Kyneton Pony Club Inc

KYNETON PONY CLUB INC. (A0OO1178D) PO Box 544 KYNETON 3444 fala KYNETON Horse Trials Sunday 13th November 2011 At the Kyneton Pony Club Grounds, Rollinson Reserve, 180 Redesdale Road, Kyneton Event Secretary: Lisa Kennedy Ph (03) 5423 9578 or 0408 584 025 Email Enquiries to: [email protected] Entries Close: Monday 25 th October 2011

Send Entry Form, Declaration Form & Cheque or money order to: Event Secretary, PO BOX 544, KYNETON, Vic. 3444 FULL CANTEEN FROM 7.30 A.M. Trophies for 1st, Sashes to 3rd place for PC Grades 1 & 2, Open Riders Sashes to 3rd Place Trophies for 1st, Sashes to 6th place for PC Grades 3, 4 & 5. Open Riders - Sashes to 6th place. Best Dressage in each Grade – must do all three phases to be eligible. Pony Club Grades 1 to 5 and Equivalent for Open Members This will be a State Qualifying event subject to accreditation Tests PC & Open:– Gr 1HT2, 2C, 3C, 4C and 5C (July 2006) - 60 x 20 m arenas for grades 1, 2 & 3

Horse Trials and Showjumping: maximum heights and spreads at max height in metres:- Grades 1 2 3 4 5 Max Height 1.05 0.90 0.75 0.60 0.45 Max Spread 1.20 0.90 0.65 0.50 0.45 Conditions of Entry: Entry is conditional upon acceptance of these conditions. 1. Entry Fee is $35 per entry. All open 9. Gear Check: required for all riders before each phase. competitors who can not present a current 10. Armbands: must be worn by all competitors (applies pony club card must pay an additional to PCAV & non PCAV riders) and inspected at gear $10.00 and sign a day attendance form check for competitor’s name & emergency contact name 2. PCAV club member cards must be inspected at the & number. secretary’s office prior to riding. 11. Riders under eight years of age may not compete, 3. No refunds after closing date except with vet or horses must be at least age four, no stallions, colts or rigs. medical certificate (to be supplied within 7 days). 12. Competitor numbers - the organising committee will 4. Entering this competition constitutes pre-allocate and advise numbers. Competitors may supply acknowledgement that PCAV rules apply and their own numbers. However, body numbers must be used acceptance of these rules. for cross-country. Body numbers will be available at the event. 5. The organising committee reserves the right to cancel any class or competition; divide any class; 13. PCAV Alcohol Policy applies. alter times; refuse any entry with or without stating 14. Dogs are prohibited without exception. the reason. 15. Queries, protests, horse abuse, rules as per the PCAV 6. Competitors may ride more than one horse, Handbook of By-Laws. subject to the conditions of PCAV Handbook of By- 16. Neither the organising committee of this competition laws multiple horse rules and if entry numbers nor the PCAV accepts any responsibility whatsoever for permit. any accident, damage, injury or illness to horses, riders, 7. Complying helmets must be worn, spot checks ground spectators or any other person or property. may occur. 17. Lungeing of horses / ponies to be in the designated 8. PCAV Gear Rules as at Feb 2011 apply. Please lungeing area only. ensure you comply, as non-compliance may mean elimination.  Please nominate a cross country steward from each club. Entries with names and contact details of stewards will be given first preference.  Times will only be available via email. Please print your email address (very clearly) for advice of your riding times. Times will be available by the Thursday before the event. Kyneton Pony Club Horse Trials 2011 Entry Form Competitors may ride more than one horse, subject to the conditions of PCAV Handbook of By-laws multiple horse rules.

PONY CLUB entry form: Riders Name AND Age Mount PC Pony Club Entry Fee Total Grade $35.00

Please ensure that the grades entered above match your card

X/C Day Volunteer Name……………….…………………………………………………………………………...

Volunteer Phone & Email……………………………………………………………………………………………..

Email Address for Dressage Times………………………………………………………………………......

Contact Phone No……………………………………………………………………………………………………..

OPEN Riders Entry Form: Riders Name and Age Mount Grade Entry Fee Day Fee Total $35.00 $10.00 Open

X/C Day Volunteer Name……………….…………………………………………………………………………...

Volunteer Phone & Email……………………………………………………………………………………………..

Email Address for Dressage Times………………………………………………………………………......

Contact Phone No……………………………………………………………………………………………………..

Registered Name of Horse Address of property from which the Address of property to where the and/or name as officially horse will be moved to come to this horse will move after the event. (If entered event. different from origin.) Day Attendance Application for Open Sections Who signs the form: All open section participants must complete one of these forms before riding. Who Pays $10 Non-pony club members must pay $10 per day of participation. Pony club members (PCAV and Interstate) do not pay the fee providing they present their pony club card to prove they are current club members. If a pony club card is not presented, the $10 fee must be paid.

