Provincial Champs GOLD ONLINE ENTRY

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:

Qualifying score (Minimum 55% at level competing at, please note the show and judge where the qualifying score as received) *

FEI Small Tour

FEI Small Tour Sat($140 both tests) *

Prix St Georges

FEI Small Tour Sun ($140 both tests) *

Intermedaite 1

FEI Medium Tour

FEI Medium Tour Sat ($140 both tests) *

Intermediate A

FEI Medium Tour Sun ($140 both tests) *

Intermediate B

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 *

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 *

Name of Coach *

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. *

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 dressagewinnipegtreasurer@gmail.com
NO CHEQUES ACCEPTED
Please fill in your totals in these fields before progressing and double check your addition:

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:

PROVINCIAL CHAMPIONS GOLD ONLINE ENTRY

Coach Information

Dressage Winnipeg