Dressage Entry Form

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    Date: Saturday August 18, 2012Judge: B.J. Higgins

    Show Entry Form

    Horse and Rider Information

    Rider:Riders Age:Owner:Address:Email Address:Phone:Alt. Phone:

    Name of Equine Age Height Color Breed Sex

    Tests

    Please highlight or circle the classes you would like to enter in:

    1. Intro Level, Test A (Walk, Trot only)2. Intro Level, Test B (Walk, Trot only)3. Intro Level, Test C4. Training Level, Test 15. Training Level, Test 26. Training Level, Test 3

    7. First Level, Test 18. First Level, Test 29. First Level, Test 310. Second Level, Test 111. Second Level, Test 212. Second Level, Test 3

    13. Third Level, Test 114. Third Level, Test 215. Third Level, Test 316. Fourth Level, Test 117. Fourth Level, Test 218. Fourth Level, Test 3

    19. Dressage Trail Course (18+)20. Jr. Trail Class (17 and under)21. Prix Caprilli Test 1 (Walk, Trot)22. Prix Caprilli Test 223. Gaited Dressage**

    24. Champ Intro, Test C*

    25. Champ Training, Test 3*26. Champ 1st Level, Test 3*27. Champ 2nd Level, Test 3*28. Champ 3rd Level, Test 3*29. Champ Adult Trail*

    30. Champ Jr. Trail*31. Champ Prix Caprilli #2*32. Champ Gaited Intro C*33. Champ Gaited Training #3*34. Western Dressage**35. Leadline (free)36. Other**

    * Championship classes are only offered at the year-end championship show**Please list and provide a copy of the test

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    We will be using the current USDF tests: If the test you need to practice is not listed here, pleaseget us a copy so we can schedule it into the show. We are happy to include Pony Club tests oreventing tests if that is that you need.

    Special needs or requests?______________________________________________________________________________________________________

    Total Fees Enclosed: $________

    Rules and Additional Information

    SHOW CLASSES AND WARM-UP:

    The arena ring will be open for schooling from 7:00 am until 8:00 am. After this time warm-up is onlyallowed in the designated area.

    Classes can be added or scratched at any time. This can be done at the show office or in-gate.

    Classes are judged according to USDF and USEF rules. Please refer to the handbooks for additionalinformation.

    Riders must wear their numbers at all times while mounted.

    Our schooling shows are about having fun with your horse; please feel free to talk to management about anyconcerns. You should never approach the judge without asking the show secretary if it is all right it nearlyalways is but it must be during free time for the judge - you cant interrupt the show schedule forquestions.

    ABOUT YOUR HORSE:

    - Your horse must be sound- Shoes are optional

    - Mane does not need to be braided- Tail can be left natural or trimmed- Should be neatly groomed- Polo wraps or splint boots are allowed

    EQUIPMENT:

    - Equipment should be clean- Simple snaffle in lower levels plain caveson, drop noseband, or flash are acceptable- Saddle does not have to be a dressage saddle but expect lower scores for inability to achieve

    proper position.- Training aides (standing martingales, tiedowns, draw reins) will be allowed for HC (for Honor) only

    no class placing.

    - Whips and spurs are optional.

    RIDER ATTIRE:

    Safety helmets and boots with a heel required. All riders are required to wear riding boots & an ASTMapproved helmet, whether showing or not.

    Jackets are optional, shirts may be any color (polo shirts are a good choice), breeches may be any color,gloves are optional, full boots or paddock boots with or without half chaps are acceptable.

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    Proper schooling show attire is expected. Whatever you wear make sure to be neat and clean! Rememberthat the picture you present to the judge does have a bearing on your score.

    AWARDS:

    Ribbons will be awarded to 5th place.

    POTLUCK LUNCH:

    Please bring food to share. This is a great opportunity to meet new friends and network.

    FACILITY and DIRECTIONS:

    Bronny Fresians, 671 Nelson Rd., Granger, WA.

    All arenas are fully fenced; green horses are encouraged to attend!

    FROM YAKIMA:

    Take I-82E to Zillah, exit 54, Division Rd. Turn RIGHT onto Yakima Valley Hwy for approx. 3 mi. TurnLEFT onto Nelson Rd. and go less than 1 mi. to 671 Nelson Rd.

    FROM TRI-CITIES:

    Take I-82W toward Granger, exit 58, WA-223. Turn RIGHT onto Vanbelle Rd, then LEFT onto YakimaValley Hwy for approx. 2 mi. Turn RIGHT onto Nelson Rd.

