M 10-12, Great American Insurance Group/USDF Regional Qualifier 2019 CBLM Qualifier NCDCTA Recognized

Transcription

1 USEF/USDF #3385 L 2 C Manager/ Secretary Kay Whitlock Cell: PO Box 478; Southern Pines, NC kaydq@fastmail.fm Veterinarian Dr. Bri Gindlesperger Farrier on Call Billy Pope Online entries:equestrianentries.com Show website: M 10-12, 2019 D S P H T, P, NC P L F & Great American Insurance Group/USDF Regional Qualifier 2019 C Qualifier NCDCTA Recognized A S P /A T C P S S S S Judges Kem Barbosa (S) Sue Kolstad (S) Brian Macmahon (R) Katie Poag ( r) Technical Delegate Janice Welch EMT Wade Hardin Competition Management: Viewpoint Enterprises, Inc. Kay Whitlock, President Entry Closing Date April 22, 2019 Class List All classes listed below are USEF/USDF/NCDCTA recognized. To enter these classes rider/owner/trainer must all be members of USEF or pay a non-member fee for each. Rider must be USDF Participating or Group member or pay a non-member fee. All horses must have at least a USDF HID # to enter. Owners of horses competing in this competition (non-qualifying rides), may have a USDF Participating, Group, or Business Membership or pay the USDF non-member fee In regards to the (GAIG-Q)Great American Insurance Group/USDF Regional Championship qualifying classes, horses must be USDF lifetime registered and USEF annual or lifetime recorded, riders are required to have an active USEF membership & USDF Participating Membership. 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. = qualifying class for Col Lundquist Championships Fri Class Sat Class Sun Class Class Description Divisions Fee $ GAIG Q add Q no fee USEF Training Level Test 1 O, AA, Jr/YR USEF Training Level Test 2 O, AA, Jr/YR USEF Training Level Test 3 O, AA, Jr/YR 50 $ USEF First Level Test 1 O, AA, Jr/YR USEF First Level Test 2 O, AA, Jr/YR USEF First Level Test 3 O, AA, Jr/YR 50 $ USEF Second Level Test 1 O, AA, Jr/YR USEF Second Level Test 2 O, AA, Jr/YR USEF Second Level Test 3 O, AA, Jr/YR 50 $ USEF Third Level Test 1 O, AA, Jr/YR USEF Third Level Test 2 O, AA, Jr/YR USEF Third Level Test 3 O, AA, Jr/YR 50 $ USEF Fourth Level Test 1 O, AA, Jr/YR USEF Fourth Level Test 2 O, AA, Jr/YR USEF Fourth Level Test 3 O, AA, Jr/YR 50 $ FEI Prix St. Georges O, AA, Jr/YR 60 $ FEI Intermediate I O, AA, Jr/YR 60 $ FEI Intermediate A/B TOC O, AA, Jr/YR FEI Intermediate II O, AA, Jr/YR 60 $ FEI Grand Prix O, AA, Jr/YR 60 $ FEI Grand Prix Special O USEF Tr3, 1st 3, 2nd 3, 3rd 3, 4th 3 TOC GAIG-Q O, AA, Jr/YR FEI Para Equestrian TOC O Young Horse TOC O Dressage Seat Equitation AA, Jr $15 Class List continued

