South West Mo. Arabian Fall Classic Premium List 2014

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    Ozark Heartland Arabian Fall Classic One Day Qualifier Show I

    September 27, 2014

    Ozark Heartland Arabian Fall Classic One Day Qualifier Show II

    September 28, 2014

    Managed & Produced by: Equine Ventures Unlimited, LLC

    Pre-Entries Close Sept 22, 2014(Pre-entry required for premuim stalls)

    Flying M ArenaMt. Vernon, Missouri

    Competitions I & II are AHA qualifying shows for Region XI

    Judge for Show I: Annette urnbaughGrand View, MO.Judge for Show II: Dawn K. CoonsCat Springs, X.

    NO Late Fees!!!!!!!CAN Enter on day of

    Show!

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    HotelsTe Official Show Hotel:Americas Best Inn & Suites (Ask or show discount)1125 E. Daniel Drive, Mt. Vernon, MO 65712

    Phone: 417-466-4511 Fax: 417-466-4247Other Hotels:Te Mt. Vernon InnMt. Vernon, MO 65712417-466-0230Te American Lodge & Suites o Republic950 Austin Lane, Republic, MO 65738

    417-732-5335

    8802 Highway M, Mt. Vernon, Mo. 65712(417) 849-5219

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    Arabian Horse Association Show RecognitionCompetition Sponsor:

    AHA Recognition Show/Recording Number:

    Join AHA through your local club forthe following great member benefits: Discounted subscription to

    Modern Arabian Horsemagazine Reduced rate for competition privileges across

    a variety of disciplines for local, regional andnational AHA-approved shows and rides

    Peace of mind with 1 million in personalliability insurance through Equisure

    Preferred rates on horse registrationsand transfers

    Preferred rates on ArabDataSource, the worlds largest online Arabian horse resource

    Numerous opportunities to participate in award recognition and prize money programs

    Show circuits for AHA members at local, regional and national levels

    Contact your local club:

    The Arabian Horse Association is a major

    equine association serving members in the

    United States and Canada. It registers and

    maintains a database of more than one

    million Arabian, Half-Arabian and Anglo-

    Arabian horses and administers more than

    $2.5 million in annual prize money. AHA

    produces championship events, recognizes

    over 500 Arabian horse shows and distance

    rides annually and provides activities and

    programs that promote breeding and

    ownership. For information about Arabian,

    Half-Arabian and Anglo-Arabian horses, call

    303-696-4500, e-mail [email protected]

    or visit ArabianHorses.org.

    Arabian Horse Association 10805 East Bethany Drive Aurora, CO 80014 303.696.4500 303.696.4599 fax ArabianHorses.orgAHA 090032 (Rev. 2/13)

    The Judges & Stewards Commissioner

    is responsible for handling written

    and signed complaints relating to

    judges and stewards conduct when

    led by exhibito rs, show ofcials,

    AHA members or others, and when

    accompanied by a ten-dollar ($10.00)

    ling fee [Reso lution 5-90]. Other

    comments, compliments, questions,

    inquiries are encourageed when

    appropriate (no ling fee required).

    Write: Judges & Stewards Commis-

    sioner, 10805 E. Bethany Dr., Aurora,

    CO 80014; (303) 696-4539.

    Southwest Missouri Arabian Horse Club

    141112395 - 141112396

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    PremiumsIn-Hand and Perormance Classes will be judged to six places.

    Equitation Classes................................................................................................. 6 RibbonsWalk-rot Classes................................................................................................. 6 RibbonsBreeding and Gelding In-Hand Classes Show I................................................ 6 RibbonsBreeding and Gelding In-Hand Classes Show II.............................................. 6 Ribbons

    Breeding and Gelding In-Hand Championships in Show I & II....................2 RibbonsPerormance Classes in Show I........................................................................... 6 RibbonsPerormance Class Championships in Show I.................................................. 6 RibbonsPerormance Classes in Show II.......................................................................... 6 RibbonsPerormance Class Championships in Show II................................................. 6 Ribbons

    High Point rophy to the High Point Horse o the Weekend!!

    High Point Awards to be give to High Point Horse o each show.

    Show FeesEquitation Class Entry Fee......................................................................................... $10.00Breeding and Gelding In-Hand Entry Fee Show I & II .........................................$15.00Breeding and Gelding In-Hand Championship Entry Fee Show I & II ................ $0.00Perormance Class Entry Fee Show I & II ................................................................$15.00Perormance Class Championship Entry Fee Show I & II ....................................$20.00Office Fee per Horse ....................................................................................................$20.00Number Fee per Horse or per Equitation Rider ........................................................$1.00AHA Single-Event Fee per Person per Show............................................................$35.00Permanent Horse Stall with a Door ..........................................................................$60.00Permanent ack Stall with a Door ............................................................................$60.00ie Out Fee per Horse (Showing out o your trailer) per Day ..............................$15.00Fee or railer/RV Hookup per Night.......................................................................$20.00BA (o Be Added) Class Fee Show (Pay with Entry Form) ...........................$30.00Fee or "NO SHOWING" any Class............................................................................$5.00

    Ozark Heartland Arabian Fall Classic One Day Qualifier Show I

    September 27, 2014

    Ozark Heartland Arabian Fall Classic One Day Qualifier Show II

    September 28, 2014

    Managed & Produced by: Equine Ventures Unlimited, LLC

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    Show Conduct

    Te Southwest Missouri Arabian Horse Club, its Directors and Officers and Show Managementreserve the right toreuse any entry o any horse owner, trainer, groom, agent or exhibitor beore these shows without ANY compensationdamages or liability. Past objectionable attitude toward this show or any previous unsportsmanlike behavior at thisshow is grounds or reusal o the entry. Show Management may also order horses, their owners and/or exhibitors offthe show premises without being held liable or damages o any kind. I you sign the entry orm, you agree to the above

    COURESY:Any act o discourtesy to a judge or official at this show by an owner, trainer, exhibitor, groomor agent shall be grounds to disqualiy the horse associated with the offending individual. Discourtesy to ex-hibitors (or their help) by exhibitors, horse owners, trainers, grooms or agents carries the same disqualifi-cation. Show management and/or the show steward will act upon complaints. I you sign the entry orm,you agree to this paragraph. In the event o discourteous behavior, all ees and winnings shall be oreited

    ADDING CLASS ENRY: I an exhibitor wishes to enter classes not originally listed on the entry ormthat exhibitor must complete an Entry/Add orm in the show office one hour beore that session starts.

