(Y0151705)
- Sunday, 15 th September, 2013.
-
- Friday, 6 th
September, 2013.
- Ros Gastin (Event Secretary)
Email- jrmjegastin1@bigpond.com.au Phone- (03) 58832125
All Events Start from- 9.00 a.m. onwards. Gear Check Open- from 8.30 a.m.
Entry- $5 gate fee per vehicle on the day (which includes a ticket in the gate prize)
* Novelty Pre-paid Entry- $36 per horse/ rider combination (which includes up to 3 attempts at each of the
6 novelty games)
* Showjumping Pre-paid Entry (Grades C, D, E & F)- $30 per horse/ rider combination
(which includes entry to all 3 events) or $10 per event.
*Ungraded Showjumping Entry- (Led and Independent)- $4 per horse & rider combination
(timed activity- lowest time with clear round)
*Combination Novelty & Showjumping (Grades C,D,E,& F)- prepaid entry $60 (Save $6- great value!)
*Combination Novelty & Ungraded Showjumping – prepaid entry $40
**Entry on the day also accepted.
Fees for ‘Entry on the Day’ as follows- $3.00 per novelty event (for 1 turn) & $10.00 per each showjumping round, C,D,E & F events and $5.00 for ‘Ungraded’ Showjumping round.)
** All Open Entries are required to sign a waiver form and Non Pony Club Riders must pay a $10 fee, in addition to entry. *** All Games to be timed and ribbons will be awarded
to 4 th Place. Champion Ribbons will be awarded to
st 4 points, 2 nd 3 points, 3 rd 2 points, 4 th 1 point)
(led & independent) (Pony Club & Open)
*8 yrs and under 10 years (Pony Club & Open)
*10 years and under 12 years (Pony Club & Open)
*12 years and under 15 years (Pony Club & Open)
*15 years and over (Pony Club & Open)

*** All Showjumping Pony Club & Open sections-
ribbons will be awarded to 4th place.
*** Champion Ribbons will be awarded to
‘Overall Showjumping Winner’ for each Grade.
(Points System- 1 st 4 points, 2 nd 3 points, 3 rd 2 points, 4 th 1 point)
(On Show Arena)- Grade C (Pony Club & Open)
-Grade D (Pony Club & Open)
- (Large Sand Arena)
-Grade E (Pony Club & Open)
-Grade F (Pony Club & Open)
- (Small Sand Arena)
-Ungraded (Encouragement Event) Led & Independent (timed event)
Grade
C
No of
Obstacles
9 to 12
Minimum
Starting
Height
0.75
Maximum
Starting
Height
Maximum
Finishing
Height
Maximum also refer to rules 3.1.b to i, below
0.85 1.00
Spread
1.05
Speed metres per minute
300
D 8 to 10 0.60 0.70 0.85 0.85 275
E
F
8 to 10
6 to 10
0.45
0.35
0.55
0.45
0.70
0.55
0.70
0.55
250
250
ules for show jumping and games. final. s
on the day. Refunds can only be given with accompanying vet certificate prior to the event.
-buckle girths.
First Aid services will be available on the day. ntry with or without stating the reason. ders).
– required for all riders before commencement, failure to do so will result in elimination.. lmet standards number. Medical Armbands to be worn by all competitors.
-Laws.
Alcohol Policy applies. Neither the organising committee of this competition, nor the PCAV accepts any responsibility whatsoever for any accident, damage, injury or illness to horses, riders, ground spectators or any other person or property.

