SVT waiver 1 | Katie-K-Equestrian

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Southern Higlands Vaulting Team

Waiver 1

Dangerous Activity Acknowledgement EA Registered NCAS Coach

Horse Sports are a Dangerous Activity

Conduct

Full Name

Address

Phone

Date of Birth

Occupation

I am a member of

Membership No.

Riding Experience

Very experienced

Never ridden

Less than 50 hours riding experience

Less than 20 hours riding experience

Details of riding experience

Conditions/impairments/disability that may effect my ability to participate

Effect of this Document

Date

Rider's Signature

If Rider under 18- Signature of Parent or Guardian

Duty of Coach (This section to be completed by the Coach)

Membership Card Sighted

Yes

No

Date

Signature of Coach

Equestrian Australia gratefully acknowledges the support provided by the Australian Sports Commission.

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