Pony Entry Forms

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Pony Entry Form

PONY ENTRY FORM

Katanning Agricultural, Pastoral, & Horticultural Society Inc.
PO Box 605, Katanning, WA, 6317
126th Katanning Agricultural Show
Property ID: KATANNING QUARTERMAINE OVAL PIC - WCSG0028
Shetland and Miniature Pony and Horse
ENTRY FORM
Entries close Friday, 20 October, 2017
Entry Fee: $5.00 per entry per class

All owners and entries must be currently registered with appropriate Breed Society.
A copy of breed registration and PIC number must accompany all entry forms.

City
State
Post Code
Country
City
State
Post Code
Country

Entry Details

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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

Entry Fees

All fees accompany this Submission.
Cheques
Cheques should be made payable to Katanning Agricultural Society and be posted immediately to The Secretary, Katanning Agricultural Society, PO Box 605, Katanning, WA, 6317
Electronic Funds Transfer (EFT)
Bank Details: BSB: 036 153 - Account Number: 530015. Please include your name in the Details section.
Please check one.

Certification by Exhibitor

By SUBMITTING this form I certify all information is correct and that I have read and understand all rules and regulations in place during the Show and agree to abide by such rules.

Privacy Act Statement

The information provided by the Exhibitor in the Application for Entry (this form) is collected and used by the
Katanning Agricultural, Pastoral, & Horticultural Society Inc. (KAS) to organise and conduct Competitions at the
126th Annual WAMMCO International Katanning Agricultural Show.
We may publish details such as your Name and Exhibit details in any KAS publication or communication. Such information may also be made available to, and be published by, the media.We will NOT disclose your information without your consent for any other purpose unless required or authorised by law.
You may request that our records of that information be corrected by writing to:
The Secretary, Katanning Agricultural Society, PO Box 605, Katanning, WA, 6317

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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