Dandenong A. & P. Society Scottish/Celtic Heritage Day 31st May 2015
www.dandyshow.com.au
Entry Form
Entries Close Friday 24th May 2015 (entries received after this date cannot be included in program)– if receipt required include Stamp Addressed Envelope
Entry Fee $3.00 (inc GST) OR on the day $6
Cheques payable to Dandenong A & P Society & MUST accompany entries, no refund on entry money
Send Australian Miniature Pony Shetland Pony & Highland Pony Entries to Janice Morgan, 73 A’Beckett Road, Narre Warren Nth. 3804 Ph. 9796 8267
Send Clydesdale Entries to P O Box 362, Dandenong. 3175
Enquiries to Alex Morgan Ph. 9796 8267
Supreme Champions to Parade at 2.00pm in Champion of Champions Parade
Class No
Exhibit Name
Date of
Birth
Sire
Dam
Reg.
No.
Entry
Fee
Exhibitor Name: _______________________________________________
Total Entries: ___________
Address: _________________________________________________________________________Post Code:_____________
Donation:
___________
Phone: ________________________________Email: __________________________________________________________
Total:
___________
I /We agree to accept the Rules and Regulations of the Dandenong A & P Society I have read and agree to
accept the conditions on the reverse of this entry form:
Thank you to our generous sponsors including:
Deb & Terry Lear – Casuarina Plains
Signature: ________________________________
PARTICIPANTS INDEMNITY AND DUTY OF CARE
Participation, including passive participation, in events or activities at an agricultural show contains elements of risk, both obvious and inherent. The risks involved
may result in property damage and/or personal injury including death.
I understand activities at shows contain an element of risk of injury and I agree that I undertake any such risk voluntarily of my own free will and at my own risk.
I also understand this document constitutes a contractual waiver pursuant to Section 32N of the Fair Trading Act 1999 (Vic).
I acknowledge the risk referred to above and agree to waive any and all rights that I, or any other person claiming through me, may have against the Dandenong
Agricultural & Pastoral Society Inc. and any or all of its office bearers, volunteers and agents, in relation to any loss or injury (including death) that is suffered by me as a
result of my participation in this show.
I agree to continually indemnify the Dandenong Agricultural & Pastoral Society Inc. and any or all of its office bearers, volunteers and agents, on a full indemnity
basis against any claim or proceeding that is made, threatened or commenced and any liability, loss (including consequential loss and loss of profits), damages or expense
(including legal costs on a full indemnity basis) that the Dandenong Agricultural & Pastoral Society Inc. and any or all of its office bearers, volunteers and agents, incurs or
suffers, as a direct or indirect result of my participation in any event held by the Dandenong Agricultural & Pastoral Society Inc. and any or all of its office bearers.
I have read this Indemnity and Duty of Care form and acknowledge and agree with its contents. I have made any further enquiries which I feel are necessary or
desirable and fully understand the risks involved in this activity.