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2012 PCAWA
"Go for 2&5" Bio-John
STATE TETRATHLON
CHAMPIONSHIPS
31st March and 1st April 2012
Hosted by
Avon Valley Showjumping & Pony Club
At Northam
PROUDLY CO-SPONSORED BY
ENTRIES CLOSE: Tuesday 6th March 2012 (5PM)
Entry Pack Queries – please contact Maxine Clark 98813447 OR 0429880674
OR Email beecham-clark@westnet.com.au
1
Tetrathlon 2012 – Northam
Event General Information
The Tetrathlon provides Pony Club with a challenging competition for members, combining sound practical
horsemanship with other athletic events. The objective is to encourage all round sporting activity, including
horse riding.
This event is based on the Olympic Pentathlon and includes the following four phases, Running, Shooting,
Swimming and Cross Country.
The Tetrathlon will be based at the Avon Valley Showjumping and Pony Club grounds at Equestrian Park
located on Suburban Road Northam on the 31st March and 1st of April 2012. The running and cross country
phase will be held on these grounds. The swimming phase will be held at Northam Swimming Pool on
Mitchell Avenue. The Shooting phase will be located at the Northam Gun Club located approximately 2kms
from Equestrian Park behind the Netball Courts on Suburban Road.
Avon Valley Showjumping and Pony Club is located in Northam. Northam is located 100 kms east of Perth.
Avon Valley SJ&PC is primarily known in “Pony Club circles” for its Tetrathalon which it has successfully
hosted during 2008 and 2009 as well as its keen interest and participation in all Pony Club disciplines. In
2009 and 2010 their Junior PPMG team won the State Championships at Beverley. In 2011 both their Junior
and Senior PPMG teams won the State Championships at the Perth Royal Show.
This is the third of a three year tenure that Avon Valley SJ & PC are hosting the “State Tetrathlon
Championship weekend” to show that small, enthusiastic clubs can run events successfully. We have a
membership of 50 riders who along with their parents will ensure you all have a fun and successful
weekend. The State Championship Tetrathlon held in Northam in 2010 and 2011 attracted record numbers
of entries and despite the very hot weather was a huge success.
An evening meal will be organised for the Saturday night at a cost of $15 per person consisting of a main
buffet style meal and dessert. For those arriving on the Friday night, there are eating places located in
Northam consisting of a Chinese restaurant, 2 Pizza shops and 2 Chicken shops and a MacDonalds. For
other places please go to the link http://www.visitnorthamwa.com.au/
There will be plenty of camping areas available including an area located between the Equestrian Park Cross
Country Course and the Bert Hawke Cricket Oval. Please note that this area is approximately 1km from the
AVSJ&PC club house well within walking distance. Visitors camping in this area must be aware that AT
NO TIME MUST ANY HORSES OR PONIES BE RIDDEN ON THE BERT HAWKE OVAL AS THE
CRICKET FINALS ARE BEING PLAYED ON THIS OVAL DURING THIS AND THE FOLLOWING
WEEKENDS.
No visitors will be permitted to plug into any power points at either of the camping sites.
For those who don’t want to camp, there are several Bed and Breakfast facilities as well as a motel and other
accommodation options. For a detailed list of available accommodation please go to
http://www.visitnorthamwa.com.au/
Horse Feed – Horse feed is available from Avon Valley Garden and Stock Feed or Northam Feed and Hire,
both located in Old York Rd, Northam.
If you have any queries please do not hesitate to contact Angela Herzer preferably on email at
raherzer@reachnet.com.au or phone 96225821 or Marc Fraser on fraser@westnet.com.au or 9574 1308 for
further assistance.
If you have any queries regarding the entry pack – please contact Maxine Clark 98813447 OR 0429880674
OR EMAIL beecham-clark@westnet.com.au for further assistance.
2
Yards – We have 11 stables, 20 regular yards, 13 larger yards for larger horses and 15 x 3 sided yards
suitable for larger horses. These will be allocated by the organising committee upon application. If you
have portable yards please use them. Cost of yards will be $5 each and cost of stables will be $10 each.
Please bring portable yards if you can beg, borrow or steal them from someone.
