Entry Form

Check this page for draws, which will be posted Wednesday prior to each show.
We prefer on-line entry and payment.

Full payment MUST accompany Entry.
If payment is not received with entry, your entries will not go into the draw.

Entries are by mail or internet only, paid in full by the date advertised in the Chatta and/or this website.

Late entries will go to the end of the first available herd with no extra cattle.

Notice of intention to scratch an entry must be received no later than 48 hours prior to the start of the show. After this full entry fee's will be payable.

VENUE:		DATE:

SHOW ENTRY FORM

EVENT	HORSE NAME	RIDER NAME	OWNER NAME	NCHA NO:	REGO/MICROCHIP NO:	FEE

As of July 2016 it is mandatory that you keep a movement record of ALL horses brought into the showgrounds. As a club we are also obliged to keep a record of all livestock that enters and leaves the showgrounds. Please note the information below is for club purposes only and you are also required to keep a record of your livestocks movements.

ALL SHOW HORSES ON THIS ENTRY FORM ARE :

COMING FROM:	RETURNING TO AFTER EVENT:

NON REGISTERED SHOW HORSES, KIDS PONIES, TURN BACK HORSES AND NON COMPETING HORSES.

Horse	Sex and Colour	Distinguishing marks	Coming From	Going to after event.

DOWNLOAD HORSE MOVEMENT RECORD

DAY FEES You are required to sign a Waiver form before competing DOWNLOAD WAIVER FORM HERE
You are required to pay one day fee per event per person Number of Day Fees	Total Day Fees
LOPERS FEES (Effective from the 1st of April 2016 it is compulsory that any person riding a horse at an event anywhere on the grounds must be a member of the NCHA. Lopers and assistants can be joined for an annual fee of $130.00 or a per show fee of $22.00. Under no circumstances are non- members to mount a horse at an approved NCHA event). You are required to pay one lopers fee per loper per show.
You are required to pay one lopers fee per loper per show. Number of Lopers Fees	Total Lopers Fees
Lopers Name(s)
	Total Day/Loper Fees
Camping is $25 per night per trailer.
Click here if you are NOT camping
	Total Camping Fees

	Grand Total:

Contact Details

Bill To:

Yes I am GST registered My ABN number is
No I am not GST Registered

Please deposit my Prizemoney into the following account.

Account Name:

BSB: Account Number:

My Contact Details are:

PHONE NO. MOBILE:

EMAIL:

This is the email address that your entry confirmation will be sent:

I Will be paying my entries by:
CHEQUE DIRECT DEPOSIT

Bank Deposits can be made to:

Southern Qld Cutting Horse Assoc Inc
Heritage Building Society (Kingaroy)
BSB: 638070
Acc: 012759031