Competition Date- Sunday, 15 th September, 2013.
Where- Finley Showgrounds, Tongs Street, Finley.
Entries Close - Friday, 6 th
September, 2013.
All enquiries - Ros Gastin (Event Secretary) jrmjegastin1@bigpond.com.au
Phone- (03) 58832125
Novelty Pre-paid Entry - $36 per horse/ rider combination (Which includes up to 3 attempts at each novelty game)
(NB- Pony Club & Open Riders combined in age groups.)
(Indicate which
Age group)

Competition Date- Sunday, 15 th September, 2013.
Where- Finley Showgrounds, Tongs Street, Finley.
Entries Close- Friday, 6 th September, 2013.
All Enquiries - Ros Gastin (Event Secretary) jrmjegastin1@bigpond.com.au Phone- (03) 58832125
Pre-paid Entry- $30 per horse/ rider combination (for Grades F, E, D & C)
(Which allows entry in all 3 showjumping competitions or $10 for each)
**Ungraded Showjumping (Led & Independent) $4 prepaid (per horse/ rider combination)/ $5
‘on the day’.
(Indicate which
Showjumping Grade to be entered)
**
(Grades C, D, E & F) -
Do both events for a prepaid entry of $60 (Save $6!)
**
Do both events for a prepaid entry fee of $40.

Please send this and previous entry form/s (plus Open Day Attendance waiver form, if applicable- see form attached) to the address below)
** No email or faxed entry forms accepted. Forms must be posted PO Box 83, Finley, NSW, 2713 with correct entry fees by closing date of Friday 6 th of September, 2013.
** Late entries WILL attract an extra $10.00 late fee. Please see Rules relating to cancellation policy.
**Pony Club that the Rider is a member of: _____________________________________________________
**D/C Signature _____________________________
(Giving permission for rider to Show jump at the above Grade Level)
**Rider’s Contact Phone Number: ________________________________
**Address: _______________________________________________________________
**Horse Address where usually kept or P.I.C. number-___________________________
**Email address____________________@______________________________________
N.B.- Pony Club Cheques preferred, rather than personal Cheques for Pony Club Riders .
Please send a Stamped Self Addressed Envelope, for confirmation of entry and the ‘draw’ or an email
address (please print clearly)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
**Please indicate the competition/s you wish to enter and how many entries-
A-Entry to either Novelties OR Showjumping Competitions.
1) Novelty Games Only-_______(How many?) ($36 per horse/rider combination-all ages)
TOTAL- __________________
2) Showjumping Games Only (Grades C, D, E & F)-_____(How many?) ($30 per horse/rider)
TOTAL-__________________
3) Ungraded Showjumping Event- ______ (How many?)($4 per horse/rider combination)
TOTAL- _________________
Open entry fee (to PCAV) Day Attendance ($10 each) __________ (How many?)
TOTAL-_________________
GRAND TOTAL- ___________________
B-Entry to both Novelties AND Showjumping Competitions.
1) Both Novelty & Showjumping Games __ (How many?) ($60 per horse/rider combination)
(For Grades C,D,E & F) TOTAL- ______________________
2) Both Novelty & Ungraded Showjumping Event- _____($40 per horse/ rider combination)
TOTAL-_______________________
**Plus Open Day Attendance fee of $10 (For Non Pony Club Riders) ____(How many)
TOTAL- ________________________
GRAND TOTAL- _______________________________

All open section participants must complete one of these forms before riding.
Non-pony club members must pay $10 per day of participation. Pony club members
(PCAV and Interstate) do not pay the fee providing they present their pony club card to prove they are current club members. If a pony club card is not presented, the $10 fee must be paid .
There is no personal accident cover for non-pony club members but there is Public Liability cover.
Ensuring this form is completed fulfills Bylaw 29 and enables the Club to be covered by Public
Liability
Name of Pony Club Hosting this Event: Finley & District Horse & Pony Club Inc.
Competition/Activity Name: Pony Club & Open Games & Showjumping Day
Competition Venue/Address: Finley Showgrounds, Tongs Street, Finley, NSW, 2713
Competition Date: Sunday, 15 th September, 2013
Full Name
(Participant):…………………………………………………………………………………………………….
Full Name Guardian (i f participant under 18years): ………………………………………………………..
Address: ……………………………………………………………………………………………………………
Suburb/To wn: …………………………………………………………… State:…………. Postcode: ………...
Participant Date of Birth: ………………………………………………….………………...
Age: …………..….
Best Daytime Contact Phones: …………………………………………….………………………………………
Email: …………………………………………………………………………………………………………………
Horse/ s Names: …………………………………………………………………….…………………………………
A ddress horse travelled from/to: ………………………………………………………….PIC Number …………
Vehicle/Float Reg No… ................................................. V ehicle Type: ………………………………………
ORGANISING COMMITTEE USE ONLY
Day Attendance fees paid $……………………..………………. Receipt
No………………………………………..
Name of event secretary/nominee collecting form:
……………………………………………………………………
Signature: ………………………………………………………………..………………….
Dat e:………………………
The host club must remit all the fees collected as one cheque plus, an official Day Attendance
Summary form to the PCAV State Office,73-75 MACKIE RD, MULGRAVE. VIC. 3170 within seven working days.