Showers – .Hot showers are available at the grounds. There are also showers and toilets available at the
Bert Hawke Oval complex along with tap water for the horses.
Meals – Saturday breakfast, Saturday night dinner and Sunday Breakfast will be provided by the Avon
Valley Showjumping and Pony Club. There will be a canteen operating during Saturday and Sunday to
provide a range of food, snacks etc including lunches.
Entertainment - Karaoke will again be a feature on Saturday night. Everyone is welcome to participate in
this prestigious event.
Remember the Tetrathlon is on the 31st March and 1st of April and entries will need to be submitted by
Tuesday the 6 of March. All competitors need to have attended three rallies on their entered mount. Be
prepared and make sure you qualify before entries close.
Provisional Starting Times
At this stage of planning these times are estimates and may be subject to change depending on entries so
please do not complain if they change. Remember to check these at a date closer to the event on the
PCAWA website.
Friday 30th March 2012
2.00 pm Running Course Open for running/walking
Saturday 31st March 2012
7.30 am Running Phase
8.30 am Shooting Phase
1.00pm Swimming phase
2.00 pm Cross Country course Open for Walking
Sunday 1st April 2012
8.00 am Cross Country Phase
3
PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC
2012 STATE TETRATHLON CHAMPIONSHIPS
31st March and 1st April 2012
Hosted by Avon Valley Showjumping and Pony Club
At Northam
ENTRIES CLOSE TUESDAY 6TH MARCH 2012 (5PM)
NO FAXED / LATE OR INCOMPLETE ENTRIES ACCEPTED
ENTRY FEE: Championship, B Grade, C Grade, D Grade: $75.00 per Competitor
Open : $95.00 per Competitor
Ground Fee $20.00 per Horse
Yard fees $ 5.00 per Horse
Stable fees $10.00 per Horse
(Entry fee includes a programme for all competitors and team managers)
There is only one Entry Form - which is both a Team Entry and an Individual Entry. Details of the Draw will be
available on the PCAWA Website www.pcawa.com. together with the names of helpers for each phase.
An evening meal will be organised for the Saturday night at a cost of $15 per person consisting of a main buffet style
meal and sweets (Vegetarian option available). If you are interested in the Saturday night dinner, please complete the
attached form and return it with your entries to PCAWA by Tuesday 6th March 2012 (5PM)
THE TETRATHLON consists of four phases
1. SHOOTING 30 metre .22 rifle target shoot
2. RUNNING All classes run 1,500 m
3. CROSS COUNTRY Championship: 1.05m PCAWA Grade A
RIDING: ‘B’ Grade: 0.95m PCAWA Grade B
‘C’ Grade: 0.80m PCAWA Grade C
‘D’ Grade: 0.65m PCAWA Grade D
Open: 1.05m PCAWA Grade A
Open: 0.95m PCAWA Grade B
Open: 0.80m PCAWA Grade C
4. SWIMMING 4 minute swim in a 50 metre pool
AGES Age for Pony Club classes is determined on age as at 1st January 2012 - see classes.
Age for Open classes is determined on the 1st January 2012
NOTE: There is no limit to the number of Competitors a Club can enter. If there are insufficient members to form a
team, then they will be included in a composite team.
4
CONDITIONS OF ENTRY
HORSES
The One Horse, One Rider Rule will apply for all Pony Club and Open Classes, eg. Horses may be entered for one
class only and may not be entered in any other class.
RIDERS
Riders may only compete in one class.
ELIGIBILITY
Please refer to Tetrathlon Rules (2011)
DISCLAIMER OF LIABILITY
The Organising Committee of the Tetrathlon, the PCAWA and the Avon Valley Showjumping and Pony Club
do not accept any liability for any accident, damage, injury or illness to horses, owners, riders, grounds,
spectators or any other person or property whatsoever. All competitors compete at their own risk.
RULES: Copies of the PCAWA Rules for Tetrathlon (2011) and PCAWA Eventing Rules 2011 which are available
from the PCAWA website.
TEAM MANAGERS: must supply mobile phone number on the entry form, on which they can be contacted at all
times during the event. They must be familiar with the PCAWA duties of tetrathlon team managers which is available
on the pcawa website and team managers must be present with their team members at every phase including to pick up
their entry pack on Friday night.
