1. education
2. alumni and reunions

KAWARTHA SPRING CLASSIC
2015
TWO (2)
EC GOLD DRESSAGE Shows
Two (2)
EC Silver Dressage Shows
TWO (2)
EC Bronze Dressage Shows
Kawartha Spring Classic # 1. June 5 & 6, 2015
and
Kawartha Spring Classic # 2. June 7, 2015
Saddlewood Equestrian Centre
Bethany, Ontario
Over the weekend we are offering competitors the
opportunity to gain two sets of qualifying scores
for:
Canadian National Championships
Ontario Dressage Championships
Canadian National & North American Junior and Young Rider Championships
Canadian Freestyle Championships
Dressage Canada Competitions EIGHT Award
Sponsored by Dominion Regalia
KLDA June 2015 v1
Kawartha Spring Classic # 1 June 5/6, 2015
Kawartha Spring Classic # 2 June 7, 2015
Organizing Committee
Chair & Secretary
Send all inquiries to:
Host:
Show Officials
Stewards
Lisa Hossack-Scott
2833 Hwy #28, Douro, Ontario K0L 2H0
Tel 705 749 9726 Fax 705 743 5078
Email: [email protected]
Lisa Hossack-Scott
Kawartha Lakes Dressage Association
Lynne Milford EC S
Scott Foell EC M
Dave York 705-438-3535
Gilson Equine
Farrier on Call
Vet on Call
Invited Judges:
William Tubman
FEI 3*, EC S
Brenda Minor
FEI 3*, EC S
Lorraine MacDonald
EC S
Additional judges will be added as required.
Show Secretary’s Office
Hours
Thursday June 4th
Show days
4 pm to 7 pm
1 hr before start to 1 hr after last ride
Each of these two Gold Dressage Shows, two Silver Dressage Shows and two Bronze Dressage Shows
listed herein is a sanctioned Gold competition member of Equine Canada (EC), 308 Legget Drive, Suite
100, Ottawa, ON K2K 1Y6, and is governed by current the rules of EC. Knowledge of EC rules is the
responsibility of each competitor.
Both the 2015 General Regulations (Section A) and the 2015 Dressage Rules (Section E) can be
downloaded from the Equine Canada website at www.equinecanada.ca.
Equine Canada Statement of Principle
Equine Canada (EC), the national equestrian federation of Canada, supports adherence to humane treatment of
horses in all activities under its jurisdiction.
EC is committed to:
•
Upholding the welfare of horses, regardless of value, as a primary consideration in all activities;
•
Requiring that horses be treated with kindness, respect, and the compassion that they deserve, and that they
never be subjected to mistreatment;
•
Ensuring that owners, trainers, and competitors, or their agents use responsible care in the handling, treatment
and transportation of their horses as well as horses placed in their care for any purpose;
•
Providing for the continuous well-being of horses by encouraging routine inspection and consultation with health
care professionals and competition officials to achieve the highest possible standards of nutrition, health,
comfort, and safety as a matter of standard operating procedures;
•
Continuing to support scientific studies on equine health and welfare;
•
Increasing education in training and horsemanship practices;
•
Requiring owners, trainers and competitors to know and follow their sanctioning organization’s rules and to work
within industry regulations in all equestrian competition;
•
Reviewing, revising and developing competition rules and regulations that protect the welfare of the horses.
The standard by which conduct or treatment will be measured is that which a person, informed and experienced in
generally accepted equine training and competition procedures, would determine to be neither cruel, abusive nor
inhumane.
