Technical Hand Book APM Charity Show 2015

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Technical Hand Book

APM Charity Show 2015

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GENERAL INFORMATION

COMPETITION NAME APM Charity Show 2015

TITLE ‘’Horse Heal People’’

DAY Friday – Sunday

DATE 24^th– 26^th April 2015

ORGANIZER APM Equestrian Centre

VENUE Jl. Raya Arya Wangsakara, DesaTapos

Tigaraksa – Tangerang ‐ Banten

ORGANIZING COMMITTEE

Event President Mrs. Nadia Marciano

Event Director Mr. Adi Katompo

Event Secretary Mrs. Tiara Ulfa

Show Secretary Mr. Jupri Mardi

Treassurer Mrs. Dian Adiratri

Stable Manager Mr. Jendry Palandeng

Pers Coordinator Mr. Ruminta

Public Relation Mr. Andrew Tanyono

Announcer Mr. Hans Lango

Grapich Designer Linegra

Food & Baverage APM Teachers

OFFICIALS

Technical Delegate Mr. Rafiq H. Radinal (INA)

Dressage:

Foreign Dressage Judge Mrs. Lorraine Boutreau (ARG) National Dressage Judge Mr. Nico Pelealu (INA) Show Jumping:

National Jumping Judge Mr. Nico Pelealu (INA)

FEI Course Designer Mr. Hamood Al Tooqi (OMA) – FEI Level 2

Ass. Course Designer Letda Kav. Yudi Irianto

Course Builder Kavaleri Team

Timing Equipment Mr. Moelyono Sugito

Veterinarian:

Vet Commission Mayor CKM drh. Joko Suranto

Treating Vet Drh. Ardhinta Irawan

Scriber:

Scriber Dressage APM Students

Scriber Jumping APM Students

Steward:

Chief Steward Mr. Raymond Robot

Stewards Kavaleri Team

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I.

GENERAL RULES AND REGULATIONS The event will be held in accordance with

‐ FEI General Regulation, 23^rd edition 1^st January 2009, updates effective 1^st January 2015

‐ FEI Dressage Rules, 25^th edition, effective 1 January 2014

‐ FEI Jumping Rules, 25th edition, 1^st January 2014 Updates effective 1^st January 2015

‐ FEI Eventing Rules, 24^th edition, effective 1^st January 2015

ENTRY CLOSING DATE/ PENUTUPAN PENDAFTARAN

All entries must be made using the prescribed forms attached. Entries must reach the Organiser’s Address before or by the Wednesday, 22^nd April 2015. Entries may be made in person, fax or via email to secretariat together with waiver and liability form. Riders are not allowed to entry in the competition arena before all of payment been done. Entry fees are not refundable, changing class is allowed.

Semua pendaftaran harus menggunakan formulir yang telah ditentukan dan harus sampai ke panitia sebelum hari Rabu22 April 2015. Pendaftaran bisa langsung ke panitia, melaui fax atau email bersamaan dengan penyerahan formulir waiver. Peserta tidak akan diperkenankan memasuki arena pertandingan sebelum semua pembayaran dilakukkan. Tidak ada pengembalian uang pendaftaran, tetapi boleh mengganti dengan kelas yang lainnya.

PAYMENTS/ PEMBAYARAN

o All cash payment should be made to the secretariat office.

Pembayaran secara tunai langsung ke kantor sekretariat

WAIVER FORM/ FORMULIR PELEPASAN HAK

Waiver form must be signed by each rider participating in the event. Riders under the age of 18 must have guardian consent. To be returned with entry forms.

Formulir pernyataan harus di kembalikan setelah ditandatangani oleh atlit yang akan bertanding.

Dan bagi yang masih berumur dibawah 18 tahun harus ditandatangani wali yang bersangkutan.

INSURANCE/ ASURANSI

All owners and competitors are personally responsible for damages to third persons caused by themselves, their employees, their agents and their horses. They are therefore strongly advised to take out third party insurance providing full coverage for participation in equestrian events at home and abroad, and to keep their policy up to date.

