O.A.D.G. Anne Gribbons Defining the Movements Clinic May 19, 20, 2012

Rider Registration Form

Format and Schedule: The clinic is open to riders who are members of the O.A.D.G. from 2011 and 2012. The format includes eight private lessons, approximately 45 minutes each, which will take place on each of Saturday and Sunday at the BenHaven Farm, 1954- 9th Line Beckwith, Carleton Place, ON K7C 3P2. Clinic hours are from 8:30 a.m. to 5:00 p.m., both days. Lunch is included in the rider registration fee (for riders only) and served on site, Sat. and Sun. Ms. Gribbons will field questions before lunch, during walk breaks and following each ride, time permitting. Anne may request to ride your horse, in order to demonstrate a particular movement, etc. The clinic may be video-taped.

Auditors: The clinic will appeal to a broad spectrum of auditors, both specifically for dressage and also for sound training principles. Auditors will find this clinic to be particularly beneficial due to Ms. Gribbons’ considerable teaching skills and her engagement of the audience, encouraging questions throughout the riding sessions and lecture.

Rules:

  1. Riders must ride the horses listed on their registration, or if unavailable, must receive permission from the Clinic Secretary to substitute a horse. Riders wishing to substitute horses must complete an additional registration form, and must have a history of riding the horse.
  1. For insurance purposes, riders and the horse owners must be members of their provincial equestrian sport organization (e.g. OEF or Quebec) and provide a photocopy of their 2012 membership card(s). Photocopy of 2011 card can be followed with copy of 2012 card by May 14, if your card is late.
  1. Riders must wear an ASTM/SEI approved safety helmet at all times while mounted.
  1. Turn-out: All horses must be braided, so that Ms. Gribbons can accurately see the neck position. Riders must be smartly turned out, with clean boots and attire fitted so that the rider position can be assessed.
  1. Horses must arrive at the Clinic sound, fit and in good health. 2012 Coggins Test photocopy must be included with the registration (2011 Coggins Test results can be included with 2012 results to be sent by May 14).
  1. Contact Information: Please post your contact information on your horse’s stall door, in case of emergency (i.e. cell phone number, vet emergency phone number, farrier phone number).

Deadlines: Completed registration form, including full payment must be received by the OA.D.G. on or before the date of Friday, April 30, 2012; cheques dated not later than April 30, 2012. The O.A.D.G. is not responsible for late or misdirected mail. The O.A.D.G. will confirm receipt of your registration by email or phone. If you do not receive confirmation of receipt, please contact the Clinic Secretary before the deadline. The cheque from an alternative rider will not be deposited but shall be shredded (or returned to the rider at the clinic if preferred), unless the rider replaces one of the selected riders.

Rider Fee: $250 for 2 days for O.A.D.G. members only, who were members in 2011 and have their 2012 membership. Riders who wish to ride only one day may apply and will be considered, depending on the number of applicants, but preference will be given to riders who apply to ride for both days.

The fee includes two private lessons, one on each day of the clinic and lunch each day. The clinic fee does not include stabling or rider accommodations. The full fee must accompany the registration. Cheques should be made payable to the O.A.D.G.

Cancellations: Riders who cancel for whatever reason will receive a refund less a $25 processing fee, only in the event a replacement rider can be found by the O.A.D.G. If no replacement is available, the rider will not receive a refund. If the clinic itself is cancelled, all applicants shall receive a full refund.

Stabling: Take advantage of renting a stall to enjoy learning from the other rides, to maximize the benefit of Anne Gribbons’ teaching. Box stall stabling is available starting Saturday at the BenHaven Farm. The stall rental fee is $75 for 2 nights and days OR $30 per day. Stall payment must be included with the registration. Horses must arrive no earlier than 4:00 p.m. Friday, May 18. All stalls must be vacated by 5:00 p.m. Sunday, May 20. Shavings are included with the stall fee. Riders must bring their own feed (grain, feed, hay and feed and water pails), and extra shavings. Lots of trailer parking available.

