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Southern Solstice
Dressage Competition
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Dressage
Competition
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16th & 17th
January 2021
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Entry Form
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Entries Close:
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Competitor/Participant/ 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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DRESSAGE TESTS
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Classes: To enter
please indicate 'X' alongside the
particular test
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Competitor Classes - Saturday
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EA Novice 2A - Saturday
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EA Novice 2B
- Saturday
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EA Medium 4A - Saturday
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EA Medium 4B
- Saturday
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Prix St
Georges - Saturday
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Intermediate
1 - Saturday
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Total
Competitor Tests - Saturday
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Competitor Classes - Sunday
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EA Preliminary 1A - Sunday
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EA Preliminary 1B - Sunday
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EA Elementary 3A - Sunday
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EA Elementary
3B - Sunday
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EA Advanced
5A - Sunday
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EA Advanced
5B - Sunday
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Total
Competitor Tests Sunday
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Para Tests - Please nominate
test(s) to be ridden
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Total Para
Tests
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Participant/Restricted
Classes - Saturday
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EA_Prep_Test_A - Saturday
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EA_Prep_Test_C - Saturday
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EA Novice 2A - Saturday
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EA Novice 2B
- Saturday
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Total
Part/Res Tests - Saturday
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Participant/Restricted
Classes - Sunday
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EA Preliminary 1A - Sunday
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EA Preliminary 1B - Sunday
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EA Elementary 3A - Sunday
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EA Elementary
3B - Sunday
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Total
Part/Res Tests - Sunday
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Hi-Point 'Off The Track'
Award
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(To be considered for the
OTT Award, the following details are required:)
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OTT: Racing Name
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OTT: Brands
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Fees
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Tests: Number of Tests
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Entry Fees: (SDDC Members $27.50/test; Non-SDDC Members $32.50/test)
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Ground Fees: (SDDC or AEC Members
$5/horse per day; Non-SDDC or Non-AEC Members $10/horse per day)
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Ground Fees: Saturday
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Ground Fees: Sunday
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Ground Fees: Para Classes
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Day Membership Fee
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Late Entry Fee
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Helper Fee
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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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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,
Albany Agricultural
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Society and Southern
Districts Dressage Club,
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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 Agricultural Society and
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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