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LSAC COME JOIN OUR ONE DAY WESTERN CIRCUIT SHOWS May 1 • June 12 • July 17 • August 7 • Banquet - November 13 Year-End Awards Include: Trophies • Buckles • Cash & More HELD AT ERNIE HOWLETT PARK 25851 Hawthorne Blvd., Rolling Hills Estates PCHA and PAC APPROVED HORSE SHOW INFO This Premium Booklet will be used for all shows of the season. Please SAVE THIS PREMIUM BOOKLET to enter for the above dates. www.palosverdes.com/lsac NOTE: All Entries are due on the Monday prior to the Horse Show Date - Sorry NO faxes accepted. Horse Show Manager / Co-President: BECKY MARTIN 3103263983 Co-President / Treasurer: TRISH HARIK 310•378•9911 Vice President: JAN BALL 3103771335 Secretary: CHRIS WOLF 310977•8641 Sponsorships: CALLIE BELL 310350•9452 Banquet Coordinator: LYNN PETAK/CALLIE BELL 310•480•8826/310•350•9452 2016

LSAC PCHA and PAC APPROVED 2016 AT ERNIE HOWLETT PARK ... Sponsored by Jan Ball ... and ride non-disruptively. Entrants will not be counted as entries for points or

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LSAC

COME JOIN OUR ONE DAY WESTERN CIRCUIT SHOWSMay 1 • June 12 • July 17 • August 7 • Banquet - November 13

Year-End Awards Include: Trophies • Buckles • Cash & More

HELD AT ERNIE HOWLETT PARK25851 Hawthorne Blvd., Rolling Hills Estates

PCHA and PAC APPROVED

HORSE SHOW INFO

This Premium Booklet will be used for all shows of the season. Please SAVE THIS PREMIUM BOOKLET to enter for the above dates.

www.palosverdes.com/lsacNOTE: All Entries are due on the Monday prior to the Horse Show Date - Sorry NO faxes accepted.

Horse Show Manager / Co-President: BECKY MARTIN 310•326•3983 Co-President / Treasurer: TRISH HARIK 310•378•9911 Vice President: JAN BALL 310•377•1335 Secretary: CHRIS WOLF 310•977•8641 Sponsorships: CALLIE BELL 310•350•9452 Banquet Coordinator: LYNN PETAK/CALLIE BELL 310•480•8826/310•350•9452

2016

Page 1

Los Serranos Award Circuit

DON LEHMAN

No Frills & Walk/Jog Trail Warm Up .................................................................... No ChargeWarm Ups: .................................................................................................................... $15.00Classes: ......................................................................................................................... $25.00JLB Medal Class: .......................................................................................................... $35.00Box Stalls – $40.00 Each / Pipe Corrals – $35.00 EachGrounds Fee (per Horse; no stall): ................................................................................ $25.00Late Entry Fee (per Horse): .......................................................................................... $25.00Drug Fee (per Horse): ................................................................................................... $ 5.00EMT Fee ........................................................................................................................ $ 5.00PCHA Fee (per Horse): .................................................................................................. $ 3.00LSAC Year-End Annual Awards Fee (Per Rider): ........................................................ $60.00LSAC Year-End Annual Awards Fee (Per Horse Owner if different than rider): ......... $30.00Offi ce Fee ........................................................................................................................ $ 5.00

Make Checks Payable to: LSACSTALL INFORMATION:Due to the limited number of stalls available we will utilize the following process to determine rentals.

• In order to encourage exhibitors to attend our show from a distance the stalls will be rented in priority to our overnight exhibitors on a fi rst reserved/paid basis.

• Balance of stalls will be reserved on a fi rst reserved/paid basis.• The box stalls/pipe corrals will remain as separate rentals and cannot be combined.• Any unavailable stalls paid in advance will be refunded at the show by the issuance of a new

entry check for payment.

