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WESTERN CAPE CHAMPIONSHIPS - 2011

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					WESTERN CAPE CHAMPIONSHIPS - 2011
27 – 29 January 2011 WORCESTER - KLEINPLASIE
Owner of the horses entered
Person responsible for the entry
Address                                                     Guests attending welcoming Braai Thursday 27 January 2011
                                                            No:
                                                            Guests attending Prize Giving Gala evening Friday 28
                                                                 January 2011 @ R150.00 PER PERSON
                                                            No:
E-Mail Address

      Tel No               Home                  Work          Fax                             Cell


No of horses entered

Entry Fee @ R100.00 per class                           R
Stabling Fee @ R 50.00 per stable                       R
Numbers@ R30.00 per number.                             R
Show Catalogue @ R80.00 each                            R
Ground Levy @ R25.00 per horse                          R
Prize Giving Gala evening @ R150.00 per person          R
Sponsorship – Please Indicate class below               R
Campsite : R100 / day x Days                            R
Caravan : R 450 / day x Days + R1000 deposit            R
Camper :To be paid direct :See attachment

TOTAL AMOUNT                                            R


                                                        1
Signature

Date

Which class would you like to sponsor ?




                                          2
                                       WESTERN CAPE ARABIAN CHAMPIONSHIPS 27 – 29 JANUARY 2011

             HIERDIE VORM MOET DEUR DIE INSKRYWER ONDERTEKEN WORD / THIS FORM MUST BE SIGNED BY THE SUBSCRIBER

Ek, die ondergetekende, verklaar hiermee soos volg:

    1.     Dat ek ’n lid is van die Arabierperdgenootskap van Suid-Afrika;
    2.     Dat bogenoemde inskrywings volledig en korrek is;
    3.     Dat ek my vergewis het van die inhoud van die bladsye mbt die ALGEMENE INLIGTING, wat die inskrywingsvorm vergesel het en myself
           gebonde ag daaraan en verbind tot die nakoming daarvan;
    4.     Dat ek myself onvoorwaardelik onderwerp en gebonde ag aan en verbind tot die huidige konstitusie en skoureëls van die
           Arabierperdgenootskap van Suid-Afrika Dit sluit in die berekening van die Victor Ludorums (sien op AHSSA webblad -
           SKOUREëLS 2010.
    5.     Dat ek myself in my hoedanigheid as werkgewer, namens my werknemers wat op die skou teenwoordig sal wees, aanspreeklik ag vir hulle
           optrede en/of lates in soverre sodanige optredes en/of lates strydig sou wees met die reëls vervat in die Skoureëls en konstitusie van die
           Arabierperdgenootskap van Suid-Afrika.
    6.     Dat ek myself gebonde ag daaraan en daartoe verbind dat alle persone op eie risiko skou en die Arabierperdgenootskap van Suid-Afrika
           en die Worcester Kleinplasie geen verantwoordelikheid aanvaar vir enige verlies van of skade berokken aan persone, perde, voertuie en/of
           toerusting of enige ander verlies of skade van welke aard ook al nie.

I, the undersigned, hereby declare as follows:

    1.    That I am a member of the Arab Horse Society of South Africa;
    2.    That the attached entries are complete and correct;
    3.    That I have acquainted myself with the contents of the pages concerning the GENERAL INFORMATION, attached to the entry form and
          that I acknowledge that I consider myself bound to it and undertake to abide thereby,
    4.    That I subject and bind myself unconditionally to the present constitution and show rules of the Arab Horse Society of South Africa as
          stipulated in the current show rules and constitution, the contents of which I have acquainted myself and/or have the duty to acquaint myself
          with and/ or is considered to have acquainted myself with. This includes the Victor Ludorum’s calculation (see AHASSA webpage
          Show Rules 2010.
    5.    That I, in my capacity as employer, on behalf of my employee who will be present on the show I take responsibility for any actions / doings
          and behaviour of my employees which are at transgression of the show rules and constitution of the Arab Horse Society of South Africa.
    6.    That I undertake to abide by and consider myself bound to the conditions that all persons show at own risk and that the Arab Horse
          Society of South Africa and the Worcester Kleinplasie do not accept responsibility for loss or damage to persons, horses, vehicles
          and/or equipment nor any other loss or damage of any nature what so ever.
       Handtekening van Inskrywer
       Signature of subscriber
                                                           3
     STABLE REQUISITION
     2011 WESTERN CAPE REGIONAL CHAMPIONSHIPS 27 - 29 January 2011
     Worcester - Kleinplasie
        Name of Horse             Tack Room       Date In            Date Out




