Event Nomination Form

Please note that this page is for Runcorn Members only who are nominating for an event at another Club. For Events held at
Runcorn, please go Runcorn Events Page and select the event you wish to nominate for.

Nominations for External events

This form is to be used for submitting nominations for events outside of Runcorn

Name of Event*
Event Date*
DD slash MM slash YYYY
Name*
First Last
Mobile*
Email*
PCAQ Number*
Date of Birth
DD slash MM slash YYYY
Name of Horse
Performance Card Number
PIC No
Classes You are Nominating for:
Helper*
Nomination Progress - for Noms Secretary only
- Nomination Sent
Indicates that the noination for this event has been sent to the participating club
Phone
This field is for validation purposes and should be left unchanged.

Name	Name of Event	Event Date	Name of Horse	Helper	Classes You are Nominating for:
Carmen Kuzewicz	Aitkens Official showjumping	09/09/2018	Comando Battaglia	Fiona Peart	Class 11- unofficial 13 years and under 26 years 60cm
Fiona Cameron	Aitkens Official showjumping	09/09/2018	Gracie	Grace Cameron	Class 11- unofficial 13 years and under 26 years 60cm
Chloe Wildermoth	Gumdale Official Shojumping	19/08/2018	Pay the Piper	Narelle Wildermoth	Class 10: 12 years and under 50cm
Carmen Kuzewicz	Gumdale Official Showjumping	19/08/2018	Comando Battaglia	Fiona Peart	Class 11: 13 years and under 26, unofficial 60cm
Issy Treasure	Gumdale SJ	19/08/2018	El Foxie Miss	Louise Treasure	Class 11 Unofficial 60cm
Issy Treasure	Wynnum SJ	29/07/2018	El Foxie Miss	Charlie Treasure	Class 5 Official 80cm
Carmen Kuzewicz	Wynnum Official Showjumping	29/07/2018	Comando Battaglia	Fiona Peart	Class 11: Unofficial 13 years & under 26 years, 60cm
Chloe Wildermoth	Wynnum offical Show jumping	29/07/2018	Pay the piper	Narelle Wildermoth	Unofficial 50cm
Lauren Vaschina	Wynnum Official Showjumping	29/07/2018	DHL Narcho Man	Nancy	Class 4 - Official 13-26yrs 70cm
Fiona Cameron	Wynnum official showjumping	29/07/2018	Gracie	Grace Cameron	Class 12- unofficial 13 yrs and under 26 yrs 60cm
Tahni Jordan	Wynuum official Showjumping	29/07/2018	Shae	Graeme Jordan	Unofficial 13yrs under 26 yrs 60cm
Annie Horn	Wynnum Pony Club Offical Showjumping	29/07/2018	My Little Demon	Vicki Horn	Class 12 — Unoffical 13 yrs and under 26 yrs 60cm
Fiona Cameron	Park ridge dressage and combined training	15/07/2018	Gracie	Grace Cameron	Dressage: unofficial 13 years and under 26 years (class D7) Combined training: unofficial 13 years and under 26 years- 60cm (class C13
Anna McNeill-Beasley	Park Ridge Dressage and Combined Training	15/07/2018	Lyon Lodge Playtime	Cathy McNeill	D7 - Unofficial 13 - 26
Annie Horn	Park Ridge Pony Club Offical Dressage and Combined Training	15/07/2018	My Little Demon	Vicki	Dressage: Unoffical D7 13 years & under 26 years Combined Training: Unoffical C13 13 years & under 26 years
Lucinda Murr	Gumdale Horse and Pony Club Official and Unofficial Showjumping	20/08/2017	A Touch of Sass	Lucinda Murr	11
Laila Schmidt	GHPC official and unofficial show jumping 2017	20/08/2017	Layla	Lyndsey	Class 10 12 years and under unofficial 50
Mikayla Hall	Gumdale Official Showjumping	20/08/2017	Charlotte	Lyndsey	Unofficial class 11, 60cm
Issy Treasure	GHPC Official & Unofficial Showjumping 2017	20/08/2017	Red	iSABELLE	CLASS 10 12 YEARS AND UNDER UNOFFICIAL 50 CLASS 2 12 YEARS AND UNDER OFFICIAL 70
Chelsie Moore	Gumdale Official Showjumping	20/08/2017	Sir Reggie	Lyndsey Moore	Class 5 Official 80cm
Chelsie Moore	Gumdale Official Showjumping	20/08/2017	Poderosa Fantasia	Lyndsey Moore	Class 5 Official 80cm
Catherine Angus	Gumdale Official Showjumping	20/08/2017	Lights Of Home	Catherine Angus	class 5 official 80 cm
Cassandra Allison	Gumdale Dressage Day	03/06/2017	Hybrid Theory	Cassie Allison	Class 3 - official prelim
Catherine Angus	Gumdale official combined training	04/06/2017	Lights of Home	Catherine angus	Class A2
Ava Mathews	Tamborine ODE	30/04/2017	Tarni	Samantha	Pre introductory (12yrs and under) 60cm
Name	Name of Event	Event Date	Name of Horse	Helper	Classes You are Nominating for: