Rookie Rider & Funky Funday Saturday 24 th & Sunday 25 th May 2014 Entry Form SATURDAY - ROOKIE RIDERS Rider s Name Rider s Age Pony Name Handler s Name (if applicable),. SUNDAY - FUNKY FUNDAY Rider s Name Rider s Age if 16 or under Horse/Pony Name I/we have PRE arranged a Team and the team name is I/we would like to be added to a team on the day.
Rookie Rider & Funky Funday Saturday 24 th & Sunday 25 th May 2014 Entry Form WHC or WPC member Rookie Riders Saturday Only $20 WHC or WPC member Funky Funday Sunday Only $20 WHC & WPC Members both days $30 Family (2+) Members of WPC or WHC Saturday only $30 Family (2+) Members of WPC or WHC Sunday only $30 Family (2+) Members of WPC or WHC both days $40 Non member Rookie Riders Saturday only $35 Non Member Funky Funday Sunday only $35 Non member both days $50 Family (2+) Non Members Saturday only $55 Family (2+) Non Members Sunday only $55 Family (2+) Non Members both days $80 Camping individual $10 Camping Family $20 Other Please fill in as required TOTAL $ Riders Name (plus Parent/Guardian Name if under 18 years old): Address: Phone Number: Mobile: Email: I have signed and attached the Non Member Insurance Waiver (tick) YES I understand that the judge, safety stewards and officials decision is final and that these decisions are based on ensuring the riders safety, wellbeing and enjoyment at the event. Sign (Rider if over 18 years) or Parent/Guardian (if under 18 years): Print name: The Warren Horsemen s Club and Warren Pony Club reserve the right to refuse or cancel a rider s entry in the event of unsafe or inhumane gear or conduct. Classes may be combined if insufficient numbers.
WARREN HORSEMEN S CLUB INC WARREN PONY CLUB NON MEMBER APPLICATION RELEASE WAIVER OF LIAIBLITY Full Name of Attendee and Parent Legal Guardian if under years Address Telephone Mob Email Relevant Medical Conditions Emergency Contact Relationship Telephone Mob Event Date HORSE SPORTS ARE A DANGEROUS ACTIVITY In consideration for being permitted to participate in any way in horse sport activities and in particular this event I PARTICIPANT S NAME the undersigned understand acknowledge and accept that Horse sports are a dangerous recreational activity and horses can act in a sudden and unpredictable changeable way especially if frightened or hurt There is a significant risk that serious INJURY or DEATH may result from horse sport activities and in particular this event I knowingly and freely assume all such risks both known and unknown even if arising from the negligence of Warren Horsemen s Club Inc hereafter referred to as the Releasees or others and I voluntarily PARTICIPATE at my OWN RISK and assume sole responsibility for any injury death or property damage I may suffer that arises from my participation in horse sport activities I understand and acknowledge the dangers associated with the consumption of alcohol or any mind altering drugs before and during the activity and I take full responsibility for any injury loss or damage associated with their consumption I agree not to drink alcohol or take drugs prohibited by law before or during this event
I agree to follow the direction of any event organiser or official and that any misconduct or refusal by me to follow a direction of any organiser or official can result in the CANCELLATION of my participation in the event and my immediate removal from my horse NO MATTER where that may occur I understand that any such non compliance may result in injury death and or permanent disability and I agree to indemnify the Releasees against all claims made by any person as a result of my failure to comply HEALTH I am in good health and I have no physical disabilities YES or NO IF NO I have the following physical disabilities PROTECTIVE HEADWEAR I acknowledge that I have been strongly advised by the WHC Inc to wear protective head wear complying with the Australian Standard NZ or any Australian standard adopted in substitution for this while mounted or riding a horse in organised WHC Inc events I further acknowledge and agree that I will keep WHC Inc and its officials harmless and free from any responsibility for any head or other injury sustained by me if despite the advice of the WHC Inc I make a personal decision not to wear the recommended protective head wear while mounted or riding a horse during an organised WHC Inc event IF YOU ARE UNDER YO YOU HAVE NO CHOICE YOU MUST WEAR AN APPROVED AUSTRALIAN STANDARD HELMET I for myself and on behalf of my heirs assigns personal representatives and next of kin HEREBY RELEASE AND HOLD HARMLESS AND AGREE NOT TO SUE the Warren Horsemen s Club Inc their officers officials volunteers coaches agents and or employees other participants sponsoring agencies sponsors state bodies affiliated clubs and if applicable owners and lessors of premises used to conduct the activities all of whom are referred to as Releasees WITH RESPECT TO ANY AND ALL INJURY DISABILITY DEATH OR loss or damage to person or property WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE Effect of this Document I have had sufficient opportunity to read this release of liability and assumption of risk agreement fully understand its terms understand that I have given up substantial rights by signing it sign it freely voluntarily without inducement of any kind I understand that my signature to this document constitutes a complete and unconditional release of all liability of the Releasees to the greatest extent allowed by law in the event of me and or the children under my care suffering injury or death
