entry form - Goulburn Dressage club

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Goulburn Dressage Club Inc.
Official Competitive & Closed Unrestricted Dressage Event
Dressage Area Goulburn Showground,
Bungonia Road, Gate No. 8
Saturday 21st November 2015
Official - Competitive
Must be EA Member
1
Preliminary 1.3
2
Novice 2.3
3
Elementary 3.3
4
Medium 4.3
5
Advanced 5.3
6
Prix St George **
7
FEI TESTS – CHECK WITH OFFICE PRIOR
**FEI OFFICIAL CLASSES ARE SUBJECT TO
JUDGES AVAILABILITY
Closed – Unrestricted
GDC or EA Members
7
Prep A
8
Prep D
9
Preliminary 1.2
10
Novice 2.2
11
Elementary 3.2
12
Medium 4.2
13
Advanced 5.2
THESE CLASSES ARE OPEN TO YOUNG RIDERS
PLEASE MARK ON ENTRY FORM YR
Entries close: 6th November 2015 late entries may not be accepted
Entry Fees per test:
GDC Members
EA Members
$25
$30
$30 Official
$35 Official
Enquiries & scratching’s: Iris Greer 0459622505
Email:goulburndressageclub@gmail.com
COMPETING RIDERS MUST BE MEMBERS OF GDC OR EA
PIC NUMBERS ARE COMPULSORY- must be provided with your entries
PLEASE NOTE NEW RULE BOOK FROM: AUGUST 201520152015
Rules and Conditions
1.
2.
This event will be held in accordance with the Rules of the EA
Official Tests: Horses, Ponies, Riders and Owners must be registered with the EA. Riders can compete from the beginning of the year they turn 12
years or 10 years if riding a Pony
3.
RESTRICTIONS: Horses may only compete at 2 consecutive levels e.g. Novice/ Elementary. Each horse is restricted to a maximum of 3 tests
while each rider is restricted to a maximum of 6 tests. A maximum of 2 horses per rider, per event will be allowed, with maximum numbers
4.
restricted to 35 in each event
Approved hard hats must be worn when riding
5.
Disclaimer must be signed. You will not be permitted to ride if this form is not signed.
6.
7.
ALL HORSES & RIDERS MUST BE GEARED CHECKED PRIOR TO EACH TEST. Failure to do so may incur elimination
Horses must not be warmed up within 20 metres of any arena
8.
Horses must be safely tied to floats/trucks
9. Horses known to have a tendency to kick must be supervised at all times
10. Floats/Trucks must be parked in the designated areas with a minimum of 9 metres between them
11. Dogs must be on a leash at all times
12. Appeals must be in writing and submitted within half an hour of the Competition concluding. Appeals cost $50, which is refundable if the appeal is
upheld
13. When walking between arenas please keep as far away as possible from any arenas in use
14. Neither the Organising Committee of any competition to which these rules apply nor the EFA accepts any liability for any accident, damage, injury
or illness to horses, owners, riders, grounds, spectators or any other person or property whatsoever.
15. Entry is via Gate 8 off Bungonia Rd. All entrants/visitors must close the gate after entry/leaving
16. Stallions must display Identification Discs at all times. Discs are available from National office of Equestrian Australia
17. Only horses that are entered for competition are permitted on the grounds during the event
18. Callers are allowed (except for FEI tests)
19. No refunds will be given for cancellations after the draw has been finalized unless we receive a doctors or vet certificate
20. ** Any Photographs collected by the official GDC photographer may be used for publicity purposes unless permission is declined prior.**
LEADER BOARD POINTS ARE ONLY AVAILABLE TO GDC MEMBERS
Please send signed form to goulburndressageclub@gmail.com and money to
GDC BSB: 032-721 A/C no: 218217 with name of rider
Or post-completed entry form & monies to GDC Inc Po Box 679 Goulburn NSW 2580
One entry form to be completed for each rider
Neither the Organising Committee of any competition to which these rules apply nor the EFA accepts any
liability for any accident, damage, injury or illness to horses, owners, riders, grounds, spectators or any
other person or property whatsoever
Entry Form
Event
Bridle
No:
P
Horse’s Name
EFA No:
Pnts
Rider’s Name
EFA No:
Please indicate if a Pony by placing a ‘P’ in the column before the Horse’s name.
Membership Status: Member of GDC ............ EA .................. PIC NO: .....................................................
Tests sheets can be downloaded from the GDC or EFA Websites or purchased at 50c each
Ground fee per rider
General Volunteer Availability Yes…. No…
Volunteering hours
Total Enclosed
Entry
Fee $
$
$10.00
$
Special requests: .....................................................................................................................................................
..............................................................................................................................................................................
Include a large stamped addressed envelope with your completed entry form if you require a hard copy of the draw
When draws are completed they can be downloaded from the GDC Website & Facebook
Release and Waiver of Liability
Event: Official & Club Members Dressage Event Saturday 21st November 2015
In consideration for being permitted to participate in any way in horse sport activities, I the undersigned understand acknowledge and accept that Horse Sports are a
dangerous recreational activity and horses can react in a sudden and unpredictable (changeable) way, especially if frightened or hurt. There is a significant risk that
serious INJURY or DEATH may result from horse sport activities. I knowingly and freely assume all such risks, both known and unknown sole& I voluntarily
PARTICIPATE at my OWN RISK and assume sole responsibility for any injury death or property damage I may suffer that arises from my participation in horse sport
activities. I understand and acknowledge the dangers associated with the consumption of alcohol or any mind altering drugs before and during the activity and I take
full responsibility for any injury, loss or damage associated with their consumption. I agree not to drink alcohol or take drugs prohibited by law before or during this
event. I agree to follow the directions of any event organizer or official and that any misconduct or refusal by me to follow any direction of any organizer or official
can result in the CANCELLATION of my participation in the event and my immediate removal from my horse NO MATTER where that may occur. I understand that
any such non-compliance may result in injury, death or permanent disability as a result of my failure to comply. I agree to wear a helmet at all times whilst participating
in the sport where this is required under the relevant EFA and FEI regulations and agree that I am solely responsible for ensuring that whilst participating I wear a
suitable helmet at all times where required under the relevant EFA and FEI rules and regulations and take sole responsibility for my actions. I have had sufficient
opportunity to read this assumption of risk agreement, fully understand its terms and sign it freely and voluntarily. By signing this disclaimer I hereby agree to accept
full responsibility for the care and any costs incurred in looking after my horse should a Lockdown happen. Under NO circumstances will I hold Goulburn Dressage
Club Inc. or any of its members, Committee members and office bearers liable.
For participants of Minority Age (under 18 years): This is to certify that I, as a parent /guardian with legal responsibility for this participant, acknowledge,
understand and accept ALL OF THE ABOVE and consent and agree to my minor child’s involvement or participation in horse sport activities.
Signature of Rider: ..............................................................
Signature of Guardian: ........................................
Address: .............................................................................................................................................................
E-mail address: ................................................ Phone No: .......................................... Dated: ........................
Address of horse if different to above: ..................................................................................................................
Owner (if different from the Rider): ......................................... EFA No: .............................................................
DOB Junior or Young Rider: .....................................................
Riders will not be permitted to ride if this form is not signed
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