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Celebration of Horses & Music  Dressage Competition    
15 & 16 May 2021    
Entry Form    
       
Entries Close:     
   
       
Competitor/Participant/ Restricted SDDC
   
Rider Details      
Rider Name    
Address
     
Suburb/City    
PostCode    
Mobile Phone    
Email    
Rider Club
   
       
Rider EA Number  
Young Rider
   
Rider Age Category:
   
Horse/Pony Details      
Horse Name    
Horse EA Number  
Horse Bridle Number  
Owner (if not Rider)    
     
Stallion:
   
Pony:
   
Helper Duties    
Helper Name    
First Preference
   
Second Preference
   
Classes: To enter please indicate  'X' alongside the particular test
Saturday: 15 May 2021
Competitor/Para/Participant/Restricted Classes - Saturday    
Preparatory C    
Preparatory E    
Novice 2B    
Novice 2C    
Medium 4B    
Medium 4C    
Prix St Georges    
Para Classes    
FEI  Para Grade V Team test    
EA Para 3.1    
EA Para 3.2    
EA Para 4.1    
EA Para 4.2    
EA Para 5.1    
EA Para 5.2    
Freestyle      
Preparatory Freestyle    
Novice Freestyle    
Advanced Freestyle    
Intermediate Freestyle    
Total Tests - Saturday    
Sunday: 16 May 2021
Competitor/Para/Participant/Restricted Classes - Sunday    
Preliminary 1B    
Preliminary 1C    
Elementary 3B    
Elementary 3C    
Advanced 5B    
Advanced 5C    
Intermediate 1    
PE Grade 5.1    
PE Grade 5.2    
Para Classes    
FEI Para Grade V Freestyle    
FEI Para Grade V Indiv Test    
EA Para 3 Freestyle    
EA Para 4 Freestyle    
EA Para 5 Freestyle    
Freestyle      
Preliminary Freestyle    
Elementary Freestyle    
Medium Freestyle    
Total Tests - Sunday    
       
Camping?
   
Fees
Saturday      
Tests: Number of Tests  
SDDC Member ($29/Test)/Non Member ($35/Test)    
Ground Fees (SDDC/AEC Member - $5/day; Non-Members - $10/day)    
Saturday    
Sunday    
SDDC Day Membership ($25)    
       
Late Entry Fee ($20)    
       
Helper Fee ($50 if no helper duty indicated)    
Total Fees:    
Your Entry will not be accepted without payment of the above fee
Direct Transfer
Account Name Southern Districts Dressage Club
BSB 036-168
Account Number 15-8842
Payment Receipt Details      
Date    
Amount    
Receipt Number    
Dangerous Activity Acknowledgement      
Horse Sports are a Dangerous Activity
I understand and acknowledge that horse sports are a dangerous activity and 
that horses can act in a sudden and unpredictable way, especially if
 frightened or hurt.
I understand and acknowledge that serious INJURY or DEATH may result from 
horse  sport  activities and in particular from events in which I participate.
I agree that I PARTICIPATE at my OWN RISK.
Effect of this Document
I understand that submission of this Entry Form constitutes
 a complete and  unconditional release of the Equestrian Federation of  
Australia Ltd including all of its state bodies, coaches and Southern Districts 
Dressage Club, to the greatest extent allowed by law  in the event of me and/or 
the children under my care, suffering injury or death.
I understand the Southern Districts Dressage Club 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.
    
By submitting this Entry Form,  I ACCEPT I confirm having 
read and understood the  contents of this disclaimer.