State Tetrathlon Championships

State Tetrathlon Championships 14 th & 15 th March, 2015 Hosted by Log Fence Pony Club, Yarloop PROUDLY CO-SPONSORED BY ENTRIES CLOSE: Tuesday March 3 rd (5PM) Team entries, Yards and Meals are to be completed via emailed spreadsheet available on the Tet page at www.pcawa.com and all signed declarations are to be lodged either via email to tetrathlon@pcawa.com or mailed to the PCAWA office. Entry Pack Enquiries please contact Grant Gaasdalen 0417 977 221 or ggaasdal@bigpond.net.au PCAWA Office, 303 Cathedral Ave, Brigadoon. 6069. Ph 92961500. E: tetrathlon@pcawa.com 1

2015 Go for 2 & 5 State Tetrathlon Championships Event General Information The Tetrathlon provides Pony Club with a challenging competition for members, combining sound practical horsemanship with other athletic events. The objective is to encourage all round sporting activity, including horse riding. This event is based on the Olympic Pentathlon and includes the following four phases, Running, Shooting, Swimming and Cross Country. The Go For 2 & 5 State Tetrathlon will be based at the Log Fence Pony Club, Hoffman Road, Yarloop on the 14 th & 15 th March 2015. The running and cross country phase will be held on these grounds. The swimming phase will be held at Harvey Swimming Pool, Hinch Road, off Uduc Road, Harvey. The Shooting phase will be located at the Yarloop Rifle Club, Tyler Road, Yarloop located approximately 0.5kms from the Log Fence Pony Club grounds. Log Fence Pony Club is located on Hoffman Road, Yarloop, in the States beautiful South West. Yarloop is located 120 kms south of Perth. Log Fence Pony Club is renowned for its superb and challenging state cross country course, situated on the foothills of the Darling Range, with the course going through pristine forested areas and farmland. This is the third of a three year tenure that Log Fence Pony Club are hosting the State Tetrathlon Championship weekend. We aim to show that small, enthusiastic clubs can run state level events successfully. We have a membership of only 30 riders who along with their parents will hope you all have a fun and successful weekend. An evening meal will be available for the Saturday night, at a cost of $20 per person, consisting of a main meal and dessert. For those arriving on the Friday night, there are eating places located in Harvey and Waroona consisting of a range of restaurants including Chinese and Italian restaurants, Pizza shops and a Chicken Treat. For other places please go to www.harveytourism.com There will be plenty of camping areas available at Log Fence Pony Club. Please note that camp sites are unpowered, though generators are permitted. Parking will be controlled to ensure the best use of space. Please respect the parking attendants requests. There will also be a day area reserved for those people living locally who only wish to bring their horses on the day of the cross country phase. For those who don t wish to camp, there is a range of alternative accommodation in Harvey and Waroona. For a detailed list of available accommodation please go to www.harveytourism.com or www.waroona.wa.gov.au/tourism Horse Feed is available from a number of local stores: Fryers, Harvey; Waroona Rural; Cookernup General Store; Coolup Stock Feeders Yards We have 47 regular yards. These will be allocated by the organising committee upon application on a first in basis. Cost of yards will be $10 each for the weekend. Please bring portable yards if you can beg, borrow or steal them from someone. Portable yards must be metal, PCAWA approved. Electric only yards and steel pickets are not permitted. Showers Hot showers are available at the grounds. There are also showers and toilets available at the Harvey Swimming Pool and toilets at the Yarloop Rifle Club. 2