KLDA June 2015 v1
Tentative Schedule
Show # 1
Friday June 5, 2015
Saturday June 6, 2015
•
Walk Trot
•
Walk Trot
•
Training, First & Second
•
Training, First & Second
Level Test 1 & 2
Level Test 2 & 3
•
Third & Fourth Level
•
Third & Fourth Level Test 2
Test 1 & 2
&3
•
FEI Young Horse
•
FEI Young Horse Final
Preliminary Tests
Tests
•
FEI Childrens, Pony,
•
FEI Childrens, Pony, Junior
Junior & Y.R. team tests
& Y.R. individual tests
•
FEI Advanced
•
FEI Advanced
•
FEI Grand Prix tests
•
FEI Grand Prix tests
•
PE Classes
•
Freestyles & PE Classes
Show # 2
Sunday June 7, 2015
•
Walk Trot
•
Training, First & Second Level
Test 1 & 3
•
Third & Fourth Level Test 1 &
3
•
FEI Young Horse tests
•
•
•
•
FEI Childrens, Pony, Junior &
Y.R. tests
FEI Advanced tests
FEI Grand Prix tests
Freestyles & PE Classes
CLASSES & FEES
Every class offered herein is covered by the rules and specifications of the current rules of EC and will be
held and judged in accordance with the EC Rule Book. Refer to General Rules regarding additional classes.
Walk Trot Level
Class # 1
Class # 3
Class # 5
Class # 7
Class # 9
Class # 11
Jr/O
Test A Friday
Test C Friday
Test A Saturday
Test C Saturday
Test A Sunday
Test C Sunday
Training Level
Class # 13
Class # 15
Class # 17
Class # 19
Class # 21
Jr/AA/O
Test 1 Friday
Test 3 Friday
Test 2 Saturday
Test 1 Sunday
Test 3 Sunday
First Level
Class # 22
Class # 24
Class # 26
First Level Freestyle
Class # 28
Jr/AA/O
Test 1 Friday
Test 2 Saturday
Test 1 Sunday
Open Only
Saturday Freestyle
Second Level
Jr/AA/O
Class # 30 Test 1 Friday
Class # 32 Test 2 Saturday
Class # 34 Test 1 Sunday
Second Level Freestyle
Open Only
Class # 36 Saturday Freestyle
Third Level
Class # 38
Class # 40
Class # 42
Third Level Freestyle
Class # 44
AA/O
Test 1 Friday
Test 2 Saturday
Test 1 Sunday
Open Only
Saturday Freestyle
Fourth Level
O
Class # 46 Test 1 Friday
Class # 48 Test 2 Saturday
Class # 50 Test 1 Sunday
Fourth Level Freestyle
Open Only
Class # 52 Saturday Freestyle
Entry Fee:
Test B Friday
Test D Friday
Test B Saturday
Test D Saturday
Test B Sunday
Test D Sunday
$25.00 per class
Class # 2
Class # 4
Class # 6
Class # 8
Class # 10
Class # 12
Entry Fee:
Test 2 Friday
Test 1 Saturday
Test 3 Saturday
Test 2 Sunday
$25.00 per class
Class # 14
Class # 16
Class # 18
Class # 20
Entry Fee:
Test 2 Friday
Test 3 Saturday
Test 3 Sunday
Entry Fee:
Sunday Freestyle
$45.00 per class
Entry Fee:
Test 2 Friday
Test 3 Saturday
Test 3 Sunday
Entry Fee:
Sunday Freestyle
$45.00 per class
Entry Fee:
Test 2 Friday
Test 3 Saturday
Test 3 Sunday
Entry Fee:
Sunday Freestyle
$50.00 per class
Entry Fee:
Test 2 Friday
Test 3 Saturday
Test 3 Sunday
Entry Fee:
Sunday Freestyle
$50.00 per class
Class # 23
Class # 25
Class # 27
Class # 29
Class # 31
Class # 33
Class # 35
Class # 37
Class # 39
Class # 41
Class # 43
Class # 45
Class # 47
Class # 49
Class # 51
Class # 53
KLDA June 2015 v1
$55.00 per class
$55.00 per class
$60.00 per class
$60.00 per class
FEI Young Horse – 4 Year old
Class # 54 4 YO test Fri
Class # 56 4 YO test Sun
Entry Fee:
4 YO test Sat
$60.00 per class
Class # 55
FEI Young Horse – 5 Year old
Class # 57 Preliminary Friday
