Nennung Eng – 2. Working Equitation Turnier 2017 – El-Rocio-Chiemgau Herman Willemsen

Nomination
2. Working Equitation Turnier – El Rocio Chiemsee
20.07.-23.07.2017 – Fehling 31, 83339 Chieming

If you have questions according the courses or the application, you can call us at:
Herman Willemsen
+49 172 9533611

Nennungsgebühr
Preis:
Classes*
Please choose your class here. The nomination fee will be calculated automatically.
horsebox in the stabletent
Preis: 150,00 €
Wood chips-bedding straw-bedding
Preis: 6,50 €
WED member*
WED membership number*
Wenn Sie WED Mitglied sind tragen Sie bitte Ihre Mitgliedsnummer ein. Sie erhalten dann einen Rabatt von 10 €
discount WED member
If you are a WED member, please fill in your WED membership number. Then you will receive a discount of 10€.
Preis: -10,00 €
total
0,00 €

rider
Name of the rider (required field)*
Vorname Nachname
birthdate of the rider (required field)*

Tag
Monat
Jahr
Address of the rider*
Anschrift Ort Bundesstaat / Provinz / Region PLZ Land
nationality of the rider (required field)*
e-mail of the rider (required field)*
telephone number of the rider (required field)*
Is the rider of full age? (required field)*
Name of the legal guardian
To be filled in only, if the rider is not of full age, yet.
Vorname Nachname
Adress of the legal guardian
Nur ausfüllen wenn der Reiter noch nicht volljährig ist.

Anschrift Ort Bundesstaat / Provinz / Region PLZ Land
e-mail of the legal guardian
To be filled in only, if the rider is not of full age, yet.
telephone number of the legal guardian
To be filled in only, if the rider is not of full age, yet.

horse
name of your horse (required field)*
breed of your horse (required field)*
gender of your horse (required field)*
age of your horse (required field)*
address of the horse (proof of origin)*
address of the horse (proof of origin)

Anschrift Ort Bundesstaat / Provinz / Region PLZ Land
Is the rider the owner of the horse?*
Name of the owner
To be filled in only, if the rider is not the owner of the horse.
Vorname Nachname
Adress of the owner
To be filled in only, if the rider is not the owner of the horse.

Anschrift Ort Bundesstaat / Provinz / Region PLZ Land
e-mail of the owner
To be filled in only, if the rider is not the owner of the horse.
telephone of the owner
To be filled in only, if the rider is not the owner of the horse.

subject
Your message
CAPTCHA
Data processing*
- I have read the privacy statement. I agree with the electronic storage and processing of my stated data. My data will only be used for the specific purposes of „El Rocio Chiemsee“.
Exclusion of liability*
- • By submitting the application I officially state, that I have read and understood the exclusion of liability and the information of the announcement. Furthermore I acknowledge the regulations of the announcement.
Image and Sound recordings*
- The organiser or his representatives will take pictures and make films during the event. The rights for this image and sound material remain with the organiser or his representatives.