Manitoba Horse Council - Crocus Competition Application Form

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Crocus Competition Application Form

Show Secretary Information

You will receive your receipt by email.

First name *

Last name *

MHC number *

Email *

Name of Competition *

Date range of competition *

Location of Competition *

Competition Type *

Select all that apply

Dressage Driving Endurance General Performance Hunter/Jumper Other-indicate below

Other

I/We have read and understood that all MHC sanctioned competition/events are restricted to MHC members in good standing. ALL participants in a sanctioned competition/event must have a current MHC membership, including riders in lead line classes. Out-of-province participants are eligible to compete, however, they must provide proof of membership with
their home PTSO or must purchase an MHC membership. Further I/we agree that each participant in our sanctioned competition/event will sign and date an Acknowledgement of Risk and Release of Liability form naming MHC and the show. Membership verification instructions will be sent to the individual named above.

I have read and accept *

Please read and scroll to the bottom to accept.

Officials

Guest Cards are required for individuals officiating without MHC or EC recognized official status. Please contact the MHC Executive Director at mhc.exec@sportmanitoba.ca with any
questions.

Official

First name *

Last name *

Email *

Divisions they are officiating *

Certification if not MHC (ex. FEI, EC, AQHA) *

TD Information (only to be filled out if it is a Driving Competition)

First name *

Last name *

Email *

Divisions they will be acting as a TD (only filled out for Driving competitions) *

TD Certification if not MHC (ex EC, USEF)-only to be filled out for Driving Competitions

Upload Prizelist

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Insurance

Proof of Commercial General Liability Insurance to be in full force and effect to a minimum
of $2 million. The policy must contain clauses providing $2 million limit of liability coverage
for bodily injury and property damage to spectators and participants, cross liability coverage
and non-owned automobile coverage. This policy must contain a clause adding MHC,
Officials, Judges, Course Designers and Volunteers as “additional insured” with respect to
the operations of the competition. Event (club/business). Did you know that having Club Insurance with Acera automatically covers your organization and the operation of the show? Sign up with Acera today!

Policy includes all the following required extensions:
1) Broad Form Property Damage
2) Bodily Injury including Participants – Limit per Horse Show or event $_________________ (Min. $2,000,000)
3) Cross Liability
4) Non-owned Automobile
5) Tenants Legal Liability – Min. $500,000 (Not applicable if named insured owns the property in question)
6) Additional Insureds with respect to Liability arising out of the operations of the named Insured are MANITOBA HORSE COUNCIL INC., OFFICIALS, STEWARDS, JUDGES, COURSE DESIGNERS and VOLUNTEERS.
7) Waiver of subrogation clause against: MANITOBA HORSE COUNCIL INC., OFFICIALS, JUDGES AND COURSE DESIGNERS

This is to certify that the policy or certificate (including endorsements) of insurance, as described above, has been issued by the insurer and/or undersigned to the named insured above and is in full force at this time. If cancelled or changed in any manner, for any reason, during the period of coverage as stated herein to affect this certificate, thirty (30) days prior to written notice will be give by this insurance company to the Manitoba Horse Council Inc. 145 Pacific Avenue, Winnipeg, MB R3B 2Z6.

I have read and accept *

Please read and scroll to the bottom to accept.

Upload a copy of your insurance

I acknowledge I must submit the results of our competition within 14 days after the competition by using the template, found here.

I have read and accept *

Fee for Competition

Item

Mandatory Fee

x 1

Price

$35.00

Amount

$35.00

Subtotal $35.00

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Membership

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MANITOBA HORSE COUNCIL 204-925-5719

manitobahorsecouncil.ca mhc.admin@sportmanitoba.ca