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SMALL (1.50cms ≥ 160cms) EVENT HORSE COMPETITION
ENTRY FORM for 2015 QUALIFIER
N.B. This is NOT an entry form for the Dublin Horse Show. Please complete ALL DETAILS on the Entry Form in BLOCK CAPITALS
Qualifier Details
Qualifier Venue:
Date:
Owner Details
All entries for the qualifiers to be sent to the Barbara McGreal, Corbeagh
House, Ballinalee, Co. Longford (Tel: 087 2514815) by the dates listed
below. Also accepted by email at [email protected]. (Please note
entries will be acknowledged by text). A qualifier entry fee of €35 must be paid
directly to the competition secretary on the day of the qualifier.
Name:
Address:
 Scarteen, Knocklong, Co. Limerick – Wednesday 3rd June
Email:
Entries close Saturday 30th May
Mobile:
Landline:
 Ravensdale Lodge, Dundalk, Co. Louth – Thursday 11th June
Horse Details
 Forth Mountain, Barntown, Co. Wexford – Wednesday 17th June
Entries close Saturday 6th June
Entries close Saturday 13th June
Name (PRINT):
 Rincoola, Granard, Co. Longford – Thursday 25th June
Height (cm)
Entries close Saturday 20th June
Microchip No.:
Age:
Sex (please select):
Sire:
Dam:
Sire of Dam:
Breeder:
Breeders Address:
Rider Details
 Tattersalls, Ratoath, Co. Meath – Thursday 2nd July
Colour:
Mare
Gelding
Stallion
Entries close Saturday 27th June
 Tullymurry, Downpatrick, Co. Down – Wednesday 8th July
Entries close Saturday 4th July.
 Dollanstown, Kilcock, Co. Meath – Wednesday 15th July.
Entries close Saturday 11th July.
Indemnity: Neither the Royal Dublin Society nor any of its officers, officials, servants or venues where qualifiers are held shall be in any way responsible or accountable for anything that may happen (from any cause of circumstance whatever) to exhibitors or their servants, or agents, or to any exhibit or property brought into the qualifier premises or for anything else in connection with, or arising out of, or attributable to, the qualification event. Name:
Address:
Signed:
Date of Birth
Date:
(Only signed Entry Forms will be accepted. For riders under the age
of 18 the Entry Form must be signed by a Parent or Guardian)