Pemilik kuda dan para peserta bertanggung jawab penuh atas segala kerusakan dan kehilangan yang disebabkan oleh diri, karyawan maupun oleh pihak ke tiga lainnya. Oleh karenanya sangat disarankan untuk melindunginya dengan asuransi

GENERAL CONDITION/ UMUM

Washing the horses should be done at wash bay only and not inside the stables. You must provide plastic trash bag for the deposition of dung and other refuse. The dung must be removed from the sawdust daily and disposed of in a proper manner. At the end of competition, all stables must be cleaned of all dung and left over feed. The stables and other areas occupied by participants must be kept clean and tidy at all times. You are not allow to burn sawdust or any other material inside the stable. Cooking inside the stable is not permitted.

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Memandikan kuda hendaknya dilakukan hanya di tempat khusus pemandian kuda, bukan di dalam kandang. Anda harus menyiapkan kantung plastik untuk membuang kotoran dan sampah lainnya.

Kotoran harus dibersihkan dari sawdust dan dibuang sebagaimana mestinya. Pada akhir acara, semua kandang harus dibersihkan dari kotoran juga sisa makanan. Kandang dan sekitarnya harus selalu bersih. Tidak diperbolehkan membakar serbuk dan benda lainnya di dalam kandang.

Memasak dalam kandang juga tidak diperkenankan

STABLING FEES / SEWA KANDANG

Stabling fee are Rp. 200.000, per horse per day. To be paid to the Treasurer of the Event. Horse will not be allowed to leave the permises until the stabling fees have been paid.

Kandang tesedia dengan Rp. 200,000,‐ per kuda per hari dan harus dibayarkan langsung ke Bendahara Event. Kuda – kuda tidak diperbolehkan meninggalkan kandang sebelum sewa kandang dibayar lunas.

HORSE & TRAILER‐TRUCK / KUDA & ALAT PENGANGKUT

Please do disinfectant on your horse trailer and or truck before and after each used moving the horse. Arriving venue your horse trailer and truck will have to spray by organizer staff.

All horses will be checked the temp by the Competition’s Veterinarian to ensure the. Health condition of the horse before entering to the Competition’s Stable. According to the result of the Veterinarian checking if there is any horses are not in good health condition not permitted entering competition stable.

Mohon dilakukan disenfektan terhadap kereta kuda atau dan atau truck anda. Sebelum atau setiap digunakan untuk mengangkut kuda ke tempat pertandingan. Sesampai di tempat pertandingan semua pengangkut kuda akan dilakukan penyemprotan desinfektan ulang yang akan dilakukan oleh Petugas dari Panitia. Sebelum memasuki kandang pertandingan kuda kuda akan dilakukan pemeriksaan suhu badan. Jika menurut hasil pemeriksaan ada kuda yang tidak dalam kondisi kesehatan yang baik maka kuda tesebut tidak diijinkan memasuki kandang pertandingan.

RULES OF COMPETITION/ PERATURAN PERTANDINGAN

The competition will run under the Fédération Equestre Internationale (FEI), as stated above. In any circumstance where FEI are not available the Organizing Commitee will have the authority to make decision.

Pertandingan akan diselenggarakan dengan menggunakan peraturan FEI, sebagaimana tersebut diatas. Dalam hal keadaan tidak diketemukannya peraturan pertandingan pada FEI rule maka akan ditentukan oleh Panitia Pertandingan.

PRIZE GIVING CEREMONY/ UPACARA PEMBAGIAN HADIAH

Placed riders that do not attend their prize Giving Ceremony will not received their prizes.

Hadiah tidak akan diberikan kepada Pemenang yang tidah hadir dalam upacara pembagian hadiah

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Prizes / Hadiah

It’s regarded exhibition class if only one participant in the class, and the prizes will not be provided.

If there are only 3 participants in the class, the prizes is allocated to the first and second winner only. If there are only 2 participants in the class, the prize will be given to the first winner only.

Prize Money will not available for Children Classes and Junior Classes but Other Prizes will be provided.

Jika dalam satu kelas hanya ada 1 peserta maka kelas tersebut akan dianggap eksibisi dan tidak disediakan hadiah. Jika ada 3 peserta maka hadiah hanya kan disediakan untuk pemenang pertama dan kedua. Jika hanya ada 2 peserta maka hadiah hanya akan diberikan kepada pemenang pertama saja. Hadiah uang tidak tersedia untuk kelas – kelas Children dan Junior tetapi akan disediakan hadiah dalam bentuk lainnya.

