Event Entry Form - Comp #1 2025

Official Entry Form
R.I.D.E.R.S. Seahorse Bronze/Gold Dressage Competition #2
Saturday, August 30th & Sunday, August 31st, 2025

Closing Deadline: Monday, August 25th, 2025 @ 6:00 PM AST
Horse Information

Only 1 Horse Per Entry Form.
Name of Horse*
Breed*
Gender*
Details

HeightAgeColour
EC Horse Recording # (Gold Only)
Please include a copy of EC Horse Recording # in Required Document section below.
Rider Information
Name of Rider*

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone #

Cell

Home

WorkWork

Postal / Zip Code
Email Address*
example@example.com
Rider's Provincial Membership #*
Upload copy in Required Documents below
Rider's EC Sport License #*
Upload copy in Required Documents below
Amateur Status*

YesNo
Division*

EC JRScotia Series JREC AAScotia Series AAEC OPENScotia Series OPEN
Date of Birth (If Junior)

MonthDayYear
Coach Information
Are you self-coached? (EC Only)

YesNo
Name of Coach
Coach Phone Number
Coach EC Sport License #
Please select all that apply:

Registered EC CoachLicensed EC Coach
Horse Owner Information

Please indicate if you are Same as Rider. If Owner is different than Rider, please provide Horse Owner information below.
Owner is Same as Rider*

YesNo
Name of Horse Owner

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone #

Home

Cell

WorkWork

Postal / Zip Code
Email
example@example.com
Owner EC Sport License #
Be sure to attach a copy for our records
Owner Provincial Membership #
Be sure to attach a copy for our records
Person Responsible

If Person Responsible is a Parent of a Junior, neither EC Membership nor Registered Participant License is required but PTSO (e.g ENS) Membership is mandatory. Non-parent Person Responsible(s) must have EC Sport License and PTSO.
I am a Parent of a Junior (Must have PTSO)

YesNot Applicable
I am a Non-Parent of a Junior (Must have PTSO and EC Sport)

YesNot Applicable
PTSO # (e.g NSEF)
EC Sports License #
Name of Person Responsible for Horse (Must be over 18 years of age)*

First NameLast Name
Emergency Contact Information

Someone who will be available throughout the show weekend.
Name of Emergency Contact*

First NameLast Name
Relationship
Parent, Spouse, etc
Phone Number #1

Area CodePhone Number
Phone Number #2

Area CodePhone Number
TESTS OFFERED

Introductory, Training, and First Level Riders may enter a Maximum of 4 tests/day, including Freestyle. Second, Third, Fourth, and FEI Riders may enter a maximum of 3 tests/day, including Freestyle. (E7.11.9) Para Dressage athletes may enter a maximum of 4 tests/day. (E6.4.10)
Please Specify Show Level*

EC Bronze $31/TESTEC Gold $48/TESTScotia Series $38/TEST
Introductory Level EC & Scotia Series

A - SatB - SatC - SatA - SunB - SunC - Sun
Training Level EC & Scotia Series

1 - Sat2 - Sat3 - Sat1 - Sun2 - Sun3 - Sun
First Level EC & Scotia Series

1 - Sat2 - Sat3 - Sat1 - Sun2 - Sun3 - Sun
Second Level EC Only

1 - Sat2 - Sat3 - Sat1 - Sun2 - Sun3 - Sun
Third Level EC Only

1 - Sat2 - Sat3 - Sat1 - Sun2 - Sun3 - Sun
Forth Level EC Only

1 - Sat2 - Sat3 - Sat1 - Sun2 - Sun3 - Sun
Freestyle (Please indicate Test day) EC Only

SaturdaySunday
Freestyle (Specify Level) EC Only
FEI Test of Choice (Please indicate how many tests per day)

Saturday 1 TestSunday 1 TestSaturday 2 TestsSunday 2 TestsSaturday 3 TestsSunday 3 Tests
FEI Test of Choice (Specify Tests)
FEI Prix St. George (EC Only)

SaturdaySunday
FEI Intermediare 1 (EC Only)

SaturdaySunday
Para - Equestrian - EC & Scotia Series (Please indicate how many tests per day)

Saturday 1 TestSunday 1 TestSaturday 2 TestsSunday 2 TestsSaturday 3 TestsSunday 3 TestsSaturday 4 TestsSunday 4 Tests
Para-Equestrian (Specify Tests) EC & Scotia Series
Signatures Required

The following must be signed by ALL COMPETITORS. Entry will be considered invalid without all necessary signatures and dates.
Every entry form for an EC sanctioned competition must identify the Person(s) Responsible. (A802.4)

I hereby certify that every horse, rider and/or driver is eligible as entered and agree for myself and my representatives to be bound by the Constitution and Rules of Equestrian 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 foreseeable injury. I hereby accept this risk and hold harmless EC, the competition, their officials, organizers, agents, employees and their representatives. The person(s) responsible (PR) agrees to the release of any information on the entry form to EC.Article A802.4