SHOW MANAGED BY

JUDGES

COURSE DESIGNER

HORSE SHOW FEES

MAY 1 CHERIE VONADA JUNE 12 TED LANGEJULY 17 KASH GRIMESAUGUST 7 CATHY HANSON

Page 2

When fi lling out your entry form, please remember to read and sign the liability form. Please write your full name and address so we can add you to our mailing list of premiums. A parent or guardian must sign for entrants under the age of 18.

POINTS POSTEDhttp://www.palosverdes.com/LSAC

Sue Smith Perpetual Memorial Amateur AwardSponsored by LSAC

Year-end award will be given to the horse earning the most points in the combination of classes 6 and 9. This is a one horse, one rider combination. Horse must be signed up with LSAC and show in both classes in 3 of the 4 shows to qualify.

Pro/Limit Prior Rider Trail AwardSponsored by Jan Ball

Year-end award will be given to the horse earning the most points in the combination of classes 4 and 14. This is a one horse, two rider combination. Horse must be signed up with LSAC and show in both classes in 3 of the 4 shows to qualify.

SPECIAL AWARDS TO CHAMPIONS

In order to accumulate points for LSAC year-end awards, all entered riders must be signed up with LSAC. (This must be done by the 2nd show you enter for points to count – points will be retroactive.) Forms available at entry booth on day of show.

LSAC annual fee per rider .............................................................$60.00LSAC annual fee per horse owner (if different than rider) ......... $30.00

IMPORTANT (BE SURE TO SIGN UP)

PLEASE REMEMBER

Mail your completely fi lled out entry form with payment or open check. Entries may be returned or not accepted if incomplete. Post entry penalty of $25 will be charged to entries received after closing date. Entries received prior to closing date will enable the show to process those horses in advance and this will make for less confusion to all exhibitors upon arrival.

ENTRIES

Page 3

Arena8:00 am 1 * Showmanship Youth/Amateur Main 2 * Basic Showmanship Youth/Amateur Main

52 Warm Up Reining 6:00 am - 8:00 am #2 53 * Open Reining Open #2 54 * Jack & Linda Baker Qualifi er Youth/Amateur #2 55 * Amateur Non-Pro Reining 19 & Over #2 56 * Limited Amateur Non-Pro Reining Amateur Non Pro (Less than $2500) #2 57 * Youth Reining 18 & Under #2 58 * Basic Reining Youth/Amateur #2 59 * 1st & 2nd Year Green Reining Open #2 60 * Open Ranch Riding Open #2 61 * Amateur Ranch Riding 19 & Over #2 62 * Youth Ranch Riding 18 & Under #2 63 * 1st & 2nd Year Green Ranch Riding Open #2

3 Trail Warm Up 7:00 a.m. -TBD Main 4 * Open Trail Open Main 5 Select Trail 50 & Over Main 6 * Adult Amateur Trail 19 & Over Main 7 * Youth Trail 18 & Under Main 8 * Intermediate Trail Open Main 9 * Youth/Amateur Trail Youth/Amateur Main 10 * Open Preliminary Trail Open Main

Walk 11 * Youth/Amateur Preliminary Trail Youth/Amateur Main 12 * 1st & 2nd Year Green Trail Open Main 13 * Basic Trail Youth/Amateur Main 14 * Limit Prior Rider Trail Youth/Amateur Main 15 Maiden Prior Rider Trail Youth/Amateur Main 16 Walk/Jog Warm Up Trail Youth/Amateur/Open Main 17 No Frills Warm Up Trail Youth/Amateur Main 18 * Walk/Jog Trail Youth/Amateur Main 19 Walk/Jog Trail Open Main 20 No Frills Trail Youth/Amateur Main 22 11 & Under Walk/Jog Leadline 11 & under Main 23 Warm Up Western Pleasure (No Judge) Main

CLASS LIST

*PCHA Approved Classes{ = Classes run concurrently by using one run-one score system

All classes will be sponsored by LSAC unless entries ae fewer than 3 or 3 out of the 4 shows.