Class # 59 Preliminary Sunday
Entry Fee:
Final Saturday
Final Sunday
$70.00 per class
Class # 58
Class # 60
FEI Young Horse – 6 Year old
Class # 61 Preliminary Friday
Class # 63 Preliminary Sunday
Entry Fee:
Final Saturday
Final Sunday
$70.00 per class
Class # 62
Class # 64
FEI Childrens
Class # 65
Class # 67
Entry Fee:
Indiv Test Sat
Indiv Test Sun
$60.00 per class
Class # 66
Class # 68
Team Test Friday
Team Test Sun
FEI Competitors: See NOTE at end of Class list
FEI Pony
Class # 69
Class # 71
Class # 73
FEI Pony Freestyle
Class # 75
FEI Junior
Class # 77
Class # 79
Class # 81
FEI Junior Freestyle
Class # 83
Class # 70
Class # 72
Class # 74
Saturday Freestyle
Class # 76
Team Test Friday
Team Test Saturday
Team Test Sunday
Class # 78
Class # 80
Class # 82
Saturday Freestyle
Class # 84
Entry Fee: $85.00 per class
Individual Test Friday
Individual Test Saturday
Individual Test Sunday
Entry Fee: $95.00 per class
Sunday Freestyle
Class # 86
Class # 88
Class # 90
Class # 92
Entry Fee: $95.00 per class
Individual Test Friday
Individual Test Saturday
Individual Test Sunday
YR GP 20-25 Sat
Entry Fee:
Sunday Freestyle
$105.00 per class
Class # 94
Entry Fee:
Inter 1 Friday
Inter 1 Saturday
Inter 1 Sunday
Entry Fee:
Sunday Freestyle
$95.00 per class
FEI Young Rider
Class # 85 Team Test Friday
Class # 87 Team Test Saturday
Class # 89 Team Test Sunday
Class # 91 YR GP 20-25 Fri
Class # 93 YR GP 20-25 Sun
FEI Young Rider Freestyle
Class # 94 Saturday Freestyle
FEI Advanced (AA/O)
Class # 95
Class # 97
Class # 99
FEI Inter I Freestyle
Class # 101
Entry Fee: $65.00 per class
Individual Test Friday
Individual Test Saturday
Individual Test Sunday
Entry Fee: $75.00 per class
Sunday Freestyle
Team Test Friday
Team Test Saturday
Team Test Sunday
PSG Friday
PSG Saturday
PSG Sunday
Class # 96
Class # 98
Class # 100
Saturday Freestyle
Class # 102
FEI Grand Prix
Class # 103 Grand Prix Friday
Class # 105 Grand Prix Sunday
FEI Grand Prix Freestyle
Class # 107 Saturday Freestyle
Class # 104
Class # 106
Class # 108
Para-Equestrian Classes
Class # 109 PE Team Test Friday
Class # 110 PE Individual Test Friday
Class #111 PE Team Test Saturday
Class # 112 PE Individual Test Saturday
Class # 113 PE Freestyle Saturday
Class # 114 PE Team Test Sunday
Class # 115 PE Individual Test Sunday
Class # 116 PE Freestyle Sunday
$105.00 per class
Entry Fee: $95.00 per class
Grand Prix Saturday
Grand Prix Special Sunday
Entry Fee: $105.00 per class
Sunday Freestyle
Entry Fee:
$ 65.00 per class
ALL GRADES OFFERED
PE Competitors are to indicate what their Grade is
on the entry form as well as include copies of their
classification documentation.
KLDA June 2015 v1
Note for FEI Riders: Additional Classes will be offered upon request. If you want to ride two of the same test
in a day just state this on your entry form. As an example that would be two Team tests or two PSG on the
same day. Make sure it is clear on your entry what you would like to do.
Tests can be downloaded free of charge from the Equine Canada website at www.equinecanada.ca
GENERAL RULES AND REGULATIONS
ENTRIES – Entries close May 11, 2015 and will not be accepted unless accompanied by:
1.
