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					By Kind Permission      Sponsored by      Generously Supported
                                                    by
        of           Champion Headwear   Paul Nicholls Racing Ltd.
                                            Races
         Ponies 128cm and Under              Sponsored by                                            Entry
Race 1
         Open                                Champion Headwear & Piling Equipment Ltd                Fee
         There will be a prizes for the first three novices to finish. To qualify as a novice
         both the rider and the pony must not have taken part in a Pony Race before.
                                                                                                     £18
         If you are a novice please tick the appropriate box on the Entry Form.
         No minimum weight. Distance 4 furlongs approx.


         Ponies 138cm and Under              Sponsored by                                            Entry
Race 2
         First Timers                        Champion Headwear & Riley’s Crane Hire                  Fee
         Both the rider and the pony must not have taken part in a Pony Race before. .
                                                                                                     £18
         No minimum weight. Distance 4 furlongs approx.


         Ponies 138cm and Under              Sponsored by                                            Entry
Race 3
         Restricted                          Mrs A Yeoman OBE                                        Fee
         The combination of rider and pony must not have been placed 1st in any Pony Race.
                                                                                                     £20
         No minimum weight. Distance 8 furlongs approx.


         Ponies 138cm and Under              Sponsored by                                            Entry
Race 4
         Open                                Frome Agricultural & Cheese Show                        Fee
         Minimum weight 8 stone. Distance 8 furlongs approx.                                         £20


         Ponies 148cm and Under              Sponsored by                                            Entry
Race 5
         First Timers                        Champion Headwear & Kingairloch Estate                  Fee
         Both the rider and the pony must not have taken part in a Pony Race before.
                                                                                                     £18
         No minimum weight. Distance 4 furlongs approx.


         Ponies 148cm and Under              Sponsored by                                            Entry
Race 6
         Restricted                          Podimore Recycling Ltd.                                 Fee
         The combination of rider and pony must not have been placed 1st in any Pony Race.
                                                                                                     £20
         No minimum weight. Distance 8 furlongs approx.


         Ponies 148cm and Under                                                                      Entry
Race 7                                       Sponsored A E George & Sons
         Open                                                                                        Fee
         Minimum weight 8 stone 7 lbs. Distance 8 furlongs approx.                                   £20


              All entry fees are half price for members of the Wylye Valley Pony Club
   The organisers of the event reserve the right to cancel the event or any class, to alter the advertised
            times, to divide any class, and to refuse entry with or without stating a reason.

                     Doctor, Veterinary Surgeon & Paramedics will be in attendance
                                           STRICTLY NO DOGS
                                              Entry Form
Race to be entered:                                                                                (Please tick box(es) as appropriate)

         128cm and Under                                     138cm and Under                                       148cm and Under
          Race 1 ..............                               Race 2 ...............                               Race 5 ..............
I am a novice ..............                                  Race 3 ...............                               Race 6 ..............
                                                              Race 4 ...............                               Race 7 ..............
Rider Details
        Full Name: .................................................................................................................................
    Date of Birth: ........../........../....................                   Age: .......... years
           Address: ..............................................................................................................
                           ..............................................................................................................
          Postcode: .....................           ..............              E-mail: .............................................................
  Tel. - Landline: .................................................. Tel. - Mobile: ..................................................
 Racing Colours: ................................................................................................................................
                           ................................................................................................................................
                           ................................................................................................................................
Pony Details
               Name: .................................................................................................................................
                 Age: .......... years
              Height: .................... cm
             Colour: ....................................................
                  Sire: .................................................................................................................................
                Dam: .................................................................................................................................
Branch Details
  Pony Club Branch: ...........................................................................................................................
     Pony Club Area: ..........

I confirm that .................................................................................................... is a member of the
.......................................................................................................... branch of The Pony Club and
the combination of rider and pony (named above) have attended a minimum of EITHER ...
     ... two (ridden) working rallies OR ...
     ... one (ridden) working rallies and a Pony Racing Authority/Pony Club training day...
... since the 1st July 2011.
            Date of training day (if applicable): ........./........../....................
          Venue of training day (if applicable): ............................................................................

Signed ....................................................................................................... District Commissioner
                                                                                                                   2012 Declaration Form

                                   Parent’s Declaration
I confirm that I want my son/daughter (Full name) ...........................................................................
to enter and be permitted to ride his/her pony in the above event; I confirm on my own behalf and
on behalf of my son/daughter that I recognise that riding including riding at speed in company of
other children and ponies is an activity with considerable attendant risks. I acknowledge that
whilst the organisers of the above event, their officials and employees, will endeavour to reduce
risks to those participating they cannot be held responsible for the errors of participants or unex-
pected animal behaviour.