    CANCELING CLASS ENRY: Exhibitors are required to complete an Entry/Cancel orm i a horse

    is entered and will not be competing. Failure to do so will incur a NO SHOW ee o $5.00 per class

    CALLS FOR CLASSES: Te public address system must be considered a courtesy and no war-ranty can be made that everyone will be able to hear class calls rom all places on the grounds. It isthe responsibility o the exhibitor to be at the gate or the class without regard to announcements

    COMBINING, DIVIDING AND CANCELING CLASSES: Show management reserves the right to divide classeswith 15 or more entries, and to combine classes with too ew entries. Only classes with no entries will be canceled

    GAE HOLD/ACK CHANGE:A two minute gate hold may be granted by the official gate keeper or tack changePlease notiy the gate keeper o a tack change requirement as much in advance o the class as possible. In classes

    without a "gate hold", the gate will be open or two minutes rom the time the first horse in that class enters the ring

    NOE:Whips longer than six eet are not allowed at ringside or in the warm-up arenas. Fire extinguishers, airhorns and explosives used as training aids are prohibited on the show grounds beore, during and afer the showFire extinguishers so used will be confiscated and the offenders will be reported to USEF. No attention-getting devices outside o standard approved appointments are allowed in the warm-up areas, ringside or in the show ring

    IDENIFICAION NUMBERS:Every horse/equitation rider will be assigned an identification number whichmust be worn by the rider, driver or handler while in the show ring. A one-time, non-reundable ee o $1 pernumber will be charged.

    SHOW ABS: An open, signed check may be lef in the show office. Added classes will be run on this tab

    SHOW OFFICE:Te show office will open on Friday, September 26, 2014, 5 pm. A schedule o the office hourswill be posted outside and inside the show office. Barn/stall postitions will be posted outside o the show office oroutside the arena entrance.

    ABS CLASSES: Arabian Breeders Sweepstakes classes may be entered by horses that are or are notnominated. ABS prize money may be earned by those horses enrolled in the "Points Payback Program". Enrollingin the "Points Payback Program" must be done prior to the show. Contact AHA at 303-696-4500. ABS Classes ardesignated by "$" beore the class name.

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    RULE ENFORCEMEN: Te show committee and show management will enorce all rules o USEF, AHAand the Horse Protection Act rom the time horses enter the show grounds until their departure. Show man-agement and its designated individuals reserve the right to measure the length o any horse's eet at any timeor place and to have any horse's shoe or shoes pulled and weighed without being liable or compensation ordamages. Show management also reserves the right to inspect or examine the personal effects and property o every exhibitor, owner, trainer, his employees or agents or the possession o illegal drugs, ginger or elec-trical devices used in schooling or showing horses. I you sign the entry orm, you agree to this paragraph

    CONFLICS:Any errors or omissions in this premium book and/or any conflicts will be resolved at the showoffice by show management. ALL DECISIONS OF SHOW MANAGEMEN ARE FINAL. I you sign the entryorm, you agree to this paragraph.

    Cruelty or the abuse of a horse by any person is strictly forbidden.

    Stabling and Show Facilities

    SALLS: Permanent stalls with doors (10'X10') are available. ack stalls may be limited i necessary. Te Show

    Committee reserves the right to ask exhibitors to oreit a tack stall i additional "horse" stalls are required. Groomingstalls must remain uncovered at all times. Shavings must be purchased from the "Flying M Arena". Minimumone bag of shavings per stall. No outside bedding allowed. One horse per stall only. I orbidden bedding is useda $25.00 ee will be assessed. All stalls must be purchased rom the Equine Ventures Unlimited, LLC. Stalls arelimited and will be assigned on a first-come first-served basis. Absolutely no stalls will be held without payment

    ARENA: Te show will be held in an indoor arena (246' x 125', sand based ooting). Exhibitors will be permitted towork horses in the show arena beore, between and afer sessions; however, arena preparation needs will determineexact cut-off times. Te show arena will be open or working horses on Friday, September 26, 2014 afer 12:00 noon

    WARM-UP ARENAS: Te warm-up arena (120' x 80', sand based ooting) is also indoor.

    ARRIVAL IME: Horses will be accepted on Friday, September 26, 2014 , afer 12 noon. Call Barb McDannald417-849-5219 i earlier arrival time is needed. A $20 ee will be charged or each additional day.

    DEPARURE IME:All horses must depart the show grounds no later than noon, Sept. 29th . Later departuremay be granted by show management. A $20 ee will be charged or the additional night in the stall. I you leaveitems in a tack stall or an additional night, you will also be charged or that stall.

    GROUND IE:Exhibitors who wish to show out o their trailer may do so. Te ee or each day will be $15 perhorse.

    RAILER/RV HOOKUPS:Water and Electric are included in the $20.00 per night ee. Pay with entry orm.

    SHARPS: Containers are available at least one per fify horse-occupied stalls or the disposal o needles andother sharp instruments. Containers will be replaced when ull. Show management may me individuals, includ-ing trainers, owners, exhibitors or their agents up to $100 or improper disposal o sharps. USEF Art. GR1210.4.

    HAY, GRAIN AND BEDDING: Bermuda hay , Lakin Milling alala pellets and shavings will be available onthe grounds or purchase. Feed store hours will be posted in the show office.

    WASH RACKS: Covered wash racks are located between the two main barns.

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    DOGS:All dogs are to be leashed/restrained at all times. No dogs will be allowed inside the show or warm-uparenas with the exception o those dogs trained to aid the disabled. No dogs should be in the gate areas.

    RESAURAN FACILIIES: Restaurant acilities are available on the airgrounds, openning one hour beorethe show, and closing at the end o the show day.

    SMOKING IS NO PERMIED INSIDE HE ARENA OR IN HE BARNS.

    SPECAORS:All spectator behavior should be such that it does not interere with horses or riders in the arenaPlease be aware that inexperienced and/or young riders and horses are participating in our shows. Children run-ning up and down the bleacher steps make distractingly loud ootalls. No hands or eet may rest on or above theshow arena railing. Please be considerate while watching the riders/horses who have worked so hard just to be incompetition.

    INDEMNIY/NON-RESPONSIBILIY CLAUSE:Neither the Southwest Missouri Arabian Horse Club, the Fly-ing M Arena, Equine Ventures Unlimited LLC, nor the City o Mt. Vernon, Missouri, shall be responsible or losso any type, personal injury or damage to horses exhibited; or or any article o any kind or nature that may be lostdestroyed or damaged. Directors, officers and employees o the above are also held harmless or any loss. Tesigned entry orm signifies knowledge and acceptance o these conditions.

