"No Frills"  Dressage Competition    
co-hosted with the A.E.C.    
Sunday, 8 August 2021    
Entry Form    
Entries Close:     
(Late Entries may be accepted)    
Competition: Competitor/Restricted 
Rider Details      
Rider Name    
Mobile Phone    
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)    
Helper Duties    
Helper Name    
First Preference
Second Preference
Classes: To enter please indicate  'X' alongside the particular test    
Competitor Classes      
Preliminary 1B    
Preliminary 1C    
Novice 2B    
Novice 2C    
Elementary 3B    
Elementary 3C    
Medium 4B    
Medium 4C    
Para Tests (Enter Test below)    
Total Competitor Tests     
Restricted Classes      
Preparatory A    
Preparatory C    
Preliminary 1B    
Preliminary 1C    
Novice 2B    
Novice 2C    
Elementary 3B    
Elementary 3C    
Medium 4B    
Medium 4C    
Advanced 5B    
Advanced 5C    
Total Restricted  Tests    
Tests: Number of Tests  
SDDC/AEC Member ($25/Test)/Non Member ($27/Test)    
Ground Fees:    
Ground Fees (SDDC/AEC Member - $5/day; Non-Members - $10/day)    
SDDC Day Membership ($15)    
Late Entry Fee ($15)    
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      
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.