Pony Scurry Registration

Rider Name

Rider Age

Contact Email

Pony Name

Pony Height

Is your pony a Thoroughbred?

Yes

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

Parent/Guardian Name

Parent/Guardian Phone Number

Pony Scurry event you are registering for

New Plymouth Raceway

Saturday 14 September

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

Have you taken part in a Pony Scurry previously?

Yes

LOVERACING.NZ Pony Scurry Series Information

DOWNLOAD