All Breeds Show Proudly Presented by West Australian Palomino Association Serpentine Horse and Pony Club, Karnup Road, Serpentine Sunday 31st May 2015 “GARLANDS AND RUGS TO BE WON” Feature Breed – THOROUGHBRED Pre-entries close Wednesday 27th May 2015 Late entries accepted on the day with an added fee 8.00am start ALL RINGS SORRY NO DOGS ON GROUNDS PLEASE Gates OPEN 6.30AM Supreme Champion Thoroughbred Proudly Sponsored By – Touchstone Farm SUPREME CHAMPION will receive an Embroidered Rug and garland GRAND CHAMPION YOUNGSTOCK Proudly Sponsored By – Kismet Park ALL Champion Juniors of each breed (3yrs and under) are invited to compete for Grand Champion Junior Exhibit of the Show GRAND CHAMPION will receive an Embroidered Rug and garland SUPREME of SUPREME PONY 14.2HH AND UNDER Proudly Sponsored By – Boardwalk Pools ALL SUPREME EXHIBITS (Registered Breeds ONLY) are invited to compete for Supreme of Supreme Pony GRAND CHAMPION will receive an Embroidered Rug and garland SUPREME of SUPREME HORSE OVER 14.2HH Proudly Sponsored By – West Australian Palomino Assoc ALL SUPREME EXHIBITS (Registered Breeds ONLY) are invited to compete for Supreme of Supreme Horse GRAND CHAMPION will receive an Embroidered Rug and garland ALL 5 rings start at 8.00am SHARP Ring 1 Ring 2 Ring 3 Ring 4 Ring 5 Ring 6 Handler 10yrs & Under Riding Pony Riding Pony Show Hunter Handler 11yrs – 14yrs Palomino WAPA Sport/Found/App Handler 15yrs – 17yrs Miniature Pony Miniature Horse Handler 26yrs – 35yrs Welsh A Welsh B Handler Over 35yrs Thoroughbred Andalusian Clydesdale Buckskin/Dun Foundation Pony Welsh C Part Andalusian Pinto Warmblood Quarter Horse Stock Horse Small Horse CBCHS Welsh D Part Welsh APSB APSB Registries Unregistered Horse OR Pony Paint Friesian/Friesian Warmblood Handler 18yrs – 25yrs Arabian Arabian Derivative Over 14.2hh Arabian Derivative 14.2hh & Un Standardbred Any other Registered Colour Unregistered Horse OR Pony ALL RINGS Serpentine Horse & Pony Club Any other registered Breed 8.00AM START Club Rooms RING 1 RING 6 RING 5 Marshall Area RING 2 RING 3 RING 4 ENQUIRIES – Shannara Beresi Ph. 0432 240 860 Pre-entry fee per class $8.00 per class Entry fee on the day per class $10.00 per class GROUND FEE $10 PER HORSE/PONY Pre-entries CLOSE Wednesday 27th May 2015 Serpentine Horse and Pony Club Karnup Road, Serpentine All handlers must be WAPA members or pay $20 Associate membership which covers insurance. (Insurance is liability insurance only not personnel accident insurance). All Hay/manure to be collected & disposed of before leaving grounds. NO DOGS on grounds. Drinks and Food available on the day. All owners of exhibits must be current financial members with the breed society when required by society rules. All exhibits must be registered with their individual breed society. Handlers of exhibits must follow appropriate breed society rules. Entries will be taken on the day, but pre entry is preferable. If you can help out at the show, please contact a committee member, we really appreciate all volunteer efforts. Any sponsorship for the show is extremely appreciated, and is guaranteed to go directly to competitors. Stallions and Colts must be under control at all times and have suitable and substantial headgear and the age of handler must be 18 years of age or Over. (If a stallion gets loose due to the headgear the owner will be held responsible for any damages caused). Handler’s age shall be the age on the day of competition. Horses/Ponies with dual registrations may compete in ALL eligible events AND Other Registered Breeds only if your registration is not covered in any of the rings. NO PENDING REGISTRATIONS will be accepted and copies of papers and memberships must be sent with pre-entries and copies to be supplied with entries on the day. Protests to be submitted 30mins from the conclusion of the event, with a $100 fee. Ground jury decision will be final and cannot be protested. Refunds will only occur on the protest being upheld PLEASE DON’T BE LATE FOR YOUR EVENT!! Please be ready and waiting ring side for your classes. Classes will be called 3 times and gate will be CLOSED after this. Please be aware of the events/breeds currently being judged in your rings so you DO NOT miss your class. It is your responsibility to check where rings are up too – due to amount of entries breeds time will differ from ring to ring. IMPORTANT MESSAGE Sometimes due to large amount of entries a complete breed may be moved from one ring to another, if a Judge has finished and there is still a long wait in your ring this may occur towards the end of the program. * Note - 1yr and Under colt, filly, gelding (winner to go to correct Champion) **Unregistered Horse or Pony is ineligible to compete in Grand Champion Junior and Supreme of Supreme Horse or Pony** WAPA Inc. reserves the right to alter or amend the program without prior notification. This event is presented by volunteers; please excuse any errors or omissions. Please remember to support our wonderful sponsors and take the time to thank them for their generosity in sponsoring your horses Breed class RING 1 – TRACEY HOTKER A. Handler 10yrs & under RIDING PONY 1. Best Presented 2. