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SBHS June Dressage Prize List Omnibus

Level 2 Open Dressage Show – June 27-28, 2020

(Closing Date: June 17, 2020; NO Entries accepted after June 20, 2020)

Florida Horse Park 11008 S Hwy 475 Ocala, FL 34480

USEF/USDF License # 338891 – Dressage Competition

Licensee – Southeast Baroque Horse Shows LLC – Heather Walters – Manager

Qualifier for the 2020 USDF/Great American Insurance Group Region 3 Championships

Show Staff and Contacts Show Manager

Heather Walters 14226 NW 207 Terrace High Springs, FL 32643

352-317-6113 southeastbaroque@gmail.com

Announcer TBD

Show Secretary Heather Walters

14226 NW 207 Terrace High Springs, FL 32643

352-317-6113 sbhs.entry@gmail.com

Veterinarian On Call To be posted in Barn and at Show Office

Judges Dressage - Judy Downer “S”, Ocala, FL

Lisa El-Ramey “S”, Loxahatchee, FL More TBD

Farrier To Be Posted

Technical Delegate Frances Cross (R)

Ocala, FL

EMT S.O.S. Inc.

Photographer To Be Announced

Stable Manager To Be Announced

***ATTENTION COMPETITORS***

Each competitor is responsible for supplying management with correct applicable numbers (USDF and USEF) for horse, owner, rider, and trainer, before the day(s) of the competition. The scores of competitors who fail to supply correct numbers may not be counted

toward national awards.

Please be aware that horses entered in USEF-licensed/USDF-recognized competitions in open dressage classes must have either a USDF Lifetime Horse Registration (LHR) or a USDF Horse Identification (HID) number. For each USDF non-member owner/lessee and

USDF non-member rider there will be a USDF non-member fee of $35 per competition.

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General Show Information

• SOCIAL DISTANCING MUST BE OBSERVED AND MASK WORN WHEN IN AREAS OF CONGESTION! REFER TO USEF COVID-19 TOOLKIT FOR RULES FOR PARTICIPANTS AND PERSONNEL. NO SPECTATORS ALLOWED! THIS WILL BE ENFORCED AND REPORTED.

• All domestic animals (dogs and cats) must be securely tied, caged, in a closed stall, or on a leash held by a responsible person at all times while on the show grounds or in the stable area. The show will assess a $100 fine on owners of loose dogs. USEF may levy additional penalties for loose dogs. See GR1301.6.

• Medical waste receptacles are available in the barn area and MUST be used for disposal of needles and other disposable sharp instruments. It is a felony to place medical trash/sharps in the manure pits. The fine for improper disposal of needles or other sharp disposable instruments is $1000, imposed on any individual, including trainers, owners, exhibitors, or their agents.

• No smoking is allowed in the barn areas or in any buildings at VHC. Anyone found smoking in the barn area will be fined $100. • Show Fines: The following fines will be enforced by the show on all exhibitors, competitors and spectators in violation of local

rules: • Loose dog/cat without leash: $100. • Smoking in the barn area: $100. • Improper disposal of medical or hazardous waste: $1000. • Suspending or hooking anything to electrical conduit: $1000

• Awards: Six ribbons will be awarded for classes with six or more entries. For classes with less than six entries, ribbons will be awarded up to the number of entries. Jr/YR and AA divisions may be pinned separately if warranted by at least three entries each.

• Accommodations: Southeast Baroque Horse Shows Host Hotel– Hampton Inn & Suites – Ocala/Bellview Ph: 352-347-1600 • RV hookups with electric and water only are available on grounds $35 per night. • Footing and Rings: 20 X 60M in Outdoor arena and warm-up rings have Sand/Fiber mix footing. 20x60m in outdoor ring has

fiber footing. Please lunge horses in designated area only. • Directions: Florida Horse Park address is 11008 S CR 475, Ocala, FL 34480. From I-75 take exit 341 (County 484) and go east ~2.3

miles. Turn Left (North) onto S Hwy 475N. Go approximately 2.6 miles and Florida Horse Park is on your left hand side. • Food: Food concession located on grounds. • Veterinarian and Farrier: Names and numbers will be posted on show grounds in office, stabling info board and in show

program. Stabling Details

Florida law requires a current health certificate for horses arriving from out of state. Your horse cannot be stabled on the grounds without a health certificate.

Permanent stalls (12’x12’) with doors; initial bedding (1 bag) provided. Shavings may be ordered with your entry. All stalls must be bedded. Please bring buckets and snaps. Check in at the stabling board, located by the show office, and the ends of the barns for stall assignments. Stalls may not be sublet. Tack stalls may be shared. Do not use stalls you have not paid for. This includes waiting in an unused stall prior to your class. Any person using any unassigned stall will be fined $100 per incident.

Competitors may show out of their trailer. There will be a $40 charge.

Arrival: Friday June 26 after 12:00 p.m. (noon) Departure: Sunday June 28 before 7:00 p.m.

Early arrivals/late departures must be coordinated with and approved by the Show Secretary, Heather Walters, and will be subject to an additional $60 charge per stall per day. No arrivals allowed between midnight and 6:00 a.m.

Emergency contact information must be prominently displayed on all stalls housing an animal, including both cell phone and local contact information.

