Equestrian Entry Forms

equestrian entry forms

EQUESTRIAN ENTRY FORMS

equestrian entry forms

Please complete and SUBMIT BOTH forms

equestrian entry forms

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Equestrian Competition Entry

EQUESTRIAN COMPETITION ENTRY FORM

KATANNING EQUESTRIAN ASSOCIATION Inc
in conjunction with
Katanning Agricultural, Pastoral, & Horticultural Society Inc.

Presents the 126th Annual Katanning Agricultural Show
EQUESTRIAN EVENTS
Saturday, 28th October, 2017
Property ID: KATANNING QUARTERMAINE OVAL PIC - WCSG0028
OFFICIAL ENTRY FORM FOR EQUESTRIAN EVENTS ONLY

Exhibitor Details

MUST BE OVER 18 YEARS
City
State
Post Code
Country
City
State
Post Code
Country
Please check one
Please Check One

Competitor Details

Additional Fees

STABLES - $5.00 per horse (Booking required to secure)
CAMPING (per group per night) - $10.00
LATE FEE (if entry received AFTER Tuesday 24 October 2017) $10.00.

ENTRIES CLOSE
Tuesday, 24 October, 2017

Correct entry fees must accompany this form
Please make cheques or Australian Money Orders payable to
Katanning Equestrian Association
PO Box 644 Katanning WA 6317
For Electronic Funds Transfer (EFT): BSB: 036-153 - Account: 43-0065
Enter your Name & Initials in "Reference" section.
A scanned copy of the online bank receipt must be attached to this entry form

Please check one
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB

DANGEROUS ACTIVITIES - HORSE REGISTRATION

Competitors MUST sign and complete the MEMBERS DANGEROUS ACTIVITY form (one form per competitor)
A scanned copy of each horses registration for eligibility to compete MUST be attached for your ENTRY to be accepted.

Please sign and complete the 'Members Dangererous Activity Form'
(1 form per competitor)
with horses registration attched
for eligibility to compete or your entry will be void.
KEA is a GOW GATES insured club.

YOUR CERTIFICATION

By submitting this form I certify that the above particulars are CORRECT and that I have read and agree to conform to, and accept, the Rules and Regulations governing the Show, and I hereby hold the Society free from liability in respect of any mistakes or errors which may be made in connection with these entries in the catalogue of exhibits.
I GIVE PERMISSION for the Katanning Equestrian Association and the Katanning Agricultural, Horticultural and Pastoral Society to capture and publish photographs of myself in media formats at the discretion of the Association.s committees.

 

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equestrian entry forms

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Equestrian Dangerous Activity Form

Member Dangerous Activity Acknowledgement

Equestrian Western Australia Inc.
ABN 53 591481 584
City
State
Post Code
Country

In consideration for being permitted to participate in any way in horse sport activities I, the undersigned, understand, acknowledge and accept that:

1: Horse sports are a dangerous activity and horses can act in a sudden and unpredictable (changeable) way, especially if frightened or hurt.
2: There is a significant risk that serious INJURY or DEATH may result from horse sport activities.
3: I understand and acknowledge the dangers associated with the consumption of alcohol or any mind altering drugs and agree not to drink alcohol or take drugs prohibited by law before or during any horse sports activities.
4: I agree to follow the directions of any event organiser or official and that any misconduct or refusal by me to follow any direction of any organiser 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 agree to wear an approved helmet at all times whilst participating in the sport where this is required under the relevant EA and FEI rules and regulations.
By SUBMITTING this form I declare that I have had sufficient opportunity to read this Dangerous Activity Acknowledgment and fully understand its terms and I sign it freely and voluntarily.

For Participants of Minority Age (Under 18 years)

1: By SUBMITTING this form I 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 sports activities.
2: I also agree to abide by the Parents Code of Conduct as it relates to Equestrian Sports.
I understand that should I breach this Code of Conduct in any way I may be penalised for such a breach as determined by Equestrian Western Australia.

Katanning Leisure and Recreation Centre Grounds
Pemble Street, (PO Box 644) Katanning, WA. 6317.

Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB

 

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