2 AMATEUR SWEEPSTAKES CLASSES Prize money $500 plus 1/3 of entry fees of horses who have competed in class: 1st: 30%, 2nd: 18%, 3rd: 16%, 4th: 14%, 5th: 12%, 6th: 10%. Classes 200, 210, 220, 230 & 240 are limited to Amateurs only and riders must hold a USEF card stating Amateur status. Horse/Rider combinations can not have shown at a level above the sweepstakes level entered at this show. Sat Class Amateur Sweepstakes Division Fee GAIG-Q 200 USEF Training Level Test 1 AA USEF First Level Test 1 AA USEF Second Level Test 1 AA USEF Third Level Test 1 AA USEF Fourth Level Test 1 AA FEI Prix St. Georges/Int 1 AA No Fee 260 FEI Intermediate II/Grand Prix AA No Fee Class List USEF Opportunity Tests These tests are designed to introduce dressage to non-members. No memberships or registrations are required for rider/owner/trainer/horse and non-member fees are not charged. The USEF $23 fee is also not charged. Riders/ horses may cross enter Opportunity classes with Open classes, however, the USEF fee of $23 is charged along with USEF & USDF requirements for rider/owner/horse Fri Class Sat Class Sun Class Opportunity Test Division Fee 5101 USEF Training Level Test 1 O USEF Training Level Test 2 O USEF Training Level Test 3 O USEF First Level Test 1 O USEF First Level Test 2 O USEF First Level Test 3 O 50 Class List USDF Introductory Tests These tests are designed for beginner horses and riders. No memberships or registrations are required for rider/ owner/trainer/horse and non-member fees are not charged, however the USEF $23 is required Fri Class Sat Class Sun Class USEF Introductory Test Division Fee USDF Intro A O USDF Intro B O USDF Intro C O 50 Class List Freestyles Please state level on entry. Music for Freestyles must be on CDs provided by competitor to announcer on the day prior to class. Sound checks at 5PM on the day prior to the class day. Music in MP3 format should be ed to robertbelton@nc.rr.com at least 1 week prior to the show Fri Class Sat Class Sun Class Freestyle Division Fee GAIG Q Q USDF Freestyle TOC O, AA, JR/YR No fee FEI Freestyle TOC O,AA, JR/YR No fee Pony Test of Choice Open to all ponies holding a valid USEF pony measurement card. Fri Class Sat Class Sun Class Pony TOC Division Fee Pony TOC Pony 50 GAIG Q 15

3 GAIG/-Q = Great American/USDF Regional Dressage Championship qualifying class. =Colonel Bengt Ljungquist Memorial Championship qualifying class. JR/YR Juniors & Young Riders - list birthdate on entry. AA = Amateur - enclose copy of USEF Amateur card with entry. Classes will be split AA (Adult Amateur), J (JR/YR), O (Open) if entries warrant. Freestyle TOC = Test of Choice. State Level on entry. Training level is not a GAIG/USDF qualifier. LEVELS Training - Grand Prix. All tests will be 2019 edition. Awards - Prize in classes of 3 or more and six ribbons. Separate awards/ribbons for O, AA, JR/YR in any dressage class with 3 or more in any division. Special High Score ribbons (Ex. Equitation, Freestyle, Opportunity, Intro & YH tests) sponsored by: Thoroughbred High Score Award; Sponsored by the Jockey Club. Eligible horse must provide T.I.P. numbers to the show secretary. For more information, visit All classes count except Equitation, Freestyle, & YH tests.` Hanoverian High Score Award: Sponsored by the American Hanoverian Society. To the highest scoring Hanoverian at any level. No AHS membership required. Please bring papers or include with entry. North American Danish Warmblood Association to the highest scoring NADWA memberowned registered horse. Please bring or include with entry horse registration papers & NADWA membership National Dressage Pony Cup High Score: awarded to the pony receiving the highest percentage score in the show. No NDPC memberships required. KWPN high score: Horse must be registered and owner a current member of KWPN-NA AQHA high score award. International Rescue Horse Registry high score award to members and horses registered with the IRHR. PRO/AM TEAM CHALLENGE Teams of 3-4 (1 Pro, 2 to 3 amateurs/juniors/young riders). Teams sign up with secretary at beginning of show. Each team rider must have at least 2 scores. Team placings by overall average of all scores submitted for each team. Guest horses are welcome but must send in a completed entry form with user fee plus the $30 office fee, submit a current coggins, and pay either stabling or day parking. Guest horses are not allowed in the warm-up arena during show hours. Management requests that all entries be created on EqEntries.com. If you do not already have a user account with EqEntries.com, please sign up! You can print and mail your entry with a personal check, or pay online with a credit card. If you chose to pay online there is a 5% fee. There is no charge to join EqEntries, create an entry, or print an entry. So, if you chose to pay by personal check, the service is free. We appreciate your using the preferred entry method. Online entries at Questions regarding Equestrian Entries, their services, or help can be attained by ing: Helpme@equestrianentries.com STABLING 300 permanent stalls ranging from 10 x 10 to 12 x 12 with doors center-aisled barns. Initial bedding only. Please order extra bedding in advance $8 per bag ARENAS Three20m x 60m on screenings with warm-up on screenings. One 20m x 60m sand & grass competition arena with sand & grass warm-up areas. No one on foot is permitted in the warm-up arenas all coaching must be done from the side. ENTRIES EACH ENTRY MUST HAVE COPIES OF ALL REQUIRED DOCUMENTATION ATTACHED. Include legible address on entry. Confirmations will be ed upon receipt of entry. Riders assume responsibility for verifying correct entry information. Management not responsible for errors. Full refund if scratch is received by closing date less office fee. No refunds after closing date or after start of competition. This includes classes cancelled due to severe weather or other emergency conditions. All entries received after the closing date will incur a $20 late fee if accepted.

