Open Sports Day
2 Nov 17
Levin Pony Club Inc Sunday 10th December 2017
Open Spor ts Day (Including Round the Ring) Starts 8.30am Levin AP&I Show Grounds Please use the Tiro Tiro Road entrance North Entrance (Pony Club & Grandstand end) NO truck or float entry via Victoria Street NO truck or float parking on tarmac areas
Entries www.equestrianentries.co.nz
Entries Close Wed 6th December 2017 Saturday 14 December 2013
(payment must show in the bank account by Thursday 7th or late surcharge will apply)
Surcharge of $10 per mount for entries on the day
Food available on the grounds
PLEASE REMOVE ALL YOUR PONY POOH AND RUBBISH
2 Nov 17
In Hand Start Time 8.30am We welcome any breed - Recycled Ribbons only, 1st to 4th place - Champion and Reserve Ribbon
Entry Fee : Rings 1a and 1b Blanket Fee $15 per Ring
RING 1
RING 2
In Hand Pony Smartest on Parade Best Pleasure Pony Best Walk/Trott Best Combination Best Paced & Mannered
In Hand Hack Smartest on Parade Best Pleasure Pony Best Walk/Trott Best Combination Best Paced & Mannered
CHAMPION & RESERVE CHAMPION
CHAMPION & RESERVE CHAMPION
Pleasure Rings(HOY Qualifier) Start Time 9.30am Pleasure Horse/Pony means those animals that do not fit the mould of a Show Horse/Pony. We welcome any breed (e.g. Appaloosas, Quarter Horses, Standardbreds, Clyde X) and colour. They should be an uncomplicated and genuine pleasure to ride. Whilst they do not possess the show quality conformation of a show horse, they should in their own way be a delight to ride, with impeccable manners. A “pleasure mount” is NOT an inexperienced mount with show quality conformation who is destined for the open show ring.
Adults may ride ponies in rings 5 and 7.
Combination never to have been placed in ring classes at an A&P Show.
Snaffle bit only, no poll action
Whips may be carried but must not exceed 76cms in length.
Spurs are not to be worn.
Dropped, Grackle (crossed) nosebands, or flash straps are not permitted. Martingales, bit guards, training aids e.g. bearing, side, running or balancing reins, boots, bandages, any form of blinkers, ear plugs, hoods and shadow blinds are not permitted
Levin Pony Club reserves the right to move a competitor to a different class to the one they entered if in their opinion the combination is not in an appropriate class.
Ribbons only, 1st to 4th place - Champion and Reserve prize FOR EACH RING
Dressage whips are not allowed.
Entry Fee : Rings 1- 7 Blanket Fee $25 per Ring
RING 3
(Not a HOY Qualifier)
Class 1 - Pleasure Pony : LEAD REIN 10yrs & under (No plaiting) Smartest on Parade Best Pleasure Pony Best Combination Best Paced & Mannered Best Rider Best learners pony Consolation (non-ribbon winners only) CHAMPION & RESERVE CHAMPION
RING 4 Class 2 - Pleasure Pony : NON LEAD REIN 9yrs & under (no plaiting) Smartest on Parade Best Pleasure Pony Best Combination Best Paced & Mannered Best Rider Best learners pony Consolation (non-ribbon winners only) CHAMPION & RESERVE CHAMPION
PLEASE REMOVE ALL YOUR PONY POOH AND RUBBISH
2 Nov 17 1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
RING 5
RING 6
Class 3 - Pleasure Pony 10 – 12 Yrs Smartest on Parade Best Pleasure Pony Best Combination Best Paced & Mannered Best Rider Best all round pony (maybe required to jump) Consolation (non-ribbon winners only)
Class 4 - Pleasure Pony 13 – 16 Yrs Smartest on Parade Best Pleasure Pony Best Combination Best Paced & Mannered Best Rider Best all round pony (maybe required to jump) Consolation (non-ribbon winners only)
CHAMPION & RESERVE CHAMPION 1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
CHAMPION & RESERVE CHAMPION 1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
RING 7
RING 8 (not a HOY Qualifier)
Class 5 - Pleasure SHOW Hack (Open to all age riders)
Class 6 - Recreation Pleasure Pony (no jackets and plaiting, however long sleeves must be worn)
.