Meals Saturday breakfast, Saturday night dinner and Sunday Breakfast will be provided by the Log Fence Pony Club. There will be a canteen operating during Saturday and Sunday to provide a range of food, snacks etc including lunches. Water Log Fence Pony Club is serviced by scheme water and so all tap water on the grounds is potable. However, please use the water wisely as it is a scarce resource. Cold, bottled drinking water will be available from the canteen. Entertainment - Karaoke will again be a feature on Saturday night where clubs can challenge each other to a sing off. Log Fence club are the current holders of this trophy. Who will it be this year?? Everyone is welcome to participate in this prestigious event. All competitors need to have attended at least three rallies on their entered mount in the last 12 months. Also the rules of Tetrathlon require that the combination have successfully completed a competitive cross country course at their nominated level, in the last 12 months. Be prepared and make sure you qualify before entries close. Eg. if you wish to enter the Tetrathlon C grade, then the horse/rider combination must have completed a C grade cross country course in the previous 12 months. If you have any queries regarding the Entry Pack please contact Grant Gaasdalen on 0417 977 221 or Jacqui Moon at PCAWA 92961500 ENTRIES: Please note if a club is unable to field a full team then their riders will be placed into a composite team. Team entries are to be completed online at www.pcawa.com and all declarations are to be signed & lodged either via email to tetrathlon@pcawa.com OR sent to the PCAWA office. About Us The Racing and Wagering Western Australia (RWWA) Off the Track Program aims to increase the demand for retired Thoroughbred and Standardbred racehorses as pleasure and performance horses through sponsoring events and clinics, sharing success stories, and promoting the attributes of both breeds. Our mission is to support the placement of retired Thoroughbred and Standardbred racehorses in second careers by promoting the many retrainers across Western Australia, and educating the community about the various life after racing options, versatility of use, and the appropriate care and retraining of racehorses. Racing and Wagering Western Australia is the peak body for Thoroughbred, Harness and Greyhound racing in Western Australia and is committed to the welfare of our Thoroughbred and Standardbred racehorses, as well as Greyhounds, during and after their racing life. We are always interested to hear about your horse s post racing journey and achievements. Please email your Off the Track story to the email address on our Contact Us page. 3

2015 Go For 2 & 5 State Tetrathlon Championships 14 th & 15 th March 2015 Hosted by Log Fence Pony Club Yarloop ENTRIES CLOSE Tuesday March 3 rd (5PM) NO FAXED / LATE OR INCOMPLETE ENTRIES ACCEPTED ENTRY FEE: 1.05m, 95cm, 80cm, 65cm : $75.00 per Competitor Open Rider $75.00 per Competitor Ground Fee $20.00 per Horse Yard fees $10.00 per Horse There is only one Entry Form - which is both a Team Entry and an Individual Entry. This entry is in a spreadsheet format and available on the Tetrathlon page of the PCAWA Website. Once completed the entry spreadsheet is to be emailed to tetrathlone@pcawa.com. You may wish to complete the paper entry forms in this Entry Pack and then use this information to help you complete the Entry Spreadsheet. Details of the Draw will be available on the PCAWA Website www.pcawa.com. together with the names of helpers for each phase. An evening meal will be organised for the Saturday night at a cost of $20 per person consisting of a main buffet style meal and sweets. If you are interested in the Saturday night dinner, please complete the attached form and return it with your entries to PCAWA by Tuesday 3 rd March (5PM) This year our event is being generously supported by the Off The Track program and prizes will be awarded in each grade for the highest placed ex racehorse or Standardbred. THE TETRATHLON consists of four phases 1. SHOOTING 30 metre.22 rifle target shoot 2. RUNNING All classes run 1,500 m 3. CROSS COUNTRY Championship: 1.05m (PCAWA Grade A) RIDING: 0.95m (PCAWA Grade B) 0.80m (PCAWA Grade C) 0.65m (PCAWA Grade D) 4. SWIMMING 4 minute swim in a 50 metre pool AGES Age for Pony Club classes is determined on age as at 1 st January 2015 - see classes. NOTE: There is no limit to the number of Competitors a Club can enter. If there are insufficient members to form a team, then they will be included in a composite team. 4