Class List Cont’d on page 4

Page 4

Class List - Cont’d from page 3

24 * Walk/Jog Western Pleasure Youth/Amateur Main 25 No Frills Western Pleasure Youth/Amateur Main 27 Maiden Prior Rider Pleasure Youth/Amateur Main 28 * Limit Prior Rider Western Pleasure Youth/Amateur Main 29 * Basic Western Pleasure Youth/Amateur Main 30 * 1st & 2nd Year Green Western Pleasure Open Main 31 Country Western Pleasure Youth/Amateur Main 32 * Jr & Sr Horse Western Pleasure Open Main 33 * Youth Western Pleasure Youth Main 44 * Amateur Western Pleasure Amateur Main 34 * Walk/Jog Horsemanship Youth/Amateur Main 35 No Frills Horsemanship Youth/Amateur Main 37 Maiden Prior Rider Horsemanship Youth/Amateur Main 38 * Limit Prior Rider Horsemanship Youth/Amateur Main 39 * Basic Horsemanship Youth/Amateur Main 40 * Preliminary Horsemanship Youth/Amateur Main 41 * Youth Horsemanship 18 & Under Main 42 * Youth/Amateur Horsemanship Youth/Amateur Main 43 * Adult Amateur Horsemanship 19 & Over Main

*PCHA Approved Classes{ = Classes run concurrently by using one run-one score system

All classes will be sponsored by LSAC unless entries ae fewer than 3 or 3 out of the 4 shows.

Page 5

15 or moreentries

10-14entries

5-9entries

4entries

3entries

2entries

1entry

1st Place 9 pts. 8 pts. 6 pts. 5 pts. 4 pts. 3 pts. 2 pts.2nd Place 7 pts. 6 pts. 4 pts. 3 pts. 2 pts. 1 pt.3rd Place 6 pts. 5 pts. 3 pts. 2 pts. 1 pts.4th Place 5 pts. 4 pts. 2 pts. 1 pt.5th Place 4 pts. 3 pts. 1 pt.

To qualify & accumulate points for year-end awards and overalls, you must sign up & pay the one-time LSAC fee for each rider and horse owner. (This must be done by the 2nd show you enter for points to count). Rider/horse must show in 3 out of 4 shows. When competing for Year-End Overall Awards, riders are NOT required to compete in the same classes at each show and may add or subtract classes as long as they enter the minimum of required classes for their division. Members must be in good standing and abide by all rules.*Remember ... points count only after these fees have been paid and this must be done by the 2nd show you enter. Points will be retroactive.

All classes with 3 or more entries in 3 of the 4 shows will be fully sponsored by LSAC. Any Youth/Amateur class failing to meet this criteria will be provided an alternate year-end award upon approval of the LSAC board.

POINTS CHART

ALL LSAC YEAR-END AWARDS

LSAC YEAR-END OVERALL AWARDS

One horse/rider combinationFor LSAC Sponsored Overall Awards there must be a minimum of 3 riders in each division

*2 NO FRILLS - YOUTH/AMATEUR: 20, 25, 35*3 BASIC: 2, 13, 29, 39*3 11 & UNDER: 1, 7, 9, 31, 33, 41, 42*6 18 & UNDER: 1, 7, 9, 31, 33, 41, 42*6 19 & OVER: 1, 6, 9, 31, 42, 43, 44*2 WALK/JOG YOUTH/AMATEUR: 18, 24, 34*2 LIMIT PRIOR RIDER: 14, 28, 38*2 MAIDEN PRIOR RIDER 15, 27, 37

*Minimum number of the classes entered to qualify

Page 6

PLEASE READ!

1. LSAC Shows follow the guidelines of PCHA & USEF EQUESTRIAN, except where LSAC prevails. California drug laws apply. Below is a basic list of rules, however, these are not all-inclusive. Please refer to USEF EQUESTRIAN and PCHA for further details. It is the responsibility of each owner & exhibitor to be able to furnish proof of eligibility of horse/rider in the event of protest. The decision of the judge is fi nal. For protest procedures see PCHA rules.

