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Unofficial Dressage Competition
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Sunday, 23 May 2021
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Entry Form
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Entries Close:
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Rider Details
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Rider Name
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Address
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Suburb/City
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PostCode
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Mobile Phone
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Email
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Guardian (if
rider under 18-years)
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Rider Club
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Rider Category:
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Horse/Pony Details
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Horse Name
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Helper Duties
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Helper Name
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First Preference
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Second
Preference
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Classes: To enter
please indicate 'X' alongside the
particular test
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Led/First Ridden
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Preparatory A
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Preparatory C
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Preliminary 1B
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Preliminary 1C
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Novice 2B
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Novice 2C
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Elementary 3B
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Elementary 3C
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Prix
Caprilli (2018)-60cm
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Prix
Caprilli Preparatory (2018)-30cm
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Camping?
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Fees
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Tests: Number of Tests
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Entry
Fees ($25/first test; $20 all other
tests)
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Ground Fees
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No ground fees for this event
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AEC Day
Membership ($10)
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Late Entry Fee ($10/horse)
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Helper Fee ($25 if no helper duty indicated)
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Total Fees:
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Your Entry will
not be accepted without payment of the above fee
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Direct Transfer
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Account Name
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Albany Equestrian Centre Inc
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BSB
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633-000
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Account Number
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143217743
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Payment Receipt Details
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Date
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Amount
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Receipt
Number
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Reference
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Dangerous Activity
Acknowledgement
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Horse Sports are a Dangerous Activity
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I understand and acknowledge that horse sports are a dangerous
activity and
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that horses can act in a sudden and unpredictable way,
especially if
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frightened or hurt.
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I understand and acknowledge that serious INJURY or DEATH may
result from
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horse sport activities and in particular from events in
which I participate.
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I agree that I PARTICIPATE at my OWN RISK.
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Effect of this Document
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I understand that submission of this Entry Form constitutes
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a complete and unconditional release of the Equestrian
Federation of
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Australia Ltd including all of its state bodies, coaches and
Albany Equestrian
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Centre Inc, to the greatest extent allowed by law in the event of me and/or
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the children under my care, suffering injury or death.
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I understand the Albany Equestrian Centre accepts
no liability for the loss of,
or damage to, vehicles, or any other goods or articles, and does not offer
any personal insurance to riders.
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By submitting this Entry Form,
I ACCEPT and confirm I have
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read and understood the
contents of this disclaimer.
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Rider
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Parent/Guardian
Acknowledgement (for riders under the age of 18-years)
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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.
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