Ladies DayUnofficial Fun Competition
Sunday 5th November @ KDH Equestrian, 107 Peel Rd West, Waroona ***$85pp***
Limited numbers per class 8.30am start. Plaiting & Fancy Wear optional (will not be marked at all!)
Walk Trot Class – Prep Test B & Show Horse Workout
Walk Trot Canter Class – Prelim 1.1 & Show Horse Workout
Novice 2.1
Approx. 1pm Lunch & Drinks along with the Final Championship Presentations
(Riders over the age of 18yrs, Horses over the age of 4yrs, NO official Combinations)
Each class will be placed i.e Dressage 1st-6th Show Horse 1st – 6th
Overall Champions will be presented with a prize for the Walk Trot and Walk Trot Canter Class, on a point system.
Novice 2.1 Dressage Test will be prized and placed separately.
Yards and Stables Available. Please bring your own feed and clean up after your horse on Depature.
Name:______Phone:______
Address:______Email:______
Emergency Contact:______
Name & Age of Horse:______
Food Allergies:______
Please circle your class – Can only compete in one class section (excludes Novice 2.1 Dressage)
Walk Trot Class Walk Trot Canter Class Novice 2.1
Payment in Full required at time of booking. Booking availability closesMonday 30th October 2017, unless entries are full. Places are limited. No Holds. Payment made by Direct Deposit. Please include your name as reference. Strictly no refund will be given, unless a valid Doctor’s Certificate or Vet Certificate can be produced.
Banking Details for Direct Deposit
Account Name: K D Hull
BSB 086 956 Acc 53923 2227
RELEASE AND WAIVER OF LIABILITY
Name______
Street Adress______
Suburb______Postcode ______
Contact No.______
e-mail______
DoB______EA/PCAWAMember______
Emergency Contact Details
Name______Contact______
Pre-existing medical conditions, allergies or disabilities ______
• In consideration for being permitted to participate (including ownership) in any way in horse sport activities, I the undersigned, understand, acknowledge and accept that: Horse sports are a dangerous 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.
• I understand and acknowledge the dangers associated with the consumption of alcohol or any mindaltering drugs and agree not to drink alcohol or take drugs prohibited by law before or during any horse sports activities.
• I agree to follow the directions of a competition official and head steward and thatany misconduct or refusal by me to follow any direction of the competition official or head steward can result in the CANCELLATION of my participation in the activities and my immediate removal from my horse NO MATTER where that may occur.
• I agree to wear an approved helmet at all times whilst participating in the sport where this is required under the relevant EA and FEI rules and regulations. PLEASE NOTE: Unless a valid doctors certificate or vet certificate can be produced, cancellations will not be refunded . Your horse(s) are brought on to the property at 107 Peel Rd West, Waroona, WA at your own risk. The owners are expressly not liable for any loss or damage that may occur while your horse(s) are on the property.
______
I have had sufficient opportunity to read this Dangerous Activity Acknowledgement and fully understand its terms and sign it freely and voluntarily.
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 my minor child's involvement or participation in horse sport activities. I also agree to abide by the Parents Code of Conduct as it relates to Equestrian Sports. I understand that should I breach this Code of Conduct in any way I may be penalised for such a breach as determined by Equestrian Western Australia.
Dated:___/___/___Signature of guardian______
Enquiries
Katlin Hull, KDH Equestrian Competition Stewart
0405 846 246 or email