GOLD ONLINE ENTRY

Manitoba Dressage Club Inc.

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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: *

Rider Information

Name of Rider *

First

Last

Address *

City *

Province *

Email *

Phone Number *

Country *

EC Gold 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 Recording # (Previously Passport #) *

Horse Owner Information

Name of Horses Owner *

Owners Phone # *

Owners Address *

City *

Province *

Country *

EC gold license # *

DW/MHT/MPC/Westman/WD MEMB # *

MHC # *

Person Responsible

Person Responsible *

EC license # *

EC license type *

Gold Platinum

Rider Category

Category *

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) *

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

FS Sat ($35) *

Training First Second Third Fourth

FS Sun ($35) *

Training First Second Third Fourth

FEI Division: *

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 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) *

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

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) *

Shavings $10/bag *

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) *

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 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 or do not pay 4% fee and pay by e transfer to [email protected]
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

Manitoba Dressage Club acknowledges that the work we do to support our dressage community takes place on Treaty 1 Territory
and the ancestral lands of the Anishinaabeg, Dakota, Cree, Oji-Cree, Dakota, and Dene Peoples, as well as on the homeland of the Red River Métis.
We respect the treaties made here and are grateful to live and play on this land.

manitoba dressage club inc.

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ALL RIGHTS RESERVED

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