THE OC RESERVE THE RIGHT/ PANITIA BERHAK UNTUK

• Alter advertised times if necessary • Cancel, divide or combine any class or event • Refuse any entry • Increase or decrease the height of the obstacles depending on the entries or other conditions.

Mengganti jadwal waktu yang telah diinformasikan, Membatalkan kelas atau Event, Membagi kelas, Menolak pendaftaran, menambah atau menurunkan tinggi rintangan tergantung daftar peserta atau keadaan yang lain.

APPEALS

Complaints and appeals must be in writing to the Ground Jury, signed by the authorized person from the club making the complaint and presented personally the appeal committee together with any supporting note evidence and names of witnesses and the deposit of Rp. 2,000.000,‐.

Complaints must be made not later then 30 minutes after the result are announced. If the complaint is accepted OC will refund the deposit conversely if the complaint is not accepted the deposit will remain with the OC. Refer to the FEI Art. 167 Of General Rules & regulations for more details.

Protes harus dilakukan secara tertulis dan ditandatangani oleh penanggung jawab club lalu diserahkan kepada Ketua Dewan Juri dengan disertai uang jaminan sebesar Rp 2.000.0000 (dua juta rupiah). Protes harus diajukan paling lambat 30 menit setelah hasil pertandingan diumumkan. Jika protes diterima maka uang jaminan akan dikembalikan tapi jika tidak diterima uang jaminan memjadi hak panitia pertandingan.

COMPETITION GROUND/ LAPANGAN PERTANDINGAN

‐ Jumping ‐ Sand

‐ Dressage ‐ Sand

HORSE NUMBERS/ NOMOR KUDA

Horse Numbers are not distributed by the organizer. Riders must provide horse number and they are responsible for displaying the correct number on their horses at all time.

Panitia tidak menyediakan nomor kuda. Atlir harus menyediakan sendiri nomor kuda dan bertanggung jawan atas pemasangan nomor kuda dan di pasang dengan benar pada saat pertandingan berlansung.Panitia tidak akan membagikan no kuda.

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III. JUMPING RULES & AGE REGULATIONS

Classes are judged under the FEI rules. For the in‐house rules read below.

1. OPEN; classes are open for riders of all ages and horses of all grades Terbuka bagi atlit dan kuda di semua umur dan level

2. CHILDREN; the aged of athletes until the end of the year reach the age of fourteen (14)

Atlit yang sampai akhir tahun ini mencapai usia 14th 3. JUNIOR; the aged of athletes until the end of the year reach the

age of eighteen (18)

Atlit yang sampai akhir tahun ini mencapai usia 18^th 4. YOUNG HORSE; the aged of horse until the end of the year

reach the age of six (6).

Untuk kuda sampai dengan akhir tahun ini 6^th

5. Riders will be eliminated if enter the class of wrong age category Atlit dianggap tersisih jika salah kelas saat melakukan pendaftaran.

6. In the NON‐JUMPOFF classes BELOW 1m one horse can be ridden by maximum three (3) riders

Pada kelas non jump off dibawah 1m, satu kuda dapat dinaik maksimal 3 kali 7. In the classes BELOW 1m three (3) refusals are allowed.

Penolakan sebanyak 3 kali diberlakukan untuk kelas dibawah 1m.

8. No horse may take part with more than one rider in the same

class/day/competition in the jumping competition except in 30‐50cm class

Tidak ada kuda yang boleh dipakai lebih dari 1 orang pada kelas/hari/pertandingan yang sama pada pertandingan jumping ini, keculai untuk kelas 30‐50cm.

IV. DRESSAGE RULES & REGULATIONS

Classes are judged under the FEI rules. For the in‐house rules read below.

1. No horse may take part with more than one rider in the same class/day/competition (except for Walk‐Trot class and rider under 18 years old)

Kuda tidak boleh dinaik oleh lebih dari 1 orang pada kelas/hari/ pertandingan yang sama, kecuali kelas Walk Trot dan kelas anak2 dibawah 18 tahun.

