SATURDAY NOVEMBER 14 th 2015

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1 KOROIT AGRICULTURAL SOCIETY ANNUAL SHOW HORSE PROGRAMME SATURDAY NOVEMBER 14 th 2015 Entries close Wednesday 11 th November 5pm Entries received after this date, will be $6.00 Admission prices Adults $ Aged Pensioners $ 7.00 Children $2.00 Membership ticket $16.00 Children under 3 Free

2 KOROIT AGRICULTURAL SOCIETY ENTRY FORM Entries close 11 th November, 2015 TO THE SECRETARY: P.O BOX 61, KOROIT, 3282 Section No Office Details Entry fee ENTRY FEE MEMBERS TICKET $ TOTAL FEES MUST ACCOMPANY ENTRIES Privacy Statement---I agree / do not agree to having my name and details published in the print media. NAME.. Signature.. ADDRESS. POSTCODE.. PHONE NO Please allow time for Members Tickets & Paperwork to be posted.

3 SECTION A HORSE EVENTS SECTION ENQUIRIES- Julie Houlihan PH / hotlips_jh@hotmail.com ENTRY FEE: Members $3.50, Non-members $4.00, Additional entries taken on day $6.00 per entry, except showjumping ( See showjumping section for late entry fees) No prize money all Sections except Jumping. STEWARDS: Messrs A Waterson K. Russell, Mrs J. Houlihan, Mal Beard, Mr R Walsh, Mrs M. White MEASURER: G Beard ANNOUNCER: Mrs J McLean RULES AND REGULATIONS: 1. Ponies up to and including 14 hands 2. Galloways over 14 hands to 15 hands 3. Hacks over 15 hands 4. Horses and ponies can be measured by the society at the discretion of Stewards or Judges 5. For smartest on parade classes, horse and gear must be exhibitors own property 6. All exhibits must be bona-fide property of the exhibitor or held by them under written lease at the time of entry 7. All horses shown in breed classes must carry respective registration and ownership 8. Novice is one who has not won first prize singly at any agricultural show. 9. Exhibits can be shown in either show hunter or open classes-not both 10. Rings 1 & 2 Saddle Champions 1 (one) Champion horse on day. 11. Current Height tickets to be carried SPONSORS Matthews Petroleum, Horseland, I & S Miller Transports, Bob Hackett, Mrs F Laidlaw, McLean's Electrics, M. Daly IGA, Port Fairy Battery & Tyre Service, Bourkes Hotel. We gratefully acknowledge the support of these Businesses. Also to our other sponsors our THANKS

4 RING NO. 1 JUDGE : S.RYAN STARTS 9.00 AM 1. Miniature Turnout 7 years & under to be led 2. Smartest on Parade under 12 years 3. Smartest on Parade 12 years and under 15 years 4. Rider under 8 years (may be led) 5. Rider 8 years and under 10 years 6. Rider 10 years and under 12 years 7. Rider 12 years and under 14 years CHAMPION & RESERVE CHAMPION JUNIOR RIDER 8. Novice Ridden Galloway 9. New Comer/First Season Galloway 10. Open Saddle Galloway over 14.0 HH and not exceeding 14.2 HH 11.Open Saddle Galloway over 14.2 HH and not exceeding 15.0 HH CHAMPION & RESERVE CHAMPION RIDDEN GALLOWAY 12..Show Hunter Galloway over 14.0 HH and not exceeding 14.2 HH 13. Show Hunter Galloway over 14.2 HH and not exceeding 15.0 HH 14. Show Hunter Galloway over 14.0 HH and not exceeding 14.2 HH 15. Show Hunter Galloway over 14.2 HH and not exceeding 15.0 HH CHAMPION & RESERVE CHAMPION SHOW HUNTER GALLOWAY 16. Novice Saddle Pony 14.0 HH and under 17 New Comer/First Season Saddle Pony 14.0 HH and under 18. Open Saddle Pony over 13.2 HH and not exceeding 14 HH 19. Open Saddle Pony over 13 HH and not exceeding 13.2 HH 20. Open Saddle Pony over 12.2 HH and not exceeding 13 HH CHAMPION & RESERVE CHAMPION SADDLE PONY OVER Show Hunter Pony over 12.2HH and not exceeding 13HH 22. Show Hunter Pony over 13HH and not exceeding 13.2HH 23. Show Hunter Pony over 13.2HH and not exceeding 14HH CHAMPION & RESERVE CHAMPION SHOWHUNTER PONY OVER 12.2 HH 24. Show Hunter pony 11.2 HH and under 25. Show Hunter pony over 11.2 HH and not exceeding 12.2 HH CHAMPION & RESERVE CHAMPION RIDDEN SHOW HUNTER PONY 12.2HH & UNDER 26. Open Saddle Pony over 12.0 HH and not exceeding 12.2 HH 27. Open Saddle Pony over 11.2 HH and not exceeding 12.0HH 28. Open Saddle Pony over 11.0 HH and not exceeding 11.2 HH 29. Open Saddle Pony 11.0 HH and under CHAMPION & RESERVE CHAMPION SADDLE PONY 12.2 HH & UNDER 30. Open Saddle Hack over 15.0 HH and not exceeding15.2 HH 31. Open Saddle Hack over 15.2 HH and not exceeding 16.0 HH 32. Open Saddle Hack over 16.0 HH and not exceeding 16.2HH 33. Open saddle hack over 16.2HH CHAMPION AND RESERVE CHAMPION SADDLE HACK 34. Show Hunter Hack over 15.0 HH and not exceeding 15.2 HH 35. Show Hunter Hack over 15.2HH and not exceeding 16.0 HH 36. Show Hunter Hack over 16.0HH CHAMPION & RESERVE CHAMPION SHOW HUNTER HACK

