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"No
Frills" Dressage Competition
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co-hosted with the
A.E.C.
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Sunday, 8 August
2021
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Entry Form
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Entries Close:
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(Late Entries may
be accepted)
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Competition:
Competitor/Restricted
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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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Rider Club
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Rider EA
Number
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Young Rider
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Rider Age Category:
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Horse/Pony Details
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Horse Name
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Horse EA Number
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Horse Bridle Number
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Owner (if not
Rider)
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Stallion:
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Pony:
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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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Competitor Classes
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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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Medium 4B
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Medium 4C
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Para Tests (Enter Test below)
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Total Competitor Tests
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Restricted Classes
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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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Medium 4B
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Medium 4C
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Advanced 5B
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Advanced 5C
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Total
Restricted Tests
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Camping?
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Fees
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Saturday
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Tests: Number of Tests
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SDDC/AEC
Member ($25/Test)/Non Member ($27/Test)
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Ground Fees:
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Ground
Fees (SDDC/AEC Member - $5/day; Non-Members - $10/day)
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SDDC Day Membership ($15)
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Late Entry Fee ($15)
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Helper Fee ($50 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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Southern Districts Dressage Club
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BSB
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036-168
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Account Number
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15-8842
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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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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
Southern Districts
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Dressage Club, 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 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.
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By submitting this Entry Form,
I ACCEPT I confirm having
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read and understood the
contents of this disclaimer.
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