2. In Walk‐Trot class one horse can be ridden by up to 3 riders Kuda boleh dinaik 3 kali pada kelas Walk Trot.

Dress Code

1. Headgear. Top hat is allowed in Medium and above classes. In other classes Hard Hat (Helmet) is compulsory for anyone riding at the event.

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Pelindung kepala. Pemakaian Top hat diperbolehkan dalam kelas Medium ke atas. Pada kelas yang lain helmet wajib bagi semua atlit.

2. Spurs. Spurs capable of wounding a horse are forbidden. Spurs must be of smooth metal.

There must be a shank pointing only towards the rear, which must be no more than 3.5 cm long. The end must be blunt in order to prevent wounding a horse. If the shank is curved, the spurs must be worn only with the shank directed downwards.

Spurs. Tidak diperbolehkan memakai spurs yang dapat melukai kuda. Spurs harus terbuat dari logam halus dan harus menghadap ke belakan betis, panjang tidak boleh lebih dari 3,5cm. Harus tumpul untuk agar tidak melukai kuda.

3. Whips. Whips up to 120cm length are permitted to use during the tests. Children/pony is 100cm

Cambuk. Cambuk sampai dengan 120cm diperbolehkan saat bertanding. Untuk anak anak dan kuda pony 100cm.

4. Boots. In all Tests, boots (other than as part of regulation service dress) must be black. They must either be long boots in one piece or a full grain smooth leather leg piece and leather boot.

Sepatu Boots. Untuk semua test boot harus berwarna hitam, baik sepatu boot panjang gabungan antara chaps kulit yang halus dengan sepatu kulit.

5. Bridle. Snaffle bridle compulsory for all dressage tests up to and including Elementary level.

In Medium and Advanced level double bridle optional, Prix St. Georges compulsory. If using double bridle, spurs must be worn.

Bits. Snafle bridel wajib unutk semua kelas sampai dengan Elementary. Double bridle opsional untuk kelas Medium dan Advanced dan wajib untuk Prix St. Georges dan spurs juga diharuskan.

6. Walk Trot Tests. Simple side reins and whips up to 100cm length are permitted. Spurs are not allowed. Children/pony is 100cm

Walk Trot Test. Side reins sederhana dan cambuk sampai dengan 100cm diperbolehkan.

Spurs tidak diijinkan.

V.DRESSAGE GENERAL RULES (additional)

STARTING POSSIBILITIES:

Rider/horse combination:

A rider/horse combination is allowed to start in two different classes but with no more than one level difference, i.e.: Preliminary‐Elementary, Elementary‐Medium, Medium‐Advanced or Advanced‐PSG, etc.

Kombinasi atlit dan kuda dalam kelas dressage yang diperbolehkan tidak lebih dari 1 level tes yang berbeda.

DRESS & SADDLERY

Dress: A black or dark blue tail coat, with top hat, white or off white breeches, stock or tie, gloves, black riding boots and spurs must be worn for Prix St‐Georges. For Advanced class tail coat is optional. For classes below Prix St‐Georges, a black or dark blue jacket with a bowler hat or hunting cap is also permitted. However, in extreme heat, judges may give the option not to wear a jacket. A white shirt is compulsory.

Black half leather chaps will be allowed.

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Riders under 16 years: Dark riding jacket. White or off‐white breeches or jodhpurs, white shirt with tie or hunting stock, helmet. Gloves must be worn. Riding boots. Top hat is not allowed. Whip of maximum length 1.00 m is allowed. Spurs are optional. No spurs allowed in the Walk‐Trot tests.

When mounted protective headgear secured by a three point retention harness is compulsory.

Saddlery: For Prix St‐Georges level, a double bridle is compulsory. For Advanced and Medium Level the double bridle is allowed. For Elementary and Preliminary levels, an ordinary snaffle must be used. This applies in the practice and competition arenas. Whips are allowed in all levels. For adults the whip should not be more than 1.20 m, for children not longer than 1.00 m.

HORSE SCHOOLING

A horse can’t be schooled by anyone other than the COMPETITOR, mounted in the saddle from 00:00 hours on the day of the CLASS except for article i and ii.