    WARNING:Under Missouri Law an equine professional is not liable for an injury to or the death of a partici-pant in equine activities resulting from the inherent risks of equine activities pursuant to the revised statutesof Missouri.Definitions:

    AAR: Adult Amateur to RideJR: Junior to RideJH: Junior to HandleAHA: Arabian Horse AssociationHA/AA: Half-Arabian/Anglo-Arabian

    Limit Rider USEF Art. GR134*AH: Amateur to HandleAR: Amateur to RideQC: Qualifying Class

    PB: Purebred ArabianUSEF: U.S. Equestrian Federation, IncABS: Arabian Breeders Sweepstakes classes- Nominated and non-nominated horses may enter. Classes aredesignated by "$" beore the class name in this premium book.* Limit horses/riders may not have won six first place ribbons in that particular performance section.

    AHA MEMBERSHIP SAEMEN EACH COMPEIOR (HIS INCLUDES A LEAS ONE RECORDED OWNER AND ALL RAINERS, DRIVERS, RID

    ERS, HALER HANDLERS, COACHES AND HE PERSON(S) SIGNING HE ENRY BLANK) IN AN ARABIAN HORSE AS-SOCIAION RECOGNIZED ARABIAN DIVISION, A HE IME OF ENRY INO A COMPEIION, MUS SUBMI ACOPY OF A VALID AHA MEMBERSHIP/COMPEIION CARD, JOIN AHA OR PAY AN AHA SINGLE EVEN MEMBERSHIP

    FEE PER COMPEIOR. WHEN AN AGEN SIGNS FOR HE OWNER A AN AHA RECOGNIZED COMPEIION, BOH HE OWNER

    AND AGEN MUS BE MEMBERS OF AHA OR PAY HE AHA SINGLE EVEN MEMBERSHIP. SINGLE EVEN MEMBERSHIP IS NO ACCEPABLE A AHA REGIONAL OR NAIONAL COMPEIIONS.

    EXHIBIORS IN WALK-RO CLASSES ARE EXEMP FROM AHA MEMBERSHIP REQUIREMENS A QUALIFY-ING COMPEIIONS, BU MUS HAVE AN AHA MEMBERSHIP WIH COMPEIION CARD A AHA REGIONAL ANDNAIONAL COMPEIIONS.

    EXHIBIORS IN LEAD LINE CLASSES OR PARENS/GUARDIANS SIGNING FOR MINORS AREEXEMP FROM AHA MEMBERSHIP REQUIREMENS. (BOD 5/12)

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    Te Southwest Missouri Arabian Horse ClubOzarks Heartland Arabian Fall Classic Shows I & II

    Show OfficialsJudge for Show I ...................................................... Ms. Annette urnbaugh, Grandview, MO

    Judge for Show II ............................................................. Ms. Dawn K Coons, Cat Springs, X

    Show Secretary .......................................................... Mr. Lenard Davenport, Springfield, MO417-861-9192 ....................................................................................lendavenport@prodigy.net

    Safety Cooridnator....................................................................................Mr. roy Murrell, MO

    Barn Manager .......................................................................Mr. roy Murrell, Bois D'Arc, MO

    417-425-9322 ............................................................................................. [email protected]

    Veterinarian ...............................................................Dake Veterinarian Services, Miller , MO.417-452-3301

    Announcer ................................................................................................... Ms. Rennee Knight

    Ringmaster for Show I & II.................................................................................Robert Schanke

    Farrier ...................................................................................................................................BA

    o reach the show office during the show times,please use Lenard Davenport's cell: 417-861-9192.

    o reach the acility please use Barbara McDannald's cell: 417-849-5219.o reach the barn manager, please useroy Murrell's cell: 417-425-9322.

    Managed & Produced by: Equine Ventures Unlimited, LLC

    Approved by:Shows I & II: Te Arabian Horse Association --- Region XI Qualifying

    Pre-Entry Deadline: September 22, 2014

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    Ozark Heartland Arabian Fall Classic Show I Saturday, September 27th, 2014One Day Qualifier entative Class ScheduleSaturday September 27th, FIRS SESSION 8 a.m.Class# AHA# Fee$ Class Name101 210 15 PB Western rail, Open102 645 15 HA/AA Western rail, Open103 179 15 PB English rail, Open103 a 691 15 HA/AA English rail, Open104 211 20 PB Western rail Championship, Open, (QC 101)105 646 20 HA/AA Western rail Championship, Open (QC 102)Short Break to tear down rail obstacles106 961 15 PB Most Classic Head, 2 and over, Open107 961 15 PB Most Classic Head, Yearling & Weanling, Open108 422 15 $HA/AA Mare Breeding 2 & Over, Open109 418 15 HA/AA Mares, AH110 401 HA/AA Mare Breeding Championship, Open (QC 108, 109)111 472 15 $HA/AA Geldings In- Hand 2 & Over, Open112 468 15 HA/AA Geldings, AH113 451 HA/AA Gelding In-Hand Championship, Open (QC 111, 112)

    114 450 15 HA/AA Colt/Gelding, Yearling & Weanling, Open115 026 15 PB Geldings, Open116 034 15 PB Geldings, AH117 027 PB Gelding Championship, Open (QC 115, 116)118 008 15 $PB Mares, 2 & Over, Open119 15 PB Fillies, Yearling & Weanlings, Open120 009 15 PB Mares, AH121 2 PB Mares, Championship, Open (QC 119, 120)122 019 15 $PB Stallions, 2 & Over, Open123 14 15 PB Colts, Yearling & Weanlings, Open124 021 15 PB Stallions, AH

    125 15 PB Stallions, Championship, Open (QC 122, 124)126 918 15 PB/HA/AA Showmanship,18 & Under127 15 Get o Sire (minimum o 2 oals/per sire, maximum o 4 oals/sire; sire does not have to be present)128 15 Produce o Dam (minimum o 2 oals/dam, maximum o 4 oals/dam; dam does not have to be presentBreak BASaturday September 27, SECOND SESSION129 290 15 $PB Hunter Pleasure, Open130 733 15 $HA/AA Hunter Pleasure, Open131 1631 15 PB Hunter Pleasure, AAR132 1630 15 HA/AA Hunter Pleasure, AAR