Stall displays and decorations must not obstruct or interfere with pathways and walkways, or impede access for maintenance or emergency equipment. Show management may remove any obstructions without notice. Stall displays must not be permanently attached or cause damage to the facilities. You will be held responsible for any damage. Do not hook or suspend anything from electrical conduits. There will be a $1000 fine for any infraction.

Dressage General Information

• Every class offered herein which is covered by the rules and specifications of the current USEF Rule Book will be conducted and judged in accordance therewith. Current USDF, USEF, and FEI tests will be used.

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• Southeast Baroque Horse Shows will not be responsible for any damage, injury, or loss to persons, horses, or property of exhibitors, spectators, or grooms. All local facility rules must be followed.

• Once entered, owners may substitute an entrant only upon submission of a veterinary certificate verifying the horse’s illness/injury or proof that the entrant has been sold. In the event of a substitution, the show secretary must be notified at least 24 hours before the show date and a new entry form must be completed prior to the start of the class. A substitution must be for the exact class scheduled; otherwise it will be considered a new entry.

• No Shows may be considered a scratch for the remainder of the dressage show and the next entrant on the waiting list may be given their spot.

• Use of Protective Headgear: From the time horses are officially admitted to the competition grounds by competition management, anyone mounted on a horse at any time on the competition grounds including non-competing riders, riders on non-competing horses and those competing in all classes and tests must wear protective headgear as defined by this rule and otherwise in compliance with GR8 01. Any rider violating this rule at any time must be immediately prohibited from further riding until such headgear is properly in place. Protective headgear is defined a riding helmet which meets or exceeds ASTM (American Society for Testing and Materials)/SEI (Safety Equipment Institute) standards for equestrian use and carries the SEI tag. The harness must be secured and properly fitted. (USEF DR120.6)

• Proper attire will be required of all exhibitors.

Dressage Entry Procedures and Information

• Use the 2020 USDF dressage entry form (www.usdf.org). Telephone or Text message entries will NOT be accepted.

• Please state on entry form if you are riding in one of the following: Open, AA, or Jr/YR.

• The entry form is not valid unless it is fully completed and has all the proper signatures, membership numbers, and horse information. Each entry form must have the original (not copies) signatures of the Rider/Handler, Owner/Agent, and the Trainer. Depending on the circumstances, there also may be a requirement for a signature of a Coach. Trainers and Coaches do not need USDF numbers.

A parent must sign the entry form of any rider under the age of 18. The Trainer must be an adult (over 18) who is on the grounds and responsible for the horse.

Photocopies of USEF membership cards for the horse, rider, owner, and trainer must accompany the entry form. USEF cards are online at www.eqverification.org

Photocopy of negative Coggins test, dated within one year of the show date, must accompany the entry form. Entries without a current (valid through show date) Coggins test result will not be accepted.

• Submit completed entry forms, stabling form, and all fees to the Show Secretary VIA EQUESTRIANENTRIES.COM OR EMAIL TO SBHS.ENTRY@GMAIL.COM. Entries will be limited if the number of entries exceed facility capacity. In the event of oversubscription, a waiting list will be established. Any entry received after the closing date is a Post Entry and may be accepted at the discretion of show management. If accepted; the entry will be assessed a $50 surcharge.

• Musical Freestyle Requirement: Competitors must provide music CD to the announcer at least 2 hours prior to their scheduled ride time. A level must be declared on the entry form. Riders competing in the USDF or FEI Musical Freestyle must submit with their entry form a copy of the highest test of the level entered with a minimum score of 63% (same horse/rider combination) for Training through Fourth Levels and 60% for FEI Levels. For example, a competitor entering a 3rd Level freestyle would have to submit a Level 3 Test 3 or any 4th level test, and it would have to have a score of 63% or better.

• Prior to closing date, refunds are granted, less the $50 office fee. No refunds, including stabling, after the closing date. No refunds on stabling. No refunds in the event of cancellation of classes due to severe weather or other emergencies. No refunds for amounts less than $20.

• Management reserves the right to cancel, split, or combine classes. In the event of over subscription, entries will be limited. Classes may be split into AA or Jr/YR if there are 5 or more AA or Jr/YR entries in the class.