    There will be 2 dairy farms on the right side of Nelson and a large green barn on the left side with showgrounds.

    Turn in the drive to the barn and go RIGHT around the barn, then thru the large gate into the first pasture.

    PLEASE BE CAREFUL NOT TO DRIVE OR PARK ON SPRINKLER HEADS!

    Paddocks are available for day and/or overnight use on a first come first servebasis. Space is limited soplease reserve early. Please contactTeresa Bron at 509-854-1025 [email protected] ensure yourstabling.

    We strive to offer everyone a safe and fun riding experience and to do so it is very important that everyoneadhere to these guidelines.

    Please make checks payable to Wine Country Equestrian Club. For any questions regardingentries please contact Teresa Bron at 509-854-1025 or [email protected]

    ENTRY DEADLINE IS 7 DAYS PRIOR TO SHOW DATE.

    - Entry open one month before show date- Entries will be processed on a first come first serve basis until show fills.- Entry fees are refundable prior to closing date.- NO refund of entry fees after closing date.

    - No telephone entries.

    SENDING IN YOUR ENTRY EARLY IS ENCOURAGED.

    PADDOCKS ARE LIMITED SO BE SURE TO RESERVE EARLY!

    Fee: Quantity: Total:

    mailto:[email protected]:[email protected]:[email protected]:[email protected]
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    Class Entry Fee $16.00 (per class)Cross Entry Fee $10.00Paddock $10.00 (per day)Office Fee - $5.00 per rider 5.00Late Entry Fee $2.00 per rideNon-Member Fee - $10.00 perdriverWCEC Annual Membership:

    - $35 for individual- $40 for family

    Total:

    PLEASE NOTE: YOUR ENTRY IS NOT COMPLETE WITHOUT YOURSIGNED WAIVER.

    ADULT SIGNATURE REQUIRED!

    Wine country Equestrian Club and its shows and clinics are run by volunteer support. If you would like tovolunteer during one of our schooling shows or clinics, please contact Teresa Bron.

    Please send your completed entry, payment, and signed waiver to:

    Wine Country Equestrian ClubAttn: Jackie Cacchiotti

    3011 Marks RoadYakima, WA 98903

    old Harmless AgreementTo be signed by every person involved in any horse or other livestock related activity, notonly during actual competition, training, or schooling, but included any time from arrival todeparture.

    I understand that neither Bronny Fresians, its officers, directors, employees and agents;; event organizers,officials, instructors, and committees;; competition judges and officials; nor the property owner accept any

    responsibility for accidents, damage, injury or illness to animals, owners, riders, drivers, grooms,passengers, attendants, spectators or any other person or property in connection with this event orcompetition.

    I hereby expressly agree for myself and my principals, representatives, employees and agents: (1) to bebound by the rules of this facility/event/competition; (2) that every animal and person is eligible as entered;and (3) to accept as final any decision of event/competition officials and instructors on any question arisingunder the rules and by-laws or any local rules of the competition or event, and agree to hold Wine CountryEquestrian Club, its officers, directors, employees and agents; event organizers, officials, instructors, andcommittees; competition judges and officials; and the property owners harmless for any action taken.

    I am fully aware that livestock and horse sports, including riding and driving, and this event or competitioninvolve inherent dangerous risk of serious injury or death and by participating I do so voluntarily and

    expressly assume any and all risks of injury or loss, and I agree to indemnify and hold WCEC, its officers,directors, employees and agents; event organizers, officials, instructors and committees; competition judgesand officials; and the property owners harmless from and against all claims including any injury or losssuffered during or in conjunction with the event or competition, whether or not such claim, injury or lossresulted, either directly or indirectly, from the negligent acts or omissions of Bronny Fresians, its officersdirectors, employees, and agents;; event organizers, officials, instructors, and committees; competition

    judges and officials; or the property owners.

    ____________________________________________________________

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    Participant Name Signature (Parent/Guardian if under 21 years of age)

    ____________________________________________________________Date

    Street

    ______________________________________________________________________________

    City State Zip

    Main Contact Phone Number Alternate Phone Number

    Emergency Contact Information (Name and Phone)

    ____________________________________________________________

    Wine Country Equestrian Club

    WARNING:

    Under Washington law, an equine activity sponsor or equine professional isnot liable for an injury to or the death of a participant in equine activitiesresulting from the inherent risks of equine activities.Revised Code of Washington 4.24.54