5 RING NO. 2 JUDGE : S. FLANDERS STARTS 9.30 AM Exhibits can be shown in either show hunter or open classes-not both 37. Smartest on Parade 15yrs and under 18yrs 38. Smartest on Parade 18yrs and over 39. Rider 14 years and under 16 years 40. Rider 16 years and under 18 years CHAMPION & RESERVE CHAMPION INTERMEDIATE RIDER 41. Rider 18 years and under 21 years 42. Rider 21 years and over CHAMPION & RESERVE CHAMPION SENIOR RIDER 43. Novice Ridden Hack over 15.0 HH 44. Newcomer/First Season Hack over 15.0 HH 45. Open Saddle Hack over 15.0 HH and not exceeding 15.2 HH 46. Open Saddle Hack over 15.2 HH and not exceeding 16.0 HH 47. Open Saddle Hack over 16.0 HH and not exceeding 16.2 HH 48. Open saddle hack over 16.2 HH CHAMPION & RESERVE CHAMPION SADDLE HACK (MR & MRS WR LAIDLAW MEMORIAL TROPHY) 49. VAS OFF THE TRACK FOR RETIRED RACEHORSES 14.2.HH & OVER Qualifier Prizes: $50, sash, Card and Racing Victoria Prize Pack. Open to all Thoroughbreds unraced or raced 4 years and over, over 14.2hh who are registered with RISA (Racing Information Services Australia). Registration will be checked. Racing name to be used where appropriate. When entering if name is different to racing name or if never raced, please provide, Racing name, Brands, Colour & markings, microchip number, Life Number, Registration Certificate number. Qualifying classes will be judged ridden. Once a qualifier is won, the horses cannot compete in other qualifiers. All qualifying winners gain automatic entry in the Off the Track series Final to be held at the 2015 VAS Ltd Saddle Horse Championships on Saturday 4th January Riders to be 14 years and over on day of qualifying show. 50. Show Hunter Hack over 15.0 HH and not exceeding 15.2 HH 51. Show Hunter Hack over 15.2HH and not exceeding 16.0HH 52. Show Hunter Hack over 16.0 HH CHAMPION & RESERVE CHAMPION SHOW HUNTER HACK 53. Open Saddle Galloway over 14.0 HH and not exceeding 14.2 HH 54. Open Saddle Galloway over 14.2 HH and not exceeding 15.0 HH CHAMPION & RESERVE CHAMPION SADDLE GALLOWAY 55. Show Hunter Galloway over 14.0 HH and not exceeding 14.2 HH 56. Show Hunter Galloway over 14.2 HH and not exceeding 15.0 HH CHAMPION & RESERVE CHAMPION SHOW HUNTER GALLOWAY 57. Open Saddle Pony over 13.2 HH and not exceeding 14.0 HH 58. Open Saddle Pony over 13.0 HH and not exceeding 13.2 HH 59. Open Saddle Pony over 12.2 HH and not exceeding 13.0 HH CHAMPION & RESERVE CHAMPION SADDLE PONY OVER 12.2HH to 14HH 60. Show Hunter Pony over 12.2HH and not exceeding 13HH 61. Show Hunter Pony over 13HH and not exceeding 13.2HH 62. Show Hunter Pony over 13.2HH and not exceeding 14HH CHAMPION & RESERVE CHAMPION SHOWHUNTER PONY OVER 12.2 HH 63. Show Hunter pony 11.2 HH and under 64. Show Hunter pony over 11.2 HH and not exceeding 12.2 HH CHAMPION & RESERVE CHAMPION RIDDEN SHOW HUNTER PONY 12.2HH & UNDER 65. Open saddle pony over 12.0 HH and not exceeding 12.2 HH 66. Open saddle pony over 11.2 HH and not exceeding 12.0 HH 67. Open saddle pony over 11.0 HH and not exceeding 11.2 HH 68. Open saddle pony 11.0 HH under CHAMPION & RESERVE CHAMPION SADDLE PONY 12.2HH AND UNDER