2. All exhibitors must sign the liability release form prior to showing. Parent or legal guardian must sign for riders under the age of 18.

3. Stallion handlers/riders must be 18 years or older. Mules, burros & donkeys are prohibited.

4. Entries will close 5 minutes before class. No entries will be accepted at backgate or announcer booth.

5. All dogs must be leashed.

6. Schooling is allowed as long as horse & rider are eligible for the class entered. Entrants must wear proper attire, wear their number upside down, and ride non-disruptively. Entrants will not be counted as entries for points or show awards. Humane equipment only. LSAC reserves the right to excuse any entrant disrupting a class.

7. Safety-approved helmets are recommended for riders under the age of 18. Proper attire is required in all classes unless otherwise stated (ASTM/SEI Certifi ed).

8. LSAC endorses USEF EQUESTRIAN rules regarding amateur riders - an Amateur rider is a person 19 years & older who does not accept remuneration for the following: riding, training, showing in halter, schooling, conducting clinics/seminars, or instructing. The show offi ce may request proof of Amateur status. Current USEF EQUESTRIAN or breed association cards are required.

9. (11 & Under) Walk-Jog Leadline – Walk-Jog riders will ride on the rail. Lead-line riders will ride a smaller circle inside the walk-jog pattern, closer to the center of the arena, well away from the walk-joggers. TO BE JUDGED CONCURRENTLY, one set of awards. Riders to never have shown in any other performance class prior to December 1 of preceding year. Entrants in this class are ineligible to ride in any other class. Lead shanks must be attached to a halter in leadline class. Show attire not required.

10. No Frill Classes (Walk, Jog, Lope) – May not enter in any other riding division. Must have never shown in any other riding class except LSAC Beginner Classes or Walk-Jog Lead-Line 11 & Under. No show clothing (i.e., suit, chaps) is allowed. The following is required & limited to long sleeved shirt, long pants, and boots. Helmets recommended. Western hat & belt are optional. Show legal bits, snaffl e bits or mechanical hackamore OK. No martingales, tiedowns. Two Hands Allowed. Silver tack will not be judged above good working tack. Any silver is discouraged.

11. Walk/Jog Trail Open – Horse may not show in any other trail class that lopes that day.

12. Showmanship – To be judged on the handler with points awarded to handler.

13. Horsemanship – Pattern work required. Rail work at the judge’s discretion. To be judged on rider and points given to rider.

14. Any horse may be used in classes judged on rider providing that each rider and horse owner has been registered & paid for year-end awards. Exception: Overall Awards where one horse/rider combo is stipulated.

15. Points will be awarded to the horse in classes judged on horse and need not be the same rider except in Overall classes where points are calculated on a one horse/rider combination.

GENERAL LSAC RULES

Cont’d on page 7

Page 7

16. All classes with 3 or more entries in 3 of the 4 shows will be fully sponsored by LSAC. Any Youth/Amateur class failing to meet this criteria will be provided an alternate year-end award upon approval of the LSAC board.

17. It is your responsibility to keep track of your own points. Any discrepancy must be reported within 30 days of point of publication to show manager. Horse must show under same name all year unless show manager is notifi ed prior to change.

18. For LSAC Year-end awards, ties will be handled in the following manner: The horse/exhibitor who has competed in that class the greater number of times will win. If there is a tie, the horse/exhibitor with the most fi rst place awards (most seconds, thirds, etc.) until the tie is broken.

19. RETURNED CHECKS: Checks returned by the bank for any reason will be charged a 10% penalty (min. $25). Accounts will have ten days to be paid in full with cash or money order or they will be reported to the organization for further displinary action.

20. The rider’s age as of Dec. 1st of the previous year will be considered their show age throughout the current year. The horse’s age is considered as of Jan. 1st of current year whatever age they turn during that same year.