Smartest on Parade Best Pleasure Type Hack Best Combination Best Paced and Mannered Best Rider Most suitable as a Hunter (required to jump)
. . . . .
CHAMPION & RESERVE CHAMPION 1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
Smartest on Parade Best Pleasure Type Hack Best Combination Best Paced and Mannered Best Rider Most suitable as a Hunter (may be required to jump) CHAMPION & RESERVE CHAMPION 1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
RING 9 (not a HOY Qualifier) Class 7 - Recreation Pleasure Hack (Open to all age riders) (no jackets and plaiting, however long sleeves must be worn) . . . . .
Smartest on Parade Best Pleasure Type Hack Best Combination Best Paced and Mannered Best Rider Most suitable as a Hunter (required to jump) CHAMPION & RESERVE CHAMPION 1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
12noon - Lunch Time Event
Fancy Dress Class 38 - Open To All ! PLEASE REMOVE ALL YOUR PONY AND Paddock RUBBISH Entry Fee $5 Southern End POOH of Games
Jumping Events
2 Nov 17
All classes unregistered If less than 4 entries are received in a class no 3rd and 4th prize money will be paid
All jumping will be held in the Oval by the Grandstand
Round the Ring 10.30am Practice Rounds - 11.30am Start 10. 11. 12. 13.
Maiden Pony Maiden Horse Open Pony Open Horse
EF $8.00 EF $8.00 EF $8.00 EF $8.00
Prizes $20, Prizes $20, Prizes $20, Prizes $20,
$15, $10, $5 $15, $10, $5 $15, $10, $5 $15, $10, $5
Show Jumping Classes Start Time 10.30am
Run under NZEF Rules. May compete in up to 3 Classes
RING ONE Show Jumping 14. 15. 16. 17. 18. 19. 20. 21.
Pony Horse Pony Horse Pony Pony Horse Horse
70cm 80cm 80cm 90cm 90cm 1.0m 1.0m 1.10m
Optimum time Table C Table C Table C AM5 AM3 (IJO) AM3 (IJO) AM3 (IJO)
EF $6.00 EF $6.00 EF $6.00 EF $7.00 EF $7.00 EF $7.00 EF $7.00 EF $8.00
Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon Prizes $15, $10, $5, 4th Ribbon Prizes $15, $10, $5 4th Ribbon Prizes $15, $10, $5, 4th Ribbon Prizes $15, $10 $5, 4th Ribbon Prizes $20, $15, $10, $5
Ring TWO Show Jumping May compete in up to 3 classes. Combinations in this ring are not eligible to enter Ring One.
22. 23. 24. 25. 26. 27.
Pony Horse Pony Horse Pony Horse
50cm 50cm 60cm 60cm 70cm 70cm
IJO IJO IJO IJO IJO IJO
EF $6.00 EF $6.00 EF $6.00 EF $6.00 EF $6.00 EF $6.00
Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon
PLEASE REMOVE ALL YOUR PONY POOH AND RUBBISH
2 Nov 17 Horse Practice Rounds Starting approx 9.45am. $2 per round payable to the gate steward.
Show Hunter Classes Start Time 10.30am 28. 29. 30.
Hack Class – Max 70cm Equitation over jumps. Judged on style
EF $5.00
Ribbons to 4th
Hack Show Hunter - Max 80cm Hack Show Hunter 90 cm
EF $6.00 EF $7.00
Prizes $12, $7, $4, 4th Ribbon Prizes $15, $10, $5 4th Ribbon Pony Practice Rounds Starting after class 83 $2 per round payable to the gate steward.
Pony Class – Max 60cm Equitation over jumps. Judged on style
EF $5.00
Ribbons to 4th
32.
