Dressage Winnipeg Inc
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BRONZE ONLINE ENTRY
ONLY ONE HORSE PER ENTRY FORM
Rider Information
*
Indicates required field
Please Select Show:
*
June 23 - 25, 2023
August 11 - 13, 2023
September 8 - 10, 2023
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
*
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)
*
Sunday Familiarization
Introductory Level Tests
Intro Level, Sat ($30 each)
*
Test A
Test B
Test C
Intro Level, Sun ($30 each)
*
Test A
Test B
Test C
Training Level Tests
Training Level, Sat ($30 each)
*
Test 1
Test 2
Test 3
Training Level, Sun ($30 each)
*
Test 1
Test 2
Test 3
First Level Tests
First Level, Sat ($30 each)
*
Test 1
Test 2
Test 3
First Level, Sun ($30 each)
*
Test 1
Test 2
Test 3
Second Level Tests
Second Level, Sat ($30 each)
*
Test 1
Test 2
Test 3
Second Level, Sun ($30 each)
*
Test 1
Test 2
Test 3
Third Level Tests
Third Level, Sat ($30 each)
*
Test 1
Test 2
Test 3
Third Level, Sun ($30 each)
*
Test 1
Test 2
Test 3
Fourth Level Tests
Fourth Level, Sat ($30 each)
*
Test 1
Test 2
Test 3
Fourth Level, Sun ($30 each)
*
Test 1
Test 2
Test 3
Freestyles
Freestyles Sat ($35)
*
Training
First
Second
Third
Fourth
Freestyle Sun ($35)
*
Training
First
Second
Third
Fourth
FEI Division
*
Open
Child
Pony
Junior
Young Rider
FEI C/P/Jr/Yr Sat ($50 each)
*
Preliminary
Team
Individual
FEI C/P/Jr/Yr Sun ($50 each)
*
Preliminary
Team
Individual
FEI Small Tour
FEI Small Tour Sat ($50 each)
*
Prix St Georges
Intermediare 1
FEI Small Tour Sun ($50 each)
*
Prix St Georges
Intermediare 1
FEI Medium Tour
FEI Medium Tour Sat ($50 each)
*
Intermediate A
Intermediate B
Intermediare 2
FEI Medium Tour Sun ($50 each)
*
Intermediate A
Intermediate B
Intermediare 2
FEI Big Tour, U25
FEI BIG TOUR, U25 TOUR Sat ($50 each)
*
Intermediare 2
U25 GP
GP
GP Special
I - A
I - B
FEI BIG TOUR, U25 TOUR Sun ($50 each)
*
Intermediare 2
U25 GP
GP
GP Special
I - A
1 - B
FEI Freestyle
FEI Freestyle Sat ($55)
*
Pony
Junior
Young Rider
I - 1
Medium Tour
Grand Prix
FEI Freestyle Sun ($55)
*
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)
*
Dressage 4 YR OLD
Prelim 5 YR OLD
Prelim 6 YR OLD
Prelim 7 YR OLD
FEI YH SUN ($75)
*
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)
*
Test 1
Test 2
Test 3
Training Level, Sun ($30 each)
*
Test 1
Test 2
Test 3
OVER 60 - Test of Choice - OPEN
TEST ($30 EACH)
*
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)
*
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 A
Test B
Test C
Test D
Western Intro Sun ($35 Each)
*
Test A
Test B
Test C
Test D
WESTERN BASIC
Western Basic, Sat ($35 Each)
*
Test A
Test B
Test C
Test D
Western Basic, Sun ($35 Each)
*
Test A
Test B
Test C
Test D
WESTERN LEVEL 1
WESTERN 1, SAT ($35 EACH)
*
Test A
Test B
Test C
Test D
WESTERN 1, SUN ($35 EACH)
*
Test A
Test B
Test C
Test D
WESTERN LEVEL 2
WESTERN 2, SAT ($35 EACH)
*
Test A
Test B
Test C
Test D
WESTERN 2, SUN ($35 EACH)
*
Test A
Test B
Test C
Test D
WESTERN LEVEL 3
WESTERN 3, SAT ($35 EACH)
*
Test A
Test B
Test C
Test D
WESTERN 3, SAT ($35 EACH)
*
Test A
Test B
Test C
Test D
WESTERN LEVEL 4
WESTERN 4, SAT ($35 EACH)
*
Test A
Test B
Test C
Test D
WESTERN 4, SAT ($35 EACH)
*
Test A
Test B
Test C
Test D
Lead Line Classes
LEAD LINE
Lead Line, Sat ($30 Each)
*
Child Test B
Lead Line, Sun ($30 Each)
*
Child Test B
EC Equitation Class
EC Equitation Class:
TEST SAT ($30 EACH)
*
Equitation
TEST SUN ($30 EACH)
*
Equitation
AGE
*
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
)
$4.00
$35.00
$30/weekend
Warm Up & Tack Stall Requests
Friday Warm up in show ring ($35)
*
Ring 3
Warm up ring times
(Please choose between 1:00-7:00pm, half hour blocks available)
1st choice
*
2nd choice
*
3rd choice
*
I'm sharing a warm-up 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)
*
IF YOU HAVE A COACH AT THE COMPETITION WHO IS NOT EC REGISTERED OR LICENSED YOU MUST PAY THE MHC COACHING LEVY. IF YOU DO NOT HAVE A COACH AT THE COMPETITION YOU ARE SELF COACHED AND DO NOT PAY THE LEVY.
*
$5.00
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
*
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
dressagewinnipegtreasurer@gmail.com
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
HOME
SHOWS
Show Dates
PRIZE LIST
Payment Page
Stabling & Schedules
SHOW RESULTS
Entries Closed
MEMBERSHIP
December 2023 Rider Spotlight
November 2023 Rider Spotlight
October 2023 Rider Spotlight
September 2023 Rider Spotlight
August 2023 Rider Spotlight
July 2023 Rider Spotlight
June 2023 Rider Spotlight
2023 MEMBERSHIP
DW NEWS
VOLUNTEERS
SCHOLARSHIPS/GRANTS
2023 Scholarships
CLUB HISTORY
EIA INFORMATION
LINKS
SPONSORSHIP
2023 Sponsors
SPONSORSHIP INFORMATION
CONTACT
SHOW RESULTS