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Class List

Class Numbers Classes Offered Saturday Sunday Description

201 301 USDF Intro, Test A – Open 202 302 USDF Intro, Test B – Open 203 303 USDF Intro, Test C – Open 204 304 Training, Test 1 – Open, Jr/YR, AA 205 305 Training, Test 2 – Open, Jr/YR, AA 206 306 Training, Test 3 – Open, Jr/YR, AA (Great American/USDF Qualifying) 207 307 First, Test 1 – Open, Jr/YR, AA 208 308 First, Test 2 – Open, Jr/YR, AA 209 309 First, Test 3 – Open, Jr/YR, AA (Great American/USDF Qualifying) 210 310 Second, Test 1 – Open, Jr/YR, AA 211 311 Second, Test 2 – Open, Jr/YR, AA 212 312 Second, Test 3 – Open, Jr/YR, AA (Great American/USDF Qualifying) 213 313 Third, Test 1 – Open, Jr/YR, AA 214 314 Third, Test 2 – Open, Jr/YR, AA 215 315 Third, Test 3 – Open, Jr/YR, AA (Great American/USDF Qualifying) 216 316 Fourth, Test 1 – Open, Jr/YR, AA 217 317 Fourth, Test 2 – Open, Jr/YR, AA 218 318 Fourth, Test 3 – Open, Jr/YR, AA (Great American/USDF Qualifying) 219 319 FEI Prix St. Georges – Open, Jr/YR, AA (Great American/USDF Qualifying) 220 320 FEI Intermediate I – Open, Jr/YR, AA (Great American/USDF Qualifying) 221 321 FEI Intermediate II, A, B TOC – Open, Jr/YR, AA (Great American/USDF Qualifying) 222 322 USDF MFS Level Tr-4, TOC – Open, Jr/YR, AA ** (Great American/USDF Qualifying) 223 323 FEI MFS, TOC – Open, Jr/YR, AA ** (Great American/USDF Qualifying) 224 324 FEI Grand Prix – Open, Jr/YR, AA (Great American/USDF Qualifying) 225 325 Young Horse Test of Choice - Open (4yr old USEF, 5 and 6 yr old FEI) 226 326 USEF Test of Choice - Open, Jr/YR, AA (Great American/USDF Qualifying) 227 327 FEI Test of Choice - Open, Jr/YR, AA (Great American/USDF Qualifying) 228 328 Training, Test 1 Opportunity 229 329 First, Test 1 Opportunity 230 330 Materiale Colts/Stallions/Geldings 3, 4 & 5 yr olds - Open

• Add Qualifying Fee of $15 per class for Regional Championship qualifying scores.

** Per USEF Rule DR129.9, “Except for USEF/USDF Championship classes and for FEI Pony Riders, FEI Junior, FEI Young Rider and FEI Para-Equestrian Freestyles, in order to enter a freestyle class at any level, a horse/rider combination must have received a minimum score of 63% for Training through Fourth Levels and 60% for FEI levels in the highest test of the declared freestyle level or any test of a higher level at a USEF/USDF Licensed Dressage Competition, Federation Licensed or FEI recognized Dressage Competition or “open” Dressage class (i.e. open to all breeds) at a Federation Licensed Competition held prior to the competition where the horse/rider combination is entered to ride a freestyle class. A photocopy of the test verifying eligibility, or copy of the USDF score verification, must be submitted with the entry for a freestyle class.” BOD 7/9/19 Effective 12/1/19.

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Entry Fees USDF Introductory Levels (USEF/USDF memberships or horse ID not required) $40 USEF Opportunity Classes (USEF/USDF memberships or horse ID not required) $40 USEF Training through 4th Level $45 FEI Level $55 USDF Musical Freestyle (Level 1 thru 4) $45 FEI Musical Freestyle $55 Materiale $45 GAIG/USDF Qualifying Fee $15

Other Fees USDF non-member fee for owner/rider $35 USDF affidavit fee $5 USEF fee (drugs and medication + USEF fee) $23 USEF non-member fee for owner or rider $45 USDF HID Fee $35 Non-competing horse fee (need entry form, Coggins, $50 office fee) $40 Office fee (non-refundable; includes number fee) $50

Change/add/drop fee, per class, if granted by show secretary $10 Post-entry fee for entries received after the closing date $50 Stabling, per day $60

Stabling, duration of show (1 bag of Shavings included) $110 Shavings per bag $8 Tack Stall, duration of show $90 Grounds fee per day (for horses not stabled on grounds) $40

Payment Policy

ALL PAPERWORK, INCLUDING ENTRY, COGGINS, USEF/USDF VERIFICATIONS, AND PAYMENT MUST BE RECEIVED ONLINE VIA EQUESTRIANENTRIES.COM OR EMAILED TO SBHS.ENTRY@GMAIL.COM AND PAYMENT to Southeast Baroque Horse Shows. CREDIT CARDS ON EMAILED ENTRIES accepted with a $10 convenience fee. No refunds after closing date. Checks returned for non-sufficient funds will be assessed a $35 fee by Southeast Baroque Horse Shows for each occurrence plus any bank fees incurred. If the problem is not resolved, a report will be filed with USEF in accordance with rule XV, Article 1508.

Ride Times • Unofficial times and Updates will be available on our Facebook page.

• Ride times will be emailed to all competitors upon completion. • Official times will be posted by noon the previous day at the Show Office.

Media Release Agreement

I agree that as a condition of and in consideration of acceptance of entry, the competition may use or assign photographs, videos, audios, or other likenesses of me and/or my horse taken during the course of the competition for the promotion or benefit of the competition or sport. These likenesses shall not be used to advertise a product and they may not be used in any way to jeopardize amateur status. I hereby expressly waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or misappropriation.