Pony Show Hunter - Max 70cm
EF $6.00
Prizes $12, $7, $4, 4th Ribbon
33
Pony Show Hunter - 80 cm
EF $7.00
Prizes $15, $10, $5, 4th Ribbon
31.
Games Section Start Time 1pm To be held in the “Pony Club Paddock” to the rear of the oval (Grandstand Oval – Paddock on Eastern Side of Oval)
Please Note : Games will not be able to wait for those in jumping rings Groups may alter dependant on entry numbers
Ribbons 1st to 4th
Entry Fee $25
Overall Points Prize
CLASS
GROUPS
AGE CRITERIA
34.
Group A
9 years and under lead rein
35.
Group B
9 years and under non-lead rein
36.
Group C
10 -13 years
37.
Group D
14yrs and over
GAMES Bending Flag Race Sack Race Mug Shuffle Mail Box Consolation Game for non-ribbon winners
PLEASE REMOVE ALL YOUR PONY POOH AND RUBBISH
2 Nov 17
General Conditions and Rules 1.
2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.
17. 18. 19. 20.
All competitors and spectators enter the grounds at their own risk. Neither the Levin Pony Club nor the Levin AP&I accept any liability for any loss, damage, accident, injury or illness to ponies, horses, and riders or any other persons or property whatsoever. Hacks allowed in pony rings for RIDER classes only. Approved hats must be worn while mounted. Hats must be red tagged. Height Certificates must be produced if requested or prize money will be withheld. Lead rein ponies in specified classes only. Prizes may consist of goods or vouchers to the value of prizes stated. If less than 4 entries are received in a class no 3rd and 4th prize money will be paid. Entries on the day have a $10 surcharge per mount. Late entries must be made at least 15 minutes before the start of each class at the secretary’s truck. NO refunds unless horse or rider declared unfit by senior steward. king pony to wear a red tail ribbon. Judges decision final in all events Protests must be made in writing accompanied by $50 (returned if protest upheld) within 15 min of completion of event in question. Levin Pony Club reserves the right to make any changes to the programme or to postpone or cancel sports, refuse entry, eliminate any unruly horse or pony if they deem it necessary. Levin Pony Club reserves the right to move a competitor to a different class to the one they entered if in their opinion the combination is not in an appropriate class. All riders & supporters are expected to show good sportsmanship. Threatening, disrespectful or other such antisocial behaviour towards other riders, judges, spectators, ground volunteers or other such persons present at this event will not be tolerated. Persons deemed to be involved in such behavior will be asked to leave the grounds immediately with no refund of entry fees provided. Cruelty to any mount will not be tolerated. Any persons deemed to be involved in such behaviour will be asked to leave without any refund of fees. Please remove ALL Pooh, hay, rubbish from the grounds when you leave. NO truck or float entry via Victoria Street – NO truck or float parking on show ground tarmac areas. Cancellations broadcast on facebook and equestrian entries. This event will operate under the NZPCA Fair-play charter.
PLEASE REMOVE ALL YOUR PONY POOH AND RUBBISH
2 Nov 17
Levin Pony Club “Open Sports Day” Entry Form Entries www.equestrianentries.co.nz Entries Close: Wed 6th Dec 2017 - Surcharge of $10 per mount for entries on the day Non Pony Club Members (including Adults) to fill in a casual NZPCA membership form available at http://www.sportsground.co.nz/manawatuponyclub under forms tab.
