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Club Training Day
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Saturday, 13 July 2024
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Entry Form
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(Separate Entry for Each Horse)
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(The first 30 tests only accepted - so get in
early)
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Membership Type
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Rider Details
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Rider Name
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Mobile Phone
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Email
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Parent/Guardian
(if rider under 18yrs)
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Horse/Pony Details
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Horse Name
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Emergency Contact
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Name
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Mobile Phone Number
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Helper Duties
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Please indicate your preference
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Helper Name
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Classes: Please
indicate which tests you want to do (Max 2 tests)
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Test Number 1
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Test Number 2
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Where doing feedback tests, please indicate the
test below
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Feedback Test 1
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Feedback Test 2
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Fees
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Tests: Number of Tests
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Test Fees
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Ground Fees
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SDDC Day Membership ($20)
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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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Entrant Declaration
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I, the Entrant, agree to participate in the Southern Districts
Dressage Club's Training Day on 13 July 2024
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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:
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www.sddc.org.au/Waiver%20-%20Events%20-%2022%20Dec.pdf
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(including the risk
warning, indemnity, release and waiver) and agree to the terms and conditions
as stated.
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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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Name
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Date
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My Emergency Contact for the activity
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and they can be contacted on:
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Third party indemnity where participant is under 18
years of age
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I,
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being the parent/guardian of the Entrant, hereby acknowledge
through the submission of this entry form:
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·
I have read the whole of this document and
understand it.
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I consent to the Entrant participating in the
Equestrian Activity.
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I am aware of the risks, dangers and obligations
set out in the E.A. Waiver of Events (2022) document.
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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.
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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.
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AGREEMENT ON BEHALF OF ONE PARENT OR GUADIAN IS AGREEMENT ON
BEHALF OF ALL PARENTS AND/OR GUARDIANS OF THE ENTRANT.
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Parent/Guardian
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Date
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