    133 299 15 PB Hunter Pleasure, AR134 741 15 HA/AA Hunter Pleasure, AR135 299 15 PB Hunter Pleasure, JR136 741 15 HA/AA Hunter Pleasure, JR137 290 15 PB Hunter Pleasure, Limit Horse138 733 15 HA/AA Hunter Pleasure, Limit Horse139 291 20 PB Hunter Pleasure Championship, Open, (QC 129, 137)140 734 20 HA/AA Hunter Pleasure Championship, Open, (QC 130, 138)141 300 20 PB Hunter Pleasure Championship, AR, (QC 129, 131, 133, 137)142 742 20 HA/AA Hunter Pleasure Championship, AR, (QC 130, 132, 134, 138)143 939 15 PB/HA/AA Hunt Seat Not to Jump Equitation, 18 & under

    144 30 BABreak BA

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    Saturday September 27, HIRD SESSION145 15 PB Liberty, Open146 10 UPHA Walk/rot Challenge Cup, Rider 10 & Under147 10 UPHA Challenge Cup, Riders 18 & under148 10 NSH Equitation 18 and under149 956 10 UPHA Arabian Breeds Challenge Cup, Riders 18 & under150 30 BA151 890 15 PB/HA/AA Walt-rot Pleasure, English, Country English, & Hunter, 10 & under152 075 15 $PB English Pleasure, Open

    153 515 15 $HA/AA English Pleasure, Open154 083 15 PB English Pleasure, AR155 524 15 HA/AA English Pleasure, AR156 076 20 PB English Pleasure Championship, Open, (QC 152, 154)157 516 20 HA/AA English Pleasure Championship, Open, (QC 153, 155)158 30 BA159 095 15 $PB Country English Pleasure, Open160 540 15 $HA/AA Country English Plea sure, Open161 1633 15 PB Country English Pleasure, AAR162 1640 15 HA/A Country English Pleasure, AAR163 104 15 PB Country English Pleasure, AR164 549 15 HA/AA Country English Pleasure, AR

    165 104 15 PB Country English Pleasure, JR166 549 15 HA/AA Country English Pleasure, JR167 096 20 PB Country English Pleasure Championship, Open, (QC 159, 161, 163, 165)168 105 20 PB Country English Pleasure Championship,AR, (QC 161, 163, 165)169 541 20 HA/AA Country English Pleasure Championship, Open, (QC 160, 162, 164, 166)170 550 20 HA/AA Country English Pleasure Championship, AR, (QC 162, 164, 166)171 925 15 PB/HA/AA Saddle Seat Equitation, 18 & under172 907 15 PB/HA/AA Walk-rot Equitation, English, Country English & Hunter, 10 & under173 30 BABreak BA174 890 15 PB/HA/AA Walt-rot Western Pleasure, 10 & under175 190 15 $PB Western Plea sure, Open176 620 15 $HA/AA Western Pleasure, Open177 206 15 PB Western Pleasure, AAR178 619 15 HA/AA Western Pleasure, AAR179 198 15 PB Western Pleasure, AR180 629 15 HA/AA Western Pleasure, AR181 198 15 PB Western Pleasure, JR182 629 15 HA/AA Western Pleasure, JR183 190 15 PB Western Pleasure, Limit Horse184 620 15 HA/AA Western Pleasure, Limit Horse185 191 20 PB Western Pleasure Championship, Open, (QC 175, 177, 179, 181, 183)186 199 20 PB Western Pleasure Championship, AR, (QC 177, 179,181)

    187 621 20 HA/AA Western Pleasure Championship, Open, (QC 176,178, 180, 182, 184)188 630 20 HA/AA Western Pleasure Championship,AR, (QC 178,180,182)189 949 15 PB/HA/AA Western Seat Equitation, 18 & under190 907 15 PB/HA/AA Walk-rot Western Seat Equitation, 10 & under191 15 Adult Walk-rot Western Pleasure192 150 15 PB Native Costume193 590 15 HA/AA Native Costume194 30 BA195 225 15 $PB Reining, Open196 660 15 $HA/AA Reining, Open

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    Total Entry Fees------------------------------------- $ ______

    _____ Office Fee (per horse) @$20.00 ------------ $ _______

    _____ AHA Resolution 9-90 @ $4.00 --------------- $ _______

    _____ Box Stalls $60.00 for weekend ------------- $ _______

    _____ Tack Stall $60.00 for weekend -------------- $ _______

    Show Pass/Single Event Fees:_____ AHA Single Event Fee @35.00 -------------- $ _______

    Other Fees_____ Back Number Fee @$1.00 ------------------- $ _______

    _____ Misc ------------------------------------------------ $ _______

    _____ Misc ------------------------------------------------ $ _______

    _____ Misc ----------------------------------------------- $ _______

    _____ Misc ------------------------------------------------- $ _______

    _____ Misc ------------------------------------------------- $ _______

    _____ Misc ------------------------------------------------- $ _______

    TOTAL FEES DUE------------------------------- $-------------

    Ozark Heartland Arabian Fall Classic I

    One Day QualifierSeptember 27, 2014

    Pre-Entries Close Sept 22, 2014PLEASE TYPE OR PRINT ONLY ONE HORSE PER ENTRY FORM.

    Horses Name Reg. No. DOB MM/DD/YY Sex Color SweepstakesYes No

    Sire Dam

    Rider 1Classes / TOTAL FEES

    Entry Fees $

    Name DOB MM/DD/YY Amateur CertificateYes No

    Junior/AmateurRelationship to horse owner

    AHA#

    Address City State Zip

    Rider 2Classes TOTAL FEES

    Entry Fees $

    Name DOB MM/DD/YY Amateur CertificateYes No

    Junior/AmateurRelationship to horse owner

    AHA#

    Address City State Zip

    Rider 3Classes TOTAL FEES

    Entry Fees $

    Name DOB MM/DD/YY Amateur CertificateYes No

    Junior/AmateurRelationship to horse owner

    AHA#

    Address City State Zip

    Each person signing this entry form acknowledges that he/she has read the front and reverse of this Entry Form and agrees to the applicable terms, conditions, waiversALL OWNERS, TRAINERS, RIDERS, DRIVERS & HANDLERS MUST SIGN ON THE BACK. Minor entrants must also have parent/guardian signature(s) on the back., releases, indemnification and consent as set f orthherein. Each person agrees that the information is accurate to the best of his/her knowledge.