CONDITIONS OF ENTRY HORSES The One Horse, One Rider Rule will apply for all Pony Club and Open Classes, eg. Horses may be entered for one class only and may not be entered in any other class. RIDERS Riders may only compete in one class. ELIGIBILITY Please refer to Tetrathlon Rules (2011) and note that as of the September PCAWA Council meeting as per Resolution 07/12 that Tetrathlon competitors must have completed at least one round of a cross country course at the level they wish to enter on that mount in the previous 12 months. This may include a cross country course at an ODE, Hunter Trials or Tetrathlon. This excludes Training Rounds. DISCLAIMER OF LIABILITY The Organising Committee of the Tetrathlon, the PCAWA and the Log Fence Pony Club do not accept any liability for any accident, damage, injury or illness to horses, owners, riders, grounds, spectators or any other person or property whatsoever. All competitors compete at their own risk. RULES: Copies of the PCAWA Rules for Tetrathlon (2011) and PCAWA Eventing Rules 2015 which are available from the PCAWA website. TEAM MANAGERS: must supply mobile phone number on the entry form, on which they can be contacted at all times during the event. They must be familiar with the PCAWA duties of tetrathlon team managers which is available on the PCAWA website. Team managers must be present with their team members at every phase. It is a requirement for the team manager to attend a briefing to be held on Friday evening (approx. 5pm) where they will pick up their Team Manager s pack. HELPER DUTIES : Team Managers will also be allocated other helper duties. In general helper duties could be a minimum of 4 hours but may be more. One helper (16yrs & Over) capable of performing any rostered duty. No self help per rider. Whilst we endeavour to give you your preference you allocated duty may be in any phase Please see PCAWA website for PCAWA Tetrathlon shooting coaching notes 2015 revision and PCAWA tetrathlon shooting target 2012 revision Unauthorised assistance of any competitor in any of the phases will not be tolerated and may result in elimination from the event at the discretion of the chief steward NO DOGS will be permitted at any PCAWA State Championship or preliminary event. If dogs are found to be at these events, the rider to whom the dog belongs or is associated will be disqualified. It is compulsory that all riders in C grade and above wear back protectors for the cross-country riding phase. Draw and Helper Duties List will be available from the PCAWA website. Website: www.pcawa.com. Clubs are asked to contact Paula Vaughan directly if changes are required phone: 0432283908 Email secretary@logfenceponyclub.com IMPORTANT! : All clubs please note the following: The PCAWA office staff have been instructed NOT to accept any late, faxed or incomplete entries. This WILL be enforced, so please do not be the club who makes the mistake. The Chairperson and sub-committee members do not have authority to accept/forward late entries. The entry spreadsheet and declarations must be received by the closing date of 5pm on Tuesday 3 rd March Entries must be completely & correctly filled out and lodged, and must be endorsed appropriately. Each entry must have a signed PCAWA Championship Declaration Form and a Qualification Declaration Form signed by the competitor. All payments including cost of entry, food and promotional material must be submitted with the Cover sheet 5

2015 Go For 2 & 5 Tetrathlon 14 TH & 15 TH MARCH, 2015 LOG FENCE PONY CLUB CLUB ENTRY COVER PAGE Please fill in this Cover page, and all Declarations and then forward to PCAWA. 303 Cathedral Ave, Brigadoon. 6069 Please complete details of your clubs individual and Team entries plus dinner and Yard Applications on the Entry Spread Sheet and forward to tetrathlon@pcawa.com by 5pm Tuesday March 3 rd. Name of Club EVENT Tet 65cm (D Grade) 10-12 yrs No. RIDERS X $75 each Tet 65cm (D Grade) 13-15 yrs No. RIDERS X $75 each Tet 65cm (D Grade) 16yrs 25yr No. RIDERS X $75 each Tet 80cm (C Grade) 11-15 yrs No. RIDERS X $75 each Tet 80cm (C Grade) 16 25yrs No. RIDERS X $75 each Tet 95cm (B Grade) 12 15yrs No. RIDERS X $75 each Tet 95cm (B Grade) 16 25yrs No. RIDERS X $75 each Tet CHAMPIONSHIP 1.05m No. RIDERS X $75 each Yards X $10 each Sat Night Dinner X $20 each GROUND FEES No OF HORSES X $20 TOTAL Totals PAYMENT OF $... Cheque no:... EFT Ref:... Pay by Cheque: Make cheques payable to: PCAWA Post to: PCAWA, 303 Cathedral Ave, Brigadoon, WA 6069 Pay by EFT BSB: 633 000 A/C NO. 147906960 REF: MUST start with Club Name & proof of payment sent with the entry 6

2015 Go For 2 & 5 Tetrathlon 14 th & 15 th March Log Fence Pony Club SAMPLE ENTRY FORM FOR TET 65cm (D GRADE) CLASSES (Riders aged 10-12 years) (Use One Form per Team) PONY CLUB NAME OF TEAM MANAGER EMAIL OF TEAM MANAGER : PHONE NOS (W) (H) MOBILE (Compulsory) COMPETITOR NAME M/F DATE OF BIRTH AGE AS AT 1/1/14 NAME OF HORSE NAME OF HELPER PREFERRED PHASE 1. 2. 3. 4. ENTRY FEE: $75 PER COMPETITOR $20 Ground Fee No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase, however helpers will be allocated by the Tetrathlon Sub-Committee where required. DECLARATION: ENTRIES TO: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon. PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION FORM Club delegates are to complete the Team entries online at www.pcawa.com. Rally, Competancy and Qualification declarations are to be manually completed and sent to PCAWA, 303 Cathedral Ave, Brigadoon. 6069. Full manual entries are only available to those clubs who have no internet access and will only be accepted with prior permission from the PCAWA Office. ENTRIES CLOSE: Tuesday March 3rd (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED Individuals who wish to be placed in a composite team please include your email details and phone number on the back of this sheet and on the online entry. 7

