Manitoba Dressage Club Inc.
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BRONZE ONLINE ENTRY
ONLY ONE HORSE PER ENTRY FORM
Rider Information
PLEASE COMPLETE
ALL
FIELDS!
or entry will not be received.
*
Indicates required field
Please Select Show:
*
June 21 - 23, 2024
August 9 - 11, 2024
September 6 - 8, 2024
Rider Information
Name of Rider
*
First
Last
Address
*
City
*
Province
*
Email
*
Phone Number
*
Country
*
Canada
United States
Other
EC Sport License #
*
MHC #
*
DW/MHT/MPC/Westman/WD MEMB #
*
Horse Information
Name of Horse
*
Horses Breed
*
Horses Age
*
Horses Sex
*
Mare
Gelding
Stallion
Horses colour
*
Horses height
*
Horse Owner Information
Name of Horses Owner
*
Owners Phone #
*
Owners Address
*
City
*
Province
*
Country
*
Canada
United States
Other
EC Sport License #
*
DW/MHT/MPC/Westman/WD MEMB #
*
MHC #
*
Person Responsible
Person Responsible
*
EC license #
*
EC license type
*
Bronze
Gold
Silver
Platinum
Rider Category
Category
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Junior
Open
Child
AA
English Dressage Tests
Check off the level/division, category and test (s) to be ridden.
Saturday
Sunday
Familiarization
$30/ per horse/per day (Saturday)
*
Saturday Familiarization
$30/ per horse/per day (Sunday)
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Sunday Familiarization
Introductory Level Tests
Intro Level, Sat ($30 each)
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Test A
Test B
Test C
Intro Level, Sun ($30 each)
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Test A
Test B
Test C
Training Level Tests
Training Level, Sat ($30 each)
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Test 1
Test 2
Test 3
Training Level, Sun ($30 each)
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Test 1
Test 2
Test 3
First Level Tests
First Level, Sat ($30 each)
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Test 1
Test 2
Test 3
First Level, Sun ($30 each)
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Test 1
Test 2
Test 3
Second Level Tests
Second Level, Sat ($30 each)
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Test 1
Test 2
Test 3
Second Level, Sun ($30 each)
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Test 1
Test 2
Test 3
Third Level Tests
Third Level, Sat ($30 each)
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Test 1
Test 2
Test 3
Third Level, Sun ($30 each)
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Test 1
Test 2
Test 3
Fourth Level Tests
Fourth Level, Sat ($30 each)
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Test 1
Test 2
Test 3
Fourth Level, Sun ($30 each)
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Test 1
Test 2
Test 3
Freestyles
Freestyles Sat ($35)
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Training
First
Second
Third
Fourth
Freestyle Sun ($35)
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Training
First
Second
Third
Fourth
FEI Division
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Open
Child
Pony
Junior
Young Rider
FEI C/P/Jr/Yr Sat ($50 each)
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Preliminary
Team
Individual
FEI C/P/Jr/Yr Sun ($50 each)
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Preliminary
Team
Individual
FEI Small Tour
FEI Small Tour Sat ($50 each)
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Prix St Georges
Intermediare 1
FEI Small Tour Sun ($50 each)
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Prix St Georges
Intermediare 1
FEI Medium Tour
FEI Medium Tour Sat ($50 each)
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Intermediate A
Intermediate B
Intermediare 2
FEI Medium Tour Sun ($50 each)
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Intermediate A
Intermediate B
Intermediare 2
FEI Big Tour, U25
FEI BIG TOUR, U25 TOUR Sat ($50 each)
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Intermediare 2
U25 GP
GP
GP Special
I - A
I - B
FEI BIG TOUR, U25 TOUR Sun ($50 each)
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Intermediare 2
U25 GP
GP
GP Special
I - A
1 - B
FEI Freestyle
FEI Freestyle Sat ($55)
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Pony
Junior
Young Rider
I - 1
Medium Tour
Grand Prix
FEI Freestyle Sun ($55)
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Pony
Junior
Young Rider
I - 1
Medium Tour
Grand Prix
FEI YOUNG HORSE CLASS
Hors Concours ONLY
Available with Senior Judge Only
FEI YH SAT ($75)
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Dressage 4 YR OLD
Prelim 5 YR OLD
Prelim 6 YR OLD
Prelim 7 YR OLD
FEI YH SUN ($75)
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Dressage 4 YR OLD
Prelim 5 YR OLD
Prelim 6 YR OLD
Prelim 7 YR OLD
Miscellaneous Classes
Miscellaneous classes are NOT eligible for EC Awards
Master Class
TRAINING LEVEL TEST
Training Level, Sat ($30 each)
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Test 1
Test 2
Test 3
Training Level, Sun ($30 each)
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Test 1
Test 2
Test 3