Hold Harmless Clause Understanding that horse sports may be hazardous and dangerous, even leading to permanent injury or death, each owner, rider, spectator, and other participant assumes any and all risk of loss or injury and agrees to hold harmless, regardless, the horse show personnel and the facility (Florida Horse Park) hosting the show. Southeast Baroque Horse Shows will not be responsible for any damage, injury, or loss to persons, horses, or property of exhibitors, spectators, or grooms. All local facility rules must be followed

USEF Membership Statement Life, senior active and junior active members shall be eligible to participate in all classes at Regular Competitions, Eventing Competitions at the Modified Level or above and Combined Driving Competitions at the Advanced Level, Dressage, Reining and Vaulting Competitions and Endurance Rides. A nonmember may participate as a handler, rider, driver, owner, lessee, agent, coach or trainer at Regular Competitions, Eventing Competitions, Dressage Competitions, Reining Competitions and Combined Driving Competitions upon payment of a $45 Show Pass fee. Participants in the following classes are exempted from the Requirements of this rule: 1) leadline; 2) exhibitions; 3) games and races; 4) classes for 4-H members; 5) walk trot (exception: Friesian performance FR222) and academy classes (academy classes are classes limited to horses used regularly in a lesson program); 6) USDF introductory level tests, pas de deux and quadrille classes; 7) NRHA Endorsed Reining Competitions. 8) Opportunity classes, 9) citizens of other nations who have proof, in English, of current membership in good standing of their own National Federation, 10) USEA beginner novice division; and 11) assistant handlers in Dressage Sport Horse Breeding classes.

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USDF Statement on Animal Welfare

The United States Dressage Federation, Inc. (USDF), a federation of over 100 independent organizations throughout the United States with a membership of nearly 30,000 members, supports the concept of ethical treatment of animals.

Dressage is a classical method of training horses, based upon the horse’s natural responses, as carried out in a gradual, planned program during which the horse’s athletic abilities are improved in a systematic manner. As a result, the horse becomes capable, comfortable, and responsive in partnership with the rider without the use of force. Dressage competition at various levels of achievement is the ultimate test of the training program to determine whether the desired harmony between horse and rider has been achieved.

The rules pertaining to dressage competition prohibit the use of artificial appliances, training aids, and drugs, which would force the horse to submit. Instead, the emphasis is upon training and a cooperative partnership with the rider. Major competitions are carefully monitored to assure that there is no unnecessary force or harshness displayed.

Unlike other horse sports in which horses enter training at a relatively immature state, dressage training is usually not seriously begun until the horse is three or four. The top levels of achievement require five or more years of progressive training and it is not unusual to see horses in international competition in their late teens. This, in itself, places a premium on good care and soundness throughout the horse’s life.

While supporting the concept of animal welfare in its broadest form, the United States Dressage Federation, Inc., also recognizes that it is unrealistic to ascribe human emotions and responses to the horse which in its wild state is a creature of flight, living a hard and precarious existence. Under domestication, the horse is assured of ample food, water, and shelter, as well as protection against infectious diseases and damaging parasites, thus leading a longer and healthier life with a high rate of survival.

As an educational organization, USDF has numerous programs, which teach people how to pursue the accepted, humane training methods. A program of certifying instructors also emphasizes protecting the horse’s welfare in pursuit of dressage training.

United States Dressage Federation (USDF) 4051 Iron Works Parkway

Lexington, KY 40511 Phone: 859-971-2277

Fax: 859-971-7722 usdressage@usdf.org

www.usdf.org

Motor Vehicle Operation

Minors who do not have a valid driver’s license which allows them to operate a motorized vehicle in the state in which they reside will not be permitted to operate a motorized vehicle of any kind, including, but not limited to, golf carts, motorcycles, scooters, or farm utility vehicles, on the competition grounds of licensed competitions. Minors who have a valid temporary license may operate the above described motorized vehicles as long as they are accompanied by an adult with a valid driver’s license. The parent/legal guardian or individual who signs the entry blank as a parent or guardian of a minor operating a motorized vehicle in violation of this rule are solely responsible for any damages, claims, losses or actions resulting from that operation. Violations of this rule will be cause for penalties against those responsible for the child committing the offense. Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this rule. The unsafe use of personal electronic transport devices, as determined by the competition officials and management in their sole discretion, that do not require a driver’s license to operate, including but not limited to segways, hover boards, and single wheeled scooters is prohibited on competition grounds. Operating such devices in areas where people gather may be deemed “unsafe use” if there is a risk of harm to others. If the operator of the device is a minor, the parent/legal guardian or individual who signs the entry blank as a parent or guardian of a minor operating the device in violation of this rule is accountable and may be subject to penalties. Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this rule.

USEF Equine Vaccination Rule (GR845) 1. At Federation licensed competitions, horses entering the grounds must be accompanied by documentation of Equine Influenza Virus and Equine Herpes Virus (Rhino-pneumonitis) vaccinations within six months prior to entering the stables. Horses not in compliance with this rule may be required to leave the competition grounds upon request by Competition Management. Documentation should consist of one of the following methods mentioned below. The frequency of vaccine administration should be per the vaccine manufacturers’ or veterinarian’s recommendations. It is recommended that vaccines are administered by or under the direction of a veterinarian. 2. In the case of vaccines administered by a veterinarian, the exhibitor, upon request by Competition Management, must provide documentation from the veterinarian on documenting that the horse in question received the vaccinations; name of the vaccines and date of vaccine administration. 3. In the case of vaccines administered by a person other than a veterinarian, the exhibitor, upon request by Competition Management, must provide a receipt of the vaccine purchase which is signed by the owner, or agent with care, custody, and control of the horse; name, serial number and expiration date of the vaccine; and date of vaccine administration. 4. In the case of a horse that is unable to receive either of the vaccinations due to a history of adverse reactions, the exhibitor, upon request by Competition Management, must provide a letter from the veterinarian on official letterhead stating that the horse in question cannot be vaccinated due to medical concerns and a log of temperatures taken twice daily for the seven days prior to entering the competition grounds. These horses must also have their temperature taken and logged twice daily while on the competition grounds. The log of temperatures should be provided to the Competition Management, steward, or technical delegate when requested. Responsibility lies with the competitor to provide documentation if requested by competition management.