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 3. Colt 3yrs & Under 4. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 5. Filly 3yrs & Under 6. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 7. Gelding 3yrs & Under 8. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Robyn Endersby Photography PINTO 25. Best Presented 26. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 27. Colt 3yrs & Under 28. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 29. Filly 3yrs & Under 30. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 31. Gelding 3yrs & Under 32. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit – Pinto Society WA RIDING PONY SHOW HUNTER 9. Best Presented 10. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 11. Colt 3yrs & Under 12. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 13. Filly 3yrs & Under 14. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 15. Gelding 3yrs & Under 16. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Willow Valley Show Team WARMBLOOD 33. Best Presented 34. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 35. Colt 3yrs & Under 36. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 37. Filly 3yrs & Under 38. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 39. Gelding 3yrs & Under 40. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit BT Equine Bowen Therapy CLYDESDALE 17. Best Presented 18. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 19. Colt 3yrs & Under 20. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 21. Filly 3yrs & Under 22. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 23. Gelding 3yrs & Under 24. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Donna Norris **UNREGISTERED HORSE OR PONY** 90. Best Presented 91. 1yr & Under filly or gelding (Winner to go to correct Champion) 92. Filly 3yrs & Under 93. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 94. Gelding 3yrs & Under 95. Gelding 4yrs & Over Champion Gelding Reserve Champion * SUPREME Exhibit – Not elig SOS – Shilah Park Equestrian Centre RING 2 – ADRIEN PIKE B. Handler 11yrs - 14yrs PALOMINO 49. Best Presented 50. Best Mane and Tail 51. Best Coat Colour 52. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 53. Colt 3yrs & Under 54. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 55. Filly 3yrs & Under 56. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 57. Gelding 3yrs & Under 58. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Elyse van Arkel & Lucas Vaile QUARTER HORSE 74. Best Presented 75. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 76. Colt 3yrs & Under 77. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 78. Filly 3yrs & Under 79. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 80. Gelding 3yrs & Under 81. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit She-Oak QHS WAPA SPORT/FOUN/APPENDIX 59. Best Presented 60. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 60. Colt 3yrs & Under 61. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 62. Filly 3yrs & Under 63. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 64. Gelding 3yrs & Under 65. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit – Sue Smulders STOCK HORSE 82. Best Presented 83. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 84. Colt 3yrs & Under 85. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 86. Filly 3yrs & Under 87. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 88. Gelding 3yrs & Under 89. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit BUCKSKIN/DUN 66. Best Presented 67. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 68. Colt 3yrs & Under 69. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 70. Filly 3yrs & Under 71. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 72. Gelding 3yrs & Under 73. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit - Saddles Plus PAINT 82. Best Presented 83. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 84. Colt 3yrs & Under 85. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 86. Filly 3yrs & Under 87. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 88. Gelding 3yrs & Under 89. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit RING 3 – DEBBIE TUCKER C. Handler 15yrs - 17yrs MINIATURE PONY 96. Best Presented 97. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 98. Colt 3yrs & Under 99. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 100. Filly 3yrs & Under 101. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 102. Gelding 3yrs & Under 103. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Spot On Miniature Horses SMALL HORSE 120. Best Presented 121. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 122. Colt 3yrs & Under 123. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 124. Filly 3yrs & Under 125. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 126. Gelding 3yrs & Under 127. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit – Aluca Park MINIATURE HORSE 104. Best Presented 105. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 106. Colt 3yrs & Under 107. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 108. Filly 3yrs & Under 109. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 110. Gelding 3yrs & Under 111. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Spot On Miniature Horses CBCHS 82. Best Presented 83. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 84. Colt 3yrs & Under 85. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 86. Filly 3yrs & Under 87. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 88. Gelding 3yrs & Under 89. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) FOUNDATION PONY 112. Best Presented 113. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 114. Colt 3yrs & Under 115. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 116. Filly 3yrs & Under 117. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 118. Gelding 3yrs & Under 119. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit - NMR Inc WA branch FRIESIAN/FRIESIAN WARMBLOOD 82. Best Presented 83. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 84. Colt 3yrs & Under 85. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 86. Filly 3yrs & Under 87. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 88. Gelding 3yrs & Under 89. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Lokenzo Park SUPREME Exhibit Cherokee Garlands RING 4 – KYLIE WALL D. Handler 18yrs - 25yrs ARABIAN 144. Best Presented 145. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 146. Colt 3yrs & Under 147. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 148. Filly 3yrs & Under 149. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 150. Gelding 3yrs & Under 151. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit - Show Ring Classifieds STANDARDBRED 168. Best Presented 169. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 170. Colt 3yrs & Under 171. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 172. Filly 3yrs & Under 173. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 174. Gelding 3yrs & Under 175. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit – Rumble Hill Stud ARABIAN DERIVATIVE OVER 14.2HH 152. Best Presented 153. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 154. Colt 3yrs & Under 155. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 156. Filly 3yrs & Under 157. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 158. Gelding 3yrs & Under 159. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Willow Valley Show Team ANY OTHER REGISTERED COLOUR 176. Best Presented 177. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 178. Colt 3yrs & Under 179. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 180. Filly 3yrs & Under 181. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 182. Gelding 3yrs & Under 183. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit - Equus Park ARABIAN DERIVATIVE UNDER 14.2HH 160. Best Presented 161. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 162. Colt 3yrs & Under 163. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 164. Filly 3yrs & Under 165. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 166. Gelding 3yrs & Under 167. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit BT Equine Bowen Therapy RING 5 – ISABELLE BARKER E. Handler 26yrs – 35yrs WELSH A 200. Best Presented 201. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 202. Colt 3yrs & Under 203. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 204. Filly 3yrs & Under 205. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 206. Gelding 3yrs & Under 207. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Judaroo & Morwynt Stud WELSH D 224. Best Presented 225. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 226. Colt 3yrs & Under 227. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 228. Filly 3yrs & Under 229. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 230. Gelding 3yrs & Under 231. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Judaroo & Morwynt Stud WELSH B 208. Best Presented 209. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 210. Colt 3yrs & Under 211. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 212. Filly 3yrs & Under 213. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 214. Gelding 3yrs & Under 215. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Judaroo & Morwynt Stud PART WELSH 232. Best Presented 233. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 234. Colt 3yrs & Under 235. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 236. Filly 3yrs & Under 237. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 238. Gelding 3yrs & Under 239. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) WELSH C 216. Best Presented 217. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 218. Colt 3yrs & Under 219. