NOVICE DAY MEMBERSHIP AND
REGISTRATION FORM 2015
Northern Events – Not Available Online
HORSE DETAILS
Name of Horse:
Sire:
Dam:
Registered with EI:
Yes / No
Year Foaled:
Colour:
Sex:
Height:
Passport No:
NB: Please enclose a photocopy of the identification pages of the horse’s passport with your application
RIDER DETAILS
Name:
(Only Riders 18 years and over can compete on Novice Day
Memberships)
EI Membership No (if a member)
Address:
Telephone:
Mobile:
Email:
Novice Day Membership/Registration Rules & Restrictions
 A Novice Day Membership/Registration is a temporary membership for riders in their 18th year which effectively registers the horse
and/or rider combination for a novice class at a specific event. The cost of the day membership depends on whether the rider/horse
are members of Eventing Ireland, or not. Each day membership is designated to a specific horse/rider combination and is not
transferable. In the event of a forced withdrawal before the event closing date, the Day Membership and Entry fee will be refunded
in full. We recommend that all riders possess their own Personal Accident Insurance (see links on EI website)
 Horse/Rider combinations must have completed 3 clear xc rounds and no more than 16 sj penalties in the past 12 months at prenovice level or higher – evidence must be supplied to Head Office for approval.
 Horses must be 5years of age or older
 No points will be awarded for Day Ticket Memberships or Registrations. Points are only awarded to fully paid up members/horses
 Entry fees are not included in the price of Day Membership/Registrations.
I understand that neither the Organising Committee of these Events, Eventing Ireland nor the Land Owners, accept any liability for any
accident, damage, injury to horses, owners, riders, grooms, ground spectators, or any other person or property whatsoever. By
entering this event I agree to be bound by Eventing Ireland Rules and Restrictions of the Society.
If rider has PERSONAL LIABILITY INSURANCE, please give details below to confirm:
Insurer Name: ________________________________ Policy No: ________________________________ Expiry: ______________
COST OF NOVICE DAY MEMBERSHIP FOR NORTHERN REGION EVENTS
Membership
Registration
Event Name
Date of Event
Class
TOTAL AMOUNT
£8 (Restricted Member) / £20 (Non-member)
£8 (Restricted Horse) / £17 (unregistered horse)
Total
£
£
CNC1*A /CNC1* /CNCJ1*
*please highlight
£63
Please make STERLING only cheques payable to Eventing Ireland
£
£
Laser/Mastercard/Visa Card No
Laser/Master/Visa Card Expiry
/
Master Card / Visa Security Code
Name of Card Holder _________________________________________ Signature: _______________________________
Contact number of Card Holder __________________________________________________________________________
CONTACT INFORMATION
Please return your payment with a photocopy of the ID page(s) in your horse’s
passport to: **Please note if posting from NR, please use International Postage Rates
Head Office, Eventing Ireland
1st Floor, Beech House
Millennium Park, Osberstown
Naas, Co Kildare
Scan to: headoffice@eventingireland.com or fax to: 00 353 45 940502
Signature of Rider
106744935
CHECK LIST
 Payment (if being made by cheque)
 Photocopy of Passport Naming
Pages (if unregistered)
 Proof of 3 x qualifying Results at
EI100 level
 Event Detail correctly filled in
 Contact Details Correct
Date