4 Entries are limited on a first come - first served basis. Management reserves the right to add, combine or divide classes, add/substitute judges, or make any changes required by circumstances. 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. Post entries will be placed on a waiting list to fill scratches. All No Shows that have not contacted the show office prior to first ride will be considered a scratch for the rest of the show and time slots may be filled. Horses entering the grounds must be accompanied by documentation of Equine Influenza Virus and Equine Herpes Virus (Rhinopneumonitis) 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. Check show website for changes in this policy which may go into effect at a later date by USEF. Attention Competitors: Each competitor is responsible for supplying the show management with the correct and required association numbers of USDF and/or USEF for the horse, owner, rider, coaches, and trainer, before the day(s) of the competition. The scores of competitors who fail to supply correct numbers may not count towards national awards. The proof of these numbers must be in the form of either their actual membership/ registration cards or a facsimile of them. Members that are unable to produce the memberships cards/registrations or a facsimile will be asked to sign an affidavit and pay an affidavit fee. All entries are taken on a first come, first served basis. Late entries received after the show has filled will be put on a wait list on a as-received basis. Send in the entries as soon as possible to assure entry to the show. Only one horse/rider combination per entry form per show. TIMES Official times available Thursday at the secretary's stand. Times and stabling will be posted on our website one week prior to the show. FEES Make check payable to Viewpoint Enterprises and mail with entry, negative coggins, copies of necessary membership cards, equine vaccinations & safe sport proof of completion to Secretary. Post entries will be placed on a waiting list to fill scratches. Bounced check policy: Void entry and incur a $35 charge. Entries placed on a waiting list until a money order, certified check or cash is received. Credit cards incur a 3% fee For Class Fees see individual class list GAIG/USDF Qualifying add $15 USEF Show Pass (non-member) $45 USEF fee per horse $23 (D & M: $15, USEF: $8 USDF non-member $35 Stall weekend (including Tacks) $135 2 bags bedding included Extra nights $30 Turnout Paddock weekend $50 Pony Division If ponies are in need of a USEF measurement card, an appointment for measuring MUST be made with show management prior to the show. Owners of ponies needing measurement will be charged a fee not to exceed $100 to cover the fee charged by the official veterinarian required for the measurement.directions Pinehurst Harness Track, 200 Beulah Hill Road, Pinehurst, NC Located on N.C. 5 in Pinehurst, N.C. From North: US 1 or US 15/501, exit at Morganton Road in Southern Pines, turn west (right) toward Pinehurst. Follow Morganton to end, turn South (left) on NC 5. Use main Harness Track entrance on left. From the West, take US 220 (I 73/74 corridor) to NC 211 east towards Pinehurst. Turn right at NC 5, Harness Track is 1.7 miles on left. From South: US 1 to Aberdeen, turn left (West) on NC 5 to Harness Track, approx. 6 miles on right. Alternate route from US #1 North or South: turn at 15/501 North in Aberdeen and turn left at Morganton Road traffic light (Pinecrest Plaza shopping center). Proceed until Morganton Rd ends and turn left on NC 5. Harness Track entrance is on the left. Golf Cart Rental: Carolina Carriage Day Parking $35 per day per horse not stabled on grounds RV hookup/per night $40 water & electric Late fee (if accepted) $20 Add/change fee/per class $10 exempt changes due to scheduling conflict Office fee $30 Guest Horses $35 Extra Bedding ordered in advance $8/bag Extra Party Tickets $25

