ALL MEMBERSHIPS INCLUDE PERSONAL ACCIDENT INSURANCE
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SOUTHERN CAMPDRAFTING ASSOCIATION
Text Box: Horse Registration Form

To contact us:

Phone: 02 63866204

Fax: As above.

E-mail: mazza@dragnet.com.au
Digram of Horse

Please insert on diagram all brands, markings and scars.

HORSE DETAILS: DOB__________________

GELD       MARE    STALLION   (please circle)

 

REGISTERED NAME OF HORSE:_________________________

BRAND:_____________________(Reg. Name & Brand only if applicable)

COLOUR:___________________________

SIRE:_____________________________________________

DAM:_____________________________________________

COMPETITION NAME:_____________________________________

ASHS NO:__________________(Only applicable if horse is breed registered).

AQHA NO:_________________(Only applicable if horse is breed registered)

HORSE STATUS?   MAIDEN    NOVICE   OPEN

      (In the boxes below please insert)      The number of Campdrafts won to Date.

 

MAIDEN                             NOVICE                               OPEN             

 

LADIES                                    ENCOUR;   

 

SIGNATURE:______________________________________________                          

DATE:___________________________________

MEMBERS FULL NAME

FOR REGISTRATIION:______________________________________

MEMBERSHIP NO:_________will be completed by Secretary

ADDRESS:___________________________________________________

____________________________________________________________

Post Code:_______________________

TELEPHONE NO:_____________________________________________

 

(PHOTO COPIES OF THIS FORM WILL BE ACCEPTED)   PLEASE PRINT CLEARLY
Text Box: PLEASE NOTE: For horses to gain Championship points They must be Registered with the Southern Campdraft Association. (all horses not just Breed Registered) Please complete one form for each horse.

RETURN TO:

The Secretary,

Southern Campdrafting Assoc. Ltd.,

P.O. Box 266,

Cootamundra NSW 2590.