Southeast Baroque Horse Shows competition management will not be verifying this documentation as allowed by guidance provided in the USEF Competition Newsletter, January 2018.

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FHP Rules for SBHS Show

GENERAL SAFETY RULES

No smoking in offices, stable pavilions, spectator pavilions, equine buildings or arenas.

In accordance with State Regulations, no open fires are ever permitted on any part of the HORSE PARK property. Barbeque grills may be used in designated areas only.

Trash must be placed in proper receptacles.

HORSE PARK staff, in cooperation with SOUTHEAST BAROQUE HORSE SHOWS MANAGEMENT, may remove dangerous, disruptive or unlawful persons from the HORSE PARK.

Every competitor must leave the grounds not more than 90 minutes after the conclusion of the show (i.e., last class ends) unless special arrangements have been made with the SOUTHEAST BAROQUE HORSE SHOWS Show Secretary. Additional stabling nights are available for an additional stall fee of $60.

PARKING AND TRAFFIC

When parking and unloading, all participants and guests must follow posted signs and/or instructions from a SOUTHEAST BAROQUE HORSE SHOWS representative. No vehicles are permitted to park within 30 feet of any stabling facility unless unloading or loading.

All motorized vehicles, including but not limited to cars, trucks, golf carts, motorcycles, mopeds, ATV’s etc. shall be operated by a licensed driver.

HORSES AND DOGS

All animals brought to the Florida Horse Park must observe all regulations of the State of Florida Animal Health Division.

Every horse must at all times (whether under saddle or being led) wear the SOUTHEAST BAROQUE HORSE SHOWS competition number. Non-competing horses must be registered with the SOUTHEAST BAROQUE HORSE SHOWS Show Secretary.

Longing and long-lining is permitted only in designated areas (check with Show Manager) and as long as the horse is under control and if the activity does not interfere with other horses/riders as determined by SOUTHEAST BAROQUE HORSE SHOWS management.

All dogs must be on a leash at all times.

STABLING

Only one horse per stall.

Stall fee includes ONE BAG of Shavings; additional bedding is for sale from the Florida Horse Park for $8 per bag, payable to the Show Secretary, who will have another bag brought to you. FHP requests that additional bedding is bought from the park.

SOUTHEAST BAROQUE HORSE SHOWS provides on-site overnight security for stabled horses.

If, when you arrive, there are loose shavings of any kind in the stall you have been assigned, notify the show secretary or show manager before putting your horse in the stall. Stall cleaning at end of show is included in stall fee.

All manure must be disposed of in designated areas only. Only bedding and manure is to be placed in manure bins.

In case of dispute, the SOUTHEAST BAROQUE HORSE SHOWS Show Manager’s decision is final.

_________________

2020

COMPETITION NAME COMPETITION DATES

Official Use Only BRIDLE #

NAME OF HORSE PREVIOUS NAME (IF ANY) USEF# USDF# FOR SALE

BREED SEX HEIGHT COLOR COGGINS DATE (ENCLOSED COPY) SIRE DAM

DAM’S SIRE COUNTRY OF BIRTH YEAR OF BIRTH BREEDER FEI/PASSPORT # GROOM

RIDER/HANDLER

USEF# USDF# FEI/LOCAL#

ADDRESS

CITY/ST/ZIP

CELL PHONE JR/YOUNG RIDER BIRTHDAY

EMAIL ADDRESS

RIDER CITIZENSHIP (IF NOT USA )

RIDER STATUS (CIRCLE ONE): JR/YG AA OPEN

OWNER

USEF# USDF# LOCAL#

ADDRESS

CITY/ST/ZIP

CELL PHONE

EMAIL ADDRESS

OWNER CITIZENSHIP (IF NOT USA )

TRAINER

USEF# USDF# LOCAL#

ADDRESS

CITY/ST/ZIP

CELL PHONE

EMAIL ADDRESS

COACH

USEF# USDF# LOCAL#

ADDRESS

CITY/ST/ZIP

Please Fill Out Both Sides of This Form. Reverse side MUST be SIGNED.

Stabling Information & Special Requests: Please list only ONE name (either individual or barn) for entire group (so we can get everyone together)

Group/Self Tue Wed Thu Fri Sat Sun Mon

Stalls

Tack Stalls

Stable Group: Contact:

CLASS NO. DIVISION CLASS DESCRIPTION QUAL Y/N FEES

SUBTOTAL CLASS FEES AND QUALIFYING FEES

USEF Show Pass FEES $45 PER NON-MEMBER

USDF NON MEMBER FEE $35 PER NON-MEMBER

OFFICE FEE AND/OR BRIDLE # FEE USEF HORSE FEES

$8 USEF FEE + $15 DRUG FEE = $23.00

CDI HORSE FEES $8 USEF FEE + $ 25 DRUG FEE = $33.00

IHP DISCIPLINE FEE ($35 IF REQUIRED)

STABLING FEES STALL @ $ /STALL

TACK STALLS STALL @ $ /STALL

BEDDING BALES @ $ /BALE

NON COMPETING HORSE FEE

SPONSORSHIP

GROUNDS FEE OR OTHER FEES

OTHER

LATE/CHANGE/BANK CHARGES FOR CC

TOTAL FEES

I hereby agree to release, indemnify and hold harmless USDF, its instructors, officers, directors, agents, and volunteers from and against any and all loss, liability or damage arising from or because of, or in connection with, participation in this competition or related activities. I also hereby agree to release, indemnify and hold harmless the competition liscensee, show management, competition staff, show committee and members, officers, directors, agents, and volunteers from and against any and all loss, liability or damage arising from or because of, or in connection with, participation in this competition or related activities.