6 RING 3. OPEN LEDS & BREEDS JUDGE : G.EXNER STARTS 9.00 AM OPEN LED 69. Led Stallion or Colt 14 HH & Under 70. Led Stallion or Colt over 14 HH CHAMPION LED STALLION OR COLT 71. Led Mare/Filly over 14 HH & not exceeding 15 HH 72. Led Mare/Filly over 15 HH CHAMPION LED MARE/FILLY OVER 14HH 73. Led Mare/Filly 12.2 HH & Under 74. Led Mare/Filly over 12.2 HH and not exceeding 14 HH CHAMPION LED MARE/FILLY 14 HH & UNDER 75. Led Gelding over 15.0 HH 76. Led Gelding over 14.0 HH and not exceeding 15.0 HH CHAMPION & RESERVE CHAMPION LED GELDING OVER 14HH 77. Led Gelding over 12.2 HH and not exceeding 14.0 HH 78. Led Gelding 12.2 HH and under CHAMPION & RESERVE CHAMPION LED GELDING 14HH & UNDER ALL HORSES SHOWN IN BREED CLASSES BELOW MUST CARRY RESPECTIVE REGISTRATION AND MEMBERSHIP & PRESENTED ON REQUEST. STOCK HORSES 79. Led Stallion or Colt 80. Led Gelding 81. Led Mare 82. Led Filly 3 years and under. CHAMPION & RESERVE CHAMPION LED ASH EXHIBIT 83. ASH and Lady Rider. 84. Ridden Stallion. 85. Ridden Mare or Gelding. 86. ASH ridden by a junior, under 18yrs CHAMPION AND RESERVE CHAMPION RIDDEN ASH 87. Novice Working Stock Horse. 88. Open Working Stock Horse. 89. Working ASH ridden by a junior, under 18yrs WELSH MOUNTAIN SECTION A 90. Led Stallion or Colt 91. Led Mare Dry or Brood 92. Led Filly CHAMPION & RESERVE CHAMPION WELSH MOUNTAIN EXHIBIT WELSH SECTION B 93. Led Stallion or Colt 94. Led Mare Dry or Brood 95. Led Filly CHAMPION & RESERVE CHAMPION WELSH EXHIBIT WELSH GELDINGS SECTION E 96. Led Welsh Mountain Gelding 97. Led Welsh Gelding 98. Led C/D Gelding CHAMPION & RESERVE CHAMPION WELSH GELDING EXHIBIT