RIDER NAME: __________________________________________ Age if under 16 _____ HORSE/PONY
Class No
Entry Fee
FIRST AID per Rider
$
5.00
GROUND FEE per Mount
$
7.00
TOTAL FEES:
$
Phone Numbers: __________________________________________________________________ Email: ___________________________________________________________________________ Address: _________________________________________________________________________ ________________________________________________________________________________ Signature : _______________________________________________________________________
PLEASE REMOVE ALL YOUR PONY POOH AND RUBBISH
Levin Pony Club Inc Sunday 10th December 2017
Open Spor ts Day (Including Round the Ring) Starts 8.30am Levin AP&I Show Grounds Please use the Tiro Tiro Road entrance North Entrance (Pony Club & Grandstand end) NO truck or float entry via Victoria Street NO truck or float parking on tarmac areas
Entries www.equestrianentries.co.nz
Entries Close Wed 6th December 2017 Saturday 14 December 2013
(payment must show in the bank account by Thursday 7th or late surcharge will apply)
Surcharge of $10 per mount for entries on the day
Food available on the grounds
PLEASE REMOVE ALL YOUR PONY POOH AND RUBBISH
2 Nov 17
In Hand Start Time 8.30am We welcome any breed - Recycled Ribbons only, 1st to 4th place - Champion and Reserve Ribbon
Entry Fee : Rings 1a and 1b Blanket Fee $15 per Ring
RING 1
RING 2
In Hand Pony Smartest on Parade Best Pleasure Pony Best Walk/Trott Best Combination Best Paced & Mannered
In Hand Hack Smartest on Parade Best Pleasure Pony Best Walk/Trott Best Combination Best Paced & Mannered
CHAMPION & RESERVE CHAMPION
CHAMPION & RESERVE CHAMPION
Pleasure Rings(HOY Qualifier) Start Time 9.30am Pleasure Horse/Pony means those animals that do not fit the mould of a Show Horse/Pony. We welcome any breed (e.g. Appaloosas, Quarter Horses, Standardbreds, Clyde X) and colour. They should be an uncomplicated and genuine pleasure to ride. Whilst they do not possess the show quality conformation of a show horse, they should in their own way be a delight to ride, with impeccable manners. A “pleasure mount” is NOT an inexperienced mount with show quality conformation who is destined for the open show ring.
Adults may ride ponies in rings 5 and 7.
Combination never to have been placed in ring classes at an A&P Show.
Snaffle bit only, no poll action
Whips may be carried but must not exceed 76cms in length.
Spurs are not to be worn.
Dropped, Grackle (crossed) nosebands, or flash straps are not permitted. Martingales, bit guards, training aids e.g. bearing, side, running or balancing reins, boots, bandages, any form of blinkers, ear plugs, hoods and shadow blinds are not permitted
Levin Pony Club reserves the right to move a competitor to a different class to the one they entered if in their opinion the combination is not in an appropriate class.
Ribbons only, 1st to 4th place - Champion and Reserve prize FOR EACH RING
Dressage whips are not allowed.
Entry Fee : Rings 1- 7 Blanket Fee $25 per Ring
RING 3
(Not a HOY Qualifier)
Class 1 - Pleasure Pony : LEAD REIN 10yrs & under (No plaiting) Smartest on Parade Best Pleasure Pony Best Combination Best Paced & Mannered Best Rider Best learners pony Consolation (non-ribbon winners only) CHAMPION & RESERVE CHAMPION
RING 4 Class 2 - Pleasure Pony : NON LEAD REIN 9yrs & under (no plaiting) Smartest on Parade Best Pleasure Pony Best Combination Best Paced & Mannered Best Rider Best learners pony Consolation (non-ribbon winners only) CHAMPION & RESERVE CHAMPION
PLEASE REMOVE ALL YOUR PONY POOH AND RUBBISH
2 Nov 17 1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
RING 5
RING 6
Class 3 - Pleasure Pony 10 – 12 Yrs Smartest on Parade Best Pleasure Pony Best Combination Best Paced & Mannered Best Rider Best all round pony (maybe required to jump) Consolation (non-ribbon winners only)
Class 4 - Pleasure Pony 13 – 16 Yrs Smartest on Parade Best Pleasure Pony Best Combination Best Paced & Mannered Best Rider Best all round pony (maybe required to jump) Consolation (non-ribbon winners only)
CHAMPION & RESERVE CHAMPION 1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
CHAMPION & RESERVE CHAMPION 1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
RING 7
RING 8 (not a HOY Qualifier)
Class 5 - Pleasure SHOW Hack (Open to all age riders)
Class 6 - Recreation Pleasure Pony (no jackets and plaiting, however long sleeves must be worn)
.