    THE FOLLOWING MUST BE SENT WITH YOUR ENTRIESPhoto copies of AHA, Membership cards for each Rider/Driver/Handler/ Trainer/Owner,

    Horses Registation papers & Purchase contract if applicable and Stall Reservation Forms

    OWNER INFORMATION Owner name as it appears on registration papers/purchase contract

    Name ______________________________________________________________________________________________

    AHA#____________________________

    Current Address __________________________________________________________ Phone _______________________

    City___________________________________________________________ ST ___________ Zip ____________________

    Email _______________________________________________________________________________________________

    TRAINER INFORMATION (must be filled out, if there is no trainer, owner may write same in trainer information)

    Name ______________________________________________________________________________________________

    AHA# ____________________________

    Address ________________________________________________________________ Phone _______________________

    City_____________________________________________________________ ST __________ Zip ____________________

    Email _______________________________________________________________________________________________

    Stable with __________________________________________________________________________________________

    ENTRIES CLOSE Date Make Checks payable to : Equine Ventures Unlimited, LLCMail to:

    Equine Ventures UnlimitedLenard Davenport

    231 South James River LandingNixa, MO. 65714

    ALL ENTRY FORMS MUST BE PROPERLY SIGNED ON BACK

    OFFICE USE ONLYOffice Use Total $

    Paid $

    Check Number

    Date Rcvd

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    AHA ENRY AGREEMEN

    I have read the rules concerning competitions as printed in the Arabian Horse Association (AHA) Handbook / Directory and Competition Prize List and agree tobe bound by and subject to those Rules.

    AHA ASSUMPION OF RISK, RELEASE AND INDEMNIFICAION Tis document waives very important legal rights. Read it careully beore signing.In consideration or AHA permitting me to participate in this Competition, and by signing the entry blank, I agree as ollows:I AGREE that I choose to participate voluntarily in this Competition, as a rider, driver, handler, lessee, owner, agent, coach, trainer, junior exhibitor, or as a parent or guard-ian o a junior exhibitor. I AM FULLY AWARE AND ACKNOWLEDGE HA HORSE SPORS AND PARICIPAION IN HIS COMPEIION INVOLVE SERIOUSRISK OF HARM INCLUDING, BU NO LIMIED O, RISKS OF ACCIDEN, SERIOUS BODILY INJURY, INCLUDING DEAH, BROKEN BONES, HEAD INJU-RIES, RAUMA, PAIN, AND SUFFERING, AND PROPERY DAMAGE. I ASSUME ALL RISKS OF HARM O ME, MY HORSE OR MY PROPERY.I AGREE or mysel, my heirs, executors, administrators, successors and assigns to release AHA, the Competition, the acilities leased by the Competition and the owner(so the acilities, and all o their respective officers, officials, directors, employees, agents, personnel, volunteers, affiliated organizations and insurers (collectively, the "Released Parties") rom any and all claims or damage, loss, or injury to mysel, other persons, horses or other property belonging to me to the ullest extent permitted bylaw that arises out o or relates in any way to the Competition and my participation in the Competition INCLUDING, BU NO LIMIED O, DAMAGES, LOSS, ORINJURY RESULING FROM ANY ACS, FAILURE O AC, NEGLIGENCE OR NEGLEC OF OHER ENRANS, HE RELEASED PARIES, HEIR CONRAC-ORS OR INVIEES, as well as or thef, vandalism, fire, other casualty damage, or damage arising out o any deects in the premises.I AGREE to indemniy and hold harmless (that is pay all losses, damages, attorneys ees and costs o) the Released Parties rom and against any and all claims, demandpenalties, actions, losses, costs, damages, injuries, liabilities and obligations (including attorneys ees) o whatsoever kind and nature, which may be asserted against orincurred by any o them as a result o (1) my participation in the Competition or (2) any act, ailure to act, or neglect (a) by me, my agents, employees, riders, handlerstrainers, coaches, drivers, contractors or invitees, or (b) by any animal owned or exhibited by me or in my custody or control.I AGREE and represent that I am qualified and eligible to enter and/or participate in the Competition, and every horse I am entering is qualified and eligible as entered.I AGREE to accept AS FINAL any decision o AHA, the Show Commission or Show Officials concerning my qualification or the qualification o my horse to enter theCompetition or any results o the Competition, except to the extent that the Rules o AHA, the Competition, CEF or USA Equestrian permit a protest or hearing o suchdecisions. Should a hearing be requested, I agree to accept AS FINAL the decision o the particular hearing body. I agree to release, hold harmless and not to sue AHA, thCompetition Sponsor, their officers, directors, employees, volunteers or members concerning any decision o AHA, the Competition, its Show Commission, Show Officialor any hearing body that relates to my qualifications or my horse(s) qualifications to enter the Competition or any results o the Competition.

    I AGREE that AHA has the sole right to control, sell, supervise or give away (or assign to others the right to do so) the exclusive rights to broadcast, televise, reproducetransmit and disseminate all or part o this event, and I agree that AHA may use or assign, in any way AHA sees fit, photographs, films, videos, audios, cablecasts, or othelikenesses o me and my horse taken during the course o the Competition or the promotion, coverage or benefit o the Competition or AHA. Tose likenesses shall not bused to advertise a product and they may not be used in such a way which implies endorsement o any company, product, product category or service. I hereby expressland irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion o privacy, right o publicity, or to misappropriation.By signing below as a parent or guardian o a junior exhibitor, I consent to the childs participation and agree to all o the above provisions, and urther agree to assume alo the obligations o this AHA Assumption o Risk, Release and Indemnification personally and on behal o the child.Tis AHA Assumption o Risk, Release and Indemnification is governed by the Laws o the State o Colorado and is intended to be interpreted as broadly as possible. I agrethat exclusive jurisdiction and venue (place) or any legal action against AHA, its officers, directors, employees, volunteers or agents shall be in the local district courts othe ederal court o the State o Colorado. I any part o this agreement is determined to be unenorceable, all other parts shall remain effect.