Federation Entry Agreement Effective By entering a Federation-licensed Competition and signing this entry blank as the Owner, Lessee, Trainer, Manager, Agent, Coach, Driver, Rider,

Handler, Vaulter or Longeur and on behalf of myself and my principals, representatives, employees and agents, I agree that I am subject to the Bylaws and Rules of The United States Equestrian Federation, Inc. (the “Federation”) and the local rules of the Competition. I agree to be bound by the Bylaws and Rules of the Federation and of the competition. I will accept as final the decision of the Hearing Committee on any question arising under the Rules, and agree to release and hold harmless the Competition, the Federation, their officials, directors and employees for any action taken under the Rules. I represent that I am eligible to enter and/or participate under the Rules, and every horse I am entering is eligible as entered. I also agree that as a condition of and in consideration of acceptance of entry, the Federation and/or the Competition may use or assign photographs, videos, audios, cable-casts, broadcasts, internet, film, new media or other likenesses of me and my horse taken during the course of the Competition for the promotion, coverage or benefit of the Competition, sport, or the Federation. Those likenesses shall not be used to advertise a product and they may not be used in such a way as to jeopardize amateur status. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation. The construction and application of Federation rules are governed by the laws of the State of New York, and any action instituted against the Federation must be filed in New York State. See GR908.4.

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 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.

I AGREE that if I am injured at this competition, the medical personnel treating my injuries may provide information on my injury and treatment to the Federation on the official USEF accident/injury report form.

BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank and all terms and provisions of this Prize List. If I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force and effect as if I affixed my signature by my own hand. Copied from USEF website 11/14/2013

OWNER’S/AGENT’S SIGNATURE

(MANDATORY) RIDER/HANDLER SIGNATURE

(MANDATORY) TRAINER’S SIGNATURE

(MANDATORY) COACH’S SIGNATURE

(IF APPLICABLE)

PRINT NAME PRINT NAME PRINT NAME PRINT NAME

PARENT/GUARDIAN SIGNATURE IF RIDER/DRIVER/TRAINER/HANDLER/VAULTER/LONGEUR IS UNDER 18 PRINT PARENT/GUARDIAN NAME

RIDER EMERGENCY CONTACT INFORMATION

NAME OF CONTACT/RELATIONSHIP: PHONE:

FILL OUT ONLY IF THE COMPETITION YOU ENTER ON THIS ENTRY FORM OFFERS CERTAIN USE OF CHARGE CARDS!! (Check in the prize list or individual competition requirements)

VISA AMEX CARD NO. - - - EXP DATE

MasterCard Other NAME ON CARD: CVV #

BILLING ADDRESS ZIP CODE

UNITED STATES EQUESTRIAN FEDERATION : 4001 WING COMMANDER WAY : LEXINGTON, KY 40511 : 859.258.2472 : FAX 859.231.6662 : USEF.ORG

FEDERATION ENTRY AGREEMENTBy entering a Federation-licensed Competition and signing this entry blank as the Owner, Lessee, Trainer, Manager, Agent, Coach, Driver, Rider, Handler, Vaulter or Longeur and on behalf of myself and my principals, representatives, employees and agents, I agree that I am subject to the Bylaws and Rules of The United States Equestrian Federation, Inc. (the “Federation”) and the local rules of __________________________(Competition). I agree to be bound by the Bylaws and Rules of the Federation and of the competition. I will accept as final the decision of the Hearing Committee on any question arising under the Rules, and agree to release and hold harmless the competition, the Federation, their officials, directors and employees for any action taken under the Rules. I represent that I am eligible to enter and/or participate under the Rules, and every horse I am entering is eligible as entered. I also agree that as a condition of and in consideration of acceptance of entry, the Federation and/or the Competition may use or assign photographs, videos, audios, cable - casts, broadcasts, internet, film, new media or other likenesses of me and my horse taken during the course of the competition for the promotion, coverage or benefit of the competition, sport, or the Federation. Those likenesses shall not be used to advertise a product and they may not be used in such a way as to jeopardize amateur status. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensa-tion, invasion of privacy, right of publicity, or to misappropriation. The construction and application of Federation rules are governed by the laws of the State of New York, and any action instituted against the Federation must be filed in New York State. See GR908.4.

BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank and all terms and provisions of this Prize List. If I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force and effect as if I affixed my signature by my own hand.

