2013 shcv sale winter clinic

7/30/2019 2013 SHCV Sale Winter Clinic

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INFORMATION

This clinic can be attended by financial SHCV members or financial members of a SHC Affiliate Non-Members are welcome to attend at a slightly higher fee and payment of listed insurance fee Lessons commence at 9:00am sharp and finish at 4:00pm. One or Two lessons per horse/rider combination

available. Lessons 45 min duration. If choosing the 2 lesson option, you may wish to use a different horses for each lesson, this if fine however please

be sure to pay the appropriate facility fees. Separate forms for each horse please. Times of lessons will be confirmed prior to the SHCV Winter School at Sale. (email is first preference)

BYO lunch. Tea and coffee provided please bring a cup! If you have any request(s), please make them known when submitting your application to attend the Winter School.

The organising committee will make every effort to accommodate your request(s); no guarantee will be given. One form per person per horse. Additional forms can be downloaded at TUwww.shcv.com.auUT Verifying of horses will be available on the day, by appointment. REFUND: A refund on a booking (less $20 administration fee) will ONLY be given upon the presentation of a Vet

or Doctors Certificate to the organising committee no laterthan 8 July 2013. If notice is received after this date, arefund (less $20 administration fee) will be given providing the organising committee is able to fill the vacatedposition in the Winter School.

Non Members MUST complete and return the SHC Non Member Release of Liability Form and ALL riders/handlers/people entering the indoor arena must complete and return the Gippsland Equestrian Centre Waiver Form.

CLOSING DATE: 26 June 2013 ENQUIRIES: E:[email protected] UT (preferred), Nicole Morrison (0488 791 060) or

Sue-Ellen Latham (0412 523 408)

PAYMENT Cheque or Money Order payable to SHCV Inc. / Credit Card

MEMBERS $50 per horse/rider combination (One lesson ONLY)$85 per horse/rider combination (Two lessons AM & PM)

NON MEMBERS $75 per horse/rider combination (One lesson ONLY)$120 per horse/rider combination (Two lessons AM & PM(These fees include $10 Insurance fee, waiver MUST be completed

STABLING Booking through Gippsland Equestrian Centre 0413 703 720or 03 51 447 711

ONE FORM PER PERSON PER HORSE - Instructor: Darryl Hayes

Name: Riders Age SHCV Member Number

Address:

Email:

Contact Number: Mobile Phone Number:

Emergency Contact: Phone Number of Emergency Contact:

Horse Name: Age: Height:

Riders Ability: Novice Intermediate Experienced Horses Experience: Green Novice Educated

APPLICATION PROCESS

POSTAL ENTRIES

Complete form (one form per person per horse) and post to SHCV by closing date. Attach payment (cheque / money order payable to SHCV Inc or Credit Card) Forward to: SHCV, PO Box 5374, Cranbourne VIC 3977 (both forms MUST be returned)

SHCV WINTER SCHOOL SALEGIPPSLAND EQUESTRIAN CENTRE

26 Hopkins Road, FulhamSUNDAY 21 JULY 2013

Instructor: Darryl Hayes
http://www.shcv.com.au/http://www.shcv.com.au/http://www.shcv.com.au/http://www.shcv.com.au/http://www.shcv.com.au/mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]://www.shcv.com.au/


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PAYMENT SHEET

MEMBERS NAME ......................................................................................................................

ADDRESS:..............................................................................................................................

PHONE: .............................................. EMAIL: ...................................................................

SHCV MEMBERSHIP No............................... (if applicable)

PROCESS REQUIRED: ..............................................................................................................

PAYMENT DETAILS

Please accept my Cheque / Money Order made out to: Show Horse Council of Victoria forthe amount of $ ........................................

CREDIT CARDPAYMENT OPTION: I wish to pay by o Mastercard o Visa

Amount: $.......................................... Expiry Date: .............................................

Card Number: __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __

Cardholders Name: ................................................................................

Cardholders Signature: .......................................................................................................................

