21st July
EFT DETAILS
Peel Valley Team Penning
BSB 082842
Account 408024583
Please use your surname as the reference