The organising committee must state what riding requirements (specifications) apply for each grade/class/section of the competition/activity. The specifications must be detailed on the entry information before accepting an entry. The statement must advise: -
A)
B)
Which grade the specifications will be equivalent to, if applicable
Maximum jump heights and spreads, if applicable
 Must sign a Day Attendance form when participating in an open section/activity
 No day attendance fee is applicable
 The ‘grade/riding specification’ selected by a pony club member in an open section may be different to the grade(s) on the PCAV club member card, providing they declare by signing, that they are competent to do so.
 Pony club members may ride in an open or a pony club section on the same mount except in horse trials.
 Must sign a Day Attendance form
 Must pay $10 per day
I, the Participant or I the Guardian, if participant is under 18 years of age, declare and agree that -
1.
The Participant and Guardian (if applicable) understand the requirements for the competition/activity including any jumping heights/spreads.
2.
The Combination (horse and rider) is competent and sufficiently experienced to complete the competition/activity in a safe manner.
3.
The Participant and Guardian (if applicable) will inspect all relevant riding arenas, jumping courses prior to riding and will withdraw from the competition/activity if, upon inspection, the Combination’s level of competency and experience is not suited for the competition/activity.
4.
If withdrawing from the competition, the combination may ride in another section/grade only at the organising c ommittee’s discretion and if they can be accommodated without inconvenience. If withdrawing without participation, there is no obligation to refund incorrect entries.
5.
I/we will abide by the PCAV rules, policies and codes whilst attending the pony club competition/activity.
6.
At this competition/activity, I am competent to enter into (tick applicable boxes and complete details): -
 Showjumping Grade/Section(s)
……………………………………………………………………..……..
 Novelty Games (Age entered)
…………………………………………………………………………………
Participant, if over age 18 or Guardian signature: ……………………………………………………………Date:……………….

(Applicable for anyone who cannot present a current pony club member card)
In consideration for being permitted to participate in any way in horse sport activities and in particular this event, I, the undersigned, understand, acknowledge and accept that:
*Horse sports are a dangerous recreational activity and horses can act 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 and in particular this event.
*I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of Pony Club
Association of Victoria Inc and/or the event organiser (hereafter referred to as the "Releasees") or others and 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 organiser or official and that any misconduct or refusal by me to follow any direction of any organiser 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 and/or permanent disability and I agree to indemnify the Releasees against all claims made by any person 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 Pony Club rules and 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 Pony Club rules and regulations and take sole responsibility for my actions.
*I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless and agree not to sue Pony Club Association of Victoria Inc and/or the event organiser, their officers, officials, volunteers, coaches, agents and/or employees and/or other pony clubs (all of whom are referred to as "Releasees") with respect to any and all injury, disability, death, or loss or damage to person or property, whether caused by the negligence of the releasees or otherwise.
Effect of this Document
I have had sufficient opportunity to read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without inducement of any kind.
I understand that my signature to this document constitutes a complete and unconditional release of all liability of the
Releasees, to the greatest extent allowed by law in the event of me and/or the children under my care, suffering injury or death.
Dated: ______/______/______ Signature of rider
For Participants of Minority Age (Under Age 18)
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 his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities arising from my minor child's involvement or participation in horse sport activities and in particular, this event, even if arising from the negligence of the Releasees
Dated: ______/______/______ ..... Signature of parent/guardian