November 4th to 7th, 2010

Enrolment

For 2010 competitions, please wait a bit…

Select your competition and fill the form below

After the payment process, a confirmation email will be emailed to you.

For any problem, contact our team. Thanks.

(*) Field needed

Competition
Select the competition that you will be engaged to participate
  CCI **** (350€)
  CIC ** (300€)
Rider
Name * :
Firtname * :
FEI Reg. N° * :
Date of birth * :
Nationality * :
Permanent Address * :
Country * :
Telephone :
Mobile phone * :
Fax :
E-mail Address * :
Medical form
Person to warn in case of accident * :
Medical and surgery history * :
Current treatment *  :
Medicinal allergy or else * :
Date of the last booster dose against the tetanus * :
Blood type * :
Emergency contact
Rider* :
Groom :
Rider's next of kin * :
Accommodation
Rider * :
Groom :
Palmares
Sponsors :
Rider's equestrian history (Type of event, level, date, result) :
Additional information
Groom name :
Groom name :
Transport * : Vans Camions
 
Number of horses on the event site :
CCI **** :
CIC ** :
CEI ** :
Out of Competitions :
   
Box near another rider : Oui Non
Horse
Name *:
FEI Reg N° * :
Year of birth :
Sex * : Stallion Mare Gelding
Colour :
Breed :
Height :
Owner * :
Bedding * :  Shavings
Sire, breed :
Dam, breed :
Sire of Dam :
Country of birth :
Arrival date * :
Arrival time * :
Departure date :
Departure time :

I certify that the information above is correct and i will abide by the FEI Rules and Regulation and by the conditions of the schedules of the competition.

I certify the National Federation Approval. This entry will be definitively accepted after reception by Email or mail (Centaure Production Côte Saint Martin - 64800 NAY FRANCE, eventpau@orange.fr ) of the rider national Federation checking which certify that the rider and the horse are duly qualified as per qualification form or competent to compete CEIOJY*** for the event as per all applicable rules.

General condition available on Draf schedule and FEI Website
Date limit of the engagment is fixed on octobre 6th at 12h GMT +1.
WARNING, only the engagment will be approved by the organising comitee if payment has been received by 10/06/2008

Total : 350€
The confirmation of your reservation will be sent to you by email.



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