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