Sporting Teams Challenge Nomination Page – PCAQ Metropolitan Zone 1

Sporting Teams Challenge 2022

"*" indicates required fields

Name

First Last

Contact Number*

This should be Parents Number for riders 15 years and under.

Email*

This should be Parents' email for 15 years and under

PCAQ Number*

If you do not yet have a PCAQ Number, enter TBA, but you will be required to show your membership card on the day.

PIC Number*

If you are unsure of your PIC number, ,enter TBA, but it will be required on your Horse Health Declaration to be handed in on the day of the event.

Age Group*

Zone*

Please enter a number from 1 to 30.

Club*

Enter the name of your club

Sporting Team Name

If you have organised with friends you can enter your Team Name here.

Sporting Horse*

Fee inc First Aid

Total

Credit Card

Card Details

Cardholder Name

Name

This field is for validation purposes and should be left unchanged.