Burnt Lake Stables Dressage Schooling Days

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Burnt Lake Stables Dressage Schooling Days June 1 st and August 24 th, 2013 Closing date for entries (received by): May 24 th and August 16 th, 2013 Entries may be limited register early!!! Dressage Tests: June show tests 1&2 August show tests 2&3 Class Divisions: JR & SR Classes: Walk Trot (June: A/B) (Aug: C/D) Training Level First Level A fun day will be had by all!!! Second Level Third Level Contact: Burnt Lake Stables 403.309.8880 Fourth Level Jenni Imeson 403.342.2919 Cell 403.391.2072 jenimeson@hotmail.com

Burnt Lake Stables Dressage Day Schooling Shows in affiliation with Parkland Area Alberta Dressage Association June 1 st and August 24 th, 2013 Closing dates: May 24 th and August 16 th This dressage schooling show is sanctioned by PAADA, the Parkland Area Alberta Dressage Association. Scores from this show may be submitted by members of PAADA for Year End High Point Schooling Show Awards. If not already a member of PAADA there will be membership forms available at the show. If you are interested in volunteering to help at the show, contact the show secretary. Jobs include in-gate person, show office, warm-up ring steward (to keep things running on time), etc. Experience is not necessary, just a willingness to help! Bridle numbers will not be released until all information is received. No competitor may mount anywhere on the show grounds without a bridle number. The organizer(s) reserves the right to refuse any entry at any time. All riders are required to sign a waiver and release form for each show. No more than one owner/lessee per entry form. It is mandatory that all riders wear an ASTM approved, or higher, safety helmet while mounted. There will be no refunds of entry fees after the official closing date with the exception of a Veterinary or Doctor s Certificate. Dressage Tests will be ridden in a 20x60m ring on sand or grass. Walk/Trot will be 20x40m on sand or grass. There will be No Post Entries for dressage rides. All entries must be in by the closing date in order to allow time for allocation of dressage ride times. Dressage ride times will be available online ( www.burntlakestables.com) or by telephone starting the Thursday night before the show (May 30 and August 22). Please call at (403) 342-2919 or (403) 391-2072. Warm up areas may or may not be enclosed. Please attach a photocopy of the current AEF or EC membership number to the entry form. A current AEF or EC membership is mandatory for insurance purposes.

This document will affect your legal rights and liabilities. Please read carefully: I acknowledge that Equestrian Horse Riding is a high risk activity and therefore, I accept that I am participating in this sport at my own risk - in full knowledge of the hazards and the potential dangers which are inherent in this sport. I further acknowledge the inherent risk involved in riding and working around horses, which include bodily injury to both the horse and rider, including death, which could result from both normal use, competition and schooling. It is hereby also understood that no helmet or protective equipment can protect against all foreseeable injury. In consideration of being allowed to participate in this event, I hereby assume all risk and hereby absolve Burnt Lake Stables, and their employees and all volunteers from all responsibility, liability or claims of any nature and kind which I may have arising from participating in this activity, including but not limited to bodily injury or death of myself, my horse, and property damage arising from any cause whatsoever, including negligence of one or more of the organizations or individuals referred to herein. I hereby declare that in signing this document, that 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. I also acknowledge that the helmet worn by is at minimum ASTM approved, which is mandatory for all riders. ----------------------------------------------------------------------------------------------------------- This statement is to confirm that the AEF or EC Membership Numbers that have been given on this form are current and are in good standing for the current competition year. Signature of rider Date If rider is under 18 years of age the parent or legal guardian must also sign below. (Trainers signature not valid) Parent or Legal Guardian of Rider Print Horse Owner ----------------------------------------------------------------------------------------------------------- Signature of Horse Owner Print

Burnt Lake Stables Dressage Schooling Show Closing Dates: May 24 and August 16 (must be received by) Saturday June 1 st & August 24 th 2013 Contact: Burnt Lake Stables (403) 309-8880 Dressage Tests: June show: 1&2 Show Secretary: (403) 342-2919 August show: 2&3 Jenni Imeson Cell: (403) 391-2072 Rebecca Cade Cell: (403) 506-1144 Rider Information Surname First Birthdate (if under 18) Address, City, Postal Code Month Day Year Phone AEF/EC# (please attach a copy of this form) Horse Owner Information Surname First Birthdate (if under 18) Address, City, Postal Code Month Day Year Phone AEF/EC# (please attach a copy of this form) Horse Information Name Age Mare Colour Height Breed Gelding Stall Day 25.00 Overnight (limited availability) 35.00 Dressage Level: Test # 20.00 Dressage Level: Test # 20.00 Information obtained in this form and show results from the show indicated above is for the use by the host stable and the PAADA. Information may also be released to the AEF/EC. Administration Fee: 15 GST 5% Total Make cheque payable to Burnt Lake Stables Deliver entry to Burnt Lake Stables Name (please print) Burnt Lake Stables or mail to: Box 1 Site 21 RR 1 Red Deer, AB T4N 5E1 Signature