Park Ridge Active Riding Group
Horse Health Declaration - One form needs to be completed for each horse.  Additional people attending the event need to be recorded in the second section of this form
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Event Name: *
Date: *
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DD
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Full Name: *
Contact Number: *
QDPI Pic Number *
Property Address:
Horse's Agistment Address (If the same as above, leave blank)
Horse's Name
Is the Horse Hendra Vaccinated? *
Sex: *
Is the horse being stabled overnight? *
Required
Select the nights the horse will be stabled:
Clear selection
Declaration by owner or person in charge of horse: *
By ticking the below, I declare that the horse/s named above has / have been in good health, eating normally and not shown signs of illness during the last 3 days leading up to the above mentioned EQ event . I give my authorisation for the designated EQ Steward to call for veterinary inspection of the horse/s named above and in my care should they be showing signs of illness at any time during the course of the event. I agree to pay any veterinary fees incurred as a result of this.                                               I AGREE TO ENSURE THAT:   1. If required before movement, all horses will be shampooed, rinsed and allowed to dry, and their hooves will picked clean of all solid material and washed with shampoo.   2. All vehicles and equipment accompanying the horses should be in a clean condition at the start of travel to the above mentions event.   3. The information contained in this Horse Health Declaration is true and correct to the best of my knowledge.  4. I agree to abide by all conditions and directions of the EQ rules and regulations and Event organisers.   5. I acknowledge that failure to comply with the above may result in refusal of entry to the venue, disqualification or other disciplinary action as decided by EQ Judiciary / Disputes Committee.   6. In the event of horse movement restrictions, each participant will be responsible for the care, maintenance and cost of their horse including feeding and watering.
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