The Flaming Western Cup The Flaming Star Ranch Winter 17 - 3930 Hamont-Achel Belgium 28th semptember 2014 28 septembre 2014 28 september 2014 DEADLINE 22TH OF SEPTEMBER 2014 DEELNEMINGSFORMULIER | FORMULAIRE D’INSCRIPTION | ENTRY FORM PRAB Western All breed show Alle formulieren moeten teruggestuurd worden naar: Tous les formulaires d’inscription doivent être retournés à To be returned to: PRAB vzw – Torenlaan 5c – 3945 Oostham – Belgium Mobile:+32-(0)474-88 19 45 Email: info@prab.be Bank account: KBC 733-0103615-49 PRAB vzw IBAN: BE97 7330 1036 1549 BIC: KREDBEBB PAARD / CHEVAL / HORSE Paard / Cheval / Horse ___________________________________________________________________________ PRAB Start nr (if fixed) _____________________________________________ Hengst / Etalon / Stallion Eigenaar/Propriétaire / Owner _____________________________________________ Merrie / Jument / Mare Land Eigenaar / Pays d’origine du Propriétaire / Owner country______________________ Ruin / Hongre / Gelding VOORBRENGER / EXPOSANT / EXHIBITOR Naam / Nom / Name ________________________________________________________________________________ Adres / Adresse / Address ________________________________________________________________________________ Plaats / Lieu / Place ____________________________________ Postcode / Code Postal / Zip __________________ Land / Pays / Country ____________________________________ Tel / Tél / Phone Email __________________________________________________ AMATEUR & YOUTH: OPEN AMATEUR YOUTH NOVICE Relatie Eigenaar/ Voorbrenger - Relation entre Propriétaire et Exposant - Relationship Owner/Exhibitor ________________________ BEGINNER WALK & JOG __________________________________ YOUTH: Geboortedatum / Date de naissance / Date of Birth __________________________________ 1 PROEVEN / ÉPREUVES / CLASSES P.R.A.B. All breed Zet een kruisje in de vakjes voor de proef waaraan U wil deelnemen. Cochez les cases pour la classe à laquelle vous souhaitez participer. Put a cross in the boxes of the class you want to participate in. PRAB WALK & JOG PRAB WALK & JOG Western Pleasure Walk & Jog PRAB BEGINNERS PRAB WALK & JOG 13 & Under Western Pleasure Walk & Jog PRAB BEGINNERS PRAB BEGINNERS Showmanship at Halter Western Horsemanship Trail Hunter Under Saddle Western Pleasure Reining PRAB NOVICE YOUTH PRAB NOVICE YOUTH PRAB NOVICE YOUTH Showmanship at Halter Western Horsemanship Trail Western Pleasure PRAB NOVICE AMATEUR Western Horsemanship Trail Western Pleasure PRAB YOUTH PRAB YOUTH Showmanship at Halter Western Horsemanship Trail Hunter Under Saddle Western Pleasure Reining PRAB AMATEUR > 13 PRAB BEGINNERS PRAB NOVICE YOUTH PRAB NOVICE AMATEUR Showmanship at Halter PRAB YOUTH PRAB WALK & JOG PRAB AMATEUR PRAB AMATEUR Showmanship at Halter Western Horsemanship Trail Hunter Under Saddle PRAB YOUTH PRAB AMATEUR Western Pleasure PRAB OPEN PRAB OPEN Trail Trail Green Horses PRAB OPEN PRAB OPEN Western Pleasure Open Senior TEST - NO YEAR END CLASS! W. Pleasure Green Horses TEST - NO YEAR END CLASS Trail in Hand Hunter Under Saddle Western Pleasure Open Junior Reining 2 Show starts at 9.00 am Concours commence à 9h00 Kosten / Honoraires / Fees PRAB - All Breed OPEN _____ x EUR 15,00 = EUR _________ AMATEUR _____ x EUR 10,00 = EUR _________ YOUTH _____ x EUR 8,00 = EUR _________ NOVICE AMATEUR _____ x EUR 10,00 = EUR _________ NOVICE YOUTH _____ x EUR 8,00 = EUR _________ BEGINNER _____ x EUR 8,00 = EUR _________ WALK & JOG _____ x EUR 3,00 = EUR _________ LEADLINE (KIDS) _____ x EUR FREE = EUR _________ Office Charge voor/avant/before 22/09/2014 EUR 10,00 = EUR ________ Na/après/after 22/09/2014 EUR 15,00 = EUR ________ Day License (Non-PRAB member) Daylicense PRAB classes EUR 15,00 = EUR ________ Pas de license d’un jour à payer pour les membres DEA! Niet voor leden van de Flaming Star Ranch! Stables / Boxes Stable SAT - SUN (needs to be reserved and paid before 22/09) _____ x EUR 35,00 = EUR _______ Stable SUN (needs to be reserved and paid before 22/09) _____ x EUR 25,00 = EUR _______ If possible place my horse near by _____________________________ TOTAAL TE BETALEN / TOTAL A PAYER / TOTAL PAYMENT EUR ___________ Met mijn handtekening verklaar ik dat het paard ziektevrij de showgrond zal betreden, dat ik zal instaan voor alle kosten voor een dierenartsonderzoek in geval dat het paard symptomen bevat van een besmettelijke ziekte. Ik verklaar hier ook bij dat ik akkoord ga met de regels en wetgevingen zoals zij weergegeven worden in het showreglement. Avec ma signature je déclare également d’être d’accord avec les règles et les lois comme stipulé dans le Règlement des concours. With my binding signature, I hereby state that on the show day the horse will be free of infectious disease, that I will bear all costs related to a veterinary examination in case the horse should show symptoms of a disease. I also declare to accept all rules and regulations as the appear in the show announcement. Datum/Date/Date Handtekening/Signature/Signature ______________________ ____________________________________________________ 3 The Flaming Western Cup Flaming Star Ranch – Winter 17 – Hamont-Achel ZONDAG 28 SEPTEMBER 2014 – DIMANCHE 28 SEPTEMBRE 2014 Show starts at 9.00 am Showmanship Beginners Showmanship Novice Youth Showmanship Novice Amateur Showmanship Youth Showmanship Amateur Reining Beginners Hunter Under Saddle Beginners Hunter Under Saddle Youth Hunter Under Saddle Amateur Hunter Under Saddle Open Pleasure Walk & Jog <13y Pleasure Walk & Jog >13y Western Pleasure Beginners Leadline for kids Trail in Hand Open Trail Beginners Trail Novice Youth Trail Novice Amateur Trail Youth Trail Amateur Trail Green Horses Open – TEST CLASS Trail Open Western Pleasure Novice Youth Western Pleasure Novice Amateur Western Pleasure Open Senior Horsemanship Beginners Horsemanship Novice Youth Horsemanship Novice Amateur Horsemanship Youth Horsemanship Amateur Western Pleasure Open Junior Western Pleasure Youth Western Pleasure Amateur Western Pleasure Green Horses Open – TEST CLASS Reining Youth Reining Open 4