RMWF 2025 – Hackney Pony Entry Form

Use the form below to enter the Hackney Pony competition at the 2025 Royal Manitoba Winter Fair.

NOTE: It is the responsibility of the competitor(s) to read and understand the Hackey Pony Prize Book. You must also sign the Waiver of Claim per Rider at the end of the form, agree to the Vaccination requirements, and submit payment for all applicable fees. We use Square to process credit card payments. Your credit card details are NOT stored on our website.

Participants are required to carry in-force third-party liability insurance in the amount of no less than $2,000,000 which defends against lawsuits and/or settlements for bodily injury or property damage arising out of the ownership, leasing or use of horses in the Royal Manitoba Winter Fair. This policy must have a policy territory which includes Canada and be written by a reputable insurer who is satisfactory to the Provincial Exhibition of Manitoba. Proof of such insurance is required to be submitted to the Provincial Exhibition of Manitoba with application. Email proof to info@provincialex.com or entries@provincialex.com.

All submissions will be processed upon receipt of payment.

IMPORTANT: Ensure that all REQUIRED fields are completed. If you submit the form with missing/incomplete information, the page will reload and will indicate any errors (shown in red). To resubmit the form you will need to re-enter your credit card information.

Submission Deadline: February 17th, 2025. A late fee will be added to any entry after this point.

Royal Manitoba Winter Fair

RMWF 2025 - Hackney Horse Entry Form

Name of Horse/Pony(Required)

Farm Name

Owner Info

Owner's Name(Required)

First Last

Owner's Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Owner's Email(Required)

Owner's Phone(Required)

Driver Info

Driver's Name(Required)

First Last

Driver's Address(Required)

Same as Owner

Street Address City State / Province / Region ZIP / Postal Code Country

Driver's Phone(Required)

Driver's Email(Required)

Junior Driver Info

Is the Driver a Junior?

Yes

Name (Junior Driver)(Required)

Acknowledgement

I have read and understood the RMWF Hackney Horse Prize Book. I hereby certify that every horse and driver are eligible as entered and agree for myself and my representatives to be bound by the Rules & Regulations as well as the code of conduct of the Provincial Exhibition of Manitoba and the Royal Manitoba Winter Fair.

Signature of Exhibitor(Required)

Signature of Parent/Guardian (if Junior)(Required)

Prize Money

Provide the name of the individual to which prize money should be paid.

Prize Payee Name(Required)

First Last

Prize Payee's Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Prize Payee's Phone(Required)

Prize Payee's Email(Required)

Fees

Items marked with a * are mandatory.

Admin Fee (per Horse)* (Required)

Price: $ 15.00 CAD

Environmental Fee (per Horse)* (Required)

Price: $ 17.00 CAD

EMT Fee (per Driver)* (Required)

Price: $ 15.00 CAD

Stall(s)

Box Stall (Required)

Price: $ 125.00 CAD

Tack Box Stall (Required)

Price: $ 125.00 CAD

Fair Passes

One (1) free pass per horse entered. Additional Exhibitor admission may be purchased for $80.00 including GST, for a 6-day pass.

Daily Passes

How many Daily Passes do you require? ($13.33 + GST = $14 each)

Price: $ 13.33 CAD

3-Day Passes

How many 3-Day Passes do you require? ($38.10 + GST = $40 each)

Price: $ 38.10 CAD

Weekly Passes

How many ADDITIONAL Weekly Passes do you require? ($76.19 + GST = $80.00 each)

Price: $ 76.19 CAD

Taxes

GST (5%)(Required)

Price: $ 0.00 CAD

Total Due + Payment of Fees

Payment Method(Required)

Credit Card

Cheque

All submissions will be processed upon receipt of payment.

Convenience Fee (3%)

Price: $ 0.00 CAD

Total Due + Payable

PLEASE MAKE CHEQUE PAYABLE TO: Provincial Exhibition of Manitoba. Please mail cheque to: Provincial Exhibition of Manitoba, Unit A-1 – 1200 - 13th St., Brandon, MB R7A 4S8.

Credit Card(Required)

Cardholder Name

Card Details

Waiver of Claim per Driver

Driver's Name(Required)

First Last

Driver's Address(Required)

Same as Driver (Above)

Street Address City State / Province / Region ZIP / Postal Code Country

Driver's Phone (Home)(Required)

Driver's Cell

Driver's Phone (Business)

Driver's Email(Required)

Waiver of Claim per Driver(Required)

In consideration of the undersigned being permitted to participate in any of the events sanctioned or sponsored by the Provincial Exhibition of Manitoba the undersigned shall save harmless and keep indemnified the Royal Manitoba Winter Fair, Provincial Exhibition of Manitoba, Equine Canada, its officers, agents, officials, organisers and representatives from against all claims, Canada, its officers, agents, officials, organisers and representatives from against all claims, actions, demands, and expenses whatsoever concerning death, injury, loss or damage to the undersigned by virtue of his/her participation in said events howsoever caused and regardless of whether same may have been contributed to or occasioned by the negligence of the said bodies, or any of them, their agents, organisers, officials or representatives, and each of the last mentioned parties shall be deemed to be a party to this agreement as if the Royal Manitoba Winter Fair were acting as each party's agent or trustee. Provincial Exhibition of Manitoba and the Show Committee will not be responsible for any accident, injury, damage, loss of or for any other matter that may happen from any cause or circumstance whatsoever, to exhibitors, competitors, members of their families or their agents or to any property brought to the horse show grounds or for any loss claim, matter, circumstance or event whatever in connection with or arising out of or attributable to the horse show or any journey to or from the show. It is hereby recognised that all equestrian sports involved inherent risk and that no helmet or protective equipment can protect against all foreseeable injury. I hereby accept this risk and hold harmless Equine Canada, the competition, their officials, organisers, agents, employees and their representatives. It is understood and agreed this agreement is to be binding on myself, my heirs, executors and assigns and that I have read and fully comprehended this agreement. I also hereby certify that every horse and rider is eligible as entered, and agree for myself and my representatives to be bound by the constitution and rules of the EC and this show.

Signature of Participant(Required)

Date(Required)

Name

This field is for validation purposes and should be left unchanged.

RMWF 2025 – Hackney Pony Entry Form

Royal Manitoba Winter Fair

RMWF 2025 - Hackney Horse Entry Form

Owner Info

Driver Info

Junior Driver Info

Entries

Class A1-1

Class A1-2

Class A1-3

Class A1-4

Class B2-1

Class B2-2

Class B2-3

Class B2-4

Class C3-1

Class C3-2

Class C3-3

Class C3-4

Class #300

Insurance

Acknowledgement

Prize Money

Fees

Stall(s)

Fair Passes

Taxes

Total Due + Payment of Fees

Waiver of Claim per Driver

Stay in the Loop

Success!

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