Photocopies of 2015 EC and DC membership cards for Rider & Owner where required (Only EC required for
Owner)
2. Photocopies of 2015 Provincial membership cards for Rider & Owner
3. Photocopy of 2015 Horse License Sticker where required (make a copy of passport 1st page or EC insert in
FEI passport)
4. Your stabling form if stabling
5. Your signed waiver
6. Your accurate and complete entry form
7. Your current dated cheque, made payable to Kawartha Lakes Dressage Assoc. or KLDA
Faxed entries are subject to a $25.00 service charge.
Incomplete entries are subject to a $10.00
Payment must be received prior to closing date or the entry will
service charge at the discretion of the secretary
ALSO be considered late and incur a LATE FEE
Late entries are those received and/or fully paid after Midnight
Any cheques returned by the bank for any
on April 17 and are subject to a $30.00 late fee, and will only
reason, are subject to a $40.00 fee.
be accepted at the discretion of the Show Committee.
The organizing committee reserves the right to refuse entries.
CLOSING DATE
CATEGORIES
CANCELLATIONS
HORS CONCOURS
PASSPORTS
NUMBERS
NON-SHOWING
HORSES
RIDING TIMES
STABLING
HELMETS
The closing date for entries is May 11, 2015.
Those wishing to compete in two categories (i.e. AA and Open) will pay two entry fees, but will
ride one test; the score will count for both categories. If there are fewer than six (6) entries per
category at any level the organizing committee has the option of holding only the open category
or combining any two (2) categories together.
Cancellations will only be accepted with a Veterinarian/Doctor’s Certificate. Refunds of 100% of
entry and stabling fees, less administration fee, will be allowed up until the closing date (May 11,
2015). Refunds of 50% of class entry fees, less administration fee, will be made after the closing
date and before the start of the show. There will be no refunds on stabling fees after the closing
date. Scratches after the show starts will lose the total entry and stabling fee.
Hors Concours entries will be accepted at the discretion of the organizing committee and these
entries will ride last in the class.
All competition horses and non-showing horses, must present a valid EC/FEI passport to the
show secretary before receiving a number.
All competition and non showing horses must wear a number at all times in the schooling and
exercise areas and in the competition rings. Passports will be returned upon return of number.
Failure to display the number as required may incur elimination or disqualification.
There is a $150.00 charge per show for non-showing horses. Non-showing horses are subject to
all the rules and fees pertaining to showing horses. If your horse is competing in one show only
i.e. Friday to Saturday, but remains on-site for the entire weekend, then it is a non-showing horse
for the second show i.e. Sunday, and the non-showing few of $150 will be applied
Riding times will be available at www.klda.ca or www.foxvillage.com on June 2, 2015. Ride
times will also be available by telephoning the Show Secretary (705) 749 9726, on June 2, 2015
between 1pm and 9pm
The cost per stall is $180.00 or $120.00 (see stabling form) for the duration of the competition that
you have entered, Thursday noon through Saturday 6pm and Saturday 6pm to Sunday 6
pm. There are no guarantees that the type of stall requested, tack or day stalls will be
available even if booked with the entry. If a tack stall is unavailable, the competitor will be
notified by the show secretary prior to June 1/15 and a full refund will be given.
The order that stalls are filled is 1. Permanent Stabling, 2. Indoor Semi-Permanent Stabling (slat
stalls), Tent stabling is NOT be offered. While we try to accommodate all requests and work
primarily on a first come basis, stabling assignment is at the discretion of the organizer. Stalls will
not be bedded, please bring your own shavings or shavings will be available at $9.00 per bag.
Please bring your own hay, feed and buckets. Wednesday night or earlier arrival by special
request, $60.00 extra per day or part thereof.
EC Rules, Section E, Dressage ARTICLE E 4.0 SAFETY HEADGEAR:
All riders, regardless of age or level or competition, must wear ASTM/SEI or BSI/BS EN approved
protective headgear at all times when mounted at any EC-sanctioned Dressage competition at
KLDA June 2015 v1
CLASSES
the event location. Note: At the tack check which follows the test, the steward may ask the
rider to dismount so that the helmet may be inspected for the ASTM/SEI or
BSI/BS EN label.
