ILDRA FEI PERMISSION APPLICATION

APPLICANT                                                                                                          

RIDER                                                                                                                     

NAME OF HORSE                                                                                                

MEM No.                                                     LOG BOOK No.                                   FEI LICENCE      Yes / No

REG No.                                            PASSPORT No.                                           FEI / NAT indicate which with circle

Gold Qualified           dd           mm          yy        CURRENT SEASON HIGHEST MILEAGE                        

RACE NAME                                                           LOCATION                                                         STATUS  **/***

DISTANCE                                                               DATE OF RACE                                                 

CLOSING DATE FOR ENTRIES                                 

LAST FEI RACE RESULT                  PASS  Yes / No       IF FAIL   Lame         Metabolics        N/A

                                                                  RETIRED    Reason

Comments if deemed necessary

ILDRA Sec

Application No.
Date Received.
Application Fee.                         Yes / No

SIGNED
 		 Owner / Rider / Trainer
DATE OF SENDING

It is presumed that if the applicant is other than the name named on the passport that they are doing so with the authority of the owner
ILDRA FEI Permission Application Application No.
Permission is / is not granted for to ride in the at
  on Horses Name    
Special Requirements
Prior to Participation		 Achieving the requirement/s ticked below.      
 
Gold Final  
40 Mile CTR  
Clear Vets Cert  
Passport  
Flu Vac  
CEI **  
50 Mile CTR  
Getting FEI Licence  
FEI passport  
Adequate Crew  

Signed
ILDRA Sec
Date