Please return this form to :

SHCV Inc

P O Box 5374

CRANBOURNE VIC 3977

OFFICE USE: Recd: Processed:


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Non-Member Application / Entry Form

Release of Waiver of Liability

Full Name of attendee and guardian (if under 18 years) ........................................................................................................

...........................................................................................................................................................................................

Address ................................................................................................................................................................ ...............

State ..............................................Post Code ..................................... Date of birth ............................................................

Horse's name .......................................................................................................................................................................

Event/Activity .....................................................................................................................................................................Address of Event/Activity ....................................... ............................................................................................................

Date of Event/Activity .........................................................................................................................................................

Name of affiliate holding Event/Activity......... ...... ..... ...... ...... ...... ...... ...... ...... ...... ..... ...... ...... ...... ...... ...... ...... ...... ...... ...... .....

Horse Sports are a Dangerous ActivityIn consideration for being permitted to participate in any way in horse sport activities and in particular this event, I, theundersigned, 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 INJURYor 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 the

proprietors of the Show Horse Council of Australasia Inc (hereafter referred to as the "Releasees") or others and I

voluntarily PARTICIPATE at my OWN RISKand 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 Releasees against

all claims made by any person as a result of my failure to comply.

I agree to wear a helmet at all times during the event and agree that I am solely responsible for ensuring that I

wear a suitable helmet at all times 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 the proprietors of the Show Horse Council of Australasia 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 DocumentI 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 withoutinducement 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 ordeath.

Dated: ___/___/___ Signature of rider/guardian

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 Releasees, and, for

myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any andall 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


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CONDITIONS OF USE OF GIPPSLAND EQUESTRIAN CENTRE

NO dogs allowed in the indoor arena or outside loose or tied up tocars or trailers.

There are dog kennels and runs available for $10 per day or $20 overnight

All manure MUST be cleaned up in arena, roundyard, car park, tie uparea before you leave. This is greatly appreciated.

Tea and coffee facilities will be available in the arena. Paper cups willbe supplied.

Stables are available for day use - $20 but bookings must be madeprior by contacting the facility.

Overnight camping is available in trucks and floats from Friday Sunday with the use of shower facilities and toilets. $50 per night

per truck/float.

Barbeque and use of fridge is available for overnight campers. To park your vehicles --- turn LEFT at the end of the driveway and

please shut the gate at entrance. Thank you.

All riders / handlers / people entering the indoor arena MUSTcomplete and return a completed Gippsland Equestrian Centre

Waiver Form.

As this venue is a privately owned facility the SHCV ask that youplease abide by all the above conditions, keep the facility clean

& tidy, place all rubbish in bins provided and treat the venue as you

would your own property.

For all direct enquiries for your personal needs please contactGeoffrey & Hikka Grogan on (03) 51 447711 or 0413 703 720


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WAIVER FORM TO BE SIGNED BY ALL

TERMS AND CONDITIONS OF RIDING AT GIPPSLAND

EQUESTRIAN CENTRE

By signing this document, I understand that I waive my rights to sue the

provider Geoffrey and Hilkka Grogan being the proprietors of Fulham

Lodge Gippsland Equestrian Centre, 26 Hopkins Road, Fulham

Victoria 3851 for any personal injury or death, loss or damage to me

or to any of my possessions.

I understand that horse riding is a dangerous activity and that horses can act

in sudden and unpredictable (changeable way) especially if

frightened or hurt.

I understand and acknowledge that serious injury or death may occur when

riding/handling horses at the property owned by Geoffrey and Hilkka

Grogan at 26 Hopkins Road, Fulham and that I RIDE AT MY OWN RISK

and the proprietors will not be liable for any injury and wave myrights to sue the provider/proprietor for any losses relating to my

injury or death which may result from any negligence caused by the

provider or by riding/handling horses on their property.

NAME..................................................................................................................

ADDRESS.............................................................................................................

SUBURB...................................................................................PC........................

SIGNATURE.........................................................................................................

CONTACT PHONE NO..

DATED.................................................................................................................

2013 shcv sale winter clinic

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