Smartest on Parade Best Pleasure Type Hack Best Combination Best Paced and Mannered Best Rider Most suitable as a Hunter (required to jump)
. . . . .
CHAMPION & RESERVE CHAMPION 1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
Smartest on Parade Best Pleasure Type Hack Best Combination Best Paced and Mannered Best Rider Most suitable as a Hunter (may be required to jump) CHAMPION & RESERVE CHAMPION 1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
RING 9 (not a HOY Qualifier) Class 7 - Recreation Pleasure Hack (Open to all age riders) (no jackets and plaiting, however long sleeves must be worn) . . . . .
Smartest on Parade Best Pleasure Type Hack Best Combination Best Paced and Mannered Best Rider Most suitable as a Hunter (required to jump) CHAMPION & RESERVE CHAMPION 1st and 2nd place getters from classes; Best Pleasure, Best Combination, Best Paced & Mannered
12noon - Lunch Time Event
Fancy Dress Class 38 - Open To All ! PLEASE REMOVE ALL YOUR PONY AND Paddock RUBBISH Entry Fee $5 Southern End POOH of Games
Jumping Events
2 Nov 17
All classes unregistered If less than 4 entries are received in a class no 3rd and 4th prize money will be paid
All jumping will be held in the Oval by the Grandstand
Round the Ring 10.30am Practice Rounds - 11.30am Start 10. 11. 12. 13.
Maiden Pony Maiden Horse Open Pony Open Horse
EF $8.00 EF $8.00 EF $8.00 EF $8.00
Prizes $20, Prizes $20, Prizes $20, Prizes $20,
$15, $10, $5 $15, $10, $5 $15, $10, $5 $15, $10, $5
Show Jumping Classes Start Time 10.30am
Run under NZEF Rules. May compete in up to 3 Classes
RING ONE Show Jumping 14. 15. 16. 17. 18. 19. 20. 21.
Pony Horse Pony Horse Pony Pony Horse Horse
70cm 80cm 80cm 90cm 90cm 1.0m 1.0m 1.10m
Optimum time Table C Table C Table C AM5 AM3 (IJO) AM3 (IJO) AM3 (IJO)
EF $6.00 EF $6.00 EF $6.00 EF $7.00 EF $7.00 EF $7.00 EF $7.00 EF $8.00
Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon Prizes $15, $10, $5, 4th Ribbon Prizes $15, $10, $5 4th Ribbon Prizes $15, $10, $5, 4th Ribbon Prizes $15, $10 $5, 4th Ribbon Prizes $20, $15, $10, $5
Ring TWO Show Jumping May compete in up to 3 classes. Combinations in this ring are not eligible to enter Ring One.
22. 23. 24. 25. 26. 27.
Pony Horse Pony Horse Pony Horse
50cm 50cm 60cm 60cm 70cm 70cm
IJO IJO IJO IJO IJO IJO
EF $6.00 EF $6.00 EF $6.00 EF $6.00 EF $6.00 EF $6.00
Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon Prizes $12, $7, $4, 4th Ribbon
PLEASE REMOVE ALL YOUR PONY POOH AND RUBBISH
2 Nov 17 Horse Practice Rounds Starting approx 9.45am. $2 per round payable to the gate steward.
Show Hunter Classes Start Time 10.30am 28. 29. 30.
Hack Class – Max 70cm Equitation over jumps. Judged on style
EF $5.00
Ribbons to 4th
Hack Show Hunter - Max 80cm Hack Show Hunter 90 cm
EF $6.00 EF $7.00
Prizes $12, $7, $4, 4th Ribbon Prizes $15, $10, $5 4th Ribbon Pony Practice Rounds Starting after class 83 $2 per round payable to the gate steward.
Pony Class – Max 60cm Equitation over jumps. Judged on style
EF $5.00
Ribbons to 4th
32.
