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GOLD ONLINE ENTRY
Dressage Winnipeg Gold Competition Entry Form 2023
ONLY ONE HORSE PER ENTRY FORM
*
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 Gold License #
*
MHC #
*
DW/MHT/MPC/Westman/WD MEMB #
*
Horse Information
Name of Horse
*
Horses Breed
*
Horses Age
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Horses Sex
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Mare
Gelding
Stallion
Horses colour
*
Horses height
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Horse Recording # (Previously Passport #)
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Horse Owner Information
Name of Horses Owner
*
Owners Phone #
*
Owners Address
*
City
*
Province
*
Country
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Canada
United States
Other
EC gold license #
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DW/MHT/MPC/Westman/WD MEMB #
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MHC #
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Person Responsible
Person Responsible
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EC license #
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EC license type
*
Gold
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
Introductory Level Tests
Into Level, Sat ($30 each)
*
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
FS Sat ($35)
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Training
First
Second
Third
Fourth
FS 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)
*
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 Tour
FEI BIG TOUR, U25 TOUR Sat ($50 each)
*
Intermediare 2
U25GP
GP
GP Special
I-A
I-B
FEI BIG TOUR, U25 TOUR Sun ($50 each)
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Intermediare 2
U25GP
GP
GP Special
I-A
I-B
FEI Freestyle
FEI FS Sat ($55)
*
Pony
Junior
Young Rider
I-1
Medium Tour
Grand Prix
FEI FS Sun ($55)
*
Pony
Junior
Young Rider
I-1
Medium Tour
Grand Prix
FEI YOUNG HORSE CLASS
Hors Concours ONLY Avaliable 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
Stabling & Other Fees
Stabling Fees (Mandatory)
*
$65 one night
$85 weekend
Tack Stall (RECOMMENDED) Aisles MUST be kept clear
*
$48 one night
$68 weekend
Trailer In Fee if NOT Stabling ($12 per horse per day)
*
0
1
2
3
Shavings $10/bag
*
2 bags
3 bags
4 bags
5 bags
6 bags
Admin Fee
(Mandatory)
$45/ per weekend
Drug Test Fee
(Mandatory)
DC Levy
(Mandatory)
$8.00
$10.00
MHC Levy
(Mandatory)
Warm Up Ride
Medic Fee (Mandatory)
$3.00
$35.00
$30/weekend
MEMBERSHIPS (if necessary)
*
Temp DW membership $75 (Or purchase regular membership for $55 Sr $45 Jr by completing a membership form)
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 Manager
Warm Up & Tack Stall Requests
Friday Warm up in show ring ($35)
*
I prefer ring 1
I prefer ring 2
No preference
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 Number
*
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
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 that I consent to utilize electronic signatures in lieu of paper documents.
*
DATE
*
EC SPORT LICENSE #
*
Comment
*
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 o
r
do not pay
4% fee and pay by e transfer to
dressagewinnipegtreasurer@gmail.com
NO CHEQUES ACCEPTED
Please fill in your totals in these fields before progressing and double check your addition
:
Class Entry Totals
*
Subtotal:
*
Stabling + Shavings Totals
*
4% of Subtotal ONLY if paying with PayPal:
*
Mandatory + Other Fees
*
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
ENTRY FORMS
SHOW RESULTS
MEMBERSHIP
2023 MEMBERSHIP
DW NEWS
VOLUNTEERS
EDUCATION
CLUB HISTORY
EIA INFORMATION
LINKS
SPONSORSHIP
SPONSORSHIP INFORMATION
2022 SPONSORS
CONTACT
2023 Sponsors