7 PART WELSH 99. Led Stallion or Colt 100. Led Mare Dry or Brood 101. Led Filly 102. Led Gelding CHAMPION & RESERVE CHAMPION PART WELSH EXHIBIT SHETLANDS 103. Led Stallion or Colt 104. Led Gelding CHAMPION & RESERVE CHAMPION SHETLAND MALE 105. Led Mare 106. Led Filly CHAMPION & RESERVE CHAMPION SHETLAND FEMALE RIDING PONIES 107. Led Stallion 108. Led Colt (may be split, depending on numbers) 109. Led Gelding 14.2 HH & Under (may be split, depending on numbers) CHAMPION & RESERVE CHAMPION RIDING PONY MALE 110. Led Mare 12.2 and Under 111. Led Mare over 12.2 HH and not exceeding 13.2 HH 112 Led Mare over 13.2 HH and not exceeding 14.2 HH 113. Led Filly (may be split, depending on numbers) CHAMPION & RESERVE CHAMPION RIDING PONY MARE/FILLY PINTOS All Pintos must be registered with the Victorian Pinto Society & owners must be current financial members of the same Led Stallion or Colt 10.2hh & under 115. Led Mare or Filly 10.2hh & under 116. Led Gelding 10.2hh & under CHAMPION & RESERVE CHAMPION LED PINTO 10.2HH & UNDER 117. Led Stallion or Colt 14hh & over 118. Led Stallion or Colt, over 10.2hh & under 14hh CHAMPION & RESERVE CHAMPION LED PINTO STALLION OR COLT 119. Led Mare or Filly 14hh & over 120. Led Mare or Filly over 10.2hh & under 14hh CHAMPION & RESERVE CHAMPION LED PINTO MARE OR FILLY 121. Led Gelding 14hh & over 122. Led Gelding over 10.2hh & under 14hh CHAMPION & RESERVE CHAMPION LED PINTO GELDING SUPREME CHAMPION LED PINTO 123. Ridden Pinto 10.2hh & under 124. Ridden Pinto 14hh & over 125. Ridden Pinto over 10.2hh & under 14hh CHAMPION & RESERVE CHAMPION RIDDEN PINTO COLOURED BREEDS- (Palomino, Buckskin, Dun) 126. Led Stallion 127. Led Female 128. Led Colt/Filly CHAMPION AND RESERVE COLOURED EXHIBIT

8 SHOWJUMPING STARTS 9.00 AM In the event of adverse weather, the Committee, Course Builder & Judge will consult with Competitors in regard to ground surface. LATE ENTRIES ON THE DAY WILL BE CHARGED AT DOUBLE ENTRY FEE Riders & Mounts do not have to be EV registered for Classes Riders to be EV Members for Classes cm Competition over Two Rounds (Articles 245.3) AM7 Entry $5.00 Prizes 1 st - $15, 2 nd - $10, 3 rd - $ cm Competition over Two Rounds (Articles 245.3) AM7 Entry $5.00 Prizes 1 st - $15, 2 nd - $10 3 rd - $ cm Competition over Two Rounds (Articles ) AM5 Entry $5.00 Prizes 1 st - $15, 2 nd - $10, 3 rd - $ cm Competition over Two Rounds (Articles ) AM5 Entry $7.00 Prizes 1 st - $20, 2 nd - $15, 3 rd - $ KIRKSTALL HOTEL OPEN JUMP Competition over Two Rounds (Articles ,3.3,4.3) Entry $10.00 Prizes 1 st - $100, 2 nd $50, 3 rd -$30, 4 th -$ FANCY DRESS TO BE JUDGED ON MAIN ARENA AT LUNCH TIME ( OPEN TO ANY COMPETITOR, MAY BE SPLIT DEPENDING ON NUMBERS) SPONSORED BY RENTSCH MOTORS MAILORS FLAT, & J. POTTER LIVESTOCK CARRIER TROPHY & VOUCHERS TO THE VALUE OF $50 PLACINGS 1 st 6 th

9 NON SHOW RING STARTS 9.00 AM For inexperienced riders who do not show regularly. Riders may be led or assisted. Approved helmets and boots must be worn. Plaiting optional and jackets are not required. Snaffle bits only Led Pony ne 12.0hh 135. Led Pony over 12.0 & ne 14hh 136. Led Horse over 14hh 137. Handler under 6 yrs 138. Handler 6 & under 8 yrs 139. Handler 8 yrs & under 10 yrs 140. Handler 10 yrs & under 14yrs 141. Handler 14yrs & over 142. Best Presented Combination ne 12.0hh 143. Best Presented Combination over 12.0hh & ne 14.0hh 144. Best Presented over 14.0hh 145. Rider under 6 yrs 146. Rider 6 yrs & under 8 yrs 147. Rider 8 yrs & under 10 yrs 148. Rider 10 yrs & under 14yrs 149. Rider 14yrs & over 150. Beginner's Pony ne 12.0hh 151. Beginner's Pony over 12.0hh & ne 14.0hh 152. Beginners Pony over 14.0hh 153. Most Obedient Pony ne 12.0hh 154. Most Obedient Pony over 12.0hh & ne 14.0hh 155. Most Obedient Pony over 14.0hh Please sign Waiver below, and send with Entries.