Riding Times: To be posted on the week before the clinic.

Hotels: See separate listing on OADG web site.

Selection Criteria for Qualifying Applicants:

  1. Riders must be paid up members of the O.A.D.G., in 2011 as well as in 2012.
  1. Riders and horses will be selected by the O.A.D.G Education Committee, to represent the various levels (i.e. Training, Levels 1-4, etc.).
  1. Riders must have competed in at least 3 shows in the Ottawa area since 2011.
  1. The O.A.D.G. reserves the right to select riders and horses most suitable for the clinic.

Questions: Any questions can be directed to the Clinic Secretary, Caroline Anderson at 613-316-3847, .

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O.A.D.G. Anne Gribbons Defining the Movements Clinic May 19, 20, 2012

Rider Registration Form

Rider Information (Please Print)

Rider Name: / Provincial Organization
(OEF)
Address: / Provincial Organization #
(Quebec):
City/Prov: / Rider Phone:
Postal Code: / Rider Cell Phone:
Rider Date of Birth
(if under 19): / Rider Email:
Current coach/trainer: / Coach Email or Phone:
Which nights will the horse will be stabling on site? / Or which day will the horse will be stabling on site?

Horse Information:

Horse’s name: / Breed & Colour:
Age: / Current Training Level:
Sex (Mare, Gelding, Stallion): / Last Level Shown:
Owner’s Name: / Owner’s Cell Phone #:
Owner’s email: / Owners’ Provincial Organization
(OEF):
Owner’s Phone #: / Owner’s Provincial Organization #
(Quebec):

Payment: O.A.D.G. members only: $250 for 2 days plus optional stabling fee, payable to the O.A.D.G. Full payment for the clinic and stall must accompany the registration. Cheques will be processed only for riders who are selected to ride in the clinic. Otherwise the cheques are destroyed.

Alternate Riders only: If you are registering as an alternate rider, please indicate the latest date you could be notified to ride in the clinic, in the event that a selected rider cannot ride: ______, 2012.

Waiver of Liability and Release:

In consideration of acceptance of this registration, or my being permitted to take part in the O.A.D.G. Anne Gribbons Clinic May 19 and 20, 2012, I agree to save harmless and keep indemnified, for myself and my heirs, successors and assigns, O.A.D.G., its officers, directors and volunteers, BenHaven Farm, Ms. Anne Gribbons, and any of their respective agents, officials, servants and representatives (the “Releases”) from and against all claims, actions, costs, expenses and demands in respect of death injury, loss or damage to my person or property, howsoever caused, arising out of or in connection with my taking part in this event and notwithstanding that the same may have been contributed to or occasioned by negligence of the Releases. ASTM/SEI Helmets are to be worn at all times while mounted. I fully understand that horseback riding, handling and grooming of horses, and other horses, and other horse related activities are very dangerous. I accept and assume all risks of injury (including death) to me, or any damage to my property arising out of participation in the O.A.D.G. Anne Gribbons Clinic.

Signature of Rider:______Date: ______

Witness (Print name and sign): ______

If the rider is under 19 years old, the parent/guardian must sign. I acknowledge that as

parent/guardian of ______, that I have read and fully understand

and agree with the terms and conditions stated herein on behalf of ______

and myself.

Parent/Guardian: ______Date: ______

I confirm that there is liability coverage in force with respect to the ownership of the named horse.

Signature: ______

Cheque included payable to O.A.D.G. $250 and optional stabling($75 for 2 nights and days; OR $30/day)?

Photocopy of 2012 Coggins Test included (or 2011 copy to be followed by 2012 copy)?

Photocopy of OEF or Quebec 2012 membership card included (for horse owner also, if different from rider) (or 2011 copies to be followed by 2012 copies)?

Please complete this form and mail with cheque, etc., to be received by April 30, 2012 to:

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