Inschrijfformulier – AIAT – Asociation Internationale D’Attelage de Tradition

INSCHRIJFFORMULIER/REGISTRATIONFORM CIAT WEERT 2026

The Registrant declares to be insured for legal liability for a competition. By registering, the participant releases the organization from all responsibility for theft and accidents for himself, his staff, his equipment, and damage to third parties.

Name

E-mail

Firstname

Adress

Postcode

Place of residence

Telephone number

Name of te insurancecompany and insurance policy number

Categorie

Name Horses/Ponies

Height Horses Ponies (cm)

Breed

Age Horses/Ponies

Sex Horses/Ponies

Type of Carriage

Carriage builder

Year of Building

Participation

Yes, I agree and pay €50 participation fee per team.

I have an AIAT license

No, €45,- extra Yes, €0,-

I am reserving stalls at 100 euros per stall.

I wish to participate in the BBQ on Sunday; it costs 25 euros p/p.

Additional information about the crew and carriage

Payment

I am participating and will pay by bank transfer to bank account number NL55RABO0176998748 in the name of MMG Rutjens-Verberne. NB: If payment is not made on time, the stable reservation will be cancelled...