EARPHONES

Earphones and other electronic communication devices are not permitted at Dressage Competitions whilst competing and is penalized by elimination. These devices are permitted during training and warm‐up.

HORSE DECORATIONS

Any decorations of the Horse with extravagant items, such as ribbons or flowers in the mane or/and tale is strictly forbidden. Normal plaiting of the Horse’s mane and tail is allowed.

SALUTE

Athletes must take the reins in one (1) hand at the salute.

Saat hormat Atlit harus tetap memegang kendali dan hormat dengan 1 (satu) tangan.

OUTSIDE ASSISTANCE

Any outside help by voice, signs, etc. is considered as illegal or anauthorized assistance to an Athlete or a Horse. The horse‐rider combination must be eliminated in this case. Reading of the test is allowed in the Walk Trot Test only.

Semua jenis tindakan bantuan baik teriakan suara, isyarat atau aba‐aba kepada atlit ataupun kuda, dianggap illegal. Jika hal ini terjadi maka kombinasi kuda dan atlit harus dieliminasi.

BELL

After the sound of bell, the Athletes must enter the arena at A within fourty five (45) seconds. Horse and Rider combination not entering the Arena within 90 seconds after the bell will be eliminated.

Dalam kelas dressage setelah bel berbunyi, atlit harus memasuki arena pada huruf A dalam hitungan 45 detik.

Jika dalam waktu 90 detik setelah bell belum memasuki arena maka dianggap tersisih.

PRIZE‐GIVING

Participation in the prize‐giving ceremony is compulsory. The Athletes who does not enter the prize‐giving ceremony will loose the classification and all prizes (rosette, prize in kind, prize money, etc.) Exception to this rules can be granted by the Ground Jury at specific cases.

Dress and saddlery have to be the same as in the Competition, however BLACK or WHITE BANDAGES are allowed.

Rosettes should be placed on the Horses’ bridles prior to prize‐giving.

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Mengikuti upacara pembagian hadiah adalah wajib bagi para pemenang. Atlit yang tidak hadir pada saat pembagian hadiah akan kehilangan klasifikasi kemenangannya dan segala hadiah (baik rosset, hadiah uang, maupun hadiah lainnya). Pengecualian untuk peraturan dapat diberikan jika Ground Jury dalam kasus – kasus tertentu. Pakaian dan perlengkapan kuda harus sama seperti pada saat bertanding.

Rosset di pasang pada kendali sebelum pembagian hadiah.

VII.

CONTACT

:

Sekretariat office phone: +62 21 33988845

+62 21 70504774

Email: [email protected]

Jendry Palandeng (Stable Manager) mobile: +62 878 7186 2828

+62 818 713 834

Tiara Ulfa (Event Secretary) mobile: +62 813 2715 1988

Jupri Mardi (Show Secretary mobile: +62 812 1163 994

VIII. DIRECTORY/ DIREKTORI

HOTEL : Hotel Aryduta Lippo Village

Boulevard Jend Sudirman Lippo Village 1300

Tangerang 15811 Banten

Phone : 62 21 546 0101

HOSPITAL : Ciputra Hospital

Jl. Citra Raya Boulevard Blok V.00/08 Sek 3.4 ,

Panongan – Tangerang 15710

Phone : 62 21 5940 5555

www.ciputrahospital.com

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COMPETITION CLASSES & SCHEDULE

When What Where Note How

Much Thursday, 23^rd April 2015

15:00 17:00

‐

Trot Up

Technical Meeting

‐ Club House

Jumping Horses 120cm and above

Friday, 24^th April 2015 07:00

08:00 09:30 11:00 13:00

15:00 follow follow

CC‐1 CD‐2 CD‐3 CD‐4 CD‐5 CS‐8A CS‐8B CS‐9

Two Day Event Open – Dressage Dressage Preliminary Open Dressage Elementary Open Dressage Medium Open Dressage Advanced Open

Warm Up Jumping 100cm YH Warm Up Jumping 100cm Open Warm Up Jumping 110cm Open

Main Arena Main Arena Main Arena Main Arena Main Arena

Main Arena Main Arena Main Arena

FEI 1* Test‐A FEI WDC Preliminary FEI WDC Elementary FEI WDC Medium FEI WDC Advanced

