TOCUMWAL PONY CLUB INC
Incorporation No: Y02228-07
HORSE TRIALS & COMBINED TRAINING
Sunday 10th August, 2014
ENTRIES CLOSE 1st AUGUST, 2014
ENTRIES RECEIVED AFTER THE CLOSING DATE WILL INCUR A LATE ENTRY FEE OF $10
At Tocumwal Recreation Reserve, Barooga Road, Tocumwal NSW 2714.
Event Secretary: Susie Baldwin - 0419 569780 Email:
Times will be posted on
RIDERS MAY COMPETE IN BOTH HT’s & CT
PRIZES
Horse Trial Winners in each grade to receive a Trophy Rug, Sashes to 6th place.
Open Horse Trial winners to receive Trophy prize, Sashes to 6th place.
All Combined Training Winners in each grade to receive a Trophy Prize,
Sashes to 6th place.
Current 2013 Dressage tests to be used from the PCAV Website
SECTION 60m x 20m arenas for grade 3
PCAV HORSE TRIALS / GRADE 1 TO GRADE 5 / TEST COPEN RIDERS HORSE TRIALS / GRADE 1 TO GRADE 4 / TEST C
PCAV & OPEN COMBINED TRAINING / GRADE 1 TO GRADE 5 / TEST C
Horse Trials, Cross Country & Show jumping Maximum heights and spreads in meters.
Grades / 1 / 2 / 3 / 4 / 5Max Height / 1.05 / 0.90 / 0.75 / 0.60 / 0.45
Max Spread @ Highest Point / 1.20 / 0.90 / 0.75 / 0.60 / 0.45
Max Spread @ Base / 1.80 / 1.50 / 1.00 / 0.75 / 0.60
Camping (showers) and limited yards are available.
Yards must be pre-booked.
ALL TEMPORARY OVERNIGHT YARDS MUST BE PACKED UP BY 7.30 AM SUNDAY
Catering Available from 7am - All Day
Please read conditions of entry on next page before completing Entry Form
Conditions of Entry
Entering this completion constitutes acknowledgement that PCAV rules apply and acceptance of these rules.
Incomplete or late entries will incur a fee of $10
1. Horse Trials fee for PCAV members is $35 per entry.
2. Horse Trials fee for Open (Non-PCAV members) is $55 per entry.
3. Combined Training fee for PCAV members is $20.
4. Combined Training fee for Open (Non-PCAV members) is $35 per entry.
5. Open rider’s $10 insurance fee is included in this price.
6. All Open Riders must sign a Day Attendance Form. PCAV Members who produce their card do not have to pay the $10 insurance fee.
7. No refunds after closing except with vet or medical certificate, an administration fee of $10 will apply.
8. Entering this competition constitutes acknowledgement that PCAV rules apply and acceptance of these rules.
9. The organising committee reserves the right to cancel any class or competition; divide any class; alter times; refuse any entry with or without stating reason.
10. Competitors may ride more than one horse competitively as per PCAV By Law 33.8
11. PCAV Membership cards must be inspected at the Secretary’s Office before riding.
12. PCAV uniform and open riders equivalent is required for Presentation.
13. PCAV gear check rules apply and are required before each phase of the competition.
14. Helmets may be spot checked at gear check.
15. Current Medical Armbands MUST be worn by all competitors.
16. Queries, protests, horse abuse, rules as per PCAV Handbook By-Laws.
17. Dogs are prohibited without exception – will result in instant elimination.
18. Riders under eight years of age may not compete in horse trials, horses must be at least four years of age, no stallions, colts or rigs.
19. Competitor numbers: Body numbers will be provided by the organising committee for all riders, to be worn for all phases. No bridle or saddlecloth numbers will be allowed.
20. PCAV Policies including Smoke Free and Alcohol applies.
21. Neither the organising Committee of this competition nor the PCAV accepts responsibility whatsoever for any accident damage injury or illness to horses and or riders, ground spectators or any other person or property.
22. Protests must be in writing and signed by their Club’s DC (or nominated representative) and accompanied by a fee of $50. There will be no protests in G5.
23. Each club to provide one volunteer cross country judge (must be over 16 years) per three riders. You must nominate the Judge(s) on the entry form. Entries will not be accepted if there are no cross country judge(s) nominated.
24. Lunging is not permitted at any time. There is no enclosed lunging area.
Complete this form and send (with Payment, Declaration & Day Attendance), cheques made out to Tocumwal Pony Club Inc
PLEASE NOTE: All Yards must be pre booked prior to sending payment with Susie Baldwin 0419 569780
PONY CLUB RIDERS Club Name ______
NAME / AGE / HORSE / GRADE / CT$20 / HT
$35 / Camp
$10 / TOTAL
FINAL TOTAL
DC Signature ______Rider/Guardian Signature______
CONTACT PHONE NUMBER______
Volunteer Cross Country Judges (every entry form must have at least one judge). One Cross Country Judge per 3 riders
Judge Name ______Judge Name ______Judge Name ______
OPEN RIDERS
NAME / HORSE / GRADE / OPEN CT$35 / PCAV MEM CT $25 / OPEN HT
$55 / PCAV MEM HT
$45 / Camp $10 / TOTAL
FINAL
TOTAL
CONTACT PHONE NUMBER______Rider/Guardian Signature______
Volunteer Cross Country Judges would be appreciated
Judge Name ______Judge Name ______
Post To - Event Secretary: Susie Baldwin, Tocumwal Pony Club, PO Box 57, Tocumwal NSW 2714
Day Attendance Application for Open Sections
Who signs the form: All open section participants must complete one of these forms before riding.
