Dressage Winnipeg


Bronze Show Entry Form

Dressage Winnipeg Midsummer Madness Bronze Competition Entry Form - September 9th & 10th, 2017 - MHC Facility, Bird's Hill Park

ENTRY DEADLINE: TO ARRIVE NO LATER THAN FRIDAY, AUGUST 25th by 12:00 midnight.

ONLY ONE HORSE PER ENTRY FORM

NAME OF HORSE: HORSE'S AGE:
SEX OF HORSE: BREED:
COLOR OF HORSE: HEIGHT OF HORSE:
NAME OF RIDER: DATE OF BIRTH IF UNDER AGE 22:
ADDRESS: CITY:
PROVINCE: COUNTRY:
EMAIL ADDRESS: PHONE:
EC BRONZE LICENSE #: MHC #:
DW MEMB #: or MHT/MPC/Westman/WD:
NAME OF HORSE'S OWNER: OWNER'S PHONE #:
OWNER ADDRESS: CITY:
PROVINCE: COUNTRY:
EC BRONZE LICENSE #: MHC #:
DW MEMB #: or MHT/MPC/ Westman/WD:
PERSON RESPONSIBLE:

Person Responsible
EC License #:

EC License Type:

Bronze Gold

CATEGORY:
(note that AAs must have official AA status from Equine Canada. If competing with a temporary EC Sport license you may not enter as an AA)

 

Check off the Level/Division, Category and Test (s) to be ridden:

LEVEL SATURDAY TESTS SUNDAY TESTS
WALK/TROT
Test A  Test B
Test C  Test D $30 each
Test A  Test B
Test C  Test D $30 each
TRAINING

Test 1 Test 2 Test 3 $30 each

Test 1 Test 2 Test 3 $30 each
FIRST

Test 1 Test 2 Test 3 $30 each

Test 1 Test 2 Test 3 $30 each
SECOND

Test 1 Test 2 Test 3 $30 each

Test 1 Test 2 Test 3 $30 each
THIRD

Test 1 Test 2 Test 3 $30 each

Test 1 Test 2 Test 3 $30 each

FOURTH

Test 1 Test 2 Test 3 $30 each

Test 1 Test 2 Test 3 $30 each

FREESTYLES

First Second
Third Fourth $35 each

First Second
Third Fourth $35 each

MISCELLANEOUS CLASSES
EQUITATION *

Child Junior AA $30 each

Saturday Only

GOLDEN SPURS*
(MAY Show Only)
Test of Choice. Sunday Only.
Pick 1 test from the following:

WTA WTB WTC WTD
Training 1 2 3
First 1 2 3
Second 1 2 3
Third 1 2 3
Fourth 1 2 3 ($30/test)

LEADLINE *

Child Test B $30 each

Child Test B $30 each

WESTERN DRESSAGE
WESTERN INTRODUCTORY * (Open only)
Test A Test B
Test C Test D $30 each
Test A Test B
Test C Test D $30 each
WESTERN
BASIC *
(Open only)
Test A Test B
Test C Test D $30 each
Test A Test B
Test C Test D $30 each
WESTERN
LEVEL ONE * (Open only)
Test A Test B
Test C Test D $30 each
Test A Test B
Test C Test D $30 each
* miscellaneous classes not eligible for EC Awards
STABLING FEE (Mandatory) $65/one night OR $85/weekend
TACK STALL (Optional) $45/one night OR $65/weekend
TRAILER IN FEE $12 / horse / day
UNSERVICED CAMPING FEE $10.50 / night
SHAVINGS $8/bag

No shavings included with stalls, no outside shavings allowed per MHC policy. Minimum 3 bags/stall.

ADMIN FEE (Mandatory) $30/weekend
DRUG TEST FEE (Mandatory) $3.50
DC LEVY (Mandatory) $10.00
MHC LEVY (Mandatory) $3.00

MEMBERSHIP
(If necessary)

DW TEMP $75, SENIOR $55, JUNIOR $45  Competitors who are not members of Dressage Winnipeg may purchase a DW temporary membership for ONE SHOW ONLY per year.
FRI WARM UP IN ACTUAL SHOW RING
(Optional) $35/30 mins I'm Sharing Warmup with:
PREFERRED RING
Ring 1 Ring 2
I'm Sharing Warmup with:
PREFERRED TIME

1st Choice

2nd Choice

3rd Choice

I'm Sharing Warmup with:
RING 3 WARMUP USE
(Optional) $20/rider/day
(Sat) (Sun)
Stable or Tack Stall me with:
Do you have an NCCP Certified Coach?: Yes No
If Yes: Coach Name: NCCP Number:
If no you must pay the MHC Levy! MHC NCCP Coaching Levy: ($5 per entry for non NCCP certified coach) $5.00
Any other notes:

WAIVER

A waiver form must be signed for each entry. Submitting this entry electronically constitutes a legal agreement that you are willing to sign the waiver form (PDF download).  Please print and fill in this PDF form and bring it with you to the show.

If you have explicit authorization from a parent/guardian and/or the horse's owner to enter them, you may proceed with submitting this form and ensure all of the parties who will be signing the hard copy at the show itself will be available to sign.

ALL PERSONS RESPONSIBLE, RIDERS, PARENT/GUARDIAN AND OWNER LISTED MUST SIGN THE PHYSICAL FORM AT THE SHOW OFFICE UPON ARRIVAL. A hard copy version of the form is required to be signed prior to competing.

PAYMENT

Please take a minute to add up your fees from the totals above, and note the amount in the boxes below.
Add 4% to this amount to cover credit card/merchant fees (so that Dressage Winnipeg receives your full entry fees, as we are charged 4% to receive credit card payments)

Please fill in your totals in these fields before progressing:

Class Entry Totals: Stabling Totals: Other Fees:

Subtotal: 4% of subtotal: TOTAL:

NOTE YOUR TOTAL ON A SEPARATE PIECE OF PAPER - YOU WILL NEED TO ENTER YOUR TOTAL WHEN YOU GET TO THE PAYMENT PAGE. DO NOT USE YOUR BROWSER'S "BACK" BUTTON!!

Click Submit to proceed to the next step:

 

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