There may be formal presentations, dressed and mounted. Competitors will be advised over the
P.A. system if formal presentations will take place.
Questions concerning rules, scoring or entries may be made to the Steward for discussion with
the Organizing Committee. Protests must be made in writing within 48 hours of the completion of
the class and accompanied by a deposit of $200.00, cash or certified cheque. See EC Rules
EC/FEI Drug and Medications rules apply at these shows. Any horse entered in any class at any
competition subject to the requirement to pay drug-testing fees may, while on the competition
grounds and on the recommendation of the chair of the provincial Equine Medications Control
committee or the chair’s appointee, be selected for equine medication control testing.
All owners and competitors are personally responsible for damages to third parties caused by
themselves, their employees, their agents or their horses. Third party insurance providing full
coverage for participation in equestrian events is necessary.
Ribbons will be presented to 6th place as well as division champion and reserve champion in
divisions that have 6 or more competitors. In classes or divisions with less than 6 competitors,
classes and or divisions may be combined at the discretion of the organizing committee.
The organizing committee reserves the right to combine or split classes at its discretion.
FREESTYLE MUSIC
Must be submitted when competitor package is picked up and on CD.
PARKING
Vehicles must be parked in designated areas only or may be towed at the owners expense.
There will be no parking on the roads and the barn areas at any time. After unloading, please do
not park in the stable area.
Security will not be provided. The show organizers and the facility accept no responsibility for lost
or stolen items. Please do not leave items unattended.
PRESENTATIONS
QUERIES
DRUG TESTING
INSURANCE
RIBBONS
SECURITY
DOGS
Warm up
REFUNDS
OTHER
If you must bring your furry friend each must be registered with the office at a fee of $30. Each
competition day there will be a canine competition immediately following the last competitor
before the lunch break. The categories of competition are: The Prettiest/Cutest, the most obedient
and the most talented. Details will be available at the show and prizes will be awarded. As well,
please make sure 1. you stoop & scoop , 2. do not allow your friend to run loose, 3. you use a
leash that can extend no longer than 2 metres. Penalties will be levied for any offenders.
Warm up will be available as posted. Competition rings will be open to riders on Thursday until
6 pm. After that time, competition rings will be available at the discretion of the organizer. Please
ensure that you wear your competition number at all times.
Competitors owed any refund of fees will receive their refund no earlier than 2 weeks after the
competition if they paid by cheque.
The organizing committee reserves the right to refuse any entry.
“Per Article A801, every entry at an EC-sanctioned competition shall constitute an agreement by the person
responsible that the owner, lessee, trainer, manager, agent, coach, driver or rider and horse shall be subject
to the EC constitution and all rules of EC and any additional rules set by the competition. It is the
responsibility of all individuals participating in any capacity in EC-sanctioned competitions to be
knowledgeable regarding the EC constitution and the applicable rules of EC and the additional rules, if
any, imposed by the competition. Do not participate in this EC-sanctioned competition in any capacity if you
do not consent to be bound by the constitution and rules of EC and any additional rules
imposed by the competition.”
.
Directions to Saddlewood Equestrian Centre, 749 Bethany Hills Road, Bethany, Ontario
From Highway 401, take Highway 35/115 north to Hwy 7A. Turn West on 7A and following into town of Bethany. Just
before T.D. Bank is Ski Hill Rd. Right on Ski Hill Rd to Bethany Hills Rd. Left onto Bethany Hills Rd.
Alternatively, check the Saddlewood website at www.saddlewood.ca
Accommodations
Comfort Inn & Suites
1209 Lansdowne St W Peterborough
705 740 7000
800 228 5150
Quality Inn
1074 Lansdowne St W, Peterborough
705 748-6801
877 316 9949
Ask for the KLDA room rate
Have more fun and stay on site!!
KLDA June 2015 v1
On-Site Accommodations
Staff Building
This building has 2 bathrooms each with 2 stalls.