Pony Show Hunter - Max 70cm
EF $6.00
Prizes $12, $7, $4, 4th Ribbon
33
Pony Show Hunter - 80 cm
EF $7.00
Prizes $15, $10, $5, 4th Ribbon
31.
Games Section Start Time 1pm To be held in the “Pony Club Paddock” to the rear of the oval (Grandstand Oval – Paddock on Eastern Side of Oval)
Please Note : Games will not be able to wait for those in jumping rings Groups may alter dependant on entry numbers
Ribbons 1st to 4th
Entry Fee $25
Overall Points Prize
CLASS
GROUPS
AGE CRITERIA
34.
Group A
9 years and under lead rein
35.
Group B
9 years and under non-lead rein
36.
Group C
10 -13 years
37.
Group D
14yrs and over
GAMES Bending Flag Race Sack Race Mug Shuffle Mail Box Consolation Game for non-ribbon winners
PLEASE REMOVE ALL YOUR PONY POOH AND RUBBISH
2 Nov 17
General Conditions and Rules 1.
2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.
17. 18. 19. 20.
All competitors and spectators enter the grounds at their own risk. Neither the Levin Pony Club nor the Levin AP&I accept any liability for any loss, damage, accident, injury or illness to ponies, horses, and riders or any other persons or property whatsoever. Hacks allowed in pony rings for RIDER classes only. Approved hats must be worn while mounted. Hats must be red tagged. Height Certificates must be produced if requested or prize money will be withheld. Lead rein ponies in specified classes only. Prizes may consist of goods or vouchers to the value of prizes stated. If less than 4 entries are received in a class no 3rd and 4th prize money will be paid. Entries on the day have a $10 surcharge per mount. Late entries must be made at least 15 minutes before the start of each class at the secretary’s truck. NO refunds unless horse or rider declared unfit by senior steward. king pony to wear a red tail ribbon. Judges decision final in all events Protests must be made in writing accompanied by $50 (returned if protest upheld) within 15 min of completion of event in question. Levin Pony Club reserves the right to make any changes to the programme or to postpone or cancel sports, refuse entry, eliminate any unruly horse or pony if they deem it necessary. Levin Pony Club reserves the right to move a competitor to a different class to the one they entered if in their opinion the combination is not in an appropriate class. All riders & supporters are expected to show good sportsmanship. Threatening, disrespectful or other such antisocial behaviour towards other riders, judges, spectators, ground volunteers or other such persons present at this event will not be tolerated. Persons deemed to be involved in such behavior will be asked to leave the grounds immediately with no refund of entry fees provided. Cruelty to any mount will not be tolerated. Any persons deemed to be involved in such behaviour will be asked to leave without any refund of fees. Please remove ALL Pooh, hay, rubbish from the grounds when you leave. NO truck or float entry via Victoria Street – NO truck or float parking on show ground tarmac areas. Cancellations broadcast on facebook and equestrian entries. This event will operate under the NZPCA Fair-play charter.
PLEASE REMOVE ALL YOUR PONY POOH AND RUBBISH
2 Nov 17
Levin Pony Club “Open Sports Day” Entry Form Entries www.equestrianentries.co.nz Entries Close: Wed 6th Dec 2017 - Surcharge of $10 per mount for entries on the day Non Pony Club Members (including Adults) to fill in a casual NZPCA membership form available at http://www.sportsground.co.nz/manawatuponyclub under forms tab.
RIDER NAME: __________________________________________ Age if under 16 _____ HORSE/PONY
Class No
Entry Fee
FIRST AID per Rider
$
5.00
GROUND FEE per Mount
$
7.00
TOTAL FEES:
$
Phone Numbers: __________________________________________________________________ Email: ___________________________________________________________________________ Address: _________________________________________________________________________ ________________________________________________________________________________ Signature : _______________________________________________________________________
PLEASE REMOVE ALL YOUR PONY POOH AND RUBBISH
