Entry Form - Mullingar Equestrian Centre

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ENTRY FORM FOR HSI SPORT HORSE FOAL CHAMPIONSHIP QUALIFIER 2015
MULLINGAR EQUESTRIAN CENTRE SATURDAY 18TH JULY 2015
ENTRY FEES €40- ENTRIES CLOSE FRIDAY 3RD JULY
ENTRIES TO: [email protected]
Region 1: Wicklow, Louth, Kildare, Laois, Offaly, Meath, Westmeath, Dublin
Foal Name
Registration Number/UELN
Colour
Sex
Studbook
Breeder
SHOWJUMPING FOAL
Owner Name
EVENTING FOAL
______________________________________________ (CAPITAL LETTERS PLEASE)
Address
__________________________________________________________________________________
__________________________________________________________________________________
Mobile Phone No. __________________________________________________________________
Email ___________________________________________________________________________
CREDIT CARD NUMBER
CREDIT CARD EXPIRY DATE
CREDIT CARD SEC CODE
_______________________________________________________
_______________________________________________________
________ Please charge €40.00 entry fee to my credit card account
Region 1- Please Tick box: Wicklow
Offaly
Meath
Westmeath
Louth
Kildare
Laois
Dublin
Please Note: Foals are only permitted to enter one Regional Championship and must compete in the
Region in which the owner resides.
For further information on the Championship and other regions that are part of this championship
please go to www.horsesportireland.ie
Full pedigree and performance details must be provided on the form provided. At the qualifiers, foal
pedigrees will be assessed on the basis of the information provided following verification by HSI.
HSI will produce a verified catalogue for the final. At least three generations of pedigree should be
included. Please give as much detail as possible on relatives’ performance records, additional pages
and documents may be included with the application if desired. Details of sire and damsire
performance and progeny do not need to be provided if the stallion is classified in the IHR.
Page 1 of 2
DOB
1st Dam Name, Breed and Performance Details
1st Dam Progeny Performance Details
2nd Dam (Maternal Granddam) Name, Breed and Performance Details
2nd Dam (Maternal Granddam) Progeny Performance Details
3rd Dam (Maternal Great Granddam) Name, Breed and Performance Details
3rd Dam (Maternal Great Granddam) Progeny Performance Details
Sire Name, Breed and Performance Details*
Sire Progeny Performance Details*
Dam Sire Name, Breed and Performance Details*
Dam Sire Progeny Performance Details*
*If stallion is not classified in the IHR
Page 2 of 2
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