Non-pony club members are covered for public liability insurance only under the PCAV insurance policy. Day attendance entitles the participant to be covered under the Pony Club’s Equine Liability Insurance Policy only. This means, if the participant becomes legally liable to pay damages arising out of accidental bodily injury to any person and/or accidental property damage, the Insurer will indemnify the participant subject to the Limit of Indemnity specified in the Schedule subject to the policy terms and conditions. There is no personal accident cover for non-pony club members. Competition Details Name of Pony Club Hosting this Event: ...... Competition/Activity Name: ...... Competition Venue/Address:...... Competition Dates: .... From ………………………………………. To ………………………………… Inclusive Attendee Details Full Name (Participant):……………………………………………………………………………………………………. Full Name (Guardian if participant under 18years): ...... Address: …………………………………………………………………………………………………………………….. Suburb/Town: ……………………………………………………………….…. State:…………. Postcode: ………... Participant Date of Birth: ………………………………………………….……. Age: …………..…. Best Daytime Contact Phones: …………………………………………….…………………………………………… Email: ……………………………………………………………………………………………………………………….. Horses Names: …………………………………………………………………….…………………………………….… Address horse traveled from/to:...... Vehicle/Float Reg No…...... Vehicle Type: …………………………………………….. Page 2 must always be completed and page 3 for all non-pony club members

ORGANISING COMMITTEE USE ONLY Day Attendance fees paid $……………………..………………. Receipt No……………………………………….. Name of event secretary/nominee collecting form: …………………………………………………………………… Signature: ………………………………………………………………..…………………. Date:……………………… $10 fee per day: payable by anyone who cannot present a current pony club member card. The host club must remit all the fees collected as one cheque plus, an official Day Attendance Summary form to the PCAV State Office,73-75 MACKIE RD, MULGRAVE. VIC. 3170 within seven working days. Page 2 must always be completed and page 3 for all non-pony club members

Organising Committee Statement of Riding Requirements The organising committee must state what riding requirements (specifications) apply for each grade/class/section of the competition/activity. The specifications must be detailed on the entry information before accepting an entry. The statement must advise: - A) Which grade the specifications will be equivalent to, if applicable B) Maximum jump heights and spreads, if applicable

PCAV Club Members and Interstate Pony Club Members  Must sign a Day Attendance form when participating in an open section/activity  No day attendance fee is applicable  The ‘grade/riding specification’ selected by a pony club member in an open section may be different to the grade(s) on the PCAV club member card, providing they declare by signing, that they are competent to do so.  Pony club members may ride in an open or a pony club section on the same mount except in horse trials.

Non-Pony Club Members  Must sign a Day Attendance form  Must pay $10 per day (i.e. $20 if the event runs over two days)

Participant Agreement and Declaration of Competency I, the Participant or I the Guardian if participant is under 18 years of age, declare and agree that - 1. The Participant and Guardian (if applicable) understand the requirements for the competition/activity including any jumping heights/spreads. 2. The Combination (horse and rider) is competent and sufficiently experienced to complete the competition/activity in a safe manner. 3. The Participant and Guardian (if applicable) will inspect all relevant riding arenas, jumping and/or cross-country courses prior to riding and will withdraw from the competition/activity if upon inspection, the Combination’s level of competency and experience is not suited for the competition/activity. 4. If withdrawing from the competition, the combination may ride in another section/grade only at the organising committee’s discretion and if they can be accommodated without inconvenience. If withdrawing without participation, there is no obligation to refund incorrect entries. 5. I/we will abide by the PCAV rules, policies and codes whilst attending the pony club competition/activity. 6. At this competition/activity, I am competent to enter into (tick applicable boxes and complete details): -

 Dressage Grade//Section(s) ………………………………………………………………………………

 Showjumping Grade/Section(s) ……………………………………………………………………..……..

 Horse Trials Grade/Section(s) …………………………………………………………………………......  Other …………………………………………………………………………………………………………..

Participant if over age 18 or Guardian signature:…………………………………………………………… Date: ……………….

Waiver – non-pony club members (Applicable for anyone who cannot present a current pony club member card)

In consideration for being permitted to participate in any way in horse sport activities and in particular this event, 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 and in particular this event. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of Pony Club Association of Victoria Inc and/or the event organiser (hereafter referred to as the "Releasees") or others 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 any mind altering drugs before and during the activity and I take full responsibility for any injury, loss or damage associated with their consumption. I agree not to drink alcohol or take drugs prohibited by law before or during this event. 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 event 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 and I agree to indemnify the Releasees against all claims made by any person as a result of my failure to comply. I agree to wear a helmet at all times whilst participating in the sport where this is required under the relevant Pony Club rules and regulations and agree that I am solely responsible for ensuring that whilst participating I wear a suitable helmet at all times where required under the relevant Pony Club rules and regulations and take sole responsibility for my actions. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless and agree not to sue Pony Club Association of Victoria Inc and/or the event organiser, their officers, officials, volunteers, coaches, agents and/or employees and/or other pony clubs (all of whom are referred to as "Releasees") with respect to any and all injury, disability, death, or loss or damage to person or property, whether caused by the negligence of the releasees or otherwise. Effect of this Document I have had sufficient opportunity to read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without inducement of any kind. I understand that my signature to this document constitutes a complete and unconditional release of all liability of the Releasees, to the greatest extent allowed by law in the event of me and/or the children under my care, suffering injury or death. Dated: ______/______/______Signature of rider

For Participants of Minority Age (Under Age 18) 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 his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities arising from my minor child's involvement or participation in horse sport activities and in particular, this event, even if arising from the negligence of the Releasees

Dated: ______/______/______...... Signature of parent/guardian