10 VICTORIAN AGRICULTURAL SHOWS LIMITED KOROIT AGRICULTURAL SOCIETY HORSE SPORTS PARTICIPANT RISK ACKNOWLEDGMENT & WAIVER Name of participant:... Victorian Agricultural Shows Ltd and Koroit Agricultural Society (together the Suppliers ) advise that participation in horse sports at an agricultural show or horse competition contains elements of risk, both obvious and inherent. Horse sports are dangerous recreational activities and horses can act in a sudden and unpredictable way, especially when frightened or hurt. By signing this waiver I acknowledged that: participation in horse sports is a hazardous activity and may result in injury, loss, damage or death to me; participation in horse sports requires certain skills. I declare that I have sufficient skills to be able to safely and properly participate in the events; horses can act in a sudden and unpredictable way, especially if frightened or hurt, or if exposed to loud or unfamiliar noises; if held at an agricultural show, the horse sports will be held in close proximity to rides and large groups of people, and that there may be loud and unfamiliar noises which can frighten horses; as the event is held outdoors, there are risks to me and to my horse as a result of the weather conditions, including either extreme hot or cold weather, rain or wind; insects or other animals may cause my horse or other horses to become frightened and act in an unpredictable way; there is inherent in horse riding events the risk of suffering injury including falling from my horse; I am responsible for ensuring that I have and will wear equipment suitable for safely and properly participating in the event; and I use the facilities of [name of show society] entirely at my own risk, as I find them and with the prior acceptance of the risk of possible danger to me. This document constitutes a contractual waiver pursuant to Section 22 of the Australian Consumer Law and Fair Trading Act 2012 (ACLFTA). In that regard, I have initialled the warning contained at the end of this document. If I suffer harm while participating in a horse event, I will not hold the Suppliers, their employees or agents legally responsible for any injuries I suffer. I will not sue the Suppliers, their employees or agents for any claims, costs, damages or liability. I agree to release the Suppliers and their employees from legal responsibility for the services I have been provided. I acknowledge and agree that my participation in the horse sports and associated activities are a danger and may have inherent risks as a result of which personal injury (and sometimes death) may occur and I accept and assume all such risks of personal injury or death in anyway whatsoever arising from these activities and hereby waive my individual right to sue the Suppliers for all claims I or my

11 representatives may have for such personal injury or death against the Suppliers in any way whatsoever arising from or in connection with these activities. I will not consume any alcohol or illicit drugs while participating in the horse sports and agree that such use may result in me being excluded from an event with no entitlement to any refund of money paid for entry to the Suppliers. I agree to be bound by the rules and guidelines of Victorian Agricultural Shows Ltd as varied from time to time. Where the participant is over 18 years of age: I agree that I have read and understood this waiver and the ACLFTA Warning provided at the end of this document prior to signing this waiver and agree that this waiver will be binding on my heirs, next of kin, executors and administrators. I agree that this waiver shall be governed in all respects by and interpreted in accordance with the laws of Victoria. Signature:... Dated: Where participant is under 18 years of age (to be completed by a parent or guardian): I..., being a parent or legal guardian of the above named participant hereby consent to my child participating in horse sports. I confirm that I have read and understood and explained to the participant, this waiver and the ACLFTA Warning provided at the end of this document prior to signing this waiver and agree that this waiver will be binding on my (and their) heirs, next of kin, executors and administrators. I agree that this waiver shall be governed in all respects by and interpreted in accordance with the laws of Victoria. Signature:... Dated: WARNING UNDER THE AUSTRALIAN CONSUMER LAW AND FAIR TRADING ACT 2012 Under the Australian Consumer Law (Victoria), several statutory guarantees apply to the supply of certain goods and services. These guarantees mean that the supplier named on this form is required to ensure that the recreational services it supplies to you- Are rendered with due care and skill; and Are reasonably fit for any purpose which you, either expressly or by implication, make known to the supplier; and Might reasonably be expected to achieve any result you have made known to the supplier. Under section 22 of the Australian Consumer Law and Fair Trading Act 2012, the supplier is entitled to ask you to agree that these statutory guarantees do not apply to you. If you sign this form, you will be agreeing that your rights to sue the supplier under the Australian Consumer Law and Fair Trading Act 2012 if you are killed or injured because the services provided were not in accordance with these guarantees, are excluded, restricted or modified in the way set out in this form. NOTE: The change to your rights, as set out in this form, does not apply if your death or injury is due to gross negligence on the supplier s part. Gross negligence, in relation to any act or omission, means doing the act or omitting to do an act with reckless disregard, with or without consciousness, for the consequences of the act or omission. See regulation 5 of the Australian Consumer Law and Fair Trading Regulations 2012 and section 22(3)(b) of the Australian Consumer Law and Fair Trading Act Parent / Guardian Initial.Date:./ /