2015 Go For 2 & 5 Tetrathlon 14 th & 15 th March Log Fence Pony Club SAMPLE ENTRY FORM FOR TET 65cm (D GRADE) CLASSES (Riders aged 13-15 years) (Use One Form per Team) NAME OF TEAM MANAGER PONY CLUB EMAIL OF TEAM MANAGER : PHONE NOS (W) (H) MOBILE (Compulsory) COMPETITOR NAME M/F DATE OF BIRTH AGE AS AT 1/1/14 NAME OF HORSE NAME OF HELPER PREFERRED PHASE 1. 2. 3. 4. ENTRY FEE: $75.00 PER COMPETITOR GROUND FEE: $20.00 No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase, however helpers will be allocated by the Tetrathlon Sub-Committee where required. DECLARATION: ENTRIES TO: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon. PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION FORM Club delegates are to complete the Team entries online at www.pcawa.com. Rally, Competancy and Qualification declarations are to be manually completed and sent to PCAWA, 303 Cathedral Ave, Brigadoon. 6069. Full manual entries are only available to those clubs who have no internet access and will only be accepted with prior permission from the PCAWA Office. ENTRIES CLOSE: Tuesday March 3rd (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED Individuals who wish to be placed in a composite team please include your email details and phone number on the back of this sheet and on the online entry. 8

2015 Go For 2 & 5 Tetrathlon 14 th & 15 th March Log Fence Pony Club SAMPLE ENTRY FORM FOR TET 65cm (D GRADE) CLASSES (Riders aged 16 Years 25yrs) (Use One Form per Team) NAME OF TEAM MANAGER PONY CLUB EMAIL OF TEAM MANAGER : PHONE NOS (W) (H) MOBILE (Compulsory) COMPETITOR NAME M/F DATE OF BIRTH AGE AS AT 1/1/14 NAME OF HORSE NAME OF HELPER PREFERRED PHASE 1. 2. 3. 4. ENTRY FEE: $75.00 PER COMPETITOR GROUND FEE: $20.00 No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase, however helpers will be allocated by the Tetrathlon Sub-Committee where required. DECLARATION: ENTRIES TO: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon. PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION FORM Club delegates are to complete the Team entries online at www.pcawa.com. Rally, Competancy and Qualification declarations are to be manually completed and sent to PCAWA, 303 Cathedral Ave, Brigadoon. 6069. Full manual entries are only available to those clubs who have no internet access and will only be accepted with prior permission from the PCAWA Office. ENTRIES CLOSE: Tuesday March 3rd (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED Individuals who wish to be placed in a composite team please include your email details and phone number on the back of this sheet and the online entry 9

2015 Go For 2 & 5 Tetrathlon 14 th & 15 th March Log Fence Pony Club SAMPLE ENTRY FORM FOR TET 80cm (C GRADE) CLASSES (Riders aged 11-15 years inclusive) (Use One Form per Team) PONY CLUB NAME OF TEAM MANAGER EMAIL OF TEAM MANAGER : PHONE NOS (W) (H) MOBILE (Compulsory) COMPETITOR NAME M/F DATE OF BIRTH AGE AS AT 1/1/14 NAME OF HORSE NAME OF HELPER PREFERRED PHASE 1. 2. 3. 4. ENTRY FEE: $75.00 PER COMPETITOR GROUND FEE: $20.00 per HORSE No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase, however helpers will be allocated by the Tetrathlon Sub-Committee where required. DECLARATION: ENTRIES TO: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon. PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION Club delegates are to complete the Team entries online at www.pcawa.com. Rally, Competancy and Qualification declarations are to be manually completed and sent to PCAWA, 303 Cathedral Ave, Brigadoon. 6069. Full manual entries are only available to those clubs who have no internet access and will only be accepted with prior permission from the PCAWA Office. ENTRIES CLOSE: Tuesday March 3rd (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED Individuals who wish to be placed in a composite team please include your email details and phone number on the back of this sheet and the online entry 10