Please see PCAWA website for PCAWA tetrathlon shooting coaching notes 2012 revision and PCAWA tetrathlon
shooting target 2012 revision
Unauthorised assistance of any competitor in any of the phases will not be tolerated and may result in elimination
from the event at the discretion of the chief steward
NO DOGS will be permitted at any PCAWA State Championship or preliminary event. If dogs are found to be at
these events, the rider to whom the dog belongs or is associated will be disqualified.
As from January 2011 it is compulsory that all riders in C grade and above wear back protectors for the cross-country
riding phase.
Draw and Helper Duties List will be available from the PCAWA website from 21st March 2012 Website:
www.pcawa.com. Clubs are asked to contact Maxine Clark directly if changes are required after this date.
Phone: 98813447(H) Mobile: 0429880674 Email: beecham-clark@westnet.com.au
IMPORTANT ! : All clubs please note the following:
The PCAWA office staff have been instructed NOT to accept any late, faxed or incomplete entries.
This WILL be enforced, so please do not be the club who makes the mistake.
The Chairperson and sub-committee members do not have authority to accept/forward late entries.
The original entry forms must be received by the closing date of 5pm on Tuesday 6th March 2012
Entries must be completely & correctly filled out, and must be endorsed appropriately.
Each entry must have a signed PCAWA Championship Declaration Form and a Qualification Declaration
Form signed by the competitor.
All payments including cost of entry and food must be submitted with the entry form
5
PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC
2012 TETRATHLON – 31st March and 1st of April – Avon Valley Showjumping and Pony Club
CLUB ENTRY – COVER PAGE
Please fill in the individual event pages, dinner and yard applications and declarations and then complete this page and forward completed entry to PCAWA.
Name of Club ________________________________________________________
EVENT Totals
D Grade 10-12 yrs No. RIDERS X $75 each
D Grade 13-15 yrs No. RIDERS X $75 each
C Grade 11-15 yrs No. RIDERS X $75 each
C Grade 16 – 25yrs No. RIDERS X $75 each
B Grade 12 – 15yrs No. RIDERS X $75 each
B Grade 16 – 25yrs No. RIDERS X $75 each
CHAMPIONSHIP No. RIDERS X $75 each
Open Class 21 No .OF RIDERS X $95 each
Open Class 21 No .OF RIDERS X $85 each
Open Class 22 No. OF RIDERS X $95 each
Open Class 22 No .OF RIDERS X$ 85 each
Open Class 23 No. OF RIDERS X $95 each
Open Class 23 No .OF RIDERS X $85 each
Yards & Stables TOTAL
Sat Night Dinner TOTAL
GROUND FEES No OF HORSES X $20
TOTAL
PAYMENT OF $ ..................... Cheque no: .................... EFT Ref: .........................................
Pay by Cheque: Pay by EFT
Make cheques payable to: PCAWA BSB: 633 000 A/C NO. 136184108
Post to: PCAWA, 303 Cathedral Ave, Brigadoon, WA REF: MUST start with Club Name & proof of
6069 payment sent with the entry 6
PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC
2012 TETRATHLON – 31st March and 1st of April – Avon Valley Showjumping and Pony Club
ENTRY FORM FOR D GRADE CLASSES (Riders aged 10 - 12 years) (Use One Form per Team)
PONY CLUB NAME OF TEAM MANAGER
EMAIL OF TEAM MANAGER :
PHONE NOS (W) (H) MOBILE
(Compulsory)
AGE AS
DATE OF
COMPETITOR NAME M/F AT NAME OF HORSE NAME OF HELPER PREFERRED PHASE
BIRTH
1/1/12
1.
2.
3.
4.
PHASES: Running/ Swimming/ Shooting /Cross Country Riding
ENTRY FEE: $75 PER COMPETITOR $20 Ground Fee
No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the
appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase,
however helpers will be allocated by the Tetrathlon Sub-Committee where required.
DECLARATION: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon.
PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION FORM
SIGNED (Club Coach Co-Ordinator) SIGNED (Club President/Secretary)
ENTRIES TO: PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC TELEPHONE: 08 9296 1500
STATE EQUESTRIAN CENTRE, CATHEDRAL AVENUE, BRIGADOON WA 6069
ENTRIES CLOSE: Tuesday 6th March 2012 (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED
Individuals who wish to be placed in a composite team please include your Emailing details and phone number on the back of this sheet.
7
PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC
2012 TETRATHLON – 31st March and 1st of April – Avon Valley Showjumping and Pony Club
ENTRY FORM FOR D GRADE CLASSES (Riders aged 13 - 15 years) (Use One Form per Team)
NAME OF TEAM MANAGER
PONY CLUB
EMAIL OF TEAM MANAGER :
PHONE NOS (W) (H) MOBILE
(Compulsory)
AGE AS
DATE OF
COMPETITOR NAME M/F AT NAME OF HORSE NAME OF HELPER PREFERRED PHASE
BIRTH
1/1/12
1.
2.
3.
4.
PHASES: Running/ Swimming/ Shooting /Cross Country Riding
ENTRY FEE: $75.00 PER COMPETITOR GROUND FEE: $20.00
No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the
appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase,
however helpers will be allocated by the Tetrathlon Sub-Committee where required.
DECLARATION: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon.
PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION FORM
SIGNED (Club Coach Co-Ordinator) SIGNED (Club President/Secretary)
ENTRIES TO: PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC TELEPHONE: 08 9296 1500
STATE EQUESTRIAN CENTRE, CATHEDRAL AVENUE, BRIGADOON WA 6069
ENTRIES CLOSE: Tuesday 6th March 2012 (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED
Individuals who wish to be placed in a composite team please include your Emailing details and phone number on the back of this sheet.
8
PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC
2012 TETRATHLON – 31st March and 1st of April – Avon Valley Showjumping and Pony Club
ENTRY FORM FOR C GRADE CLASSES (Riders aged 11-15 years inclusive) (Use One Form per Team)
PONY CLUB NAME OF TEAM MANAGER
EMAIL OF TEAM MANAGER :
PHONE NOS (W) (H) MOBILE
(Compulsory)
AGE
DATE OF
COMPETITOR NAME M/F AS AT NAME OF HORSE NAME OF HELPER PREFERRED PHASE
BIRTH
1/1/12
1.
2.
3.
4.
PHASES: Running//Swimming/ Shooting /Cross Country Riding
ENTRY FEE: $75.00 PER COMPETITOR GROUND FEE: $20.00 per HORSE
No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the
appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase,
however helpers will be allocated by the Tetrathlon Sub-Committee where required.
DECLARATION: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon.
PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION
SIGNED (Club Coach Co-Ordinator) SIGNED (Club President/Secretary)
ENTRIES TO: PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC TELEPHONE: 08 9296 1500
STATE EQUESTRIAN CENTRE, CATHEDRAL AVENUE, BRIGADOON WA 6069
ENTRIES CLOSE: Tuesday 6th March 2012 (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED
Individuals, who wish to be placed in a composite team, please include your Emailing details and phone number on the back of this sheet.
9
PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC
2012 TETRATHLON – 31st March and 1st of April – Avon Valley Showjumping and Pony Club
ENTRY FORM FOR C GRADE CLASSES (Riders aged 16 – 25 years inclusive) (Use One Form Per Team)
PONY CLUB NAME OF TEAM MANAGER
EMAIL OF TEAM MANAGER :
PHONE NOS (W) (H) MOBILE
(Compulsory)
AGE
DATE OF
COMPETITOR NAME M/F AS AT NAME OF HORSE NAME OF HELPER PREFERRED PHASE
BIRTH
1/1/12
1.
2.
3.
4.
PHASES: Running//Swimming/ Shooting /Cross Country Riding
ENTRY FEE: $75.00 PER COMPETITOR
GROUND FEE: $20.00 PER HORSE.
No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the
appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase,
however helpers will be allocated by the Tetrathlon Sub-Committee where required.
DECLARATION: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon.
PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION
SIGNED (Club Coach Co-Ordinator) SIGNED (Club President/Secretary)
ENTRIES TO: PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC TELEPHONE : 08 9296 1500
STATE EQUESTRIAN CENTRE, CATHEDRAL AVENUE, BRIGADOON WA 6069
ENTRIES CLOSE: Tuesday 6th March 2012 (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED
Individuals, who wish to be placed in a composite team, please include your Emailing details and phone number on the back of this sheet.
10
PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC
2012 TETRATHLON – 31st March and 1st of April – Avon Valley Showjumping and Pony Club
ENTRY FORM FOR B GRADE CLASSES (Riders aged 12 - 15 years inclusive) (Use One Form Per Team)
PONY CLUB NAME OF TEAM MANAGER
EMAIL OF TEAM MANAGER :
PHONE NOS (W) (H) MOBILE
(Compulsory)
AGE
DATE OF
COMPETITOR NAME M/F AS AT NAME OF HORSE NAME OF HELPER PREFERRED PHASE
BIRTH
1/1/12
1.
2.
3.
4.
PHASES: Running//Swimming/ Shooting /Cross Country Riding
ENTRY FEE: $75.00 PER COMPETITOR
GROUND FEE: $20.00 per Horse
No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the
appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase,
however helpers will be allocated by the Tetrathlon Sub-Committee where required.
DECLARATION: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon.
PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION
SIGNED (Club Coach Co-Ordinator) SIGNED (Club President/Secretary)
ENTRIES TO: PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC TELEPHONE : 08 9296 1500
STATE EQUESTRIAN CENTRE, CATHEDRAL AVENUE, BRIGADOON WA 6069
ENTRIES CLOSE: Tuesday 6th March 2012 (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED
Individuals, who wish to be placed in a composite team, please include your Emailing details and phone number on the back of this sheet.
11
PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC
2012 TETRATHLON – 31st March and 1st of April – Avon Valley Showjumping and Pony Club
ENTRY FORM FOR B GRADE CLASSES (Riders aged 16 - 25 years inclusive) (Use One Form Per Team)
PONY CLUB NAME OF TEAM MANAGER
EMAIL OF TEAM MANAGER :
PHONE NOS (W) (H) MOBILE
(Compulsory)
AGE
DATE OF
COMPETITOR NAME M/F AS AT NAME OF HORSE NAME OF HELPER PREFERRED PHASE
BIRTH
1/1/12
1.
2.
3.
4.
PHASES: Running//Swimming/ Shooting /Cross Country Riding
ENTRY FEE: $75.00 PER COMPETITOR
GROUND FEE: $20.00 per Horse
No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the
appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase,
however helpers will be allocated by the Tetrathlon Sub-Committee where required.
DECLARATION: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon.
PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION
SIGNED (Club Coach Co-Ordinator) SIGNED (Club President/Secretary)
ENTRIES TO: PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC TELEPHONE : 08 9296 1500
STATE EQUESTRIAN CENTRE, CATHEDRAL AVENUE, BRIGADOON WA 6069
ENTRIES CLOSE: Tuesday 6th March 2012 (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED
Individuals who wish to be placed in a composite team please include your Emailing details and phone number on the back of this sheet.
12
PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC
2012 TETRATHLON – 31st March and 1st of April – Avon Valley Showjumping and Pony Club
ENTRY FORM FOR CHAMPIONSHIP CLASSES (Use One Form Per Team)
PONY CLUB NAME OF TEAM MANAGER
EMAIL OF TEAM MANAGER :
PHONE NOS (W) (H) MOBILE
(Compulsory)
AGE
DATE OF
COMPETITOR NAME M/F AS AT NAME OF HORSE NAME OF HELPER PREFERRED PHASE
BIRTH
1/1/12
1.
2.
3.
4.
PHASES: Running//Swimming/ Shooting /Cross Country Riding
ENTRY FEE: $75.00 PER COMPETITOR GROUND FEE: $20.00 per Horse
No Competitor will be allowed to compete if an individual helper is not available (ie One Competitor - One Helper). Each competitor will also be entered as an individual in the
appropriate Class. In many aspects, the special skills and willingness of helpers ensure the smooth running of the event for all participants. Please indicate the preferred phase,
however helpers will be allocated by the Tetrathlon Sub-Committee where required.
