Pony Scurry Registration

Rider Name

Rider Age

Contact Email

Parent/Guardian Name

Parent/Guardian Phone Number

Pony Name

Pony Height

Is your pony a Thoroughbred or Standardbred?

Yes

If your pony is a Thoroughbred or Standardbred, please provide details including: racing name and/or breeding if unnamed for racing – or brands provided if unknown.

Pony Scurry event you are registering for

New Plymouth Raceway

Saturday 24 May

Have you taken part in a Pony Scurry previously?

Yes

Is there any medical condition that we should be made aware of? If yes, please explain

LOVERACING.NZ Pony Scurry Series Information

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Pony Scurry Registration