5 ACCOMMODATIONS : Comfort Inn, 9801 US Hwy 15/501, Pinehurst, NC Special rate. Please mention horse show. Complimentary hot breakfast, pool, fitness center, guest laundry & business center, wireless internet, adjacent to 2 restaurants and coffee shop. HOSPITALITY Food available on the grounds during the day. Friday evening cocktail party for competitors, sponsors, vendors and guests. Each horse entry receives one free ticket to party. Extra tickets may be ordered at $25 per ticket. Catered luncheon Sat. and Sun. for Sponsors next to main arena. Contact show management for sponsorship information. CAMPING Limited independent camping is available for $40 per night water & electric only OTHER All dogs must be leashed and attached to a person or immovable object. VENDOR S ROW Fair Barn will be filled with an eclectic mix of vendor s. Come prepared to shop! Life, senior active and junior active members shall be eligible to participate in all classes at Regular Competitions, Eventing Competitions at the Preliminary 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 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. Rules and Regulations 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. All questions not covered in these rules and regulations shall be decided by the show management whose decision shall be final. Every horse entered for competition will comply with the rules of the horse show management, but management will, in no case, be responsible for any loss or damage that may occur, and it shall be condition of entry that each exhibitor shall hold this horse show and the officials and employees of the show blameless for any loss or accident to his horse, employees, equipment, which may occur from sickness, fire or otherwise. The management reserves the right to refuse, accept conditionally, or to cancel any entries, disqualify any riders or exhibitors, prohibit entries and cancel award prizes without claims for damages; to cancel or combine classes; to change rings or rotate judges. Exhibitors are notified that any act of discourtesy or disobedience to the judges or officials, on the part of the owner, manager, rider, or groom shall disqualify the horse, and the owner shall forfeit his entry fee and other fees. Show management reserves to itself the power to prohibit any person from attending or showing a horse in the ring and to remove any groom or horse from the show without being liable for compensation. In accordance with the 1989 Federal Waste Tracking Act, which restricts the disposal of medical waste, bio -hazardous medical waste containers will be provided in the stable area. All exhibitors and their agents are responsible for the proper disposal of this waste. No person will be allowed in the show ring during the time of judging except the exhibitor and those having official or requested duties to perform. Coaches are not allowed within the warm-up arena and must remain outside the arena at all times.