There are 3 individual shower areas.
Some rooms have a small fridge and a microwave, no guarantees if you have one or
not but there is a large common kitchen like area with a refrigerator.
5 rooms each with 2 twin beds $65 per night, bedding included
1 room with 1 twin bed $40 per night, bedding included
1 room with 3 sets of twin bunk beds (sleeps 6) $75 per night, bring your own bedding
1 room with 2 sets of twin bunk beds (sleeps 4) $60 per night, bring your own bedding
Camper Cabins
There are a total of 3 cabins. Each cabin is split into 3 distinct areas those being an
upper cabin and 2 halves of a lower cabin. Each area has its own full bathroom so 3 in
total for each complete cabin. You need to bring your own bedding for the cabins.
Upper Cabin has one room with 2 bunks and then a rather large open area with
probably 10-12 sets of bunks (sleeps ???, lots) $120 per night for an entire upper
cabin, Upper cabins have an area where a coffee pot could go.
Lower Cabin has one room with 3 sets of bunks (sleeps 6). There is a door that joins 2
lower cabins so if a group rents an entire bottom it could be set up to allow full access to
both sides. Benefit of this would be access to 2 full bathrooms. $75 per night per lower
section.
If you want a more private bathroom, chose a cabin.
If you want to bring a dog you MUST check with the show secretary ahead of time.
Contact show secretary NOT Saddlewood with bookings or questions on availability.
To confirm your request, please enclose the following form with your entry:
Accommodation Booking Form:
Name:
Phone:
I am enclosing payment for:
Staff Building $60/night for Th
Fri
Sat
=
$
Staff Building $40/night for Th
Fri
Sat
=
$
Staff Building $75/night for Th
Fri
Sat
=
$
Staff Building $65/night for Th
Fri
Sat
=
$
Camper
$75/night for Th
Fri
Sat
=
$
Cabin
Camper
$120/night
Th
Fri
Sat
=
$
Cabin
for
Include a copy of this form with your entry. Cheques are payable to KLDA.
KLDA June 2015 v1
Kawartha Spring Classic
Social events and meals….
Thurs June 4 – Casual dinner on-site @ approx 6:30 pm
$15/pp
Meal will be Salad, Lasagna/Pasta, beverage and light desert.
Easy to heat if you are late and we will keep the kitchen open as
long as we know you are attending before 10 pm ☺
Fri June 5 – Dinner on-site @ approx 7:00 pm
$25/pp
Meal will include chicken with rice, greens and desert.
Saturday June 6 – BBQ dinner on-site @ approx 7:00 pm
$35/pp
Meal will include; Salad, Lisa’s BBQ Steak & Chicken with
veggies & potato, beverage and light desert.
Vegetarian and Gluten Free available by advance request only.
We can do it but need some notice ☺
Please book your spot with your entry or at the show office with Lisa.
Space is limited ! Book with your entry to guarantee a spot.