21. Maiden Prior Rider – Has never won any blue ribbons at any horse show in the division in which they are showing prior to Dec. 1 of the previous year (Walk/Jog Division does not apply). Show attire required.

22. Class Prizes – Will be given to winners of classes that have a minimum of three (3) entries.

SHOW MANAGEMENT: Reserves the right to itself to interpret all questions and conditions in regard to or rising out of an incident to the show without claims for damages or recourse of any kind. All questions not covered by these rules and regulations shall be decided by show management and their decision shall be fi nal. Show Management reserves to itself the right to refuse, accept conditionally, or to cancel any entries; disqualify riders or exhibitors, prohibit exhibition of entries and cancel award prizes without claim of damages; to change any course, to cancel, combine, or reschedule classes, change arenas, or rotate judges after due notice to exhibitors.

MINOR EXHIBITORS: Parents or guardians of minor children shall hold Ernie Howlett Park, LSAC, and members of show staff harmless from injury of such minor. No minors’ entry form will be valid without a signature of parent or guardian.

CONDITION OF ENTRY: Every horse entered for competition must abide by the rules and regulations of the horse show. The show management will in no case be responsible for condition of horses entered. Each exhibitor shall hold the Horse Show, directors and employees, LSAC, and members of the show staff harmless for any loss or accident to his horse(s), or equipment which may occur from sickness, fi re, or otherwise.

Cont’d from page 6

Page 8

This show is governed by the rules and regulations of the current USEF, PCHA, NRHA, and CRHA handbooks

and will be conducted and judged in accordance herein.

Open to all Breeds.

JUNIOR HORSE: Horses 5 years and under. May be shown in a hackamore, or ring snaffl e bit with two hands. May be shown in a bridle (one handed) and switched back and forth.

SENIOR HORSE: Horses 6 years and older. Must be shown in a bridle.

GREEN HORSE: A 1st or 2nd Year Green Horse is a horse that has not been shown as of Dec. 1 two years prior, excluding futurities.

PRELIMINARY TRAIL: A preliminary trail horse is a horse that has not placed in the top two (2) in the year-end award standings of any Breed Association in the Trail division. (Exception: PCHA Green championship or Youth/Am Preliminary awards.) A horse that has won the PCHA Preliminary year-end championship is no longer eligible for Preliminary classes.

YOUTH/AMATEUR PRELIMINARY TRAIL: A Youth/Amateur Preliminary Trail horse is a horse that has not placed in the top two (2) in the year-end award standings of any Breed Association in the Trail division. (Exception: PCHA Green championship awards and Preliminary Open awards.) A horse that has won the Preliminary Youth/Am Year-end championship is no longer eligible for Preliminary Youth/Am classes.

INTERMEDIATE TRAIL: An intermediate trail horse is a horse that has not placed in the top two (2) in the year-end award standings of any Western Association. (Exception: Green. Preliminary and Walk/Jog Trail.)

YOUTH/AMATEUR PRELIMINARY HORSEMANSHIP: A Youth/Amateur Preliminary Horsemanship rider is a rider who has not placed in the top two (2) in the award standings of any Western Association in the Horsemanship Division. (Exception: Walk Jog/Limit/Basic Division.)

LIMITED AMATEUR NON-PRO: Open to any rider 19 years or age or older holding a non pro card who has earned less than $2,500 at the start of the new year. (Points go to rider).

BASIC: Youth/Amateur: Open to Youth and Amateur riders in their fi rst or second year of showing in the respective division at PCHA shows, or at any show. A rider is no longer eligible to compete in this class if he/she wins the Yearend Championship Award in any other Division. If a rider rides more than one horse in a basic trail or reining class, he/she earns only the points for his/her horse placing the highest.

YOUTH/AMATEUR: Youth riders (18 and under) and Amateur riders (19 and over).