6 Riders and owners are required to have completed the USEF Safe Sport training in order to compete at this show. It is the tradition of the show that riders be correctly attired for the class in question, that attendants be presented. Management may in its discretion bar any person from entering the ring if not suitably presented to appear before an audience. 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. Violations of this rule will be cause for sanctions against the parent(s), guardian(s) and/or trainer(s) who are responsible for the child committing the offense. Penalties may include exclusion of the child, parent(s), guardian(s), and/or trainer(s) from the competition grounds for the remainder of the competition and charges being filed against any of the above individuals in accordance with Rule 6. Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this rule. Show Management reserves the right to vary or add officials and refuse any entry for a cause; to disqualify any exhibitor and/or his or her horse for cause; to cause an exhibitor to forfeit his or her ribbons and winnings for cause; to return any entry and/or stall fee before or during the show for cause; all without being liable for damage or compensation. Show management reserves the right to make any changes deemed necessary for the safe and efficient conduct of this competition. Neither the Organizing Committee, show volunteers and staff, the facility or its owners, any host GMO, USEF or USDF or their members will be responsible for any damage, injury, or loss to persons, horses, or property of exhibitors or spectators. All owners and competitors are personally responsible for damages to third parties caused by themselves, their employees, their agents or their horses. They are therefore strongly advised to take out third-party insurance providing full coverage for participation in equestrian events at home and abroad, and to keep the policy up to date. Important notice to all affected parties: Third parties may come upon the property or enter the facilities where any herein described or listed event will occur; provided, that this is a license to enter the premises, for the purpose of observing or participating in the event, but not otherwise, and such license to any individual is subject to revocation by the owner, lessee or organizer, and entry for any purpose other than granted herein, shall be deemed criminal trespass and subject to appropriate legal proceedings. No exhibitor may withdraw horses from a licensed show after it has commenced, or remove them from the show grounds without permission of the show secretary (GR 805). Tired of horse show cuisine? Become a show sponsor and join us under the tent overlooking the arenas for a catered gourmet luncheon Sat & Sun. Contact Kay Whitlock at kaydq@fastmail.fm for sponsorship packages.

7 ENTRY DOCUMENTATION REQUIREMENTS Include with entry documentation copies of: Current USEF membership (or Show Pass fees) - Rider, Owner and Trainer (coach, if applicable) Current USDF membership (or n/m #) - Rider and Owner.. Rider's USDF membership may be either Participating or GMO, Owner's USDF membership may be Participating, GMO or Business; if Rider/Owner's USDF # is a N/M ID #, the USDF nonmember fee must be paid. USDF Horse ID (minimum requirement to compete Current (1 Yr) negative coggins Copy of Equine Influenza Virus & Equine Herpes Virus (Rhinopneumontis) vaccinations dated within 6 months of show. For Amateur classes - USEF membership card must declare Amateur Juniors and Young Riders must include birthdate. Proof of completion of the USEF Safe Sport training. Freestyle entries must include documentation at the highest test of that level from a USEF recognized show. For Great American/USDF Qualifying Classes also include: State "Qualifying" and include $15 per Qualifying class Copies of USEF and USDF Horse Registrations (not HID #s) - document must list owner Owners and riders are required to have an active USEF membership, riders must have a USDF Participating Membership. 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. There is no extra qualifying fee for the qualifiers. Riders must declare their intent to compete in the Championships. Contact Opportunity Classes Requirements No memberships or horse registrations are required however classes will be conducted under USEF rules. All entries must have 3 signatures - Rider, Owner and Trainer. Legal Guardian must sign for riders under 18 yrs. Trainer blank must be signed by person over 18 who assumes responsibility for horse. (Parents who sign as trainer are exempt from membership requirements). If a coach is listed on the entry form they, must sign the signature space on the back. Questions? contact the show secretary. See and and/or USEF Rule Book for further details on entry requirements. Contact the USEF Dressage Dept. at (859) and the USDF at