KLDA June 2015 v1
INCLUDE COPIES OF ALL
MEMBERSHIP CARDS
Mail to: Lisa Hossack-Scott
2833 Hwy 28, Douro, ON K0L 2H0
Ph: 705-749-9726 Fax: 705-743-5078
email: [email protected]
KLDA Spring Classic # 1 & 2
USE THIS FOR GOLD ENTRIES
CLOSING DATE:
May 11, 2015
Horse Name
Stallion
HORSE
RIDER
Colour
Division
Walk Trot
Training
First
Second
Third
Fourth
4 Year Old
6 Year Old
Pony
Junior
Breed
Name
Postal Code
Address
E-Mail
Rider Category
OWNER
Height
Open
Postal Code
Address
E-Mail
Year of Birth
Phone
EC #
For Juniors Only
Date of Birth (mm/dd/yy)
Phone
EC #
OEF #
Class (Check all classes being ridden & Refer to Prize list for class fees)
2
3
4
5
6
7
8
9
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
62
63
64
5 Year Old
Childrens
57
61
65
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
Young Rider
85
86
87
88
89
90
91
92
Advanced
96
97
98
99
100
101
102
103
Grand Prix
104
105
106
107
108
109
Para Equ
110
111
112
113
114
115
116
117
(MANDATORY)
Gelding
EC Passport
FEI
Passport
Passport #
Junior
1
Other Fees:
Mare
OEF #
Adult Amateur (must be indicated on EC Sport Licence card)
Name
Admin Fee: $45 per show
or $60 both shows
Fax Fee: $25 per entry
Drug Fee: $7.91 per show or
$15.82 both shows
Entry Fees
10
11
58
59
60
66
67
68
93
94
95
12
Total
Other
Fees
Stabling from stabling page
DC Levy Fee: $7 per show
or $14 both shows
Other (Meals/Accom/Dog)
Total Payable to KLDA
KLDA June 2015 v1
Entry #
2015 Kawartha Spring Classic 1 & 2
Use this for SILVER Entries
Mail to: Lisa Hossack-Scott
2833 Hwy 28, Douro, ON K0L 2H0
Ph: 705-749-9726 Fax: 705-743-5078
email: [email protected]
Horse Name
HORSE
RIDER
Colour
Height
Breed
Name
Postal Code
Address
E-Mail
Open
Adult Amateur (must be indicated on EC Sport Licence card)
Name
Postal Code
OWNER
Address
E-Mail
Division
Class Number
Other Fees:
Admin Fee: $45 per show or
$60 both shows
May 11, 2015
Mare
Gelding
Horse Year of Birth
EC Passport
FEI
Passport
Passport #
Phone
EC #
OEF #
Junior
For Juniors Only
Date of Birth (mm/dd/yy)
Phone
EC #
OEF #
Class Description
Drug Fee: $7.91 (Incl HST) one show
$15.82 both shows
Entry Fees
DC Levy Fee: $7 per show or
$14 both shows
Total Other Fees
Stabling from stabling page
Other (Meals/Accom/Dog)
Total Payable to KLDA
KLDA June 2015 v1
Entry #
CLOSING DATE:
Stallion
Rider Category
(MANDATORY)
INCLUDE COPIES OF ALL
MEMBERSHIP CARDS
2015 Kawartha Spring Classic 1 & 2
Use this for BRONZE entries
Mail to: Lisa Hossack-Scott
2833 Hwy 28, Douro, ON K0L 2H0
Ph: 705-749-9726 Fax: 705-743-5078
email: [email protected]
Horse Name
Colour
Height
Breed
May 11, 2015
Postal Code
Address
E-Mail
Open
Mare
Gelding
Horse Year of Birth
Name
Rider Category
Phone
EC #
OEF #
Junior
Adult Amateur N/A at Bronze
Name
Postal Code
OWNER
Address
E-Mail
Division
Class Number
For Juniors Only
Date of Birth (mm/dd/yy)
Phone
EC #
OEF #
Class Description
Entry Fees
NOTE: Bronze entries do not require a horse passport or a Dressage Canada membership
NOTE: Bronze Walk Trot will be held in the 20 X 40 ring
Other Fees:
(MANDATORY)
Admin Fee: $20 per show,
$35 both shows
Drug Fee: 3.96 (Incl HST) per show
or $7.92 both shows
DC Levy Fee: $7 per show or
$14 per show
Total Other Fees
Stabling from next page
Other (Meals/Accom/Dog)
Total Payable to KLDA
KLDA June 2015 v1
Entry #
CLOSING DATE:
Stallion
HORSE
RIDER
INCLUDE COPIES OF ALL
MEMBERSHIP CARDS
Check Days Needed
Stabling Info:
Horse Name
Wed
Thurs
Fri
Sat
Sun
Mon
Tack Stall as available
Wed
Thurs
Fri
Sat
Sun
Mon
Daily Stabling as available
Wed
Thurs
Fri
Sat
Sun
Mon
Rates
Thursday through Sunday Stabling
$180 per stall Permanent Stall
as available
$120 per stall indoor semipermanent
Number of stalls
For Sale?
