<p> APPLICATION FORM FOR VENUES</p><p>Expression of Interest to host Gauteng Dressage Events</p><p>Name of Venue: ______</p><p>Province: ______Region: ______</p><p>Full name of Owner: ______</p><p>Sole Proprietor ______Partnership ______CC ______PTY ______Leased government land? Yes/No Private Lease? Yes/No Leased to a democratically elected club? Yes/No </p><p>Other______</p><p>Postal Address: ______</p><p>______Code: ______</p><p>Physical Address: ______</p><p>Code: ______GPS Coordinates:______</p><p>Work Tel: ______Cell: ______</p><p>Fax: ______Email: ______</p><p>Is this venue a registered venue with any of the other National Associations? YES/NO</p><p>If so, for which disciplines and at what levels?</p><p>Discipline Grades approved</p><p>Suggested dates at which Dressage SA can inspect venue______</p><p>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</p><p>Expression of Interest to host Gauteng Dressage Events</p><p>Do you have stables available to competitors? YES/NO If yes, how many? ______</p><p>Sizes______</p><p>Proximity of Stables to Arena’s______</p><p>Do you have suitable stables for stallions? YES/NO If yes, how many? ______</p><p>Do you have land space available for temporary stables? YES/NO If yes, how many? </p><p>______</p><p>What level of dressage competitions would you host? ______</p><p>Do you have Public Liability Insurance? YES/NO If yes, by whom? ______</p><p>DETAILS OF PERSON RESPONSIBLE</p><p>Full Name of Person Responsible: ______Title: ______</p><p>Designation: ______ID Number: ______</p><p>Cell: ______</p><p>Postal Address: ______</p><p>______Code: ______</p><p>Physical Address: ______</p><p>______Code: ______</p><p>Public Liability in place YES/NO (Please provide copy of proof) Valid till: ______</p><p>Sport and Safety Act Compliance: application lodged YES/NO Date: ______</p><p>Please note: Non-compliance with the above will negate this application</p><p>Which of the following disciplines can be hosted at this venue?</p><p>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</p><p>Expression of Interest to host Gauteng Dressage Events</p><p>Dressage Driving Equitation Eventing Showing Jumping</p><p>Vaulting Para Other (please specify) ______</p><p>How many Dressage arenas do you have? ______Size: ______</p><p>Does each Dressage arena have a judge’s box? ______Construction material? ______</p><p>______How high is it </p><p> raised? ______</p><p>What type of footing in the dressage arena? ______</p><p>Type of material used in surrounds? ______</p><p>How many Warmup Dressage arenas do you have? ______Size: ______</p><p>What type of footing in the Warmup arena? ______</p><p>Are there Para facilities? (eg. Ramp to walk up and mount) ______</p><p>Are there Para toilet facilities? ______</p><p>Is it easy for Para riders to get from warm up arena to competition arena? ______</p><p>Grooms bathrooms facilities? ______</p><p>Additional information/requirements</p><p>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 </p><p>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</p><p>Expression of Interest to host Gauteng Dressage Events</p><p> parking? What is the size of the parking area? Does your venue need/have a lightning meter? Is there sufficient space for First Aid</p><p>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.</p><p>Additional information:______</p><p>______</p><p>NAME PRINTED SIGNATURE</p><p>______</p><p>POSITION DATE</p><p>Please submit this form to Dressage SA by e-mailing</p><p> [email protected]</p><p>NATIONAL OFFICE USE:</p><p>Venue Name: ______</p><p>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</p><p>Expression of Interest to host Gauteng Dressage Events</p><p>Date received: Date venue inspected: ______</p><p>Inspection Fee: ______</p><p>Inspection done by: ______</p><p>Outcome of inspection: Suitable / Unsuitable / Suitable pending following improvements/changes:</p><p>______</p><p>Public Liability in place YES/NO Copy/Proof received YES/NO Valid till: ______</p><p>JOC Compliance: application lodged: Proof provided______</p><p>Final inspection: Date: Outcome: Suitable/Unsuitable</p><p>Inspection signed off by: Region or Province: ______</p><p>Name of person: ______</p><p>Signature: ______</p><p>Date: ______</p><p>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</p>