Silver Entry Form

All online entries must now be paid via Email Money Transfer. Please calculate (see calculations below) and send your payment before submitting your entry form. The E-Transfer password, LDAdressage, and confirmation number will need to be entered in the entry form below before submitting. Send to etransfer@londondressage.com

Online Entries due:

May 26, 2019 show by Friday May 17 at 6:00 PM
June 23, 2019 show by Friday June 14 at 6:00 PM
July 21, 2019 show by Friday July 12 at 6:00 PM
Aug 11, 2019 show by Friday August 2 at 6:00 PM
Sept 8, 2019 show by Friday August 30 at 6:00 PM

Email money transfers are now mandatory for online entries. Please remember to include the password and confirmation number before submitting your form.

Entry fees are:

$30 per class (except Pas de Deux, Pas de Trois, Quadrille $15 per entry)
$20.00 Admin fee
$7.91 Drug fee
$10.00 DC Levy

$20 late fee for entries received after 6pm on due date
add $20.00 Non LDA Member fee (add this amount only if not an LDA member)

	Silver
	Member	Non-member
1 Test	$67.91	$87.91
2 Tests	$97.91	$117.91
3 Tests	$127.91	$147.91
4 Tests	$157.91	$177.91

	* Pas De Deux, Pas de Trois, Quadrille add $15 per entry

For a complete list of classes go to the Dressage Tests page here

Silver Entry Form

Show Date *
Are you a LDA member?
NoYes
LDA Membership Number
Horse Name *
Passport Number *

Rider Details

Status *

Date of Birth mm/dd/yy *

Rider First and Last Name *

Phone *

Email *

Address *

City *

Postal Code *

OEF# *

EC# *

T.I.P. #

Owner same as Rider? *
NoYes

Owner Details

Owner First & Last Name

Phone

OEF #

EC #

Ride One - Level
Ride One - Test
Ride Two - Level
Ride Two - Test
Ride Three - Level
Ride Three - Test
Ride Four - Level
Ride Four - Test
Misc. Class Team Members
Please enter all the names of the riders for groups tests such as Pas de Deux

Important!

ASSUMPTION OF RISK AND RELEASE OF LIABILITY I hereby certify that every horse and/or rider is eligible as entered and agree for myself and my representatives to be bound by the Consitution and Rules of Equine Canada at this competition. It is hereby recognized that all equestrian sports involve inherent risk and that no helmet or protective equipment can protect against all forseeable injury. I hereby accept this risk and hold harmless Equine Canada, Ontario Equestrian Federation, Cadora-Ontario, London Dressage Association, Eastwood and their officials, organizers, agents, employees, volunteers and their representatives. I hereby declare that I have read, understand and agree to adhere to the rules and regulations included in the Prize List. Please read the Liability Release Form It is understoond that ALL riders must wear an ASTM/SEI or BSI/BS EN approved helmet. If a rider does not meet this requirement, he/she will not be allowed to compete at these competitions. In the event that the rider participates in an Equine Canada sanctioned competition where protective headgear is required for juniors, he/she will wear properly fitted and fastened approved headgear at all times while riding or driving at the event location. It is understood that juniors not meeting this requirement will not be allowed to compete at these competitions. See Rules of Equine Canada, Section A, General Regulations, ArticleA905, Headgear.

Do you understand?

NoYes

I am eligible to enter and old enough to legally sign the competition entry and waiver. *

NoYes

Rider Signature *Please type first and last name. Guardian if under 18.

Person Responsible *Please type first and last name. Guardian if under 18.

EC participant/non-competitive licence *

Owner Signature Please type first and last name. Guardian if under 18.

Email Money Transfer Password Enter password LDAdressage.
Email Money Transfer Confirmation Please paste the confirmation number you received after submitting your email money transfer.

Verification

Skill testing question. 55 - 15 = ? *
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