Expression of Interest

Rider Information

All of the details below must be completed for your application to be considered. Please submit a form per horse.
Riders Name
EA Membership No.
Date of Birth (DOB)

DayMonthYear
If under 25
Phone Number
Please enter a valid phone number.
Email
example@example.com
Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which Squad would you like to join?
Squad Shirt Size
Ie. Ladies 8 or Mens Medium

Horse Information

All of the details below must be completed for your application to be considered. Please submit a form per horse.
Horses Name
Horse Registration No.
Horse DOB
Height Currently Competing

Results
Next Gen Snr: Minimum of five (5) clear rounds at 110cm or above in the last 12 months (1st January 2023 – 31st December 2023)

Next Gen Jnr: Minimum of five (5) clear rounds at 105cm or above in the last 12 months (1st January 2023 – 31st December 2023)

Please provide results

General Questions

Please answer the below questions with as much detail as possible to assist the Selection Panel in their selection
What is your motivation in applying for the Equestrian WA High Performance Program?
In relation to the high performance pathway: What are your short term competition goals?
In relation to the high performance pathway: What are your long term competition goals?
What is your current training schedule?
Please include coaches names and frequency of lessons.

Terms and Conditions
I understand that, if my application for inclusion in the EWA High Performance program is successful, that I agree to attend a minimum of 3 workshops/clinics offered as part of the High Performance Program, and will be subject to my reading, understanding, signing, and abiding by the Equestrian Western Australia High Performance Squad Code of Conduct.

By signing this application I consider myself and my horse medically fit to compete and accept that EWA has no responsibility for my fitness.

A communication will be sent advising of your invitation onto the squad.

Your placement onto the squad shall be conditional upon your acceptance in writing within 7 days thereof.
Signature of applicant*

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Date

DayMonthYear
Date
Signature of parent or guardian (if rider is under the age of 18)

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Relation to applicant
Date

DayMonthYear
Date
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Rider Information