Style Class

Art. 269 Accumulator Art. 269 Accumulator

700,000 350,000 400,000 450,000 450,000 250,000 250,000 250,000 Saturday, 25^th April 2015

07:00 follow 09:00 follow

10:00 follow 11:30 follow 13:00 follow 14:30 16:00

CD‐6A CD‐6B CD‐7A CD‐7B CS‐10A CS‐10B CS‐11A CS‐11B CC‐1 CS‐12 CS‐13 CS‐14

Dressage Walk Trot JR

Dressage Walk Trot APM & STIN Dressage Preliminary JR

Dressage Preliminary APM & STIN

Show Jumping 70 JR Show Jumping 70 Open Show Jumping 100 JR Show Jumping 100 Open Two Day Event Open – 110 Show Jumping 110 Open Show Jumping 120 Open Show Jumping 130 Open

Warm up Arena Warm up Arena Warm up Arena Warm up Arena

Main Arena Main Arena Main Arena Main Arena Main Arena Main Arena Main Arena Main Arena

Walk Trot Test 2 Walk Trot Test 2 Preliminary Test ‐1 Preliminary Test ‐1

Art.274 (Two Phases) Art.274 (Two Phases) Art. 238.2.1

Art. 238.2.1 Art. 238.2.1 Art. 238.2.1 Art. 238.2.1 Art. 238.2.1

300,000 300,000 350,000 350,000 300,000 300,000 350,000 350,000

‐ 400,000 450,000 450,000

Sunday, 26^th April 2015 08:00

follow 10:00 follow 12:30 follow 14:00 15:30 16:00

CS‐15A CS‐15B CS‐16A CS‐16B CS‐17A CS‐17B CS‐18 CS‐19 CS‐20

Show Jumping 80 JR Show Jumping 80 Open Show Jumping 105 YH Show Jumping 105 Open Show Jumping 115 YR Show Jumping 115 Open Show Jumping 120 Open Show Jumping 130 Open Show Jumping 140 Open

Main Arena Main Arena Main Arena Main Arena Main Arena Main Arena Main Arena Main Arena Main Arena

Art.274 (Two Phases) Art.274 (Two Phases) Style Class

Art. 238.2.1 Art. 238.2.1 Art. 238.2.1 Art. 238.2.2 Art. 238.2.2 Art. 238.2.2

300,000 300,000 350,000 350,000 400,000 400,000 450,000 500,000 500,000

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IMPORTANT

This form must be completed by competitor who has not reached 18 years old on 24 April 2015.

Parental/Guardian Consent, Acknowledgement and Release (to be completed signed by a parent/guardian, where divorced or separated, parent/guardian with legal custody must sign).

PLEASE read carefully before signing

A. I/we hereby give consent for my child………..(My ID card no./birth certificate no./passport no……….to participate in the APM Charity Show 2014, 24^th‐ 26^th April 2015 (hereinafter referred to as “the Competition”).

B. I/we know of, and acknowledge that my child/ward knows of, the risk involved in the athletic participation, understand that serious injury, permanent disability and even death, is possible in such participation and choose to accept any and all responsibility for his/her safety and welfare while participating in athletics. With full understanding of the risks involved, I’we release and hold harmless APM Charity Show 2014, 24^th‐ 26^th April 2015 and its respective members, directors, agents, employees, associates, staffs, sponsors and independent contractors all responsibility and liability for any injury claim resulting from the such athletic participation and agree to take no legal action against the APM Charity Show 2014, 24^th‐ 26^th April 2015 because of any accident or mishap involving the athletic participation of my child/ward. I/we authorize emergency medical treatment for my child/ward should the need arise for such treatment while my child/ward is competing. I/we further hereby authorized the use or disclosure my child’s/ward’s individually identifiable health information should treatment for illness or injury become necessary. I/we consent to the disclosure, by the APM Charity Show 2014, 24^th‐ 26^th April 2015 of all records relevant to his/her athletic eligibility including, but not limited to, his/her records relating the results, age, discipline, finances and residence.

C. I’ve grant the APM Charity Show 2014, 24^th‐ 26^th April 2015 the right to photograph and/or videotape my child/ward and further to use said child’s/ward’s name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, promotional and commercial materials without reservation or limitation.