12 Victorian Agricultural Shows Ltd Horse Sports Participants Indemnity and Waiver TO BE SIGNED ON BEHALF OF ALL CHILDREN UNDER 18 YEARS OLD RISK WARNING Victorian Agricultural Shows Ltd advises that the participation, including passive participation, in horse sport activities at an agricultural show contains elements of risk, both obvious and inherent. Horse sports are a dangerous recreational activity and horses can act in a sudden and unpredictable way, especially if frightened or hurt. The risks involved may result in property damage and/or personal injury including death. 1 I, the undersigned acknowledge, agree, and understand that participation, including passive participation, in horse sport activities at this, or at any show contains an element of risk of injury. 2 I, the undersigned acknowledge, agree, and understand the dangers associated with the consumption of alcohol or any mind altering drugs before, and during the activities and I take full responsibility for any injury, loss or damage associated with their consumption. 3 I, the undersigned acknowledge, agree, and understand that this document constitutes a contractual waiver pursuant to Section 22 of the Australian Consumer Law and Fair Trading Act 2012 (ACLFTA). In that regard, I have initialled the warning contained at the end of this document. 4 I, the undersigned understand that by participating in this show,.. [name of minor] may become exposed to the risk of injury, and I consent to the participation. 5 I, the undersigned assert that the abovenamed minor voluntarily consents to participation in this show. 6 I, the undersigned acknowledge the risk referred to above and agree to waive any and all rights that I, the abovenamed minor or any other person, may have against the KOROIT AGRICULTURAL SOCIETY in relation to any loss or injury (including death) that is suffered by the abovenamed minor as a result of participation in this show. 7 I, the undersigned agree to continually indemnify the KOROIT AGRICULTURAL SOCIETY on a full indemnity basis against any claim or proceeding that is made, threatened or commenced and any liability, loss (including consequential loss and loss of profits), damages or expense (including legal costs on a full indemnity basis) that the KOROIT AGRICULTURAL SOCIETY incurs or suffers, as a direct or indirect result of the abovenamed minor's participation in any event held by the KOROIT AGRICULTURAL SOCIETY. I have read this Indemnity and Waiver form and the ACLFTA Warning provided at the end of this document and acknowledge and agree with its contents. I have made any further enquiries which I feel are necessary or desirable and fully understand the risks involved in this activity. I agree that this agreement will be binding on my (and their) heirs, next of kin, executors and administrators. I,..of am the parent/guardian of. Name: Address:. Signature:.. Date: /./ Signed for and on behalf of KOROIT AGRICULTURAL SOCIETY Name: JULIE HOULIHAN.Position: COMMITTEE MEMBER.. Signature:.. Date: 20 TH./ 10TH./ 2015.

13 WARNING UNDER THE AUSTRALIAN CONSUMER LAW AND FAIR TRADING ACT 2012 Under the Australian Consumer Law (Victoria), several statutory guarantees apply to the supply of certain goods and services. These guarantees mean that the supplier named on this form is required to ensure that the recreational services it supplies to you- Are rendered with due care and skill; and Are reasonably fit for any purpose which you, either expressly or by implication, make known to the supplier; and Might reasonably be expected to achieve any result you have made known to the supplier. Under section 22 of the Australian Consumer Law and Fair Trading Act 2012, the supplier is entitled to ask you to agree that these statutory guarantees do not apply to you. If you sign this form, you will be agreeing that your rights to sue the supplier under the Australian Consumer Law and Fair Trading Act 2012 if you are killed or injured because the services provided were not in accordance with these guarantees, are excluded, restricted or modified in the way set out in this form. NOTE: The change to your rights, as set out in this form, does not apply if your death or injury is due to gross negligence on the supplier s part. Gross negligence, in relation to any act or omission, means doing the act or omitting to do an act with reckless disregard, with or without consciousness, for the consequences of the act or omission. See regulation 5 of the Australian Consumer Law and Fair Trading Regulations 2012 and section 22(3)(b) of the Australian Consumer Law and Fair Trading Act Parent / Guardian Initial. Date:./ /

