Kulin Bush Races

Approved Rider Licence Application

How To Apply for an Approved Rider Licence

Step One

Download Approved Rider Licence Application Form here

Step Two

Complete and sign the form, making sure you have read and understood all the relevant information listed.

Step Three

Download Release Of Liability Waiver Form

Step Four

Complete and sign the form, making sure you have read and understood all the relevant information listed

Step Five

Please save your completed forms as a PDF ready to upload below.

Hidden

Application Date (Admin Only)

Rider's Details

Is the rider under 18?

Yes

Riders under the age of 18 will require the signature of a parent or guardian.

Full Name of Approved Rider(Required)

First Last

Rider's Email(Required)

This email will be used for all correspondence with regards to this application.

Contact Telephone:(Required)

What horse/s will you be riding?(Required)

Parent/Guardian Approval

Parent/Guardian Name

First Last

Emergency Contact

Emergency Contact Name:(Required)

First Last

Emergency Contact Telephone:(Required)

Upload - Approved Rider Licence Application Form

Please upload a PDF copy of your completed Approved Rider Licence Application Form here

Approved Rider Licence Application Form(Required)

Please upload a PDF of your completed Approved Rider Licence Application here.

Accepted file types: pdf, Max. file size: 3 MB.

Upload - Release And Waiver Of Liability Form

Please upload a PDF copy of your completed Release And Waiver Of Liability Form here

Release And Waiver Of Liability Form(Required)

Please upload a PDF of your completed Release And Waiver Of Liability from here.

Accepted file types: pdf, Max. file size: 3 MB.

Acknowledgement

Please agree to the terms below to submit your application:

I acknowledge that I understand the terms and conditions I am riding under and have read the summary of the terms of the personal accident insurance policy included in the Approved Rider Licence Application and accept these terms.

I agree to adhere to the Rules of Thoroughbred Racing and follow all directions of the Stewards.

Acknowledgement(Required)

I Agree

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Kulin Bush Races

Approved Rider Licence Application