2015 Go For 2 & 5 Tetrathlon 14 th & 15 th March Log Fence Pony Club SAMPLE ENTRY FORM FOR TET 80cm(C GRADE) CLASSES (Riders aged 16 25 years inclusive) (Use One Form Per Team) PONY CLUB NAME OF TEAM MANAGER EMAIL OF TEAM MANAGER : PHONE NOS (W) (H) MOBILE (Compulsory) COMPETITOR NAME M/F DATE OF BIRTH AGE AS AT 1/1/14 NAME OF HORSE NAME OF HELPER PREFERRED PHASE 1. 2. 3. 4. ENTRY FEE: $75.00 PER COMPETITOR GROUND FEE: $20.00 PER HORSE. No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase, however helpers will be allocated by the Tetrathlon Sub-Committee where required. DECLARATION: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon. PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION ENTRIES TO: Club delegates are to complete the Team entries online at www.pcawa.com. Rally, Competancy and Qualification declarations are to be manually completed and sent to PCAWA, 303 Cathedral Ave, Brigadoon. 6069. Full manual entries are only available to those clubs who have no internet access and will only be accepted with prior permission from the PCAWA Office. ENTRIES CLOSE: Tuesday March 3rd (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED Individuals who wish to be placed in a composite team please include your email details and phone number on the back of this sheet and the online entry. 11

2015 Go For 2 & 5 Tetrathlon 14 th & 15 th March Log Fence Pony Club SAMPLE ENTRY FORM FOR TET 95cm (B GRADE) CLASSES (Riders aged 12-15 years inclusive) (Use One Form Per Team) PONY CLUB NAME OF TEAM MANAGER EMAIL OF TEAM MANAGER : PHONE NOS (W) (H) MOBILE (Compulsory) COMPETITOR NAME M/F DATE OF BIRTH AGE AS AT 1/1/14 NAME OF HORSE NAME OF HELPER PREFERRED PHASE 1. 2. 3. 4. ENTRY FEE: $75.00 PER COMPETITOR GROUND FEE: $20.00 per Horse No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase, however helpers will be allocated by the Tetrathlon Sub-Committee where required. DECLARATION: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon. PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION ENTRIES TO: Club delegates are to complete the Team entries online at www.pcawa.com. Rally, Competancy and Qualification declarations are to be manually completed and sent to PCAWA, 303 Cathedral Ave, Brigadoon. 6069. Full manual entries are only available to those clubs who have no internet access and will only be accepted with prior permission from the PCAWA Office. ENTRIES CLOSE: Tuesday March 3rd (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED Individuals who wish to be placed in a composite team please include your email details and phone number on the back of this sheet and the online entry. 12

2015 Go For 2 & 5 Tetrathlon 14 th & 15 th March Log Fence Pony Club SAMPLE ENTRY FORM FOR TET 95cm (B GRADE) CLASSES (Riders aged 16-25 years inclusive) (Use One Form Per Team) PONY CLUB NAME OF TEAM MANAGER EMAIL OF TEAM MANAGER : PHONE NOS (W) (H) MOBILE (Compulsory) COMPETITOR NAME M/F DATE OF BIRTH AGE AS AT 1/1/14 NAME OF HORSE NAME OF HELPER PREFERRED PHASE 1. 2. 3. 4. ENTRY FEE: $75.00 PER COMPETITOR GROUND FEE: $20.00 per Horse No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase, however helpers will be allocated by the Tetrathlon Sub-Committee where required. DECLARATION: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon. PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION ENTRIES TO: Club delegates are to complete the Team entries online at www.pcawa.com. Rally, Competancy and Qualification declarations are to be manually completed and sent to PCAWA, 303 Cathedral Ave, Brigadoon. 6069. Full manual entries are only available to those clubs who have no internet access and will only be accepted with prior permission from the PCAWA Office. ENTRIES CLOSE: Tuesday March 3rd (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED Individuals who wish to be placed in a composite team please include your email details and phone number on the back of this sheet and the online entry. 13