8

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

10 !"#$%!$ &'' L14811M1,/+*6/:*.+>KLM?*)1A1*21789(51*-6.H:3151*.191/1FN3101,*.+/-23/45*.+)3*5O1.,1/4 0D-1)A/+81H.D+7.+:31;<0=G18)*:1/:GGGFD)7HF.1,FO-1/)11H11:.:31896P;<0=L14811KD*71H.1 :31A )*21-*):.H1D-1)/+71CD*141+:)H.1:3*)51.,1/4F QR'#$#STU%TV$W&'' XY[\[]\^_`ab_cde^\fa_g^cgahd_i^\jh^eadf_[k_g]\jh^\jgcdejk^\dgcgg`\ga[\lkcYamnadf_jh^\_c^\\c^d\ecdecgg`\ga[\ hmg`\j`c[bahd_`ab_o 0*711p qld):3/21/;<0=o/1:*a*5/:*+,sl14811)3*5>ol?f J.1)1p qld):3/21/;<0=u*h1:*41j.1)101,*):1/:*.+>uj0?f q LD):3/21/;<B=>(++D/-.1u*H1:*41?J.1)11A.17*+,F q;<0=3.1)11,*):1/:*.+/+7;<b=3.1)11a.17*+,4d):81*+:31+/41>)?.h:31ad 1+:.G+11>)?.1-1)11>)?.H1A.17F (3.1)1*)+.:1CD*17:.3/ ,*):195/511)F MG+11p qld):3/21/;<0=o/1:*a*5/:*+,.1vd)*+1)l14811)3*5/+7/;<b=414811)3*5>td+*.1(a:*21@<1+*.1(a:*21@u*h1@.1 01A.1717=/14>G*:3(A:*21=/14MG+11?FEH:313.1)13/)4.1:3/+.+1.G+11@/:-1/):.+1.G+114D):3/218.:3/A:*21 ;<B=414811)3*5/+7/A:*21;<0=O/1:*A*5/:*+,.1vD)*+1)L14811)3*5/+74D):81:31.G+11.H1A.17G*:3;<B=/+7 ;<0=F=.1/8D)*+1).1H/14:.81:312/-*7.G+11D+711:3*)1CD*141+:@*:4D):81-*):17/)/+.G+11.H:313.1)1G*:3 8.:3;<B=/+7;<0=F sol)/1;<0=414811)g3.w.*+;<0=7*1a:-9f;<0=k1.d5l14811)>kl?/1*+1-*,*8-1f QU%TV$xM+1)1:.H+/:*.+/-9y):/+7/17*617CD/-*H9*+,)A.1)3/)811+1):/8-*)317H.1/-;<B=5;<0=01,*.+/- 23/45*.+)3*5)@H.1N1/*+*+,u121-:31.D,3K1/+7O1*z@*+:3117*2*)*.+)p.51+@/7D-:/4/:1D1/+7wD+*.159.D+,1*711F=BEtD+*.1/+7 =BE{.D+,0*711A-/)1)3/ )51A:*217*2*)*.+F=11):9-1)3/ *2*)*.+)F N314*+*4D4511A1+:/,1)/1/)H.-.G)p MOB (( t05{0 N1/*+*+,u121->N1):}? ~4 ~} ~} =*1):u121->N1):}? ~~ ~8 ~8 <1A.+7u121->N1):}? ~ ~6 ~6 N3*17u121->N1):}? ~8 ~9 ~9 =.D1:3u121->N1):}? ~8 ~9 ~9 =BEtD+*.1>N1/4N1):? ~9 =BE{.D+,0*711>N1/4N1):? ~9 O1*z<:FK1.1,1) ~8 ~9 ~9 E+:11417*/:1E ~8 ~9 ~9 E+:11417*/:1E ~8 ~9 ~9 K1/+7O1*z ~9 ~9 ~9 =0BB<N{uB MOB (( t05{0 =*1):u121- ~ <1A.+7u121- ~ N3*17u121- ~ =.D1:3u121- ~ E+:11417*/:1E ~ K1/+7O1*z ~ ƒƒ ƒƒ

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b!#)-,*3+&=& 0&-+#1#4&+#%"c,:-3#4&+++#,+ /*&'#6>#%"31$-#3&-%)5&%)&+++#,$6+!"#$%&'#%&'1'&37 b!#)-,*3+:&%&)*'+&,&+*-5#%&11$-)&%19#+d!efsg$6+.-*'35&%):)3#"%&+)9#+.&3&%&)*'+&,&+*-9% +31$-#3&-%)5&%)&+++#,$6+!"#$%&'#%&'1'&37 bh9%-,*3+&=& 0&-+#1#4&+#%"$-i*3#%3c,:-3#49% +/*&'#6>#%"31$-#3&-%)5&%)&+++#,$6+!"#$%&'#%&' 1'&37 bj$-3,*3+&=& k#6+#,j$-3!"#3+-&+#$%9%+ /*&'#6>#%"31$-#3&-%)5&%)&+++#,$6+!"#$%&'#%&'1'&37!"#$%&'()*'+(,&+*-./*#+&+#$%0-$"-&,-*'3&%)#%6$-,&+#$% 1&%:6$*%)$%+ 9:3#