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 220. Filly 3yrs & Under 221. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 222. Gelding 3yrs & Under 223. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Judaroo & Morwynt Stud ANY OTHER REGISTERED BREED 243. Best Presented 244. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 245. Colt 3yrs & Under 246. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 247. Filly 3yrs & Under 248. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 249. Gelding 3yrs & Under 250. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Elyse van Arkel & Lucas Vaile SUPREME Exhibit ES Show Horses RING 6 – LINDA BRENZI E. Handler over 35yrs THOROUGHBRED 200. Best Presented 201. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 202. Colt 3yrs & Under 203. Stallion 4-7yrs 204. Stallion over 7yrs Champion Stallion/Colt Reserve Champion 205. Filly 3yrs & Under 206. Mare 4-7yrs 207. Mare over 7yrs Champion Mare/Filly Reserve Champion 208. Gelding 3yrs & Under 209. Gelding 4-7yrs 210. Gelding over 7yrs Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit ANDALUSIAN 211. Best Presented 212. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 213. Colt 3yrs & Under 214. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 215. Filly 3yrs & Under 216. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 217. Gelding 3yrs & Under 218. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit – Saddles Plus PART ANDALUSIAN 219. Best Presented 220. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 221. Colt 3yrs & Under 222. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 223. Filly 3yrs & Under 224. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 225. Gelding 3yrs & Under 226. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit – Connor Samuels APSB 227. Best Presented 228. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 229. Colt 3yrs & Under 230. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 231. Filly 3yrs & Under 232. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 233. Gelding 3yrs & Under 234. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Lyngarie Equestrian APSB REGISTERIES 235. Best Presented 236. 1yr & Under colt, filly or gelding (Winner to go to correct Champion) 237. Colt 3yrs & Under 238. Stallion 4yrs & Over Champion Stallion/Colt Reserve Champion 239. Filly 3yrs & Under 240. Mare 4yrs & Over Champion Mare/Filly Reserve Champion 241. Gelding 3yrs & Under 242. Gelding 4yrs & Over Champion Gelding Reserve Champion Champion Junior (All 1st place 3yrs & Under) SUPREME Exhibit Lyngarie Equestrian All Breeds Show Entry Form Entries Close Wednesday 27th May 2015 PLEASE ENCLOSE WITH ALL PRE ENTRIES A COPY OF HORSE REGISTRATIONS, MEMBERSHIPS AND HEIGHT CERTIFICATES (ONLY if breed has a height Restriction i.e. Riding Pony) $8.00 pre-entry - $10.00 per class on the day entry - Ground Fee $10 Please Post entries to: West Australian Palomino Association, Pre-Royal All Breeds Show Entries 48 Fieldview Chase, Oakford WA 6121 ONE HORSE PER ENTRY FORM Horses Name: ___________________________________________ Breed/Handler class Class # Handler Name Rego # Entry Fee WAPA Membership/Insurance Compulsory $20 Per Handler if not already a WAPA member Compulsory Ground Fee - $10.00per Horse/Pony Total of Entries $10.00 NAME OF EXHIBITOR: ____________________________ Ph. #:_______________________ ADDRESS: __________________________________________________________________ EMAIL ADDRESS: ____________________________________________________ Payable by Cash, Money Orders or Cheques – West Australian Palomino Association MEMBER RELEASE AND WAIVER OF LIABILITY I understand and acknowledge that horse sports are a dangerous activity and that horses can act in a sudden and unpredictable (changeable) way, especially if frightened or hurt. I understand and acknowledge that serious INJURY or DEATH may result from horse sport activities and in particular from events in which I participate. I agree that I participate at MY OWN RISK. I agree not to drink alcohol or take drugs prohibited by law before or during competition. Your name: _______________________________________________________ (please print) Name of Parent/Guardian (if competitor under 18 years) _______________________________ Address: ____________________________________________________________________ Phone: ______________________________________________ Date of Birth: _____________ Effect of this document I understand that my signature to this document constitutes a complete and unconditional release of all liability against the Western Australian Palomino Association (Inc) including all of its affiliated clubs, officials, and volunteers, to the greatest extent allowed by law in the event of me and/or the children under my care, suffering injury or death. Signed ___________________________________________ Date: ___________________ (Parent/guardian must sign for Juniors 17 years and under).