Stabling Fee
Calculations
=
x
$180 or
$120 each
= $
Number of Stalls
Daily Stabling (8am to 4pm)
$45 indoor semi-permanent
Number of days
=
x
$45 each
= $
Wed or Mon Stabling
$40 per day
Number of days
=
x
$60 each
= $
Number of
bags
=
x
$9 each
= $
Shavings delivered to your stall prior to
arrival
$9 per bag
If you do not want your
shavings delivered indicate by
checking box to the right
Name of Stable Group/Coach
Total Stabling Fees
Emergency Contact Person
$
Phone No.
Anything extra we need to know
ACCEPTANCE OF RISK FORM - THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS AND LIABILITIES. PLEASE READ CAREFULLY.
Every entry at a KAWARTHA LAKES DRESSAGE ASSOCIATION (KLDA) event shall constitute an agreement that the person making it (owner, lessee, trainer, manager, agent, coach, driver, rider) and the horse shall be
subject to the Constitution and the Rules of Equine Canada, the local rules of KLDA and the facility, and that the owner and/or participant and any of their representatives are bound by the Constitution and the Rules of
Equine Canada, KLDA and the facility; accept as final the decision of the Hearing committee on any questions arising under said rules and agree to hold KLDA, the facility, E.C., their officials, directors and employees
harmless for any action taken.
I hereby certify that every horse, rider and/or driver is eligible as entered and agree for myself and my representatives to be bound by the Constitution and Rules of Equine Canada at this competition. It is hereby
recognized that all equestrian sports involve inherent risk and that no helmet or protective equipment can protect against all foreseeable injury. I hereby accept this risk and hold harmless the E.C., KLDA, the facility, the
competition, their officials, organizers, agents, employees and their representatives. The person responsible (PR) agrees to the release of any information on the entry form to EC.
I acknowledge that any activity involving horses is high risk including but not limited to:
(a) the propensity of any equine to behave in ways that may result in injury, harm or death to persons on or around them and to potentially collide with, bite or kick other animals, people or objects;
(b) the unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects;
(c) the potential for other participants to behave in a negligent manner that may contribute to injury to themselves or others, including failing to act within their abilities to maintain control over an equine
In addition to consideration given for my Participation in this KLDA event being held at Saddlewood Equestrian Centre, in June 2015, I and my heirs, executors, administrations and assigns agree;
•
To Waive ALL Claims that I might have against the Organizing Committee, KLDA, as well as their directors, officers, agents, representatives, employees, officials, members, volunteers and the
owners or occupier of the land upon which the event is held (all of them collectively hereinafter referred to as the “HOST”); and
•
To Release the “HOST” from Any and All Liability for any loss, damages, injury, or expense that I or my “Legal Representatives” might suffer as a result of my Participation due to any cause
whatsoever including any NEGLIGENCE ON THE PART OF THE “HOST”; and
•
To HOLD HARMLESS AND INDEMNIFY THE “HOST” from any and all liability for bodily injury or property damage to any third part which might result from my Participation.
I hereby declare that in signing this document I have read and fully understood and agree to the terms and conditions stated herein and that it is binding upon my executors, heirs, and assigns.
Signature: Person Responsible (Mandatory): ________________________
Dated: __________ Printed Name of Person Responsible: ______________________
*If a participant is under the age of 18 yrs. as of January 1, 2015, the parent/guardian must also sign below.
EC # ___________
I acknowledge as parent/guardian of _______________________________ that I have read and fully understand and agree to the terms and conditions stated herein on behalf of
______________________ and myself. RE: JUNIOR HEADGEAR: In the event that _________________________ (name of junior rider) participates in an Equine Canada sanctioned
competition where approved headgear is required for juniors, he/she will wear a properly fitted and fastened approved helmet. It is understood that juniors not meeting this requirement will not be
allowed to compete at these competitions (Article A905)
Signature of Parent/Guardian: ______________________________
KLDA June 2015 v1
Date: ____________________