Who pays $10: Non-pony club members must pay $10 per day of participation.
Pony club members (PCAV and Interstate) do not pay the fee providing they
present their pony club card to prove they are current club members.
If a pony club card is not presented, the $10 fee must be paid.
There is no personal accident cover for non-pony club members but there is Public Liability cover.
Ensuring this form is completed fulfills Bylaw 29 and enables the Club to be covered by Public Liability
Competition Details
Name of Pony Club Hosting this Event: ......
Competition/Activity Name: ......
Competition Venue/Address:......
Competition Dates: From ………………………………………. To ………………………………… Inclusive
Attendee Details
Full Name (Participant):…………………………………………………………………………………………………….
Full Name (Guardian if participant under 18years):
Address: ……………………………………………………………………………………………………………………..
Suburb/Town: ……………………………………………………………….…. State: Postcode: ………...
Participant Date of Birth: ………………………………………………….……. Age: …………..….
Best Daytime Contact Phones: …………………………………………….……………………………………………
Email: ………………………………………………………………………………………………………………………..
Horses Names: …………………………………………………………………….…………………………………….…
Address horse travelled from/to:......
Vehicle/Float Reg No…...... Vehicle Type: ……………………………………………..
Page 2 must always be completed and page 3 for all non-pony club members
ORGANISING COMMITTEE USE ONLY
Day Attendance fees paid $……………………..………………. Receipt No………………………………………..
Name of event secretary/nominee collecting form: ……………………………………………………………………
Signature: ………………………………………………………………..…………………. Date:………………………
$10 fee per day: payable by anyone who cannot present a current pony club member card.
The host club must remit all the fees collected as one cheque plus, an official Day Attendance Summary form to the PCAV State Office,73-75 MACKIE RD, MULGRAVE. VIC. 3170 within seven working days.
Organising Committee Statement of Riding Requirements
The organising committee must state what riding requirements (specifications) apply for each grade/class/section of the competition/activity. The specifications must be detailed on the entry information before accepting an entry. The statement must advise: -
A) Which grade the specifications will be equivalent to, if applicable
B) Maximum jump heights and spreads, if applicable
PCAV Club Members and Interstate Pony Club Members
- Must sign a Day Attendance form when participating in an open section/activity
- No day attendance fee is applicable
- The ‘grade/riding specification’ selected by a pony club member in an open section may be different to the grade(s) on the PCAV club member card, providing they declare by signing, that they are competent to do so.
- Pony club members may ride in an open or a pony club section on the same mount except in horse trials.
Non-Pony Club Members
- Must sign a Day Attendance form
- Must pay $10 per day (i.e. $20 if the event runs over two days)
Participant Agreement and Declaration of Competency
I, the Participant or I the Guardian if participant is under 18 years of age, declare and agree that -
- The Participant and Guardian (if applicable) understand the requirements for the competition/activity including any jumping heights/spreads.
- The Combination (horse and rider) is competent and sufficiently experienced to complete the competition/activity in a safe manner.
- The Participant and Guardian (if applicable) will inspect all relevant riding arenas, jumping and/or cross-country courses prior to riding and will withdraw from the competition/activity if upon inspection, the Combination’s level of competency and experience is not suited for the competition/activity.
- If withdrawing from the competition, the combination may ride in another section/grade only at the organising committee’s discretion and if they can be accommodated without inconvenience. If withdrawing without participation, there is no obligation to refund incorrect entries.
- I/we will abide by the PCAV rules, policies and codes whilst attending the pony club competition/activity.
- At this competition/activity, I am competent to enter into (tick applicable boxes and complete details): -
Dressage Grade//Section(s) ………………………………………………………………………………
Showjumping Grade/Section(s) ……………………………………………………………………..……..
Other …………………………………………………………………………………………………………..
Participant if over age 18 or Guardian signature:…………………………………………………………… Date:……………….
Waiver – non-pony club members
(Applicable for anyone who cannot present a current pony club member card)
In consideration for being permitted to participate in any way in horse sport activities and in particular this event, I, 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 Pony Club Association of Victoria Inc and/or the event organiser (hereafter referred to as the "release’s") 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 directions of any event organiser or official and that any misconduct or refusal by me to follow any 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 release’s against all claims made by any person as a result of my failure to comply.
I agree to wear a helmet at all times whilst participating in the sport where this is required under the relevant Pony Club rules and regulations and agree that I am solely responsible for ensuring that whilst participating I wear a suitable helmet at all times where required under the relevant Pony Club rules and regulations and take sole responsibility for my actions.
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 Pony Club Association of Victoria Inc and/or the event organiser, their officers, officials, volunteers, coaches, agents and/or employees and/or other pony clubs (all of whom are referred to as "release’s") with respect to any and all injury, disability, death, or loss or damage to person or property, whether caused by the negligence of the releases 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, and sign it freely and 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 release’s, 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
For Participants of Minority Age (Under Age 18)
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 release’s, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the releases’ 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 Release’s
Dated: ______/______/______Signature of parent/guardian
Pony Club Association of Victoria Inc. A0013413STOCUMWAL PONY CLUB INC PROG WORD 2013 Page 1 of 8