12 kllmnlopnrsmmtluvmwpxymlolpst &%"!"%"!")"!#"$&/*0%& +",""&&$ $$"&#&$#!"$)""&!")"!* &#"'%"(&#"'$!"&"'#&$""!"!")"!* -*!"#!!#"!"$% YZ[\]^\àbbc\debfgchìZaj PQRSTUVWSX!$"

13 USDF Membership Benefits: USDF is dedicated to education, the recognition of achievement, and promotion of dressage. For details on member benefits, including educational programs, awards, and other opportunities, refer to the USDF Member Guide or the USDF website at This competition is recognized by USDF for 2019 Membership Requirements for USEF-licensed/USDF-recognized Competitions: Owners and riders, including foreign riders and owners who are not residents of the US, wishing to participate in a USEF-licensed/USDF-recognized competition as a rider or owner/lessee, must have either a USDF Group Membership (GM), Participating Membership (PM), or have a USDF Non-Member (NM) identification number and pay the USDF Non-Member (NM) fee. (Note: USDF Business Members can own horses but cannot compete as riders with their USDF Business Membership.) Individuals cannot compete at a USEF-licensed/USDF-recognized competition with a USDF Education Membership. Horses competing at USEF-licensed/USDF-recognized competitions must have either a USDF Horse Identification (HID) number or a USDF Lifetime Horse Registration (LHR). Proper credentials or verification certificates must be presented to the competition secretary. Riders and owners wishing to participate in a USEF-licensed/USDF-recognized competition, and not able to present the competition secretary with verification of a USDF membership or NM identification, and USDF LHR or USDF HID, must complete a USDF Competition Affidavit Form and pay the $5 affidavit filing fee. A copy of a completed affidavit form from another competition may also be used for verification purposes for up to 60 days. (Exception: Affidavits cannot be used at Great American Insurance Group/USDF Regional Dressage Championships.) Exceptions: Horses competing only in Individual Breed Classes (IBCs) at DSHB competitions, sires and dams of horses in DSHB group classes, where those sires or dams are not actually competing in the same competition, horses competing only in breed restricted dressage or DSHB classes at Regular Competitions (e.g. all Arabian, all Friesian, or all Morgan classes), or in USDF Introductory Level tests, pas de deux or quadrille, are exempt from this requirement. Also exempt are horses ridden in leadline, exhibitions, games and races, classes for 4-H members, walk-trot, academy, and opportunity classes. Riders and owners/lessees competing only in classes which are exempt from the USDF HID requirements are also exempt from the USDF NM identification number and NM fee requirements. Also exempt are handlers of horses competing in DSHB In-Hand or Group classes. Memberships Defined Participating Membership (PM): A membership issued to an individual directly by USDF. The membership year is December 1 through November 30. PMs are available for 1-year ($90), 5-years ($360), or life ($1,800). A USDF Youth Participating Membership (YPM) is available for individuals who have not reached their 21 st birthday by December 1 of the current membership year ($72). A PM allows the member to compete at USEF-licensed/USDF-recognized competitions and to participate as a rider and/or owner/lessee for all Adequan /USDF Year-End Awards and the Great American Insurance Group/USDF Regional Dressage Championship program. Group Membership (GM): A membership issued to an individual by USDF when the member name and dues are submitted to USDF through an affiliate Group Member Organization (GMO). The GM year begins December 1 and ends November 30. A GM allows the member to compete at USEF-licensed/USDF-recognized competitions and participate in the USDF Rider Awards program. Business Membership (BM): A membership that runs December 1 through November 30 and is issued to a business or organization directly by USDF. The USDF BM ($240) offers a wider variety of advertising benefits. BMs satisfy requirements of horse ownership only. Education Membership (EM): A membership issued to an individual directly by USDF. This online education only membership expires 12 months after the date joined. This membership type does NOT allow an individual to compete at a USEF-licensed/USDF-recognized competition. Non-Member (NM) Identification Number: For each USDF NM owner/lessee and USDF NM rider there will be a USDF NM fee of $35 per competition that must be collected by the show secretary and submitted to USDF, along with the USDF Report of Fees document and the $5 affidavit fee and Competition Affidavit Form if the person cannot provide a copy of their USDF NM card. Owners/lessees or riders exempt from the NM number requirements are also exempt from paying the USDF NM fee. If there are multiple owners of a horse and all are NMs, only one of the owners must pay the NM fee. If the horse has at least one owner who is a current USDF PM, GM, or BM there is no NM fee assessed. Competition management will be invoiced for all applicable USDF NM fees not received with the USDF postcompetition paperwork, along with a report listing all USDF NMs. Competition management is then required to submit the NM fees within 30 days to the USDF. An individual with a USDF NM identification number is not eligible for any USDF membership benefits. Once a USDF NM number has been assigned, a USDF NM card can be obtained from the USDF website. Horse Identification (HID) Number: A one-time tracking number for horses ($35). Scores earned by a horse with an HID number will be recorded, but will NOT be counted towards Adequan /USDF Year-End Awards. A horse with an HID number is not eligible to compete in Great American Insurance Group/USDF Regional qualifying or championship classes. An HID number can be upgraded to a Lifetime Horse Registration (LHR) for a fee of $80. If a horse has a USDF LHR it does not need an HID number. An HID number is a one-time fee that does not need to be renewed. Lifetime Horse Registration (LHR): A horse with an LHR ($115) is eligible for Adequan /USDF Year-End Awards, and eligible to compete in Great American Insurance Group/USDF Regional qualifying and championship classes, assuming requirements for the owner and rider are met. If a horse has an LHR it does not need an HID number. An LHR does not need to be renewed. How to Join USDF Applications for USDF Participating Membership (PM), Business Membership (BM), Horse Identification (HID) number, and Lifetime Horse Registration (LHR) may be found in the following locations: On the USDF website: You can submit the application online or download the form and fax or mail it to the USDF office. In the show office at USEF-licensed/USDF-recognized competitions classified by USEF as Dressage Competitions, and Regular Competitions which are open to all breeds. By calling or writing the USDF office at (859) , 4051 Iron Works Parkway, Lexington, KY The effective date of membership is the date the form and correct fees are received in the USDF office or, if applying at a competition, the date accepted by the competition secretary, provided the application is signed and dated by the competition secretary, member, and/or horse owner on that same day. 01/19

