Horse Health Declaration

This form is required to be filled out prior to all Pony Club NSW events.

RIDER DETAILS

Name(Required)
Address(Required)

PROPERTY ORIGIN OF HORSES

Address(Required)
SEX(Required)
ARE YOU STABLING THE HORSE OVERNIGHT?(Required)
CURRENT HENDRA VACCINATION?(Required)

Declaration by owner or person in charge of horse

I, declare that the horse named above has been in good health, eating normally and not shown signs of illness during the last 3 days leading up to this event. I give my authorisation for the Event committee/TD to call for veterinary inspection of the horse named above, 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 veterinary examination.PLEASE NOTE: For those bringing two or more horses, you must complete a new Horse Health Declaration For each horse.


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 shall 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 PCA NSW 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 PCA NSW Judiciary/Disputes Committee.
6. In the event of horse movement restrictions, each participant will be responsible for the full care, maintenance and cost of their horse including feeding, agistment and veterinary costs.

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