Telephone of person responsible




Signature                                          Date



                                              4
                                        WESTERN CAPE CHAMPIONSHIPS
                                            27 – 29 JANUARY 2011
                                           PUREBRED ARABIAN HORSES
                                   1                                       2                                              3
              OWNER OF HORSE                          OWNER OF HORSE                         OWNER OF HORSE


              NAME OF HORSE:                          NAME OF HORSE:                         NAME OF HORSE:


REG. NO:                               REG. NO:                                REG. NO:

BIRTH DATE:                            BIRTH DATE:                             BIRTH DATE:

SIRE:                                  SIRE:                                   SIRE:

REG. NO:                               REG. NO:                                REG. NO:

DAM:                                   DAM:                                    DAM:

REG. NO:                               REG. NO:                                REG. NO:
                 HANDLER       ENTRY                     HANDLER       ENTRY                  HANDLER             ENTRY
CLASS             RIDER         FEE    CLASS              RIDER         FEE    CLASS           RIDER               FEE
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
TOTAL                          R       TOTAL                           R       TOTAL                          R




                                                  5
                                        WESTERN CAPE CHAMPIONSHIPS
                                            27 – 29 JANUARY 2011
                                           PUREBRED ARABIAN HORSES
                                   4                                       5                                      6
              OWNER OF HORSE                          OWNER OF HORSE                         OWNER OF HORSE


              NAME OF HORSE:                          NAME OF HORSE:                         NAME OF HORSE:


REG. NO:                               REG. NO:                                REG. NO:

BIRTH DATE:                            BIRTH DATE:                             BIRTH DATE:

SIRE:                                  SIRE:                                   SIRE:

REG. NO:                               REG. NO:                                REG. NO:

DAM:                                   DAM:                                    DAM:

REG. NO:                               REG. NO:                                REG. NO:
                HANDLER        ENTRY                     HANDLER       ENTRY                    HANDLER       ENTRY
CLASS            RIDER          FEE    CLASS              RIDER         FEE    CLASS             RIDER         FEE
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
TOTAL                          R       TOTAL                           R       TOTAL                          R




                                                  6
                                        WESTERN CAPE CHAMPIONSHIPS
                                            27 – 29 JANUARY 2011
                                           PUREBRED ARABIAN HORSES
                                   7                                       8                                      9
              OWNER OF HORSE                          OWNER OF HORSE                         OWNER OF HORSE


              NAME OF HORSE:                          NAME OF HORSE:                         NAME OF HORSE:


REG. NO:                               REG. NO:                                REG. NO:

BIRTH DATE:                            BIRTH DATE:                             BIRTH DATE:

SIRE:                                  SIRE:                                   SIRE:

REG. NO:                               REG. NO:                                REG. NO:

DAM:                                   DAM:                                    DAM:

REG. NO:                               REG. NO:                                REG. NO:
                 HANDLER       ENTRY                     HANDLER       ENTRY                    HANDLER       ENTRY
CLASS             RIDER         FEE    CLASS              RIDER         FEE    CLASS             RIDER         FEE
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
                               R                                       R                                      R
TOTAL                          R       TOTAL                           R       TOTAL                          R



                                                  7
                                         WESTERN CAPE CHAMPIONSHIPS
                                             27 – 29 JANUARY 2011
                                            PUREBRED ARABIAN HORSES
                                   10                                       11                                      12
              OWNER OF HORSE                           OWNER OF HORSE                          OWNER OF HORSE


              NAME OF HORSE:                           NAME OF HORSE:                          NAME OF HORSE:


REG. NO:                                REG. NO:                                 REG. NO:

BIRTH DATE:                             BIRTH DATE:                              BIRTH DATE:

SIRE:                                   SIRE:                                    SIRE:

REG. NO:                                REG. NO:                                 REG. NO:

DAM:                                    DAM:                                     DAM:

REG. NO:                                REG. NO:                                 REG. NO:
                 HANDLER       ENTRY                      HANDLER       ENTRY                     HANDLER       ENTRY
CLASS             RIDER         FEE     CLASS              RIDER         FEE     CLASS             RIDER         FEE
                               R                                        R                                       R
                               R                                        R                                       R
                               R                                        R                                       R
                               R                                        R                                       R
                               R                                        R                                       R
                               R                                        R                                       R
                               R                                        R                                       R
                               R                                        R                                       R
                               R                                        R                                       R
                               R                                        R                                       R
TOTAL                          R        TOTAL                           R        TOTAL                          R




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