I accept that it is a condition of entry that the rider will do his/her best to conduct him/herself and
to ride his/her pony in such a way as to minimise risk of injury to him/herself and to other riders,
their ponies and spectators. I have impressed the need for good and sensible behaviour on my
son/daughter and have checked his/her pony, tack and other equipment to ensure that all is in
order and that nothing about the pony’s tack or other equipment presents a danger to my son/
daughter or to other riders or ponies participating in the race or to the organisers, officials, em-
ployees or others watching the race.


I understand riding is a risk sport. I am aware there is risk of injury. In the knowledge of this I con-
firm that I believe my son/daughter to be a competent Rider who is capable of riding in The Pony
Club Race Day and subsequently I am happy for him / her to participate. He / she is in good men-
tal and physical health and I know of no condition that would currently preclude them from riding
in Pony Races. I accept and agree to abide by The Pony Club Racing Regulations and confirm
that the information provided is correct.


I confirm that I/we have read a copy of The Pony Club Pony Racing Rules 2012 and that
I/we agree to abide by them.


Signed ...........................................................................................................Parent/Legal Guardian
Print Name .....................................................................................................
Date ........../........../....................


Photographic rights - competitors and their guardians hereby give permission for any photo-
graphic and/or film or TV footage taken of persons or horses/ponies taking part in the Pony Club
events to be used and published in any media whatsoever for editorial purposes, press informa-
tion or advertising by or on behalf of The Pony Club and/or official sponsors of The Pony Club.


Signed ...........................................................................................................Parent/Legal Guardian
                                Commentator's Notes
Hat Colour and Pattern:                                                                                 Body Colour and Pattern:
......................................                                                                  .....................................
......................................                                                                  .....................................
......................................                                                                  .....................................
......................................                                                                  .....................................
Arms Colour and Pattern:
                                                                                                        ..........................................
......................................
......................................
......................................                                                                  Please colour
......................................
Rider Details
                   Name: ............................................................................................................................
                     Age: .......... years
 Pony Club Branch: ............................................................................................................................
      School/College
           attended: ............................................................................................................................
       Nearest Town/
             Village: ............................................................................................................................
                 County: ..................................................
         Pony Name: ............................................................................................................................
          Non-horsey
            interests: ............................................................................................................................
                              ............................................................................................................................
                              ............................................................................................................................
    Quirky stories
  about your pony: ............................................................................................................................
                              ............................................................................................................................
                              ............................................................................................................................
                              ............................................................................................................................
                              ............................................................................................................................
Past achievements:
Race 1 entrants - is this your first pony race?
                              ............................................................................................................................
                              ............................................................................................................................
                              ...........................................................................................................................
                              ............................................................................................................................
                              ............................................................................................................................
                      Return Details
 Entries and Declarations must be received by 14th May 2012 at the latest by:

                            Mr Geoff Andrews

                            Kennel Cottage
                            Wanstrow
                            Shepton Mallet
                            Somerset
                            BA4 4TF


 Please remove the central double-page spread (this should include the Entry
  Form, Parent’s Declaration and Commentators Notes) and return it to the
above address. If printing at home please enclose the three pages named above.
          You may then keep the other pages for further reference.

Please also include
             A cheque made payable to Wylye Valley Pony Club
             A photocopy of your pony’s vaccination certificate
             A5 SAE with correct postage
             JMB Certificate if applicable
                     General Details
                                       Location




  This event is run under Pony Club rules which are available to download from the Pony
Club website, www.pcuk.org, or you can buy a copy from Pony Club headquarters for £3.00.

             Wylye Valley Pony Club will be holding two pre race day rallies:
               Saturday 5th May at 10:00, Hill House Farm, Buckland Dinham
                  Wednesday 9th May at 19:00, Withywood Farm, Cranmore
              These rallies are open to all and FREE if you have ALREADY
                           entered the WVPC 2012 Race Day.
                       Ring Geoff Andrews for details or to book.

                                      All Queries to

                               Secretary:

                               Mr Geoff Andrews

                               Kennel Cottage
                               Wanstrow
                               Shepton Mallet
                               Somerset
                               BA4 4TF
                               Tel. 01749 850229 or 07515 868785
                               E-mail: geoffann.andrews1@virgin.net


            Many thanks to our sponsors and good luck to all our competitors.

				
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posted:7/16/2012
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