Application Form for Venues

APPLICATION FORM FOR VENUES

Expression of Interest to host Gauteng Dressage Events

Name of Venue: ______

Province: ______Region: ______

Full name of Owner: ______

Sole Proprietor ______Partnership ______CC ______PTY ______Leased government land? Yes/No Private Lease? Yes/No Leased to a democratically elected club? Yes/No

Other______

Postal Address: ______

______Code: ______

Physical Address: ______

Code: ______GPS Coordinates:______

Work Tel: ______Cell: ______

Fax: ______Email: ______

Is this venue a registered venue with any of the other National Associations? YES/NO

If so, for which disciplines and at what levels?

Discipline Grades approved

Suggested dates at which Dressage SA can inspect venue______

Cindy Trichardt– Secretary – [email protected] Elena Jankowitz: Chair Person │ Julie Burdis: Vice Chair Person Karen du Preez: Treasury │Debi Van Wyk: Dressage Judges │Siobhan Records: Technical/Show Schedules Kate Johns: Judges assist & Young horse │Bronwen Meredith: Para riders, Teams and Stewards | Jane Schalkwijk: Treasury assist | Montanique Wilson: Riding Schools League APPLICATION FORM FOR VENUES

Do you have stables available to competitors? YES/NO If yes, how many? ______

Sizes______

Proximity of Stables to Arena’s______

Do you have suitable stables for stallions? YES/NO If yes, how many? ______

Do you have land space available for temporary stables? YES/NO If yes, how many?

______

What level of dressage competitions would you host? ______

Do you have Public Liability Insurance? YES/NO If yes, by whom? ______

DETAILS OF PERSON RESPONSIBLE

Full Name of Person Responsible: ______Title: ______

Designation: ______ID Number: ______

Cell: ______

Postal Address: ______

______Code: ______

Physical Address: ______

______Code: ______

Public Liability in place YES/NO (Please provide copy of proof) Valid till: ______

Sport and Safety Act Compliance: application lodged YES/NO Date: ______

Please note: Non-compliance with the above will negate this application

Which of the following disciplines can be hosted at this venue?

Dressage Driving Equitation Eventing Showing Jumping

Vaulting Para Other (please specify) ______

How many Dressage arenas do you have? ______Size: ______

Does each Dressage arena have a judge’s box? ______Construction material? ______

______How high is it

raised? ______

What type of footing in the dressage arena? ______

Type of material used in surrounds? ______

How many Warmup Dressage arenas do you have? ______Size: ______

What type of footing in the Warmup arena? ______

Are there Para facilities? (eg. Ramp to walk up and mount) ______

Are there Para toilet facilities? ______

Is it easy for Para riders to get from warm up arena to competition arena? ______

Grooms bathrooms facilities? ______

Additional information/requirements

Requirements Available YES/NO Size/Number Power to all arenas? Loudspeaker system for all arenas? Are floodlights available? For which arenas? Own catering (as option) and/or suitable area for external catering Does catering area have power? Suitable location for Scorers with power? Toilets – how many? Is there sufficient, safe

parking? What is the size of the parking area? Does your venue need/have a lightning meter? Is there sufficient space for First Aid

Please also supply us with a map/arena layout and some photos of your venue. Where possible, please indicate the relevant arenas and the size.

Additional information:______

______

NAME PRINTED SIGNATURE

______

POSITION DATE

Please submit this form to Dressage SA by e-mailing

[email protected]

NATIONAL OFFICE USE:

Venue Name: ______

Date received: Date venue inspected: ______

Inspection Fee: ______

Inspection done by: ______

Outcome of inspection: Suitable / Unsuitable / Suitable pending following improvements/changes:

______

Public Liability in place YES/NO Copy/Proof received YES/NO Valid till: ______

JOC Compliance: application lodged: Proof provided______

Final inspection: Date: Outcome: Suitable/Unsuitable

Inspection signed off by: Region or Province: ______

Name of person: ______

Signature: ______

Date: ______

Cindy Trichardt– Secretary – [email protected] Elena Jankowitz: Chair Person │ Julie Burdis: Vice Chair Person Karen du Preez: Treasury │Debi Van Wyk: Dressage Judges │Siobhan Records: Technical/Show Schedules Kate Johns: Judges assist & Young horse │Bronwen Meredith: Para riders, Teams and Stewards | Jane Schalkwijk: Treasury assist | Montanique Wilson: Riding Schools League