Entry # Southwest Showdown Horse Show September 23 – 26, 2010 Great Southwest Equestrian Center, Katy, TX

Mail Entries to: (Entries close September 10, 2010) Southbound Show Management 785 W. Jeter Road Argyle, TX 76226 - (940) 240-1207

HUNTER CLASSES

A Reg Hntr

B 1

st

Grn

C 2

nd

Grn

D A/O 3’3”

E A/O

18-35

F A/O 36/O

G LgJr Hntr

H SmJr Hntr

I Lg

Pony

J Med Pony

K Sm

Pony

L L Gr Pony

M S/M Gr Pony

N Child 14/U

O Child 15-17

P AdAm 18-35

Q AdAm 36-49

R AdAm 50/O

S LwPre

Grn

T HiPre Grn

U Mod

Ch/Ad

V Child Pony

W Low Hntr

X Limit Hntr

Y Baby Grn

Z Hope Hntr

YY Shrt/Long

Strp

Rider #1

Rider #2

JUMPER CLASSES

AA TJ

0.75

BB TJ

0.95

CC TJ

1.00

DD TJ

1.15

EE TJ

1.25

FF Low

Ch/Ad

GG High Child

HH High

AdAm

II Open 1.30m

JJ Open 1.40m

KK Low

Jr/Am

LL High Jr/AO

List Equitation & Individual Classes Below

_______Stalls@ $175.

______ 30 amp RV @ $225. ______50 amp RV @ $225.

Rider #1 Jumper Nomination fee @$150. Late Jumper nomination fee @175. Rider #2

HORSE OWNER RIDER #1 Non-showing Horse Fee $100.

Name: Name: USEF Non Member Amateur Card $30.

Address: Address: USEF fee $8 Drug testing $7. $15.00

City: USEF# ASPCA# USEF N/M Fee (Jr:$30, Sr:$30).

State, Zip: THJA# USHJA# THJA N/M Fee $10.

Phone# Age/Age Group USHJA N/M Fee $30.

Green Color Sex Hgt Age USEF# THJA# RIDER #2 Office & Administration Fee $50. $50.00

1 2 Prize Money/Tax Payer Info – MUST COMPLETE Name: Late Fee $35

USEF# Tax payer name: Address: Ground Fee $50.

SS# or Fed ID# USEF# ASPCA# USHJA Zone Support Fee. $2.

THJA# Prize Money Payee Address: THJA# USHJA# Total Due.

Age/Age Group

Federation Entry Agreement

I have read the United States Equestrian Federation, Inc. (the “Federation”) Entry Agreement (GR906.4) as printed in the Prize List for [Southwest Showdown] (“Competition”) and agree to all of its provisions. I understand and agree that by entering this Competition, I am subject to Federation Rules, the Prize List, and local

rules of the competition. I agree to waive the right to the use of my photos from the competition, and agree that any actions against the Federation must be brought in

New York State. EC 9/21/09 Effective 12/1/09

Federation Release, Assumption of Risk, Waiver, and Indemnification

This document waives important legal rights. Read it carefully before signing.

I AGREE in consideration for my participation in this Competition [Southwest Showdown] to the following:

I AGREE that “the Federation” and “Competition” as used herein includes the Licensee and Competition Management, as well as all of their

officials, officers, directors, employees, agents, personnel, volunteers and Federation affiliates.

I AGREE that I choose to participate voluntarily in the Competition with my horse, as a rider, driver, handler, vaulter, longeur, lessee, owner, agent, coach,

trainer, or as parent or guardian of a junior exhibitor. I am fully aware and acknowledge that horse sports and the Competition involve inherent dangerous risks of

accident, loss, and serious bodily injury including broken bones, head injuries, trauma, pain, suffering, or death. (“Harm”).

I AGREE to hold harmless and release the Federation and the Competition from all claims for money damages or otherwise for any Harm to me or my horse and for any Harm of any nature caused by me or my horse to others, even if the Harm arises or results resulted, directly or indirectly, from the negligence of the

Federation or the Competition.

I AGREE to expressly assume all risks of Harm to me or my horse, including Harm resulting from the negligence of the Federation or the Competition. I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) the Federation and the Competition and to hold them harmless with respect

to claims for Harm to me or my horse, and for claims made by others for any Harm caused by me or my horse while at the Competition. I have read the Federation

Rules about protective equipment, including GR801 and if applicable, EV114, and I understand that I am entitled to wear protective equipment without penalty, and I acknowledge that the Federation strongly encourages me to do so while WARNING that no protective equipment can guard

against all injuries. If I am a parent or guardian of a junior exhibitor, I consent to the child’s participation and AGREE to all of the above provisions and AGREE to

assume all of the obligations of this Release on the child’s behalf. I represent that I have the requisite training, coaching and abilities to safely compete in this competition.

BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank.

Amount Enclosed .

Rec’d Check #

Make Checks to: Southbound Show Management Inc.

STABLE WITH

TR

AIN

ER

IN

FO

NAME

ADDRESS

City, State, Zip

Ph#

USEF # I agree neither Great Southwest Equestrian Center LP, nor the Show Committee, nor Patrick Rodes & Southbound Show Management, nor the officials and/or staff of the show will be responsible for any accident, damage, loss or injury to count, owner, rider or other persons or property. It will be the condition of entry that each exhibitor shall hold the horse show and its management blameless for any loss or accident to any animal, person or property that may occur from sickness, fire and otherwise at this show. Under Texas law, an equine activity sponsor or equine professional is not

liable for an injury to or the death of a participant in equine activities resulting exclusively from the inherent risks of equine activities.

Rider/Driver/Handler/Vaulter/Longeur- (mandatory) Owner/Agent - mandatory) Trainer - (mandatory) Coach - (if applicable)

Signature Signature Signature Signature

Print Name Print Name Print Name Print Name

Parent/Guardian Signature (required if Rider/Driver/Handler/Vaulter/Longeur is a minor)_______________________________ Print Parent/Guardian Name____________________________

Is Rider/Driver/Vaulter a US Citizen? ___ Yes ____ EMAIL ADDRESS_______________________ Emergency Contact / Cell Phone No._____________