14 VICTORIAN AGRICULTURAL SHOWS LIMITED KOROIT SHOW SOCIETY HORSE SPORTS PARTICIPANT RISK ACKNOWLEDGMENT & WAIVER Name of participant:... Victorian Agricultural Shows Ltd and Koroit Show Society advise that participation in horse sports at an agricultural show or horse competition contains elements of risk, both obvious and inherent. Horse sports are dangerous recreational activities and horses can act in a sudden and unpredictable way, especially when frightened or hurt. 1 By signing this waiver I acknowledged that: 1.1 participation in horse sports is a hazardous activity and may result in injury, loss, damage or death to me; 1.2 participation in horse sports requires certain skills. I declare that I have sufficient skills to be able to safely and properly participate in the events; 1.3 horses can act in a sudden and unpredictable way, especially if frightened or hurt, or if exposed to loud or unfamiliar noises; 1.4 if held at an agricultural show, the horse sports will be held in close proximity to rides and large groups of people, and that there may be loud and unfamiliar noises which can frighten horses; 1.5 as the event is held outdoors, there are risks to me and to my horse as a result of the weather conditions, including either extreme hot or cold weather, rain or wind; 1.6 insects or other animals may cause my horse or other horses to become frightened and act in an unpredictable way; 1.7 there is inherent in horse riding events the risk of suffering injury including falling from my horse; 1.8 I am responsible for ensuring that I have and will wear equipment suitable for safely and properly participating in the event; and 1.9 I use the facilities of Koroit Show Society entirely at my own risk, as I find them and with the prior acceptance of the risk of possible danger to me. 2 If I suffer harm while participating in a horse event, I will not hold the Suppliers, their employees or agents legally responsible for any injuries I suffer. I will not sue the Suppliers, their employees or agents for any claims, costs, damages or liability. I agree to release the Suppliers and their employees from legal responsibility for the services I have been provided. 3 I acknowledge and agree that my participation in the horse sports and associated activities are a danger and may have inherent risks as a result of which personal injury (and sometimes death) may occur and I accept and assume all such risks of personal injury or death in anyway whatsoever arising from these activities and hereby waive my individual right to sue the Suppliers for all claims I or my representatives may have for such personal injury or death against the Suppliers in any way whatsoever arising from or in connection with these activities. 4 I will not consume any alcohol or illicit drugs while participating in the horse sports and agree that such use may result in me being excluded from an event with no entitlement to any refund of money paid for entry to the Suppliers. 5 I agree to be bound by the rules and guidelines of Victorian Agricultural Shows Ltd as varied from time to time.

15 Where the participant is over 18 years of age: I agree that I have read and understood this waiver prior to signing it and agree that this waiver will be binding on my heirs, next of kin, executors and administrators. I agree that this waiver shall be governed in all respects by and interpreted in accordance with the laws of Victoria. Signature:... Dated: Where participant is under 18 years of age (to be completed by a parent or guardian): I..., being a parent or legal guardian of the above named participant hereby consent to my child participating in horse sports. I confirm that I have read and understood and explained to the participant, this waiver prior to signing it and agree that this agreement will be binding on my (and their) heirs, next of kin, executors and administrators. I agree that this waiver shall be governed in all respects by and interpreted in accordance with the laws of Victoria. Signature:... Dated: WARNING UNDER THE FAIR TRADING ACT 1999 Under the Australian Consumer Law (Victoria), several statutory guarantees apply to the supply of certain goods and services. These guarantees mean that the supplier named on this form is required to ensure that the recreational services it supplies to you are rendered with due care and skill; and are reasonably fit for any purpose which you, either expressly or by implication, make known to the supplier; and might reasonably be expected to achieve any result you have made known to the supplier. Under section 32N of the Fair Trading Act 1999, the supplier is entitled to ask you to agree that these statutory guarantees do not apply to you. If you sign this form, you will be agreeing that your rights to sue the supplier under the Fair Trading Act 1999 if you are killed or injured because the services provided were not in accordance with these guarantees, are excluded, restricted or modified in the way set out in this form. NOTE: The change to your rights, as set out in this form, does not apply if your death or injury is due to gross negligence on the supplier's part. Gross Negligence is defined in the Fair Trading (Recreational Services) Regulations 2004.

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