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Para Festival - Rider registration
This festival is the inaugral joint venture between Equestrian Sports New Zeeland – Para Equestrian, with the Tauranga Riding for the Disabled and ParaFed BOP Coach Force.
Our aim for this weekend is to give you the rider the information, tools and security you need to be able to compete PE Dressage, be that at a local or right up to an international level.
We will have an action packed weekend of both theory and riding (don’t worry if you don’t have a horse we have some here to borrow) with a mock up test at the end on Sunday.
Equestrian is an expensive sport and as such we are charging the small fee of $25.00 to be internet banked at time of registration. This fee goes towards the actual cost of running this weekend. All time is donated
If you would like to attend please fill in the registration form below.
Name
*
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Email
*
Phone
*
Date of Birth (if under 18)
Is rider bringing a support person
*
Yes
No
Name of support person(s)
Brief riding history
How long have you been riding?
*
Can rider ride alone?
*
Yes
No
Can rider rise to the trot?
*
Yes
No
Can rider canter?
*
Yes
No
Has rider ever competed before?
*
Yes
No
If yes, please provide brief details
Would rider require a horse to borrow?
*
Yes
No
If bringing your own horse, please provide the following details
Name of horse
Gender
Mare
Gelding
Age
Colour
Relevant details (Eg. how long have you had your horse, what do you do etc)
Course fee is $25.00 per rider.
Payment is required on registration into the ESNZ bank account: ESNZ - 06-0645-0074840-00. Please include the reference Para Fest and rider's surname.
Please tick the box below to confirm you will pay your fee direct into our account within 3 days of registration.
*
I agree to pay the $25 per rider registration fee within 3 days of submitting this form
Declaration
I understand that neither the organising committee, Equestrian Sports New Zealand, Tauranga RDA or Parafed BOP inc. nor any of their employees, volunteers or representatives accept any liability for any accident, loss, damage, injury, or illness to any horse / pony, rider, helper, spectator, land, vehicle, their contents and accessories, or any other personal property whether caused by their negligence, breach of contract or in any way whatsoever.
I consent in terms of the privacy act 1993 to the information being collected on these forms being used by the organising committee for the purpose of organising and running this festival.
I understand that I may have access at any time to this information to check it is correct and change it should it not be.
*
I agree to this declaration
Signed
(By typing your name in this field, you agree to use this representation as your signature and acceptance of all terms on this form)
*
Date
*
Medical Information
Medical diagnoses
*
Medications taken
*
Mobility (Eg. full, need walking stick, need wheel chair)
*
Other physical restrictions (have weak arms, can’t grip reins etc)
Any other information you may think we need to help you
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