LIMIT PRIOR RIDER YOUTH/AMATEUR (Trail, Pleasure, Horsemanship): Open to youth and amateur riders that have never won more than six blue ribbons at any show in the division in which they are showing prior to December 1 of the previous year (Exception: walk/jog division). Although in pleasure and trail, the horse is being judged, the point system is to be on the rider rather than on the horse. If a rider rides more than one horse in limit prior rider trail, he/she earns only the points for his/her ride on the horse placing the highest.

Cont’d on page 9

PCHA RULES & REGULATIONS

Page 9

WALK/JOG YOUTH/AMATEUR (Trail, Pleasure, Horsemanship): Open to youth and amateur riders that have not shown at the lope in any division, at any show current or in prior years. Rider is no longer eligible to compete in this class if rider has won a championship award in this specifi c division.

RANCH RIDING: Rules, Regulations, Patterns and Specifi cations are available per American Quarter Horse Association.

JACK/LINDA BAKER CLASSIC QUALIFIER: A qualifying class open to Youth and Non Pro rider. Ten points are required to qualify for the classic (6-4-3-2-1). The PCHA Jack and Linda Baker Reining Classic Finals will have three sections: an Open section which all qualifying horse/rider combinations must enter, and two age group sections; the Under 50 section for riders under 50 years of age and the Prime Time section for riders 50 years of age and over. To enter an age group section, a rider must be of the appropriate age for the section and must meet the following criteria.

RIDER, HORSE, AND TRAINER MUST BE CURRENT MEMBERS OF PCHA

1. Rider has not earned $500 in total NRHA earnings at the beginning of the calendar year of the Finals.

2. Rider has not been Champion or Reserve Champion in any previously held JBRC or JLBRC Final.

3. Rider has not been a Reining Champion or Reserve Champion in a breed association or national horse association: e.g., including but not limited to the following: NRHA Futurity, AQHA World Show, AQHA Congress, IAHA Nationals, APHA World.

Cont’d from page 8

2016 LSAC SHOW ENTRY FORM

May Join PCHA At Show

PLEASE CHECK SHOW DATE:

May 1 June 12 July 17 Aug. 7

Horse’s Name_______________________________________________________________ Sex ________ Age Owner’s Name ____________________________________________________________Phone # Address___________________________________________ City__________________ ST______ Zip EMAIL ADDRESS:_________________________________________________ PCHA # _______________________

Owners, Riders & Horse must be PCHA and LSAC members for their respective year end awards.

Rider #1 OPEN AMATEUR YOUTH PCHA______________ YOUTH BIRTHDAY ______________

Name________________________________________ Relationship to Owner ________________________Address_________________________________ City______________________ ST____ Zip ____________CLASSES EMAIL________________________________ Phone No. _____________________________

Total Entry Fees $ ____________Box Stalls ($40 ea) / Pipe Corral ($35 ea.) $ ____________Grounds Fee ($25/horse per day [no stall]) $ ____________Late Entry ($25) $ ____________PCHA Horse Fee $ ____________Drug Fees $ ____________EMT Fee $ ____________Offi ce Fee $ ____________LSAC ($60 per rider) $ ____________LSAC ($30 per horse owner if different than rider) $ ____________(Annual fee required to qualify for year end awards;MUST fi ll out membership form and submit withentry form)

TOTAL DUE $ ____________

Donation for Ride to Fly $ ____________(Tax Deductible)

3.005.00

Entry Form - Page 1

PCHA______________ YOUTH BIRTHDAY ______________ Rider #2 OPEN AMATEUR YOUTHName________________________________________ Relationship to Owner ________________________Address_________________________________ City______________________ ST____ Z+ip __________CLASSES EMAIL________________________________ Phone No. _____________________________

PCHA______________ YOUTH BIRTHDAY ______________ Rider #3 OPEN AMATEUR YOUTHName________________________________________ Relationship to Owner ________________________Address_________________________________ City______________________ ST____ Zip ____________CLASSES EMAIL________________________________ Phone No. _____________________________

PAYABLE/MAIL TO:LSAC:

2301 243rd St.Lomita, CA 90717-1010

(310) 326-3983

TRAINER NAME: _______________________________________________

I agree to the rules, regulations and terms of this show on Page 2 of this Entry Form:___________________________________________ Signature (Parent/Legal Guardian must sign for riders under 18 years of age)

5.005.00

SHOW MANAGEMENT: Reserves the right to itself to interpret all questions and

conditions in regard to or rising out of or incident to the show without claims for

damages or recourse of any kind. All questions not covered in these rules and regulations

shall be decided by the Horse Show Management and their decision shall be fi nal.