2015 Go For 2 & 5 Tetrathlon 14 th & 15 th March Log Fence Pony Club SAMPLE ENTRY FORM FOR TET 1.05m CHAMPIONSHIP CLASSES (Use One Form Per Team) PONY CLUB NAME OF TEAM MANAGER EMAIL OF TEAM MANAGER : PHONE NOS (W) (H) MOBILE (Compulsory) COMPETITOR NAME M/F DATE OF BIRTH AGE AS AT 1/1/14 NAME OF HORSE NAME OF HELPER PREFERRED PHASE 1. 2. 3. 4. ENTRY FEE: $75.00 PER COMPETITOR GROUND FEE: $20.00 per Horse No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase, however helpers will be allocated by the Tetrathlon Sub-Committee where required. DECLARATION: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon. PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION ENTRIES TO: Club delegates are to complete the Team entries online at www.pcawa.com. Rally, Competancy and Qualification declarations are to be manually completed and sent to PCAWA, 303 Cathedral Ave, Brigadoon. 6069. Full manual entries are only available to those clubs who have no internet access and will only be accepted with prior permission from the PCAWA Office. ENTRIES CLOSE: Tuesday March 3rd (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED Individuals who wish to be placed in a composite team please include your email details and phone number on the back of this sheet and the online entry.. 14

2015 Go For 2 & 5 Tetrathlon 14 th & 15 th March Log Fence Pony Club SAMPLE ENTRY FORM FOR OPEN CLASSES (Competitors MUST BE 18 years of age & over as at 1/1/15) CLASS 21: Running: 1,500 Metres CLASS 22: Running: 1,500 Metres CLASS 23: Running: 1,500 Metres (Scoring as for PCAWA Grade A) (Scoring as for PCAWA Grade B) (Scoring as for PCAWA Grade C) Swimming Swimming Swimming Shooting Shooting Shooting Cross Country Riding (Maximum height 1.05 m) Cross Country Riding (Maximum Height 0.95 m) Cross Country Riding (Maximum Height 0.80 m) CLASS ENTERED (tick box) CLASS 21 CLASS 22 CLASS 23 FOR TEAM ENTRIES NAME OF TEAM MANAGER/CAPTAIN EMAIL ADDRESS PHONE NUMBERS: (H) MOBILE (Compulsory) P/CODE NAME OF COMPETITOR EMAIL ADDRESS FOR INDIVIDUAL ENTRIES DO YOU WISH TO BE PLACED IN A COMPOSITE TEAM, IF POSSIBLE: PCAWA Open Rider Registration Number PHONE NUMBERS: (W) (H) FAX (if any) YES / NO COMPETITOR NAME PCAWA OPEN RIDER REGISTRATION NUMBER NAME OF HORSE NAME OF HELPER PREFERRED PHASE ENTRY FEE: *$75.00 PER COMPETITOR AND RIDERS MUST BE REGISTERED AS OPEN RIDERS WITH PCAWA Ground Fee: $20.00 per Horse Entries Close : Tuesday March 3rd (5PM) 15

PCAWA Headquarters, State Equestrian Centre, Cathedral Avenue, Brigadoon, 6069 Telephone: 08 9296 1500 Fax: 08 9296 1545 Email: tetrathlon@pcawa.com 2015 Go For 2 & 5 Tetrathlon 14 th & 15 th March Log Fence Pony Club INFORMATION FOR OPEN COMPETITORS Open Rider Information As per PCAWA Council Res 07/12 all Tetrathlon competitors must have completed at least one round of a cross country course at the level they wish to enter on that mount in the previous 12 months. This may include a cross country course at an ODE, Hunter Trials or Tetrathlon. This excludes Training Rounds. QUALIFICATION DETAILS Rider Name Horses Name Date Event Height Completed ENTRIES CLOSE: Tuesday March 5th (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES ACCEPTED Open Tetrathlon Riders : To compete in an Open PCAWA class riders must be registered with PCAWA as an Open Rider. CLICK HERE for more information or to register. To Complete Entries Open riders need to download an entry Spreadsheet from the Tetrathlon page of the PCAWA Website and then forward completed entry to tetrathlon@pcawa.com DISCLAIMER OF LIABILITY The Organising Committee of the Tetrathlon, the PCAWA, and the Log Fence Pony Club do not accept any liability for any accident, damage, injury or illness to horses, owners, riders, ground, spectators or any other person or property whatsoever. Competitors compete at their own risk. 16

