NORTHERN QUEENSLAND SHOW HORSE CHAMPIONSHIPS DECLARATION OF AGREEMENT

To confirm your entries for the NQ Show Horse Championships please post this form along with all other required documents to:

Mackay Regional Equestrian Group Inc PO Box 3410

NORTH MACKAY QLD 4740

CONTACT DETAILS

Name: Phone:

Address:

Email:

ENTRY DETAILS

Horse 1: Horse 2:

Horse 3: Horse 4:

Horse 5:

TERMS & CONDITIONS OF ENTRY

Entry in this event shall constitute an agreement and an affirmation from all participants (which include, without limitations the Owners, Responsible Officer, Leasee, Manager, Agent, Rider and Handler of the Horse) for themselves: 1. We have read the Show Horse Council of Australasia Inc. Competition Rules and Regulations and Conditions of Entry applicable to this Show. 2. I/we shall compete subject to and agree to be bound by the Show Horse Council of Australasia Inc. Competition Rules and Regulations and Conditions of Entry applicable to this show. 3. By voluntary participation in this Show, I/we accept as final any decision of the Show Horse Council of Australasia Inc. and/or the Mackay Regional Equestrian Group Inc. committee in regard to any incident arising from or in connection with this Show. 4. I/we agree to indemnify the Show Horse Council of Australasia Inc. and or the officials of this show, harmless for my any action taken in relation to this event.

SIGNATURES BELOW AFFIRM YOU HAVE READ AND AGREE TO THE ABOVE REQUIREMENTS OF ENTRY.

Owner Names:

Signature: _________________________________________________________________________________________

Responsible Officers:

Signature: _________________________________________________________________________________________

Competitor Name:

Signature: __________________________________________________________________________________________