Horse Show Management reserves to itself the right to: Refuse, accept conditionally,

or to cancel any entries; disqualify riders or exhibitors, prohibit exhibition of entries

and cancel award prizes without claim for damages; to change any course, to cancel

or combine any unfi lled classes with insuffi cient horses, reschedule classes, change

rings or rotate judges after due notice to exhibitors.

MINOR EXHIBITORS: Parents or guardians of minor exhibitors shall hold the Los

Serranos Award Circuit, Pacifi c Coast Horseshow Association and members of the

show staff harmless from injury for such minor.

CONDITION OF ENTRY: Every horse entered for competition must abide by

the rules and regulations of the horse show but the Horse Show Management will

in no case, be responsible for the condition of horses entered. Each exhibitor shall

hold the Horse Show, Directors and Employees, Los Serranos Award Circuit, Pacifi c

Coast Horseshow Association and members of the show staff, harmless for any loss

or accident to his horse(s), or equipment which may occur from sickness, fi re, or

otherwise.

Entry Form - Page 2

Page 10

LOS SERRANOS AWARD CIRCUIT2016 Year End Awards Registration Form

(Must be registered by end of second showfor Year End Awards)

All lines must be completed andaccompany entry form for year end rewards)

Sue SmithMemorial Trophy

Horse Name __________________________________ Sex _____ Age________ DOB

Owner Name ________________________________________ Phone # (________)

Owner Address ___________________________________ City _____________________ Zip

Rider Name_____________________________________________ Age* ______ DOB* (*Rider must list age and DOB in order to be eligible for 11 & Under year-end awards)

Rider Address ____________________________________ City ____________________ Zip

Phone No. __________________________ E-Mail:

Signature of Owner/Rider _____________________________________ Date

Parent/Guardian Signature ____________________________________ Date

LSAC Annual Fee $60.00 Per RiderLSAC Annual Fee $30.00 per Horse Owner (if different than rider)

Page 11

Page 12

M E M B E R S H I P A P P L I C A T I O N

SPECIAL - Senior for 3 years: $200.00 SPECIAL - Junior for 3 years: $150.00**No increase if a junior becomes a senior during 3 year plan

STEWARD SHOW MANAGER SHOW CONTACT

NAME:

ADDRESS:

CITY / STATE: ZIP:

TELEPHONE: E-MAIL:

DATE OF BIRTH (REQUIRED):

Amateur WesternProfessional Hunter /Jumper

P a c i f i c C o a s t H o r s e S h o w A s s o c i a t i o nP. O . B o x 5 5 7 0 , G l e n d a l e , C A 9 1 2 2 1( 8 1 8 ) 8 4 2 - 8 1 9 4

HORSE REGISTRATIONHorse must be registered to compete for Year End Awards

SHOW NAME OF HORSE:

OWNER OF HORSE: (OWNER MUST BE PCHA MEMBER)

Hunter /Jumper Western

COLOR SEX HT. YR. FOALED BREED

LIFETIME REGISTRATION: $100.00YEARLY REGISTRATION: $40.00

TRANSFER OF OWNERSHIP $10.00

SHOW NAME CHANGE: $10.00

FORMER NAME:

FORMER OWNER:

NEW RENEWAL

P a c i f i c C o a s t H o r s e S h o w A s s o c i a t i o nP. O . B o x 5 5 7 0 , G l e n d a l e , C A 9 1 2 2 1( 8 1 8 ) 8 4 2 - 8 1 9 4