OVER 60 - Test of Choice - OPEN
TEST ($30 EACH)
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Level 1 Test 1
Level 1 Test 2
Level 1 Test 3
Level 2 Test 1
Level 2 Test 2
Level 2 Test 3
Level 3 Test 1
Level 3 Test 2
Level 3 Test 3
Level 4 Test 1
Level 4 Test 2
Level 4 Test 3
TEST ($30 EACH)
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Level 1 Test 1
Level 1 Test 2
Level 1 Test 3
Level 2 Test 1
Level 2 Test 2
Level 2 Test 3
Level 3 Test 1
Level 3 Test 2
Level 3 Test 3
Level 4 Test 1
Level 4 Test 2
Level 4 Test 3
Western Dressage Tests
WESTERN INTRODUCTORY
Western Intro, Sat ($35 Each)
*
Test 1
Test 2
Test 3
Test 4
Western Intro Sun ($35 Each)
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Test 1
Test 2
Test 3
Test 4
WESTERN BASIC
Western Basic, Sat ($35 Each)
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Test 1
Test 2
Test 3
Test 4
Western Basic, Sun ($35 Each)
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Test 1
Test 2
Test 3
Test 4
WESTERN LEVEL 1
WESTERN 1, SAT ($35 EACH)
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Test 1
Test 2
Test 3
Test 4
WESTERN 1, SUN ($35 EACH)
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Test 1
Test 2
Test 3
Test 4
WESTERN LEVEL 2
WESTERN 2, SAT ($35 EACH)
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Test 1
Test 2
Test 3
Test 4
WESTERN 2, SUN ($35 EACH)
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Test 1
Test 2
Test 3
Test 4
WESTERN LEVEL 3
WESTERN 3, SAT ($35 EACH)
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Test 1
Test 2
Test 3
Test 4
WESTERN 3, SAT ($35 EACH)
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Test 1
Test 2
Test 3
Test 4
WESTERN LEVEL 4
WESTERN 4, SAT ($35 EACH)
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Test 1
Test 2
Test 3
Test 4
WESTERN 4, SAT ($35 EACH)
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Test 1
Test 2
Test 3
Test 4
Lead Line Classes
LEAD LINE
Lead Line, Sat ($30 Each)
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Child Test B
Lead Line, Sun ($30 Each)
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Child Test B
EC Equitation Class
EC Equitation Class:
TEST SAT ($30 EACH)
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Equitation
TEST SUN ($30 EACH)
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Equitation
AGE
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13 and Under
14 - 17
18 +
Stabling & Other Fees
Stabling Fees (Mandatory)
*
$65 one night
$85 weekend
Tack Stall (Recommended)
*
$48 one night
$68 weekend
Trailer In Fee ($12 per horse per day)
*
0
1
2
3
Unserviced Camping Fee ($10.50 per night)
*
0 nights
Shavings $11/bag
*
2 bags
3 bags
4 bags
5 bags
6 bags
Admin Fee
(Mandatory)
$45/ per weekend
Drug Test Fee
(Mandatory)
DC Levy
(Mandatory)
$4.00
$10.00
MHC Levy (Mandatory)
Warm Up Ride
Medic Fee (Mandatory
)
$5.00
$35
(30 mins, Ring 1)
$20
(15 mins, Ring 3)
$30/weekend
Warm Up & Tack Stall Requests
Friday Warm up in show ring, please check one
*
RING 1 - $35 for 30 minutes
RING 3 - $20 for 15 minutes (show ring
Warm up ring times
(Please choose between 1:00-7:00pm)
1st choice
*
2nd choice
*
3rd choice
*
I'd like to share a 30 minute warm-up in Ring 3 with:
*
Stable or tack stall me with:
*
Coach Information
PLEASE LIST YOUR COACH AT THE COMPETITION AND THEIR EC COACHING NUMBER OR SIGN BELOW IF YOU ARE DECLARING YOU ARE SELF COACHED.
ELECTRONIC SIGNATURE
*
name of coach:
*
EC COACHING # (NOT APPLICABLE IF SELF COACHED)
*
SIGNATURE: As the person responsible I hereby certify that the horse listed on this entry form has met the requirements of Article A519, Vaccinations (See rules of Equestrian Canada Section A, General Regulations Article A 519 Vaccinations) By signing this document electronically I agree to consent to utilize electronic signatures in lieu of paper documents.
*
EC SPORT LICENSE #
*
DATE
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Any other notes to the show manager?
*
Payment
PLEASE NOTE:
Payment, waiver form and negative Coggins test form part of this entry and must be sent to the show manager for your entry to be valid.
Please take a minute to add up your fees from the totals above, and note the amount in the boxes below.
If paying by PayPal Add 4%
to this amount to cover credit card/merchant fees
or
pay by e transfer to avoid 4% PayPal fee to
[email protected]
NO CHEQUES ACCEPTED
Please fill in your totals in these fields before progressing and check your addition:
Class Entry Totals
*
Stabling + Shavings totals
*
Mandatory + Other fees
*
Subtotal:
*
4% of subtotal if paying with PayPal:
*
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:
Submit
After you click "SUMBIT", please email the DW Show Manager to ensure your entry has been received!
[email protected]
Don't forget to complete your 2024 Competition Waiver
& Coggins Test
2024 Waiver
HOME
CALENDAR
SHOWS
2025 Competitions
2025 Prize List
2025 Show Guide
EDUCATION
2025 Clinics
2025 Application Forms
SPONSORS
MEMBERSHIPS
BOARD
LINKS