YOUTH DEVELOPMENT WEEKEND

YOUTH DEVELOPMENT WEEKEND

20-21 JUNE 2026
NAME

First NameLast Name
PLEASE ADVISE WHAT YOU WOULD LIKE TO ENTER AS
Youth Development Weekend Rider (ages 6-21 years) OR Dressage Youth Scholarship Rider (ages 8-21 years & Dressage Card Holders)
PLEASE CONFIRM THE RIDERS AGE
WHAT IS YOUR REGULAR DISCIPLINE?
WHAT OTHER ESA DISPLINE/S DO YOU REGULARILY COMPETE IN
ESA MEMBERSHIP NUMBER
HORSE BRIDLE NUMBER (DRESSAGE)
(IF Applicable)
PARENT/CARE GIVERS NAME (if under 18)

First NameLast Name
IF Rider is under 18 lease enter the following contact information with the parent or care giver's details.
PHONE NUMBER
Please enter a valid phone number.Format: 0000 000 000.
EMAIL
example@example.com
COMPETITON LEVEL (DRESSAGE EQIVILANT)
BIO OF COMBINATION
IDEAS: How long have you been together, key results, ambitions etc
PLEASE UPLOAD A PICTURE OF THE COMBINATION

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DO YOU HAVE ANY DIETARY REQUIREMENTS?
IF ‘YES’ Please advise
T-SHIRT SIZING
SIZE
KIDS (S to XXL) ADULT (6-20)
SIGNATURE OF RIDER OR PARENT/CAREGIVERS NAME GIVER
$250pp
- Lesson with Jason Dins
- Expert seminars
- Protocol session
- 2x Lunches
Please transfer funds to;

Dressage SA

BSB: 015 650

Account: 318 284 293
PLEASE UPLOAD SCREENSHOT OF PAYMENT

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