In the event that {nameOf} participates in an Equestrian 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. Article A802.6

I have read the rules and entry information in this Prize List. Make sure there are Rider, Owner and Person(s) Responsible Signatures.
Signature of Person Responsible:*

Clear
I hereby declare that in making this entry that I have read and fully understand and agree to the terms and conditions stated herein and that it is binding upon my executors, heirs and assigns.
Date

MonthDayYear
Signature of Rider:*

Clear
I hereby declare that in making this entry that I have read and fully understand and agree to the terms and conditions stated herein and that it is binding upon my executors, heirs and assigns.
Date

MonthDayYear
Signature of Owner:*

Clear
I hereby declare that in making this entry that I have read and fully understand and agree to the terms and conditions stated herein and that it is binding upon my executors, heirs and assigns.
Date

MonthDayYear
If rider is under eighteen years, the Parent/Guardian must also sign below:
I acknowledge as Parent/Guardian of First Name Last Name that I have read and fully understand and agree to the terms and conditions stated herein on behalf of First Name Last Name and myself.

Parent/Guardian Name:
Name

First NameLast Name
Signature of Parent/Guardian:*

Clear
I hereby declare that in making this entry that I have read and fully understand and agree to the terms and conditions stated herein and that it is binding upon my executors, heirs and assigns.
Date

MonthDayYear
Required Documents

Include a photocopy of all relevant current memberships. EC Horse Recording Certificate (Gold), Sport License, Provincial Membership, for both Rider, Owner/Lessee, and Person(s) Responsible for the horse, if not the same person (if applicable) (A802.5b), as well as proof of vaccination (Vet cert. or purchase invoice).
EC HORSE RECORDING CERTIFICATE (GOLD)

Upload File(s)

Cancelof
RIDER - EC SPORT LICENSE

Upload File(s)

Cancelof
RIDER - PROVINCIAL MEMBERSHIP

Upload File(s)

Cancelof
OWNER/PR - EC SPORT LICENSE (if not the same person as Rider)

Upload File(s)

Cancelof
OWNER/PR - PROV. MEMBERSHIP (if not the same person as Rider)

Upload File(s)

Cancelof
PROOF OF VACCINATION*

Upload File(s)

Cancelof
I hereby certify that every horse (EC and Scotia Series) listed on this entry form has met the requirements of Article A519, Vaccinations. Please see Rules of Equestrian Canada, Section A, General Regulations, Article A519, Vaccinations.
Signature of Person Responsible:*

Clear
I hereby declare that in making this entry that I have read and fully understand and agree to the terms and conditions stated herein and that it is binding upon my executors, heirs and assigns.
Date

MonthDayYear
Will you require stabling?*

YesNo
Payment Details

E-Transfer may be made to dlifset@eastlink.ca, security word RIDERS If using Canada Post, make cheques or money order payable to R.I.D.E.R.S Complete entry documents Online or Submit paper copy to Competition Secretary Deanne Hemphill #103 - 194 Basswood Run. Dartmouth, NS B2W 0M3 If you have any questions, Please email riderssecretary@gmail.com.
Please Indicate Additional Fees that apply to your application*

Administration Fee $50.00Dressage Canada Levy (Bronze & Gold Only)$12.00Medication Control Fee (Bronze) $4.00Medication Control Fee (Gold) $8.00Scotia Series $3.00Warm-up Reservations @$5.00 (Please indicate # of 1/2 hour slots and warm-up time(s) below)Stabling @$45.00 per day (Please indicate # of days below)R.I.D.E.R.S Non-Member (Ask us about Memberships)R.I.D.E.R.S Member ($20.00 discount will automatically be applied)Late Fee (if submitted after August 25th) @6:00 pm $30.00
Subtotal of TEST Fees: Calculation will be based on selections above. $31/Bronze - $48/Gold - $38/Scotia
Final Fee will be calculated below. Please double-check to make sure you selected all your TEST requests.
Warm-up Reservation(s) @$5 per 1/2 hour slots
Please indicate Number of 1/2 hour slots
Preferred Warm-up Time(s) between 1:00 - 6:30 PM Friday, June 9th (we will do our best to accommodate)

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Stabling @$45 per day: (Arriving Friday and leaving Sunday counts as 2 days)
Please Indicate Number of Days
TOTAL AMOUNT DUE
Calculation will be based on your selections above plus TEST fees. Final Amount to be Remitted to Complete your Official Entry. See Payment Details below.
HAVE YOU INCLUDED? *
Liability waivers must be signed upon arrival at the venue when picking up your registration package.
Should be Empty:

Official Entry Form

Horse Information

Rider Information

Coach Information

Horse Owner Information

Person Responsible

Emergency Contact Information

TESTS OFFERED

Signatures Required

Required Documents

Payment Details