Beveridge & District Pony Club Inc

BEVERIDGE & DISTRICT PONY CLUB INC. No. A0001695F

DRESSAGE & COMBINED TRAINING DAY

SUNDAY June 26TH 2011

At PC Grounds, Lithgow Street, Beveridge. Melways Ref. 510 L11 (edition 26)

Enquiries: 5784 9245 / 5783 2280 / 0408 333247 or Email:

Catering provided (gates open 7.30am)

SASHES TO 6TH PLACE

DRESSAGE
SECTION / PCAV
TEST / ARENA / COMBINED TRAINING
SECTION / PCAV
TEST / MAX
HEIGHT
1 – PC Pre Grade 5 / 5B / 40 x 20 / 12 – PC Pre Grade 5 / 5A / .30m
2 – PC Grade 5 / 5C / 40 x 20 / 13– PC Grade 5 / 5B / .45m
3 – PC Grade 4 / 4C / 40 x 20 / 14 - PC Grade 4 / 4B / .60m
4 – PC Grade 3 / 3C / 60 x 20 / 15– PC Grade 3 / 3B / .75m
5 – PC Grade 2 / 2C / 60 x 20 / 16- PC Grade 2 / 2B / .90m
6 – PC Grade 1 / 1C / 60 x 20 / 17- PC Grade 1 / 1B / 1.05m
7 – Open PreGrade5 / 5B / 40 x 20 / 18 -Open PreGrade 5 / 5A / .30m
8 – Open Grade 5 / 5C / 40 x 20 / 19 – Open Grade 5 / 5B / .45m
9 – Open Grade 4 / 4E / 40 x 20 / 20– Open Grade 4 / 4D / .60m
10 – Open Grade 3 / 3E / 60 x 20 / 21– Open Grade 3 / 3D / .75m
11 – Open Grade 2 / 2D / 60 x 20 / NB: Extra Large Sections may be divided.

All tests from the PCAV Dressage for the Pony Club July 2006/Dressage Rules effective Nov 2006 apply

ENTRY FEES – Dressage Only: $20.00 Combined Training Only: $30.00 Dressage & CT (same Grade): $40.00

Plus $5.00 Day Attendance fee for Open Riders

ENTRIES CLOSE 17THJUNE – NO LATE ENTRIES ACCEPTED

ENTRY FORM

Rider / Horse / Club / Section / Fee / Email & Phone No.
Address of property from which the horse will come to this event / Address to where the horse will go after this event

NB: Bank Details for EFT or Direct Deposit payment available on request by email.

PLEASE ENCLOSE A SASE OR INCLUDE AN EMAIL ADDRESS ABOVE FOR RETURN OF TIMES.

PAYMENT AND COMPLETED ENTRY FORM TO: EVENT SECRETARY, POBOX 156, WALLAN 3756

CONDITIONS OF ENTRY

Entering this event constitutes acknowledgement that PCAV rules apply and acceptance of these rules. PCAV rules may be found at
Dogs are prohibited without exception.
Neither the Organising Committee of this event 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.
The Organising Committee reserves the right to cancel any class or event, divide any class, alter times, refuse any entry with or without stating the reason.
PCAV Members may ride in the PC section providing attendance and grading eligibility is proven on PCAV club member card in accordance with the PCAV Handbook of By-laws
PCAV Members may also ride in the Open section providing they fill out the day attendance and declare they are competent (not necessarily graded) to ride at the level entered. They must not enter sections below their graded level.
PCAV members - PCAV Membership Cards must be presented to the secretary’s office for inspection before riding.
Medical armbands must be worn by all competitors (applies to both PCAV and non-PCAV members)
Gear check before riding in each phase of the competition is compulsory. Please check gear rules for different sections.
Correct ‘standards’ numbered helmet must be worn. Spot checks may occur and incorrect helmet will mean elimination.
Non-PCAV members – a PCAV Day Attendance Form must be signed and a fee of $5.00 to be included with entry fee. Except for uniform, all PCAV rules, including gear check requirements, apply to Open Riders.
PCAV Alcohol Policy applies.
Protests, queries and horse abuse rules as per the PCAV Handbook of By-laws.
Plaiting is optional.
No stallions, rigs or horses under age 4.
Disqualification from the event will be enforced without exception for any rider breaching a condition of entry.
No refunds after closing date except with Vet or Medical Certificate.
A confined lungeing area may not be available. Lungeing only permitted in a confined lungeing area.

ADMINISTRATION REQUIREMENTS FOR ORGANISING COMMITTEE

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 $5 per day (i.e. $10 if the event runs over two days)

Thank you to our sponsors that include:

Mandalay Beveridge – Land salesChampions choose Discovery Floats

Sales Office open 7 days 11am to 6pm. 1300 875 707Craigieburn – 03) 8339 4279

Epping Store 8405 3474

We wish all competitors and visitors to our CTD a happy and successful day. Should you have any queries or need assistance on the day, any of our friendly members will be happy to do their best to help you or direct you to the event secretary.

Participant Agreement and Declaration of Competency

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

The Participant 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) ……………………………………………………………………..……..

Horse Trials 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 the Releasees

Dated: ______/______/______Signature of parent/guardian

BEVERIDGE & DISTRICT PONY CLUB INC. No. A0001695F

Day Attendance Application for Open Sections

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

Who Pays $5: Non-pony club members must pay $5 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 $5 fee must be paid.

Non-pony club members are covered for public liability insurance only under the PCAV insurance policy.

Day attendance entitles the participant to be covered under the Pony Club’s Equine Liability Insurance Policy only. This means, if the participant becomes legally liable to pay damages arising out of accidental bodily injury to any person and/or accidental property damage, the Insurer will indemnify the participant subject to the Limit of Indemnity specified in the Schedule subject to the policy terms and conditions.

There is no personal accident cover for non-pony club members.

Competition Details

Name of Pony Club Hosting this Event: Beveridge & District Pony Club

Competition/Activity Name: Dressage & Combined Training Day

Competition Venue/Address: PC Grounds, Lithgow Street, Beveridge

Competition Date: Sunday, 26th June 2011

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: ……………………………………………..

ORGANISING COMMITTEE USE ONLY

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

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

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

$5 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 PCAVState Office,73-75 MACKIE RD, MULGRAVE. VIC. 3170 within seven working days.