Dated Signature of rider Name block letters For Participants of Minority Age Under Age Children under the age of must have a parent in attendance at all times Alternatively a guardian can be nominated using the appropriate form as supplied by the WHC see below This is to certify that I as a parent guardian with legal responsibility for this participant acknowledge understand and accept ALL OF THE ABOVE and consent and agree to his her release as provided above of all the Releasees and for myself my heirs assigns and next of kin I release and agree to indemnify and hold harmless the Releasees from any and all liabilities arising from my minor child s involvement or participation in horse sport activities and in particular this event EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES Dated Signature of parent guardian Name block letters Rookie Rider Saturday 24 th May 2014 Program of Events 8.45am Event Briefing at Stalls Time 8.30 8.45am Compulsory gear check 8.45 am Event Briefing Lead Rein & First Ridden 9am 11am Ring 1 1. LED Rider 3-5 years 2. LED 6 years & Over 3. First Ridden 3-5 years 4. First Ridden under 9 years Hacking Ring 3 1. Rider 6-8 2. Rider 8-12 3. Rider 12-16 4. Pony Under 12hh
11am -1pm 5. First Ridden 9 years & over 6. LED pony under 12hh 7. Pony 12-13hh 8. Pony 13hh 14hh 9. Pony over 14hh 10. Fluffiest Pony 11. Best Tail 12. LED Best Colour Coordinated Pony, Rider and Handler 13. First Ridden - Best Colour Coordinated Pony and Rider Jumping RING 4 1. Bunnies 2. Wallabies 3. Gazelles 5. Pony 12hh 13hh 6. Pony 13hh 14hh 7. Over 14hh 8. Fluffiest Horse or pony 9. Best Tail 10. Pleasure Pony or horse 11. Pair of Ponies or horses 12. Best Colour coordinated Pony/Horse and Rider Agility RING 2 1. Lead Rein 2. Intermediate 3. Advanced 1pm-2pm Lunch 1.30 pm Fancy Dress RING 1 Games 2-3 pm RING 3 Bending race Jelly Bean Race Apple Bobbing 3.30pm Presentations in Clubrooms Funky Funday Sunday 25 th May 2014 Program of Events Teams of 4 riders (must include at least one junior under 16 or under) complete each of the 4 morning activities as they are available. Games will commence after lunch. Points are awarded and added together for a total team score. Ring 1 Ring 2 Ring 3 Ring 4 Coordinator / Judge 8.45am 9.00am Event Briefing in clubrooms Working Pattern Pas de deux A working pattern / dressage test ridden Agility / Obstacle Course Each member of the team Barrel Race Each rider in the team completes the barrel race and the times will be Jumping The jumping course will have a low medium and a more
in an enclosed dressage arena. Can be ridden English, stockhorse or western style. If 2 riders in team ride together add 10 points. 4 riders ride together in team add 30 points. See attached test/ pattern. completes the Agility / obstacle course and receives points on their completion which are added together for the overall team score. Scored by the Agility judge on horsemanship, skill and ability. added together to calculate the overall team score. Points are allocated for the difference between time and 10 mins. Eg. If barrels are completed in 1 min rider scores 9 points. advanced option. Judged on time and least amount of penalties. Extra points awarded for horsemanship, skill and overall riding ability. Complete the set pattern or make up your own and gain more points. Scored by unity as a pair/team. Quality of paces and transitions. 12 pm Lunch 1pm Games - Bending, Jellybean, Can race. RING 3 3pm Presentations Dressage Test Working Pattern Pas de deux This event can be ridden in English Western or Stock horse style This can be ridden as is or if teams or individuals add to this dressage test working pattern or make up there own working pattern extra points will be awarded If two or more team members complete the dressage test working pattern together more points will be awarded Prior to commencing the dressage test working pattern individuals or team must notify the judge what working pattern dressage test they will be completing set test or their own and how many riders will be riding together Maximum time for working pattern is minutes The set dressage test working pattern provided is a base only It is based on EWA Preparatory Dressage Test B Test Directive Ideas Score Remarks A Enter at Working Trot Straightness on centerline clear trot rhythm C E Track left Turn Left Balance and bend in turns clear trot rhythm X Circle left m diameter working trot Roundness and size or circle clear trot rhythm and bend
X Circle right m diameter working trot Roundness and size of the circle clear trot rhythm and bend B BFA Turn Right Working trot Balance and bend in turn clear trot rhythm A Medium walk Willing and balance transition Clear walk rhythm KXM Change rein in free walk Clear walk rhythm straightness on diagonal ground cover M before C Medium walk Working trot Willing and balanced transition clear walk and trot rhythm CA Serpentine loops in working trot Clear trot rhythm balance and bend each loop to be half m circle shape and size of serpentine FXH Working trot Clear trot rhythm straightness C MXK KA Working Trot Change Rein Working Trot Clear Trot rhythm straightness on diagonal balance and bend through corner A X Down Centre line Halt immobility salute Balance and bend in turn straightness on centerline willing and balanced transition to halt clear trot rhythm Score for dressage test out of points Score for more than one team member riding together If individuals teams own dressage test working pattern Score from points Score for making up own dressage test working pattern Score for more than one team member riding together Paces freedom and regularity Impulsion desire to move forward elasticity of the steps relaxation of the back and engagement of the quarters Submission attention and confidence harmony lightness and ease of the movements acceptance of the bridle Riders position and seat correctness and effe ct of the aids Total Score
Agility Course How to send us your entry Via Post Rookie Riders and Funky Funday Gymkhana PO Box Manjimup WA Cheques or Money order made payable to Warren Horsemen s Club Via Email Complete entry form scan and send to donnellyriver hotmail com Direct transfer of funds BSB Account Warren Horsemen s Club Use your surname as a reference
Entries due in by Monday th May Late entries may be permitted only if entry numbers allow Enquiries via email to Tracey at donnellyriver hotmail com phone mobile