West Plantagenet Pony Club  
  Proudly presents  
       
  Unofficial Dressage Day   
  26th February 2022  
  Entry Form  
  (Entries Close: 20 February 2022)  
       
  Rider Details    
  Rider Name  
  Address  
     
  Suburb/City  
  PostCode  
  Mobile Phone  
  Email  
  Membership Type
 
  PCWA Member Number  
  PCWA Open Rider number  
  Age at 1/1/2022 (if PCWA)  
  Guardian (if rider under 18-years)
       
  Horse/Pony Details    
  Horse Name  
  Horse's Age  
     
  Helper Duties  
  Helper Name  
  Job Preference
 
  No self-help for riders riding 2 horses   
  Set-Up:  3.00pm Friday    
       
  Classes: To enter please indicate  'X' alongside the particular test  
  Led/First Ridden Test PCWA  (2001)  
  Preparatory A (2013)  
  Preparatory C (only for Prep Level) (2013)  
  Preliminary 1A (2019)  
  Preliminary 1B (2019)  
  Novice 2A (2019)  
  Novice 2B (2019)  
  Elementary 3A (2019)  
  Elementary 3B (2019)  
  Medium 4A (2019)  
  Medium 4B (2019)  
  Advanced 5A (2019)  
  Advanced 5B (2019)  
       
  "Off the Track" Award
 
  OTT: Racing Name  
  OTT: Horse Passport ID Number  
       
       
  Lunch Order (Also available: Morning/Afternoon Teas & Drinks)  
       
  Roast Beef & Salad Sandwich - $6  
  Cost  
  Roast Chicken & Salad Sandwich - $6  
  Cost  
  Sausage Sizzle - $4  
  Cost  
  Salad Box - $4  
  Cost  
  Total Cost  
       
  Fees    
       
  Tests: Number of Tests
  Entry Fee @ $25.00 per test  
  Lunch Payment  
  Helper Fee ($40 if no helper duty indicated)  
  Total Fees:  
     
Your Entry will not be accepted without payment of the above fee
Direct Transfer
Account Name WPPC
BSB 633-000
Account Number 112370697
  Reference "DD" & Surname  
     
  Payment Receipt Details    
  Date  
  Amount  
  Receipt Number  
     
     
  Dangerous Activity Acknowledgement    
  Horse Sports are a Dangerous Activity  
  In consideration for being permitted to participate in any way in horse sport activities, I, the undersigned, understand, acknowledge and accept that:  Horse sports are a dangerous recreational activity and horses can act in a sudden and unpredictable (changeable) way, especially if frightened or hurt.  There is a significant risk that serious INJURY or DEATH may result from horse sport activities.  I knowingly and freely assume all such risks, both known and unknown, and I voluntarily PARTICIPATE at my OWN RISK and assume sole responsibility for any injury, death or property damage I may suffer that arises from my participation in horse sport activities.  I understand and acknowledge the dangers associated with the consumption of alcohol or take drugs prohibited by law before or during any horse sports activities.  I agree not to drink alcohol or take drugs prohibited by law before or during any horse sports activities.  I agree to follow the directions of any event organizer or official and that any misconduct or refusal by me to follow any direction of any organizer or official can result in the CANCELLATION of my participation in the activities and my immediate removal from my horse NO MATTER where that may occur.  I understand that any such non-compliance may result in injury, death and/or permanent disability as a result of my failure to comply.  I agree to wear a helmet at all times whilst riding and agree that I am solely responsible for ensuring that I wear a suitable helmet at all times whilst riding and take sole responsibility for my actions.  I have had sufficient opportunity to read this assumption of risk agreement, fully understand its terms and sign it freely and voluntarily.  
     
    Rider Name  
       
  Parent/Guardian Acknowledgement (for riders under the age of 18-years)  
  This is to certify that I, as a Parent/guardian with legal responsibility for this participant, acknowledge, understand and accept ALL OF THE ABOVE and consent and agree to my minor child’s involvement or participation in horse sport activities.  
     
     
  I hereby give permission for West Plantagenet Pony Club Committee members to use my name in print and to use photos for reporting the event however is required by the WPPC members.  
   
 
     
     
       
   
West Plantagenet Pony Club  
Proudly presents  
   
Unofficial Dressage Day   
Saturday, 26th February, 2022  
 Frost Oval, McDonald Avenue, Mt Barker  
 
Classes – Preparatory to Advanced level, led, PCWA and Open  
Para(HC)/training tests available on request.  
Plaiting is encouraged.  
Part of the PCWA  Dressage Leaderboard.    
EA Competitor/Participant members on official horses are welcome to enter with a PCWA Open Riders public liability.
  
Part of the 3-Competition Challenge with SDDC (Highest scorers in each level at 3 competitions)  
Part of the WPPC Dressage/Showjumping Series.  
OTTWA sponsorship with cash/prizes/rosettes  
Ribbons/Prize only for led class.  
   
   
Championship saddle blankets for PCWA and Open classes  
 
Entries close - Sunday 20th February 2022  
   
 
Enquiries:  [email protected]  
                                                                                               
   
Championship Prizes:  For the horse/rider combination entering 2 tests  at the same level with the highest totalled score.  Riders can be eligible for 2 championships if riding two horses at different levels.Age classes to be decided by the committee.  
3-Competition Challenge: Consisting of highest point scorers from Prep to Advanced over 3 events covering WPPC DD, "No Frills" and the Albany Show. Prizes awarded at Albany Show competition.  
OTTWA Prizes:  1st and 2nd prize awarded to the OTT thoroughbred or standardbred with highest totalled 2 tests at any level. Rider must supply horses racing name, competition name and horse passport ID number.  
   
Please Note:  
A horse may only be ridden for a total of 3 tests for the day.  A rider may only ride 2 horses for the day, with a maximum of 4 tests.  Horses must be 4 years of age.  A rider may only ride the 2 preparatory tests if not riding at the preliminary level.  
The led/first ridden test may be called and supported by a runner, please email for a copy of this test. (Ribbons/prizes only for led test).  
   
Get your entry in early as there are only 120 tests that can be ridden for the day.  Refunds will only be given after the draw (20th February 2022) with a vet or medical certificate.  
   
Entry Fees:  $25/test which includes $2.50 for the leaderbaord for PCWA entries.  
   
Self Help.  No self-help for riders riding 2 horses.   
If unable to self-help or supply a helper,  a helper fee of $40 is required.  
   
All open riders must have one of the following:  
1.   PCWA competition participant $64 with own alternate insurance like EA.  
2.   PCWA Open Rider $165 which includes insurance.    
Apply online on the PCWA website  under "Open Riders".  Pony club members (<25years of age) will automatically be entered in the dressage series with PCWA.  Age as at 1st January 2022.  Pony club uniform to be worn as a PCWA event.  
   
EA Competitor and Participant members on official horses are also welcome to enter (at the level in which they are graded) with a PCWA Competition Participant insurance.  Open riders to wear neat attire (jacket).  
   
Tests ridden can be used to qualify for PCWA State Dressage Championships and EA Interschools.  
 
Tests are available on the EA website.  Test sheets will be available for collection after the last test is ridden (please don't ask, they can be mailed if requested).  Remember, Plaiting is encouraged please.  
Great prizes for all classes.  
 
Many thanks to our generous sponsors:  
Southern Haulage Industries, Hillside Equestrian, GSR,Elders Cranbrook, Afgri Great Southern Zone  & OTTWA