DECLARATION: The above people are bone fide members of the above Pony Club and are eligible as per the PCAWA Rules for Tetrathlon.
PLEASE ATTACH A SIGNED COPY OF THE PCAWA CHAMPIONSHIP DECLARATION
SIGNED (Club Coach Co-Ordinator) SIGNED (Club President/Secretary)
ENTRIES TO: PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC TELEPHONE : 08 9296 1500
STATE EQUESTRIAN CENTRE, CATHEDRAL AVENUE, BRIGADOON WA 6069
ENTRIES CLOSE: Tuesday 6th March 2012 (5PM) NO FAXED/LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTEDIndividuals, who wish
to be placed in a composite team, please include your Emailing details and phone number on the back of this sheet.
13
2012 TETRATHLON – 31st March and 1st of April – Avon Valley Showjumping and Pony Club
ENTRY FORM FOR OPEN CLASSES (Competitors MUST BE 18 years of age & over as at 1/1/12)
CLASS 21: Running: 1,500 Metres CLASS 22: Running: 1,500 Metres CLASS 23: Running: 1,500 Metres
(Scoring as for PCAWA Grade A) (Scoring as for PCAWA Grade B) (Scoring as for PCAWA Grade C)
Swimming Swimming Swimming
Shooting Shooting Shooting
Cross Country Riding (Maximum height 1.05 m) Cross Country Riding (Maximum Height 0.95 m) Cross Country Riding (Maximum Height 0.80 m)
CLASS 21 CLASS 22 CLASS 23
CLASS ENTERED (tick box)
FOR TEAM ENTRIES
NAME OF TEAM MANAGER/CAPTAIN
EMAIL ADDRESS P/CODE
(H)
PCAWA INSURANCE NO IF MOBILE (Compulsory)
PHONE NUMBERS: APPLICABLE
FOR INDIVIDUAL ENTRIES
NAME OF COMPETITOR DO YOU WISH TO BE PLACED IN A COMPOSITE TEAM, IF POSSIBLE: YES / NO
EMAIL ADDRESS P/CODE
PHONE NUMBERS: (W) (H) FAX (if any)
COMPETITOR NAME NAME OF HORSE NAME OF HELPER PREFERRED PHASE
ENTRY FEE: *$95.00 PER COMPETITOR OR $85.00 PER COMPETITOR IF YOU ALREADY HAVE PCAWA INSURANCE
Ground Fee: $20.00 per Horse
*Includes a $10.00 Day Member Fee which provides this rider with Public Liability Cover ONLY for the duration of the fixture.
A Disclaimer must also be signed by each Open Competitor prior to participating in this event. The Disclaimer is available from PCAWA website and must
be sent in with this Entry Form.
14
PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC
PCAWA Headquarters, State Equestrian Centre, Cathedral Avenue, Brigadoon, 6069
Telephone: 08 9296 1500 Fax: 08 9296 1545 Email: tetrathlon@pcawa.com
2012 TETRATHLON – 31st March and 1st of April – Avon Valley Showjumping and Pony Club
INFORMATION FOR OPEN COMPETITORS
ENTRIES CLOSE: Tuesday 6th March 2012 (5PM)
NO FAXED/LATE OR INCOMPLETE ENTRIES ACCEPTED
ENTRY FEE: $95.00 PER COMPETIOR OR $85.00 IF YOU HAVE PCAWA INSURANCE
GROUND FEE: $20.00 per horse
There is only one Entry Form this year - which can be used as a Team Entry or an Individual Entry.
DISCLAIMER OF LIABILITY
The Organising Committee of the Tetrathlon, the PCAWA, and the Avon Valley Showjumping and Pony Club do not accept any liability for any
accident, damage, injury or illness to horses, owners, riders, ground, spectators or any other person or property whatsoever. Competitors compete
at their own risk.
15
2012 PCAWA TETRATHALON CHAMPIONSHIPS
SATURDAY NIGHT DINNER
Please fill in and return this form with appropriate money to the above address along with
your entry forms and cover sheet prior to 5pm Tuesday 6th March 2012.
No orders will be accepted on the day.