APM Charity Show 2014, 24^th‐ 26^th April 2015, however, is under no obligation to exercise said rights herein.

D. I/we understand that the authorizations and rights granted herein are voluntary and that I/we may revoke and or all of them at any time by submitting said revocation in writing to the APM Charity Show 2014, 24^th‐ 26^th April 2015. By doing so, however, I/we understand that my/our child/ward will no longer be eligible for participation in any competitions.

I/WE HAVE READ THIS CAREFULLY AND KNOW IT CONTAINS A RELEASE.

__________________________________________________________ / ______________________

Name of Parent/Guardia (printed) & Signature of Parent/Guardian Date

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GENERAL RELEASE OF LIABILITY AND WAIVER PLEASE read carefully before signing this form must be signed before you compete

In consideration of APM Charity Show 2014, 24^th‐ 26^th April 2015 the Organizing Committee (hereinafter referred to as “the Organizer”) granting me permission to participation in APM Charity Show 2014, 24^th‐ 26^th April 2015 (hereinafter referred to as APM Charity Show 2014, 24^th‐ 26^th April 2015, I agree: that prior to participating in any event, I will inspect the facilities and equipment to be used by me during that event;

A. GENERAL RELEASE OF LIABILITY AND WAIVER

i. that prior to participating in any event, I will inspect the facilities and equipment to be used by me during that event and agree that the facilities and equipment are in good condition;

ii. that I understand that I may be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result from my actions or inactions, but also from the intentional or negligent acts of others, from the rules of Competition and their application, from the condition of the premises and/or equipment, and from other causes now unknown or not now reasonably foreseeable; and

iii. to fully release, discharge and hold harmless the Organizer and its respective members, directors, agents, employees, associates, staffs and independent contractors from any and all claims, actions, liabilities and causes of action which I may now have or which may accrue as a result of or incidental to my voluntary participation in any of the sporting or non sporting activities incidental to or in connection with the Competition.

B. ACKNOWLEDGEMENT OF RULES AND REGULATIONS

i. to abide by all the rules and regulations of the Organizer as in force from time to time;

ii. to refrain from consuming alcoholic beverages or using any substances in a manner which would decrease or impair my level of performance during my participation in the sporting activities of the Competition;

iii. to refrain from unsportsmanlike conduct or any conduct bringing discredit upon the Competition including without limitation physically or verbally assaulting or abusing any official, competitor, spectator, volunteer or any person involved in the conduct and management of the Competition and that any such conduct may meet with expulsion form the Competition and appropriate criminal or civil action against me; and

iv. to be filmed, photographed or interviewed as a participant in the Competition when requested to do so by any officer or official of the Organizer.

v. I acknowledge that I execute this 'General Release of Liability and Waiver' and ‘Acknowledgement of Rules and Regulations’ freely and voluntary, and do not rely on any inducements, promises or representations made by the aforementioned organization or individuals involved in the Competition, or any person associated in any way with the Competition.

I do hereby declare that I am aware of the rules that are being adopted by the Organizer of the APM Charity Show 2014, 24^th‐ 26^th April 2015 and that I shall abide by al the rules being adopted in the APM Charity Show 2014, 24^th‐ 26^th April 2015.

__________________ _____________________________ ____________________________________

Date Name of Entrant Signature of Entrant/Parent/Guardian

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Entry Form

Club :

Email :

Contact :

Phone :

No

Rider

(For CH;JR;YR provide age and year of birth

Year Of

Birth

Horse Name Class Entry Fee

1

2

3

4

5

7

8

Total Entry Fee

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STABLING REQUEST FORM

Club : Email :

Contact : Phone :

No

Horse

(For YH provide age and year of birth

Date of

birth (Age)

Date of

Arrival Date of Departure Total Stabling

Day Stabling Fee

Total Stabling Fee

Catatan:

1. Semua pengangkut kuda yang datang dan pergi harus akan dilakukan disinfectant 2. Semua kuda yang datang utk bertanding akan dilakukang pengecekan suhu badan

kuda. Jika menurut pemeriksaan dokter pertandingan kuda tersebut tidak dalam kondisi sehat, maka tidak diperkenankan masuk kandang pertandingan.