    BY SIGNING BELOW, I AGREE to be bound by all applicable Associations Rules and all terms and provisions o this entry blank and all terms and provisions o this PrizList. I I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, orce and effect as i I affixed mysignature by my own hand. BOD 1/23/11 Effective 12/1/11

    Owner ** Mandatory**Print Name _______________________________________________Signature___________________________________________________

    ______________________________________________________________________________________________________________________________________

    rainer or Custodian o horse @ show ** Mandatory Print Name _________________________Signature ________________________________________________

    ______________________________________________________________________________________________________________________________________

    Rider 1 ** Mandatory Print Name _________________________________________________Signature ________________________________________________

    Rider 2 ** Mandatory i there is a 2nd rider Print Name _______________________________Signature ________________________________________________

    Rider 3 ** Mandatory i there is a 3rd rider Print Name _______________________________Signature ________________________________________________

    Print MinorName Here _____________________________________Print Parent/Guardian Signature ____________________________________________________________

    Print MinorName Here _____________________________________Print Parent/Guardian Signature ____________________________________________________________

    ****** EMERGENCY PHONE NUMBER FOR EXHIBIOR _____________________________________________________________

    MUS BE SIGNED IN A LEAS 3 PLACES BY ADULS ONLYAHA Membership is not required for Parents/Guardians signing for minors.

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    Ozark Heartland Arabian Fall Classic Show II Sunday, September 28th, 2014One Day Qualifier entative Class ScheduleSunday September 28th, FIRS SESSION 8 a.m.Class# AHA# Fee$ Class Name201 210 15 PB Western rail, Open202 645 15 HA/AA Western rail, Open203 179 15 PB English rail, Open203 a 691 15 HA/AA English rail, Open204 211 20 PB Western rail Championship, Open, (QC 201)205 646 20 HA/AA Western rail Championship, Open (QC 202)Short Break to tear down rail obstacles206 961 15 PB Most Classic Head, 2 and over, Open207 961 15 PB Most Classic Head, Yearling & Weanling, Open208 422 15 $HA/AA Mare Breeding 2 & Over, Open209 418 15 HA/AA Mares, AH210 401 HA/AA Mare Breeding Championship, Open (QC 208, 209)211 472 15 $HA/AA Geldings In- Hand 2 & Over, Open212 468 15 HA/AA Geldings, AH213 451 HA/AA Gelding In-Hand Championship, Open (QC 211, 212)214 450 15 HA/AA Colt/Gelding, Yearling & Weanling, Open

    215 026 15 PB Geldings, Open216 034 15 PB Geldings, AH217 027 PB Gelding Championship, Open (QC 215, 216)218 008 15 $PB Mares, 2 & Over, Open219 1 15 PB Fillies, Yearling & Weanlings, Open220 009 15 PB Mares, AH221 2 PB Mares, Championship, Open (QC 219, 220)222 019 15 $PB Stallions, 2 & Over, Open223 14 15 PB Colts, Yearling & Weanlings, Open224 21 15 PB Stallions, AH225 015 PB Stallions, Championship, Open (QC 222, 224)

    226 918 15 PB/HA/AA Showmanship,18 & Under227 15 Get o Sire (minimum o 2 oals/per sire, maximum o 4 oals/sire; sire does not have to be present)228 15 Produce o Dam (minimum o 2 oals/da m, maximum o 4 oals/da m; dam does not have to be presentBreak BASunday September 28th, SECOND SESSION229 290 15 $PB Hunter Pleasure, Open230 733 15 $HA/AA Hunter Pleasure, Open231 1631 15 PB Hunter Pleasure, AAR232 1630 15 HA/AA Hunter Pleasure, AAR233 299 15 PB Hunter Pleasure, AR

    234 741 15 HA/AA Hunter Pleasure, AR235 299 15 PB Hunter Pleasure, JR236 741 15 HA/AA Hunter Pleasure, JR237 290 15 PB Hunter Pleasure, Limit Horse238 733 15 HA/AA Hunter Pleasure, Limit Horse239 291 20 PB Hunter Pleasure Championship, Open, (QC 229, 237)240 734 20 HA/AA Hunter Pleasure Championship, Open, (QC 230, 238)241 300 20 PB Hunter Pleasure Championship, AR, (QC 229, 231, 233, 237)242 742 20 HA/AA Hunter Pleasure Championship, AR, (QC 230, 232, 234, 238)243 939 15 PB/HA/AA Hunt Seat Not to Jump Equitation, 18 & under244 30 BA

    Break BA

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    Sunday September 28th, HIRD SESSION

    245 15 PB Liberty, Open246 10 UPHA Walk/rot Challenge Cup, Rider 10 & Under247 10 UPHA Challenge Cup, Riders 18 & under248 10 NSH Equitation 18 and under249 956 10 UPHA Arabian Breeds Challenge Cup, Riders 18 & under250 30 BA

    251 890 15 PB/HA/AA Walt-rot Pleasure, English, Country English, & Hunter, 10 & under252 075 15 $PB English Pleasure, Open253 515 15 $HA/AA English Pleasure, Open254 083 15 PB English Pleasure, AR255 524 15 HA/AA English Pleasure, AR256 076 20 PB English Pleasure Championship, Open, (QC 252, 254)257 516 20 HA/AA English Pleasure Championship, Open, (QC 253, 255)258 30 BA259 095 15 $PB Country English Pleasure, Open260 540 15 $HA/AA Country English Plea sure, Open

    261 1633 15 PB Country English Pleasure, AAR262 1640 15 HA/A Country English Pleasure, AAR263 104 15 PB Country English Pleasure, AR264 549 15 HA/AA Country English Pleasure, AR265 104 15 PB Country English Pleasure, JR266 549 15 HA/AA Country English Pleasure, JR267 096 20 PB Country English Pleasure Championship, Open, (QC 259, 261, 263, 265)268 105 20 PB Country English Pleasure Championship,AR, (QC 261, 263, 265)269 541 20 HA/AA Country English Pleasure Championship, Open, (QC 260, 262, 264, 266)270 550 20 HA/AA Country English Pleasure Championship, AR, (QC 262, 264, 266)271 925 15 PB/HA/AA Saddle Seat Equitation, 18 & under

    272 907 15 PB/HA/AA Walk-rot Equitation, English, Country English & Hunter, 10 & under273 30 BABreak BA274 890 15 PB/HA/AA Walt-rot Western Pleasure, 10 & under275 190 15 $PB Western Pleasure, Open276 620 15 $HA/AA Western Pleasure, Open277 206 15 PB Western Pleasure, AAR278 619 15 HA/AA Western Pleasure, AAR279 198 15 PB Western Pleasure, AR280 629 15 HA/AA Western Pleasure, AR281 198 15 PB Western Pleasure, JR282 629 15 HA/AA Western Pleasure, JR283 190 15 PB Western Pleasure, Limit Horse284 620 15 HA/AA Western Pleasure, Limit Horse285 191 20 PB Western Pleasure Championship, Open, (QC 275, 277, 279, 281, 283)286 199 20 PB Western Pleasure Championship, AR, (QC 277, 279, 281)287 621 20 HA/AA Western Pleasure Championship, Open, (QC 276, 278, 280, 282, 284)288 630 20 HA/AA Western Pleasure Championship,AR, (QC 278, 280, 282)289 949 15 PB/HA/AA Western Seat Equitation, 18 & under290 907 15 PB/HA/AA Walk-rot Western Seat Equitation, 10 & under291 15 Adult Walk-rot Western Pleasure

