Kulin Bush Races

Horse Nomination Form

How To Nominate A Horse For The Kulin Bush Races

Step One - Download Horse Identification Sheet & Complete

Download your horse identification sheet here

Draw all white markings, brands, whorls and scars (marked with a ‘x’) on the diagram after visual inspection of the horse.

Once completed please save as a PDF ready for upload in the form below.

Step Two - Download Statutory Declaration & Complete

Download and complete the Statutory Declaration here

Once completed please save as a PDF ready for upload in the form below

Step Three - Complete Form

Complete the form below.

Step Four - Complete Your Rider Licence Application

Once you have submitted this form you will be redirected to complete the Rider Licence Application.

If the rider is different to the person nominating, you must ensure that the rider completes the form.

What race are you nominating for?

Select your preferred options below:

Preferred Race Option 1

Preferred Race Option 2

Nominator

Select who is nominating this horse for the above races. The owner in both cases will be contacted.

Who is nominating?

Primary Contact Email(Required)

All correspondence will be sent to this email along with the owners email.

If Nominated By A Person Other Than The Owner

Nominator's Name

First Last

Nominator's Address

Street Address City State Postcode

Nominator's Telephone

Nominator's Mobile

Owner's Contact Details

Owner's Name

First Last

Owner's Telephone

Owner's Mobile

Owner's Email

Correspondence will be sent to this email along with the alternative nominators email if applicable.

Riders Contact Details

Please complete all the Rider information below. The rider will also be required to complete the Approved Rider Licence Application.

Rider's Name

First Last

Rider's Telephone

Rider's Email(Required)

Horse's Details

Name that the horse will be racing under

Age as of 7th October 2023

Sex

Colour of horse

Horses Breeding (If Known) - Sire:

Dam:

Breed (Thoroughbred, Standardbred etc)

Horse Identification

Download the horse identification document here.

Print off the sheet and draw all white markings, brands, whorls and scars (marked with a ‘x’) on the diagram after visual inspection of the horse.

Once completed please create a PDF of the document and upload below:

Upload Completed Horse Identification Document As PDF(Required)

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

Racing History

Is this horse registered?

Yes

If so, under what name?

Where and when did this horse last race?

Has this horse ever been placed under the care of a licensed trainer?

Yes

If so, who is the trainer?

When did the horse last leave the trainer's property?

Where is the horse currently stabled?

Statutory Declaration

Download and complete the Statutory Declaration here

Once completed please create a PDF of the document and upload below:

Upload Completed Statutory Declaration As PDF(Required)

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

Acknowledgement(Required)

I Agree & Understand

I have thoroughly read the RWWA and KBR Inc rules and conditions for racing. I understand that I must ensure that the rider has completed the approved rider license application form and release and waiver of liability form.

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Kulin Bush Races

Horse Nomination Form

How To Nominate A Horse For The Kulin Bush Races

Step One - Download Horse Identification Sheet & Complete

Step Two - Download Statutory Declaration & Complete

Step Three - Complete Form

Step Four - Complete Your Rider Licence Application

What race are you nominating for?

Nominator

If Nominated By A Person Other Than The Owner

Owner's Contact Details

Riders Contact Details

Horse's Details

Horse Identification

Racing History

Statutory Declaration

Thank you to our amazing event sponsors

WESTCOAST WOOL & LIVESTOCK

About The Kulin Bush Races

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