Alberta Development Team Application

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1 Alberta Development Team Application The Development Team is a stepping stone to achieving a place on the Alberta High Performance Team. Horse and rider must have achieved three qualifying scores at Training Level (not necessarily as a combination) in order to be considered for the team. Riders can be moved up from the Development Team to the High Performance Team throughout the season as they achieve their qualifying scores. When HP scores are achieved throughout the year, they need to be reported to the HP Chair - ahtahighperformance@gmail.com Applicant Information Name: AHTA Membership #: Phone: Hometown: Date of Birth (if under 18): Highest Level of Completed Competition: Parent/Guardian Information (if Applicant is under 18) Name: Relationship: Phone: I (parent/guardian) give (Rider/Applicant) permission to ride and compete as part of the Alberta High Performance and Development Teams. Parent/Guardian Signature: Date: Horse Information (Please complete application for each qualified horse) Name: Age: Height: Breed: Highest Level of Completed Competition: Owner Information: Name: Hometown: Phone: I (horse owner) give (Rider/Applicant) permission to ride and compete my horse as part of the Alberta High Performance and Development Teams. Owner Signature: Date:

2 Coach Information It is a requirement of the Development Team that you have your own coach and program. Please attach a letter of reference from your coach, stating why you deserve to be a part of the Development Team, about your commitment to the sport, and describing your current training program. Name: Phone: Facility Affiliation: Organization and Level of Certification: Current?: Yes No Highest Level of Eventing Achieved: If not an eventer or certified coach please provide credentials for other disciplines/qualifications: How often do you have lessons with this coach?: Coach Signature: Date: Results Training and Above from Season Event Name Date Level Dressage Score XC Jump Penalites XC Time Penalties SJ Jump Penalties SJ Time Penalties Final Placing VIDEO: Please provide a video link of your horse competing or schooling a 1.05m course or above, and a brief video of walk/trot/canter. (Youtube link preferred, do not video files*) Please also copy and paste a clickable link in the body of your application . VIDEO LINK: I (Development Team Applicant) agree to take part in all fundraising and sponsorship efforts to the best of my ability. That includes supplying a silent auction item to the AHTA fall banquet, and setting up at least one contact for our sponsorship packages to reach. I understand that failure to do so will result in my removal from the team. Applicant Signature Parent/Guardian Signature Date: Date: (required if under 18 years)

3 Goal Setting 1. Short Term Goals- What would you like to accomplish in the 2019 season? 2. Long Term Goals- What would you like to accomplish over the next five years? (2023) 2020 Season: 2021 Season: 2022 Season: 2023 Season: 3. What is your time commitment to the 2019 season? (How many days per week training? How many shows? How many clinics?) 4. What is your commitment to your own personal fitness? (How many days per week do you train? Hours/ minutes per day?)

4 5. Please check off the events that you plan to attend in the 2019 season and write in which level you plan to compete. If you are competing on the east coast or if the events that you are planning on attending are not included in this list, please attach a list of events and dates. February Galway Downs Winter HT Fresno County HT & FEI March Twin Rivers HT Copper Meadows HT Galway Downs HT & FEI April Twin Rivers HT & FEI Fresno County Horse Park HT May Spokane HT Mustang Powder HT Mind s Eye HT June Beaumont HT Aspen HT & FEI Cochrane HT July Prentice Creek Pony Club HT Whidbey Island HT Rebecca Farms HT & FEI

5 August Buster Creek HT Alhambra Stables HT Caber Farms HT September South Peace HT Aspen Farms HT Alhambra Stables/ Championships HT Twin Rivers HT & FEI October Spokane HT Woodside International HT Fresno County Horse Park HT Please list other shows and derbies that you plan on attending throughout the season (ie: jumpers/dressage): Show Name and Date Discipline Level

6 ACKNOWLEDGEMENT I understand that as a member of Alberta High Performance Team, I am expected to contribute to the growth of the sport of eventing by volunteering my time at various events (AHTA Events, fundraisers, club events, casinos, sponsorship, etc.) I understand that as a member of Alberta High Performance Team, I am expected to comply with all conditions as set forth by Alberta Horse Trials Association. I am to be a member in good standing of the Alberta Equestrian Federation, Alberta Horse Trials Association and Equestrian Canada. I agree to follow the Equestrian Canada Code of Conduct and understand that a breech of that will result in termination of team membership. I understand my application will be confirmed as being received by AHTA within 3 days of being submitted and a decision with respect to my eligibility will be returned within 30 days. I understand the following program deadlines: Results must be from the seasons Applications must be received by Dec 31st, 2018 or June 3rd, For the June application, a letter of intent must be ed to the HP Chair by April 1st, 2019, describing my plan to achieve qualifying scores. Membership fees of $175 are due within 2 weeks of receiving confirmation of acceptance to the program. The information requested in this Application Form and provided by the applicant and his or her parents or guardians and coaches is collected and used by the Alberta High Performance Team to assist it in evaluating, planning, developing or administering its Development Program and High Performance Program. In order to provide the best opportunities in eventing to the applicant and to assist Alberta Eventing with its growth and success of the Support Program, Alberta High Performance and Development Program will share the information with these other organizations that its believes is reasonably necessary to advance its purposes. The applicant and his or her parents or guardians hereby agree that the collection, use or disclosure of the personal information supplied in this Application Form by Alberta High Performance and Development Program as described above is reasonable. Applicant Signature: Date: Parent Signature: Date: (required if under 18 years) Please submit application forms to: Kathleen Ziegler High Performance Chair of AHTA ahtahighperformance@gmail.com

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