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    292 150 15 PB Native Costume293 590 15 HA/AA Native Costume294 30 BA295 225 15 $PB Reining, Open296 660 15 $HA/AA Reining, Open

    Sunday September 28. Academy Classes(Open to any lesson horse, all breeds and disiplines welcome)301 10 Academy Walk/rot Pleasure

    302 10 Academy Walk/rot Equitation303 10 Academy Walk/rot/Canter Plesure304 10 Academy Walk/rot/Canter Equitation305 20 Academy Walk/rot Championship306 20 Academy Walk/rot/Canter Championship

    BA Classes

    PB Park,OpenPB English Pleasure, AAR or JR

    PB English Pleasure,Championship,ARPB English Pleasure,Junior Horse

    PB Country English Pleasure,Junior HorsePB Pleasure Driving,Open

    PB Country Pleasure Driving, OpenPB Ladies Side Saddle,OpenPB English rail,Championship,Open

    PB English rail,AR or AAR or JRPB Western Pleasure,Junior Horse

    PB Western rail,Junior HorsePB Western rail,AR or AAR or JR

    PB Reining,Championship,OpenPB Reining, AR or AAR or JR

    PB Reining,Junior HorsePB Hunter Pleasure,Junior Horse

    PB English Show Hack,OpenPB English Show Hack, AR or AAR or JRHA/AA Park, Open

    HA/AA English Pleasure, AAR or JRHA/AA English Pleasure,Championship,AR

    HA/AA English Pleasure,Junior HorseHA/AA Country English Pleasure,Junior HorseHA/AA Pleasure Driving,Open

    HA/AA Country Pleasure Driving,OpenHA/AA Ladies Side Saddle,Open HA/AA English rail,Open

    HA/AA English rail,AR or AAR or JRHA/AA Western Pleasure Championship, AR HA/AA Western Pleasure,Junior Horse

    HA/AA Western rail, AR or AAR or JRHA/AA Reining,Open or AR or AAR or JRHA/AA Reining,Junior Horse

    HA/AA Show Hack,OpenHA/AA English rail,Championship,Open

    PB/HA/AA Showmanship,AR or AARPB/HA/AA Reining Seat Equitation,JR

    PB/HA/AA Hunter Seat Equitation Not to Jump,JRPB/HA/AA Western Horsemanship,JRPB/HA/AA Walk-rot Pleasure,English,Country English,Hunter,Championship (10 & under)

    PB/HA/AA Walk-rot Pleasure,Western Championship (10 & under)PB/HA/AA Walk-rot Equitation,English,Country English,Hunter,Championship (10 & under)

    PB/HA/AA Walk-rot Equitation,Western Championship (10 & under)

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    Total Entry Fees------------------------------------- $ ______

    _____ Office Fee (per horse) @$20.00 ------------ $ _______

    _____ AHA Resolution 9-90 @ $4.00 --------------- $ _______

    _____ Box Stalls $50.00 for weekend ------------- $ _______

    _____ Tack Stall $50.00 for weekend -------------- $ _______

    Show Pass/Single Event Fees:_____ AHA Single Event Fee @35.00 -------------- $ _______

    Other Fees_____ Back Number Fee @$1.00 ------------------- $ _______

    _____ Misc ------------------------------------------------ $ _______

    _____ Misc ------------------------------------------------ $ _______

    _____ Misc ----------------------------------------------- $ _______

    _____ Misc ------------------------------------------------- $ _______

    _____ Misc ------------------------------------------------- $ _______

    _____ Misc ------------------------------------------------- $ _______

    TOTAL FEES DUE------------------------------- $-------------

    Ozark Heartland Arabian Fall Classic II

    One Day QualifierSeptember 28, 2014

    Pre-Entries Close Sept 22, 2014PLEASE TYPE OR PRINT ONLY ONE HORSE PER ENTRY FORM.

    Horses Name Reg. No. DOB MM/DD/YY Sex Color SweepstakesYes No

    Sire Dam

    Rider 1Classes / TOTAL FEES

    Entry Fees $

    Name DOB MM/DD/YY Amateur CertificateYes No

    Junior/AmateurRelationship to horse owner

    AHA#

    Address City State Zip

    Rider 2Classes TOTAL FEES

    Entry Fees $

    Name DOB MM/DD/YY Amateur CertificateYes No

    Junior/AmateurRelationship to horse owner

    AHA#

    Address City State Zip

    Rider 3Classes TOTAL FEES

    Entry Fees $

    Name DOB MM/DD/YY Amateur CertificateYes No

    Junior/AmateurRelationship to horse owner

    AHA#

    Address City State Zip

    Each person signing this entry form acknowledges that he/she has read the front and reverse of this Entry Form and agrees to the applicable terms, conditions, waiversALL OWNERS, TRAINERS, RIDERS, DRIVERS & HANDLERS MUST SIGN ON THE BACK. Minor entrants must also have parent/guardian signature(s) on the back., releases, indemnification and consent as set f orthherein. Each person agrees that the information is accurate to the best of his/her knowledge.

    THE FOLLOWING MUST BE SENT WITH YOUR ENTRIESPhoto copies of AHA, Membership cards for each Rider/Driver/Handler/ Trainer/Owner,

    Horses Registation papers & Purchase contract if applicable and Stall Reservation Forms

    OWNER INFORMATION Owner name as it appears on registration papers/purchase contract

    Name ______________________________________________________________________________________________

    AHA#____________________________

    Current Address __________________________________________________________ Phone _______________________

    City___________________________________________________________ ST ___________ Zip ____________________

    Email _______________________________________________________________________________________________

    TRAINER INFORMATION (must be filled out, if there is no trainer, owner may write same in trainer information)

    Name ______________________________________________________________________________________________

    AHA# ____________________________

    Address ________________________________________________________________ Phone _______________________

    City_____________________________________________________________ ST __________ Zip ____________________

    Email _______________________________________________________________________________________________

    Stable with __________________________________________________________________________________________

    ENTRIES CLOSE Date Make Checks payable to: Equine Ventures Unlimited, LLCMail to:

    Equine Ventures UnlimitedLenard Davenport

    231 South James River LandingNixa, MO. 65714

    ALL ENTRY FORMS MUST BE PROPERLY SIGNED ON BACK

    OFFICE USE ONLYOffice Use Total $

    Paid $

    Check Number

    Date Rcvd

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    AHA ENRY AGREEMEN

    I have read the rules concerning competitions as printed in the Arabian Horse Association (AHA) Handbook / Directory and Competition Prize List and agree tobe bound by and subject to those Rules.

