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Demo Rider Registration - EQ Intensive Coaching Assessment Clinic Monday/Tuesday 4/5 April 2022
Would you like to be a demonstration rider at the EQ Intensive Coaching Clinic? This will be held at Fig Tree Pocket Equestrian Club, if so, please register your details below and we will be in contact.
*
1.
Name
(Required.)
*
2.
Are you an Equestrian Queensland member?
(Required.)
Yes
No
*
3.
Contact details
(Required.)
EA Number #
Email Address
Phone Number
*
4.
Please select availability (you may select more than one)
(Required.)
AM - Monday 4 April 2022
PM - Monday 4 April 2022
AM - Tuesday 5 April 2022
PM - Tuesday 5 April 2022
*
5.
If you are bringing more than one horse, please complete Q3 & Q4 for your first horse and Q5 & Q6 for your second horse.
Please list the first Horse's Name below:
(Required.)
*
6.
Is this horse green?
(Required.)
Yes
No
*
7.
Which discipline and level would you like to ride? (you can choose more than one)
(Required.)
Dressage - Prelim/Nov
Dressage - Elem/Med
Dressage - Adv/Pre Stg
Dressage - other
Poles
Jumping - up to 60cm
Jumping - up to 80cm
Jumping - up to 1.05m
Jumping - other
Cross Country - EvQ60
Cross Country - EvA80
Cross Country - EvQ90
Cross Country - 1*
Cross Country - other
If you have chosen 'other' please note any extra information that may be needed to place you in the correct group;
8.
If you are bringing more than one horse, please complete Q3 & Q4 for your first horse and Q5 & Q6 for your second horse.
Please list the second Horse's Name below:
9.
Is this horse green?
Yes
No
10.
Which discipline and level would you like to ride? (you can choose more than one)
Dressage - Prelim/Nov
Dressage - Elem/Med
Dressage - Adv/Pre Stg
Dressage - other
Poles
Jumping - up to 60cm
Jumping - up to 80cm
Jumping - up to 1.05m
Jumping - other
Cross Country - EvQ60
Cross Country - EvA80
Cross Country - EvQ90
Cross Country - 1*
Cross Country - other
If you have chosen 'other' please note any extra information that may be needed to place you in the correct group;