RIDER/DRIVER/HANDLER/VAULTER/LONGEUR (mandatory)

Signature: ____________________________________________

Print Name: ___________________________________________

TRAINER (mandatory)

Signature: ____________________________________________

Print Name: ___________________________________________

OWNER/AGENT (mandatory)

Signature: ____________________________________________

Print Name: ___________________________________________

COACH (if appicable)

Signature: ____________________________________________

Print Name: ___________________________________________

Parent/Guardian Signature: (Required if Rider/Driver/Handler/Vaulter/Longeur is a minor) _______________________________________________________________________

Print Parent//Guardian Name: _______________________________Emergency Contact Phone No. __________________________________

Is Rider/Driver/Vaulter a U.S. Citizen: __Yes __ No

UNITED STATES EQUESTRIAN FEDERATION : 4001 WING COMMANDER WAY : LEXINGTON, KY 40511 : 859.258.2472 : FAX 859.231.6662 : USEF.ORG

WAIVER AND RELEASE OF LIABILITY,ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

For and in consideration of United States Equestrian Federation, Inc. dba US Equestrian (“USEF”) allowing me, the undersigned, to participate in any capacity (including as a rider, driver, handler, vaulter, longeur, lessee, owner, agent, coach, official, trainer or volunteer) in a USEF sanctioned, licensed or approved event or activity, including but not limited to equestrian clinics, practices, shows, competitions and related or incidental activities and ________________________________(“USEF Event” or “USEF Events”); I, for myself, and on behalf of my spouse, children, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors,, and assigns, hereby agree to and make the following contractual repre-sentations pursuant to this Agreement (the “Agreement”):

A. RULES AND REGULATIONS: I hereby agree to be bound and abide by the rules, regulations, and policies of USEF as published in the USEF Rule Book and on the website at www.usef.org, as amended from time to time.

B. ACKNOWLEDGMENT OF RISK: I knowingly, willingly, and voluntarily acknowledge the inherent risks associated with the sport of equestrian and know that horseback riding and related equestrian activities are inherently dangerous, and that participation in any USEF Event involves risks and dangers including, with-out limitation, the potential for serious bodily injury (including broken bones, head or neck injuries), sickness and disease (including communicable diseases), trauma, pain & suffering, permanent disability, paralysis and death; loss of or damage to personal property (including my mount & equipment) arising out of the unpredictable behavior of horses; exposure to extreme conditions and circumstances; accidents involving other participants, event staff, volunteers or specta-tors; contact or collision with other participants and horses, natural or manmade objects; adverse weather conditions; facilities issues and premises conditions; failure of protective equipment (including helmets); inadequate safety measures; participants of varying skill levels; situations beyond the immediate control of the USEF Event organizers and competition management; and other undefined, not readily foreseeable and presently unknown risks and dangers (“Risks”).

EQUINE ACTIVITY LIABILITY ACT WARNING:CAUTION: HORSEBACK RIDING AND EQUINE ACTIVITIES CAN BE DANGEROUS. RIDE AT YOUR OWN RISK.

Under the laws of most States, an equine activity sponsor or equine professional is not liable for any injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities.

C. ASSUMPTION OF RISK: I understand that the aforementioned Risks may be caused in whole or in part or result directly or indirectly from the negligence of my own actions or inactions, the actions or inactions of others participating in the USEF Events, or the negligent acts or omissions of the Released Par-ties defined below, and I hereby voluntarily and knowingly assume all such Risks and responsibility for any damages, liabilities, losses, or expenses that I incur as a result of my participation in any USEF Events. I also agree to be responsible for any injury or damage caused by me, my horse, my employees or contractors under my direction and control at any USEF Event.

D. WAIVER AND RELEASE OF LIABILITY, HOLD HARMLESS AND INDEMNITY: In conjunction with my participation in any USEF Event, I hereby release, waive and covenant not to sue, and further agree to indemnify, defend and hold harmless the following parties: USEF, USEF Recognized Affiliate Associations, the United States Olympic & Paralympic Committee (USOPC), USEF clubs, members, Event participants (including athletes/riders, coaches, trainers, judg-es/officials, and other personnel), the Event owner, licensee, and competition managers; the promoters, sponsors, or advertisers of any USEF Event; any charity or other beneficiary which may benefit from the USEF Event; the owners, managers, or lessors of any facilities or premises where a USEF Event may be held; and all directors, officers, employees, agents, contractors, and volunteers of any of the aforementioned parties (Individually and Collectively, the “Released Parties” or “Event Organizers”), with respect to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss, or expense (including court costs and reasonable attorney fees) of any kind or nature (“Liability”) which may arise out of, result from, or relate in any way to my participation in the USEF Events, including claims for Liability caused in whole or in part by the negligent acts or omissions of the Released Parties.

E. COMPLETE AGREEMENT AND SEVERABILITY CLAUSE: This Agreement represents the complete understanding between the parties regarding these issues and no oral representations, statements or inducements have been made apart from this Agreement. If any provision of this Agreement is held to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any remaining provisions.

I HAVE CAREFULLY READ THIS DOCUMENT IN ITS ENTIRETY, UNDERSTAND ALL OF ITS TERMS AND CONDITIONS, AND KNOW IT CONTAINS AN ASSUMPTION OF RISK, RELEASE AND WAIVER FROM LIABILITY, AS WELL AS A HOLD HARMLESS AND INDEMNIFICATION OBLIGATIONS.