    AHA ASSUMPION OF RISK, RELEASE AND INDEMNIFICAION Tis document waives very important legal rights. Read it careully beore signing.In consideration or AHA permitting me to participate in this Competition, and by signing the entry blank, I agree as ollows:I AGREE that I choose to participate voluntarily in this Competition, as a rider, driver, handler, lessee, owner, agent, coach, trainer, junior exhibitor, or as a parent or guard-ian o a junior exhibitor. I AM FULLY AWARE AND ACKNOWLEDGE HA HORSE SPORS AND PARICIPAION IN HIS COMPEIION INVOLVE SERIOUSRISK OF HARM INCLUDING, BU NO LIMIED O, RISKS OF ACCIDEN, SERIOUS BODILY INJURY, INCLUDING DEAH, BROKEN BONES, HEAD INJU-RIES, RAUMA, PAIN, AND SUFFERING, AND PROPERY DAMAGE. I ASSUME ALL RISKS OF HARM O ME, MY HORSE OR MY PROPERY.I AGREE or mysel, my heirs, executors, administrators, successors and assigns to release AHA, the Competition, the acilities leased by the Competition and the owner(so the acilities, and all o their respective officers, officials, directors, employees, agents, personnel, volunteers, affiliated organizations and insurers (collectively, the "Released Parties") rom any and all claims or damage, loss, or injury to mysel, other persons, horses or other property belonging to me to the ullest extent permitted bylaw that arises out o or relates in any way to the Competition and my participation in the Competition INCLUDING, BU NO LIMIED O, DAMAGES, LOSS, ORINJURY RESULING FROM ANY ACS, FAILURE O AC, NEGLIGENCE OR NEGLEC OF OHER ENRANS, HE RELEASED PARIES, HEIR CONRAC-ORS OR INVIEES, as well as or thef, vandalism, fire, other casualty damage, or damage arising out o any deects in the premises.I AGREE to indemniy and hold harmless (that is pay all losses, damages, attorneys ees and costs o) the Released Parties rom and against any and all claims, demandpenalties, actions, losses, costs, damages, injuries, liabilities and obligations (including attorneys ees) o whatsoever kind and nature, which may be asserted against orincurred by any o them as a result o (1) my participation in the Competition or (2) any act, ailure to act, or neglect (a) by me, my agents, employees, riders, handlerstrainers, coaches, drivers, contractors or invitees, or (b) by any animal owned or exhibited by me or in my custody or control.I AGREE and represent that I am qualified and eligible to enter and/or participate in the Competition, and every horse I am entering is qualified and eligible as entered.I AGREE to accept AS FINAL any decision o AHA, the Show Commission or Show Officials concerning my qualification or the qualification o my horse to enter theCompetition or any results o the Competition, except to the extent that the Rules o AHA, the Competition, CEF or USA Equestrian permit a protest or hearing o suchdecisions. Should a hearing be requested, I agree to accept AS FINAL the decision o the particular hearing body. I agree to release, hold harmless and not to sue AHA, thCompetition Sponsor, their officers, directors, employees, volunteers or members concerning any decision o AHA, the Competition, its Show Commission, Show Officialor any hearing body that relates to my qualifications or my horse(s) qualifications to enter the Competition or any results o the Competition.

    I AGREE that AHA has the sole right to control, sell, supervise or give away (or assign to others the right to do so) the exclusive rights to broadcast, televise, reproducetransmit and disseminate all or part o this event, and I agree that AHA may use or assign, in any way AHA sees fit, photographs, films, videos, audios, cablecasts, or othelikenesses o me and my horse taken during the course o the Competition or the promotion, coverage or benefit o the Competition or AHA. Tose likenesses shall not bused to advertise a product and they may not be used in such a way which implies endorsement o any company, product, product category or service. I hereby expressland irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion o privacy, right o publicity, or to misappropriation.By signing below as a parent or guardian o a junior exhibitor, I consent to the childs participation and agree to all o the above provisions, and urther agree to assume alo the obligations o this AHA Assumption o Risk, Release and Indemnification personally and on behal o the child.Tis AHA Assumption o Risk, Release and Indemnification is governed by the Laws o the State o Colorado and is intended to be interpreted as broadly as possible. I agrethat exclusive jurisdiction and venue (place) or any legal action against AHA, its officers, directors, employees, volunteers or agents shall be in the local district courts othe ederal court o the State o Colorado. I any part o this agreement is determined to be unenorceable, all other parts shall remain effect.

    BY SIGNING BELOW, I AGREE to be bound by all applicable Associations Rules and all terms and provisions o this entry blank and all terms and provisions o this PrizList. I I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, orce and effect as i I affixed mysignature by my own hand. BOD 1/23/11 Effective 12/1/11

    Owner ** Mandatory**Print Name _______________________________________________Signature___________________________________________________

    ______________________________________________________________________________________________________________________________________

    rainer or Custodian o horse @ show ** Mandatory Print Name _________________________Signature ________________________________________________

    ______________________________________________________________________________________________________________________________________

    Rider 1 ** Mandatory Print Name _________________________________________________Signature ________________________________________________

    Rider 2 ** Mandatory i there is a 2nd rider Print Name _______________________________Signature ________________________________________________

    Rider 3 ** Mandatory i there is a 3rd rider Print Name _______________________________Signature ________________________________________________

    Print MinorName Here _____________________________________Print Parent/Guardian Signature ____________________________________________________________

    Print MinorName Here _____________________________________Print Parent/Guardian Signature ____________________________________________________________

    ****** EMERGENCY PHONE NUMBER FOR EXHIBIOR _____________________________________________________________

    MUS BE SIGNED IN A LEAS 3 PLACES BY ADULS ONLYAHA Membership is not required for Parents/Guardians signing for minors.