2016

Senior: $75.00 Life: $1,000.00Junior/Western Junior: $55.00

CREDIT CARD: VISA_____ MC_____ #________________________________________________________ CHECK #

NAME ON CARD

BILLING ADDRESS:

EXPIRATION DATE: ___________________ _______________________ 3 DIGIT CODE

NAME OF TRAINER:

Page 13

Ride to Fly Staff and Students

2015 Silent Auction SponsorsHelping “Ride To Fly”

The Huben FamilyKaren Savich - General Store

Janice Gallardo Walters - Gallardo GraphicsCheryle Ushkow - Shorewood Realtors

Jan Ball Kliss - Jan Ball Performance HorsesLarry Kliss

The Harik FamilyCallie Bell - Bell Performance Horses

Judy KennedyBecky Martin

The Chapman FamilyThe Wolf Family

Kathy WattsElla Petak

Bristol FarmsTami Hansen

The Original Red Onion RestaurantKathleen O’Meara

Mindie MausKelly Walsh

Rick Baer Training StablesNeil’s Restaurant, San Pedro

Page 14

To The Friends Of LSAC for all their support in 2015-2016

Jan Ball Kliss - Ball Performance HorsesZdonek & Wolowicz Accountancy CorporationBecky MartinCheryle Ushkow - Shorewood RealtorsRuth V. Sobeck, DVMRolling Hills General Store - Karen SavichLarry H. Kelly, DVMSue Ann McDonaldSylvia Quellette, DVM - Elite Equine Veterinary Services, Inc.Gail Grove & Ride to FlyThe Huben FamilyThe Petak FamilyThe Harik FamilyThe Kolodny FamilyCallie Bell Performance HorsesJudy Kennedy

Larry KlissThe Tenenbaum FamilyThe Tutoring CenterThe Chapman FamilyThe Wolf FamilyKathy ChessmoreTami HansenJennifer BourdreauMary Ellen LockeAmy Garcia, DVMThe King FamilyMichelle BloomquistLeslie ThompsonRick Baer Training StablesEquestrian Sports Medical ServicesBetty Riedman

SPECIAL THANKS

Page 15

SPECIAL THANKS

Page 16

WE NEED SPONSORS!Please help us raise money for the Ride to Fly Program and the awesome Year-End Awards!

If you or someone you know would like to help, Please call Callie Bell (310•350•9452).

SPONSORSHIP NEEDED

Grand Champion . . . . . . . . . $500 - $1,000 Special recognition and/or ad in show premium 3 PA announcements at each show Champion sponsor plaque Name in awards banquet program

Blue Ribbon . . . . . . . . . . . . . . .$250 - $499 Quarter page ad in premium/website 2 PA announcements at each show Name in awards banquet program

Red Ribbon . . . . . . . . . . . . . . .$125 - $249 Business card ad in premium/website

1 PA announcement at each show Name in awards banquet program

LSAC Friend . . . . . . . . . . . . . . .$25 - $124 Acknowledgment in premium and banquet

program

Small Business Card Ad . . . . . . . . . . . $125

Large Business Card Ad . . . . . . . . . . . $250

This year LSAC isproud to be benef ting

RIDE TO FLY

Ride to Fly is a non-profi t organization dedicated to providing therapeutic horseback riding and the associated learning experiences to children and adults with disabilities in a safe, nurturing environment. Ride to Fly is a NARHA (North American Riding for the Handicapped Association) member operating center that has been serving the South Bay area since 1994.

Therapy becomes enjoyable instead of painful and learning becomes a game rather than a choice.

“Riding turns I Wish into I Can.”“In riding a horse we borrow freedom.”

For more information on how you can get involved contact:

Gail Grove (310•541•4201)P.O. Box 4991, PVP, CA 90274www.ridetofl y.com

Thank Youto

Ride to Flyfor your continued support

of theLos Serranos Award Circuit