NO FAXED / LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED
An evening meal will be organised for the Saturday night at a cost of $15 per person consisting of a main
buffet style meal and dessert (Vegetarian option available) $15.00p/p. The dinner will commence at 6.00pm
onwards.
CLUB: _____________________________________
CONTACT PERSON: _________________________
PHONE NUMBER: ___________________________
FAMILY NAME: NUMBER TOTAL COST per Vegetarian
ATTENDING: family: $15.00 p/p Option
please tick
TOTAL COST: To be included
with entry forms $
16
2012 PONY CLUB TETRATHLON CHAMPIONSHIPS
APPLICATION FOR YARDS
Limited yards are available and will be allocated on a pro rata basis for each club. Cost $5
per yard and $10 per stable
CLUB:___________________________________________________
NAME OF RIDER NAME OF HORSE/ PLEASE YARD STABLE
PONY CIRCLE PREFERRED PREFERRED
HORSE OR PLEASE TICK PLEASE TICK
PONY
H P
H P
H P
H P
H P
H P
H P
H P
H P
H P
Sub-Totals:
Yards @ $5 $
Stables @ $10 $
TOTAL $
Please add this total to the relevant section on the entry cover sheet.
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2012 TETRATHALON QUALIFICATION DECLARATION
COMPETITION: __________________________________________________
CLUB: __________________________________________________
RIDER DISCLAIMER
RIDER MOUNT
DOB SIGNED (DATE)
We, the undersigned, do hereby declare that the above named Horse & Rider Combinations have completed
three (3) Pony Club Rallies, at least two (2) of which were completed at the Club the combination will be
representing in this competition. We, the undersigned, have read and understood the definition of a
Working Rally in the PCAWA Handbook, and declare that the Rallies used for Qualification were
undertaken in accordance with the abovementioned definition. We also verify that the PCAWA Member
Disclaimer has been signed and is held by the Club..
Club Coach Coordinator: Compulsory Signature
__________________________ _________________________ _________________________
Name Signed Date
Club President / Secretary: Please Circle – Compulsory Sugnature
__________________________ _________________________ _________________________
Name Signed Date
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PONY CLUB ASSOCIATION OF WESTERN AUSTRALIA INC
CLUB NAME: ________________________________________________
We also attest that each of the above riders entered in this event has
been adequately prepared for each phase and that they are capable
of successfully completing ALL phases of the competition.
This includes the ability to run 1500metres in warm weather, swim
for 4 minutes, shoot with the supplied rifles and ride their mount
safely around the relevant cross country course.
Remember it is the responsibility of the Club Coach Coordinator to
make this call for all Pony Club Competitors.
Club Coach Coordinator: Compulsory Signature
__________________________ _________________________ _________________________
Name Signed Date
Club President / Secretary: (Please Circle) Compulsory Signature
__________________________ _________________________ _________________________
Name Signed Date
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Pony Club Association of Western Australia Inc
2012 TETRATHLON
DECLARATION OF QUALIFICATION
Name of Rider:……………………………………………………………
Name of Horse:……………………………………………………………
Previous Names by which this Horse has competed: (1)……………………………………………….
(2)………………………………………………………………
(3)………………………………………………………..
Name of Event:………………………………………………………………
Period of Qualification: 14th February 2011 to 6th March 2012
Grade Entered:………………………………………………………………
I,…………………………………………………………………., do herby declare that I have NOT
completed two events or one Tetrathlon (as per PCAWA Tetrathlon Rule 1) in the twelve month period
proceeding this event, riding the horse I have entered in the event above, at a grade HIGHER (either
PCAWA or EFA or FEI) than the one for which I have entered, and that I am, therefore eligible to compete
for any prize award at this event.
Signed (Rider):…………………………………………………………………………
OR
Parent or Guardian:…………………………………………………………………….
(if under 18 years)
PLEASE NOTE : It is the responsibility of the rider to understand the rules of qualification and to enter only
classes for which they are qualified. In the case of a rider found to be competing in a Grade for which
they are not qualified, they will be asked to return any prizes awarded for that event and forfeit their right
to any cumulative recognition of that event as a future qualifier.
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