Show Jumping & Dressage Day

Cobram & District Pony Club

Show Jumping & Dressage Day

Muckatah Reserve, Sandmount Rd, Muckatah

Sunday 25th May 2014

Pony Club & Open Grades 1-5 ,A-F

Entry Fee: Pony Club Members $25.00 Show Jumping & $25.00 Dressage

Open Riders$45.00 for one Discipline or $70.00 for both

Prizes: Trophy for Overall winner of both Dressage & Show Jumping in each grade

Ribbons 1stto 4th place

Dressage Tests 2013PCAV tests

Grade 1 Tests F & G Grade 2 Tests E & F Grade 3 Tests D & E Grade 4 Tests D & E Grade 5 Tests B & C

Show Jumping

Heights and rules as per PCAV Show jumping rules 1st February 2014

Grade / No of
Obstacles / Minimum
Starting
Height / Maximum
Starting
Height / Maximum
Finishing
Height / Maximum
Spread
A / 9 To 12 / 1.00 / 1.10 / 1.25 / 1.35
B / 9 To 12 / 0.90 / 1.00 / 1.15 / 1.20
C / 9 To 12 / 0.75 / 0.85 / 1.00 / 1.05
D / 8 To 10 / 0.60 / 0.70 / 0.85 / 0.85
E / 8 to 10 / 0.45 / 0.55 / 0.70 / 0.70
F / 6 to 10 / 0.35 / 0.45 / 0.55 / 0.55

Closing Date : 19th May 2014

Please supply correct fees & a A4 stamped self addressed envelope or email address for notification of rider times.

President: Barb ClarkeDistrict Commissioner: Heather Mason

Mobile : 041927 3335Mobile : 041 777 6269

Email :

Conditions of Entry

Competitors please read prior to completing Entry Form

RULES: to be run under PCAV Dressage and Show Jumping rules Effective 1st February 2014

RESERVATION OF RIGHTS-The Organising committee reserves the right;

(a)To Cancel any class or event (b)To Divide any class (c) to alter advertised times (d) To refuse any entry with or without stating the reason

No refunds after closing date except with a vet or medical certificate, An Administration fee of $10.00 will be deducted.

DISCLAIMER OF LIABILITY-Neither the organising committee of this event nor the PCAV accepts any responsibility whatsoever for any accident, injury or illness to horses, rider, ground spectator or any other person or property.

MEDICAL ARMBANDSare compulsory for ALL riders in All Phases- NO exceptions.

HELMETScorrect standard numbered helmets must be worn as specified in the PCAV gear rules. Spot checks of helmets may occur; Riders without correct helmets will be eliminated.

GEAR CHECK: Before riding in each discipline of the competition is required.

COMPETITOR NUMBERS: The Organising committee will pre allocate and advise of rider numbers; body numbers supplied.

PCAV Alcohol free Policy, Sun Smart and Smoke Free Policies apply.

QUERIES, PROTESTS, HORSE ABUSE: Queries, Protests, Horse Abuse rules as per the PCAV Handbook of BY-Laws 1st February 2014.

DOGS are prohibited without exception.

HORSES must be at least 4 years of age, no stallions, colts or rigs.

OPEN RIDERS: All open riders must sign a Day Attendance Application form. The $10.00 per day attendance fee is included in entry fee. PC members who present a current PCAV membership card will be exempt from this fee.

MULTIPLE HORSES: More than one horse may be ridden subject to the condition of the PCAV handbook of BY-Laws multiple horse rules 1st February 2014.

Catering Available from 7am - All Day

Camping and yards available

Powered site $10.00

Yards $5.00

Show Jumping & Dressage Day 25th May 2014

Entry Form

Name / Club Represented
Contact Name / Contacts Home Phone
Email address / Contacts Mobile Phone
Rider Name / Club / Horse / Open Grade / PCAV Grade
SJ / DR / SJ / DR

A limited amount of yards and camping sites are available please complete form to secure a site.

Yards $5.00 / Powered Site $10.00
Number of yards / Number of powered sites
Total classes
Yards & Camping
Total Payment

CLUB ENTRIES:

I…………………………………………………….(District Commissioner) of ……………………………………………… Pony club, certify that the above combinations as listed are

Eligible and that the nominated club representative for the day , in the event of my absence will be………………………………………………………

Signature…………………………………………………………………..(District Commissioner )

INDIVIDUAL ENTRIES: I (Name)……………………………. …. declare that I am eligible to compete and agree to adhere to the rules and guidelines of the PCVA

Signature……………………………………………… Parent Signature (If rider under 18)……………………………………………………………..

Bio Security form

Please complete details for each horse & rider

Day Attendance Application for Open Sections

Who signs the form: All open section participants must complete one of these forms before riding.

Who pays $10: 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

Competition Details

Name of Pony Club Hosting this Event: ......

Competition/Activity Name: ......

Competition Venue/Address:......

Competition Dates: From ………………………………………. To ………………………………… Inclusive

Attendee Details

Full Name (Participant):…………………………………………………………………………………………………….

Full Name (Guardian if participant under 18years): ......

Address: ……………………………………………………………………………………………………………………..

Suburb/Town: ……………………………………………………………….…. State:…………. Postcode: ………...

Participant Date of Birth: ………………………………………………….……. Age: …………..….

Best Daytime Contact Phones: …………………………………………….……………………………………………

Email: ………………………………………………………………………………………………………………………..

Horses Names: …………………………………………………………………….…………………………………….…

Address horse travelled from/to:......

Vehicle/Float Reg No…...... Vehicle Type: ……………………………………………..

Page 2 must always be completed and page 3 for all non-pony club members

ORGANISING COMMITTEE USE ONLY

Day Attendance fees paid $……………………..………………. Receipt No………………………………………..

Name of event secretary/nominee collecting form: ……………………………………………………………………

Signature: ………………………………………………………………..…………………. Date:………………………

$10 fee per day: payable by anyone who cannot present a current pony club member card.

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.

Organising Committee Statement of Riding Requirements

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)Which grade the specifications will be equivalent to, if applicable

B)Maximum jump heights and spreads, if applicable

PCAV Club Members and Interstate Pony Club Members

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.

Non-Pony Club Members

Must sign a Day Attendance form
Must pay $10 per day (i.e. $20 if the event runs over two days)

Participant Agreement and Declaration of Competency

I, the Participat or I the Guardian if participant is under 18 years of age, declare and agree that -

The Participant and Guardian (if applicable) understand the requirements for the competition/activity including any jumping heights/spreads.
The Combination (horse and rider) is competent and sufficiently experienced to complete the competition/activity in a safe manner.
The Participant and Guardian (if applicable) will inspect all relevant riding arenas, jumping and/or cross-country 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.
If withdrawing from the competition, the combination may ride in another section/grade only at the organising committee’s discretion and if they can be accommodated without inconvenience. If withdrawing without participation, there is no obligation to refund incorrect entries.
I/we will abide by the PCAV rules, policies and codes whilst attending the pony club competition/activity.
At this competition/activity, I am competent to enter into (tick applicable boxes and complete details): -

Dressage Grade//Section(s) ………………………………………………………………………………

Showjumping Grade/Section(s) ……………………………………………………………………..……..

Other …………………………………………………………………………………………………………..

Participant if over age 18 or Guardian signature:…………………………………………………………… Date:……………….

Waiver – non-pony club members

(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 theReleasees

Dated: ______/______/______Signature of parent/guardian______