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  Club Training Day    
  Sunday, 24 July 2022    
  Entry Form    
     
         
  (The first 35 tests only accepted - so get in early)    
         
  Membership Type
   
         
  Rider Details      
  Rider Name        
  Mobile Phone    
  Email    
  Parent/Guardian (if rider under 18yrs)    
         
  Horse/Pony Details      
  Horse Name    
         
  Emergency Contact      
  Name    
  Mobile Phone Number    
         
  Helper Duties    
  Please indicate your preference
   
  Helper Name    
       
  Classes: Please indicate which tests you want to do (Max 2 tests)    
  Test Number 1
   
  Test Number 2
   
         
  Fees      
  Tests: Number of Tests  
  Test Fees    
  Ground Fees    
  SDDC Day Membership ($20)    
  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    
  Reference    
         
  Entrant Declaration      
  I, the Entrant, agree to participate in the Southern Districts Dressage Club's Training Day on 24 July 2022    
  I understand that by submission  of this entry form, I , the Entrant, state that I have read and understand this Entrant Declaration, full particulars of which are available on the S.D.D.C. website at:        
  www.sddc.org.au/Waiver%20-%20Events%20-%2022%20Dec.pdf        
 (including the risk warning, indemnity, release and waiver) and agree to the terms and conditions as stated.
  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.
       
  Name    
  Date    
  My Emergency Contact for the activity    
  and they can be contacted on:    
             
  Third party indemnity where participant is under 18 years of age    
  I,    
  being the parent/guardian of the Entrant, hereby acknowledge through the submission of this entry form:    
  ·         I have read the whole of this document and understand it.    
  ·         I consent to the Entrant participating in the Equestrian Activity.    
  ·         I am aware of the risks, dangers and obligations set out in the E.A. Waiver of Events (2022) document.    
  ·         I acknowledge that the Entrant is bound by and subject to the rules, regulations, guidelines, policies and codes of conduct of EA and the Southern Districts Dressage Club.    
  In consideration of the Entrant being accepted as a participant in the Equestrian Activity I hereby indemnify and release the Organiser/s and the Associate/s in the same manner and to the same effect as if I was the Entrant and agree to personally accept all terms and conditions and obligations set out in this declaration.    
  AGREEMENT ON BEHALF OF ONE PARENT OR GUADIAN IS AGREEMENT ON BEHALF OF ALL PARENTS AND/OR GUARDIANS OF THE ENTRANT.    
  Parent/Guardian    
  Date