SWAN RIVER DRESSAGE MEMBERSHIP FORM - 2017
Swan River Dressage (SRD) aims to foster the development of riders and judges through friendly and inclusive events, rewarding people who are there in the spirit of the sport, whether riders, supporters or volunteers.
In line with our goal of holding friendly and inclusive events we will endeavour to offer riders the opportunity to enter the full range of competitions from Preliminary to Grand Prix, as well as other development activities such as protocol days, clinics, workshops and Young Dressage Horse events.
Membership
- SRD membership numbers are limited by our insurance policy
- SRD gives members the option of priority entry (24 hours) to events, clinics, protocol days
- SRD membership entitles members to ride in our restricted SRD club events
- SRD members may be eligible for a leaderboard title
- SRD members may also have 2nd tier eligibility to events with clubs we are in partnership with, such as Swan Valley Dressage Association
- SRD is committed to supporting development of dressage in WA
- Entries for all activities will be via Nominate
The 2017 membership of $20.00 provides excellent value for money, Swan River Dressage always secures top judges and coaches.
The Swan River Dressage is affiliated with Equestrian Western Australia (EWA) and consequently has adopted the rules and regulations of EA, which can be viewed at or Any further rules and regulations will be adopted as they are issued by EA.
Safety is paramount, and the Committee may also refuse to allow a particular rider and/or horse to participate if their behaviour is deemed by the Committee to be potentially dangerous in any way. Before riding at any training or competition days, riders must be aware of any safety notices.
MEMBERSHIP FORM FOR SWAN RIVER DRESSAGE INC
Member details:
Name of rider: ______
If under 18 yrs, date of birth: _____/_____/______
Address:
______
______Postcode: ______
Telephone (home):______
(work) ______(mobile) ______
EWA Membership # (not essential) ______
Email address (for SRD correspondence): ______
Emergency contact (next of kin)
Names: ______
Phone numbers: (mobile) ______(other) ______
Membership
TYPE OF MEMBERSHIP / COSTS / TOTALFor full year in 2017 / $20.00
TOTAL AMOUNT OWED / $
Email this form to –
Bank Payment Details for Swan River Dressage - BSB 066115 Acct 10634524
WAIVER
(read carefully before accepting)
1) I/We hereby agree to all rules and the conditions stated in relation to the acknowledge and understand that neither the owners of venues used for activities, the Swan River Dressage (Inc)
2) I/We have read and agree to abide by the Policies and Documents to be found on Equestrian Australia & FEI website equestrian.org.au
3) I/We acknowledge and understand that Swan River Dressage (Inc)'s public liability insurance states that all riders must wear a current approved hard hat or helmet and smooth soled riding boots.
4) I/We acknowledge and understand that neither the owners of venues used for activities, the Swan River Dressage (Inc), its organising committee, members or any other person acting on behalf of the Swan River Dressage (Inc.) accept liability for any loss, death, accident or injury to horse, participants, spectators or any person or property whatsoever.
5) I/We hereby agree that in the event of storm, rain, wind or other adverse weather or bio-security conditions, the organisers of the event have the right to modify or cancel the event. Their decision will be final.
6) I/We acknowledge that I/we have sole responsibility for my/our personal possessions and equipment during the event and related activities.
7) I/We hereby attest and verify that I/we ‘have sufficiently trained for this event/competition.
8) I/We hereby consent to receive medical or veterinary treatment for myself/ourselves and/or horse/s, which may be deemed advisable in the event of injury, accident and/or illness during the event.
MEMBER DANGEROUS ACTIVITY ACKNOWLEDGEMENT
In consideration of being permitted to participate in any way in horse sport activities, I, the undersigned, understand, acknowledge and accept that:
Horse sports are a dangerous 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.
I understand and acknowledge the dangers associated with the consumption of alcohol or any illegal drugs and agree not to drink alcohol or take drugs prohibited by law before or during any SRD horse sport activities.
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 activities and my immediate removal from my horse NO MATTER where that may occur.
I agree to wear an approved helmet at all times whilst participating in the sport where this is required under the relevant EA and FEI rules and regulations.
I have had sufficient opportunity to read this Waiver and Dangerous Activity Acknowledgement and fully understand its terms and sign it freely and voluntarily.
Dated: ______Signature of rider: ______
For members 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 my minor child’s involvement or participation in horse sport activites.
Name of Parent/Guardian: ______
Dated: ____/____/____ Signature: ______
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