2015 Go For 2 & 5 Tetrathlon 14 th & 15 th March Log Fence Pony Club SAMPLE ENTRY FORM FOR OFF THE TRACK PRIZES The Off The Track Program in conjunction with RWWA and the TAB are offering a prize in each class to the best performed exracehorse or Standardbred. Please fill in the details below of riders from your club who would like to nominate their horse to be in the running for these prizes. Riders will need to be able to nominate their horses RACING NAME. Club Rider Horses Racing Name Class Entered 17

2015 PCAWA Go For 2 & 5 Tetrathlon Championships SATURDAY NIGHT DINNER Please complete manually and then log onto www.pcawa.com to the Tetrathlon page complete this form along with the rest of your team entries by 3 rd March 2015. No orders will be accepted on the day. NO FAXED / LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED An evening meal will be organised for the Saturday night at a cost of $20 per person consisting of a main meal and dessert. The dinner will commence at 6.00pm onwards. CLUB: CONTACT PERSON: PHONE NUMBER: FAMILY NAME: NUMBER ATTENDING: TOTAL COST per family: $20.00 p/p TOTAL COST: To be included with entry forms $ 18

2015 PCAWA Go For 2 & 5 Tetrathlon Championships APPLICATION FOR YARDS Limited yards are available and will be allocated on a first in basis for each club. Cost $10 per yard. CLUB: NAME OF RIDER NAME OF HORSE/ PONY Total Yards @ $10 TOTAL $ Please add this total to the relevant section on the entry cover sheet.. 19

2015 TETRATHLON RALLY QUALIFICATION DECLARATION CLUB: RIDER RIDER DOB MOUNT DISCLAIMER SIGNED (DATE) We, the undersigned, do hereby declare that the above named Horse & Rider Combinations have completed three (3) Pony Club Rallies, at least two (2) of which were completed at the Club the combination will be representing in this competition. We, the undersigned, have read and understood the definition of a Working Rally in the PCAWA Handbook, and declare that the Rallies used for Qualification were undertaken in accordance with the abovementioned definition. We also verify that the PCAWA Member Disclaimer has been signed and is held by the Club.. Club Coach Coordinator: Compulsory Signature Name Signed Date Club President / Secretary: Please Circle Compulsory Signature Name Signed Date 20

2015 Go For 2 & 5 Tetrathlon Championship COMPETANCY DECLARATION CLUB NAME: We also attest that each of the above riders entered in this event has been adequately prepared for each phase and that they are capable of successfully completing ALL phases of the competition. This includes the ability to run 1500metres in warm weather, swim for 4 minutes, shoot with the supplied rifles and ride their mount safely around the relevant cross country course. Remember it is the responsibility of each Club Coach Coordinator to make this call for all their club s Pony Club Competitors. We also certify that each combination has successfully completed a cross country at least one round of a cross country course at the level they wish to enter on that mount in the previous 12 months. We certify that this was a cross country course at an ODE, Hunter Trials or Tetrathlon and was not a Training Round. Club Coach Coordinator: Compulsory Signature Name Signed Date Club President / Secretary: (Please Circle) Compulsory Signature Name Signed Date 21

Pony Club Association of Western Australia Inc 2015 Go for 2 & 5 Tetrathlon Championship DECLARATION OF QUALIFICATION (To be filled in by each rider/parent) Name of Rider: Name of Horse: Previous Names by which this Horse has competed: (1). (2) (3).. Name of Event: Period of Qualification: 18 th March 2014 to 3 rd March 2015 Grade Entered: I,., do hereby declare that I have NOT completed two events or one Tetrathlon (as per PCAWA Tetrathlon Rule 1) in the twelve month period proceeding this event, riding the horse I have entered in the event above, at a grade HIGHER (either PCAWA or EFA or FEI) than the one for which I have entered, and that I am, therefore eligible to compete for any prize award at this event. I also declare that I have completed at least one round of a cross country course at the level I wish to enter on my mount in the previous 12 months as per the conditions laid down in PCAWA Council Resolution 07/12. Signed (Rider): OR Parent or Guardian:. (if under 18 years) PLEASE NOTE : It is the responsibility of the rider to understand the rules of qualification and to enter only classes for which they are qualified. In the case of a rider found to be competing in a Grade for which they are not qualified, they will be asked to return any prizes awarded for that event and forfeit their right to any cumulative recognition of that event as a future qualifier. 22

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