By signing below, I (as the participant or as the Parent/Legal Guardian of the minor identified below) hereby accept and agree to the terms and condi-tions of this Agreement in connection with my (or the minor’s) participation in any USEF Event. If, despite this Agreement, I, or anyone on my behalf or the minor’s behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold harmless each of the Released Parties from any such Liabilities as the result of such claim.

The parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

PARTICIPANT: RIDER/DRIVER/HANDLER/VAULTER/LONGEUR/OFFICIAL/STAFF/VOLUNTEER (mandatory)

Signature: ____________________________________________

Print Name: ___________________________________________

TRAINER (mandatory)

Signature: ____________________________________________

Print Name: ___________________________________________

OWNER/AGENT (mandatory)

Signature: ____________________________________________

Print Name: ___________________________________________

COACH (if applicable)

Signature: ____________________________________________

Print Name: ___________________________________________

Parent/Guardian Signature: (Required if Rider/Driver/Handler/Vaulter/Longeur is a minor) _______________________________________________________________________

Print Parent//Guardian Name: _______________________________Emergency Contact Phone No. __________________________________

USEF Competition Name: USEF#:Competition Division(s) and Rating

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2020 Great American Insurance Group/USDF Regional Dressage Championships

A single Regional Dressage Championship program organized by the United States Dressage Federation (USDF), and recognized by the United States Equestrian Federation, Inc. (USEF), will be held in each of the nine USDF regions. In addition, Alaska and Hawaii may each hold state championships if an official request from a Group Member Organization (GMO) is received by April 1 of the prior year. The Regional Championship Program Rules can be found on the USDF website at www.usdf.org. Please refer to the 2020 USDF Member Guide for the comprehensive list of rules and requirements for this program.

Membership/Registration Requirements for Qualifying and Championships All memberships and registrations/recordings must be correct and current at the time qualifying scores are earned and at the time of the championships. Rider:

Must have a USDF Participating* Membership (PM).

Must have a USEF membership (Junior Active, Senior Active, or Life). Horse:

Must have a USDF Lifetime Horse Registration (LHR).

Must have a USEF (Annual or Lifetime) Horse recording.

USDF horse registration and USEF horse recording must be in the name(s) of the current owner(s) or lessee(s) of record. A horse is not required to have breed registry papers.

Owner:

Must have a USDF Participating or Business Membership and a USEF membership (Junior Active, Senior Active, Life, or Recorded Farm (with Active Farm Owner)). If the horse has more than one owner, at least one owner must have both active USEF membership and active USDF Participating or Business Membership and must be the owner of record with USEF and USDF. For a business or farm to be the valid owner under this requirement, it must be listed as an owner of the horse with both USEF and USDF.

* PMs are USDF members who join USDF directly. USDF Group Members (GM) are ineligible.

Minimum Qualifying Scores: One set of nationally-standardized qualifying scores has been established for all USEF/USDF Regional Championships, for Training Level through Grand Prix, in three divisions: open, adult amateur and junior/young rider. FEI Junior and FEI Young Rider classes have only one respective division. Freestyles have only open divisions.

The minimum percentages are as follows: OPEN AA JR/YR Training Level (Test 3) 68% 63% 63% First Level (Test 3) 66% 62% 62% Second Level (Test 3) 64% 61% 61% Third Level (Test 3) 62% 60% 60% Fourth Level (Test 3) 62% 60% 60% FEI Junior (Team Test) — — 60% FEI Young Rider (Team Test) — — 60% Prix St. Georges 62% 60% 60% Intermediate I 62% 60% 60% Intermediate II 62% 60% 60% Grand Prix 60% 60% 60% FREESTYLE OPEN AA JR/YR First Level 65% — — Second Level 65% — — Third Level 65% — — Fourth Level 65% — — Intermediate I 65% — — Grand Prix 65% __ __

3 YEAR OLD

4 YEAR OLD

5 YEAR OLD

6 YEAR OLD

ADEQUAN®/YEAR-END AWARDS*Materiale Horse of the Year Award

(min. 3 scores required)X X X

USEF Four-Year-Old Award (min. 4 scores required)^

X

FEI Five-Year-Old Award (min. 4 scores required)^

X

FEI Six-Year-Old Award (min. 4 scores required)^

X

BREEDERS CHAMPIONSHIP SERIES**Materiale Championships

(min. 1 score required of 72% or higher)Three-Year-Old Championship XFour-Year-Old Championship XFive-Year-Old Championship X

Complete Award/Championship Requirements Listed in the current USDF Member Guide

* Horse must have a USDF Lifetime Horse Registration Number (LHR)

* Rider must have a USDF PM* Owner must have a USDF Participating (PM) or Business Membership (BM)

For USDF Breeders Championship Series - to compete in the championships** Horse must have a USDF Horse Identification Number or LHR

OPPORTUNITIES FOR 3-6 YEAR OLD HORSES COMPETING IN MATERIALE AND/OR

USEF/FEI YOUNG HORSE TESTS

*Competition year starts October 1 and ends September 30

**Competition year starts January 1 and ends December 30

^Scores earned in the USEF Four- and FEI Five- & Six-Year-Old tests are also eligible to be used towards a USDF Horse Performance Certificate

For Adequan®/USDF Year-End Awards - at the time scores are earned

** Rider must have a USDF PM** Owner must have a USDF PM, BM or non-member number