Dressage Winnipeg


Gold Show Entry Form

Dressage Winnipeg Midsummer Madness Gold Competition Entry Form - August 5th & 6th, 2017 - MHC Facility, Bird's Hill Park

ENTRY DEADLINE: TO ARRIVE NO LATER THAN FRIDAY, JULY 21st by 12:00 midnight
ONLY ONE HORSE PER ENTRY FORM

NAME OF HORSE: HORSE'S AGE:
SEX OF HORSE: BREED:
COLOR OF HORSE: HORSE RECORDING #:
HEIGHT OF HORSE:
NAME OF RIDER: DATE OF BIRTH IF UNDER AGE 22:
ADDRESS: CITY:
PROVINCE: COUNTRY:
EMAIL ADDRESS: PHONE:
EC GOLD LICENSE #: MHC #:
DW/MHT/MPC/Westman/WD MEMB #: MUST HAVE DC Affiliate with EC Sport License:
click to confirm your EC card says "Dressage Canada" on the back.
NAME OF HORSE'S OWNER: OWNER'S PHONE #:
OWNER ADDRESS: CITY:
PROVINCE: COUNTRY:
EC GOLD LICENSE #: MHC #:
DW/MHT/MPC/Westman/WD MEMB #:
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

FEI YH (Available SEPT SHOW ONLY)

4 Yr Old 5 Yr Old Prelim
6 Yr Old Prelim ($75/test)

4Yr Old 5 Yr Old Prelim
6 Yr Old Prelim ($75/test)

FEI Pony, Jr.,
YR, Child

Pony Prelim Pony Team Pony Ind.
JR Prelim JR Team JR Ind.
YR Prelim YR Team YR Ind.
Child Prelim ChildTeam Child Ind.
$50 each

Pony Prelim Pony Team Pony Ind.
JR Prelim JR Team JR Ind.
YR Prelim YR Team YR Ind.
Child Prelim ChildTeam Child Ind.
$50 each
FEI Small Tour

PSG I-1   $50 each

PSG I-1 $50 each

FEI Medium Tour

Intermediate A Intermediate B
$50 each

Intermediate A Intermediate B
$50 each

FEI Grand Prix

I-2 U25GP GP GP Special
$50 each

I-2 U25GP GP GP Special
$50 each

FEI Freestyle

Pony Jr  YR I-1 GP $55 each

Pony Jr YR I-1 GP $55 each

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. 3 bags minimum/stall.

ADMIN FEE (Mandatory) $30/weekend
DRUG TEST FEE (Mandatory) $7.00
DC LEVY (Mandatory) $10.00
MHC LEVY (Mandatory) $3.00

MEMBERSHIPS
(If necessary)

DW Temp $75,Senior $55, Junior $45 
EC Temp Gold Licence ($45)
Bronze Licence Upgrade ($40)
(DC Affiliate temps not available, so if upgrading for a show must have Dressage Canada Jr. or SR. already)
- Competitors who are not members of Dressage Winnipeg may purchase a DW temporary membership for ONE SHOW ONLY per year.
EC Temp Horse ID (in lieu of Passport), payable to EC directly - see Show Sec
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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Latest News

Enter online for the August 5th and 6th competition by going to the Prize List and Entry Forms page now! Entries must be received by deadline date of midnight Friday July 21st 2017!

Dressage Winnipeg Show Schedule as follows.... (click for full info)