14 USEF SAFE SPORT TRAINING REQUIREMENT Starting January 1, 2019, if you are a USEF Competing Member 18 years of age or older you are required to complete the core Safe Sport Training within 30 days of activating your membership. If you do not complete the training, you are ineligible to participate in all USEF activities including competitions. TAKE the SAFE SPORT TRAINING at USEF.org by logging into your member dashboard.

15 BRIDLE # COMPETITION NAME COMPETITION DATES 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 OFBIRTH YEAR OF BIRTH BREEDER FEI/PASSPORT # GROOM RIDER/HANDLER CLASS NO. DIVISION CLASS DESCRIPTION QUAL Y/N FEES OWNER TRAINER COACH Please Fill Out Both Sides of This Form. Reverse side MUST be SIGNED. Please list only ONE name (either individual or barn) for entire group (so we can get everyone together)

16 I hereby Federation Entry Agreement Effective Federation Release, Assumption of Risk, Waiver, andindemnification I AGREE I AGREE I AGREE I AGREE I AGREE I AGREE I AGREE BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank and all FILL OUT ONLY IF THE COMPETITION YOU ENTER ON THIS ENTRY FORM OFFERS CERTAIN USE OF CHARGE CARDS!! VISA AMEX CARD NO EXP DATE MasterCard Other NAME ON CARD: CVV # BILLING ADDRESS ZIP CODE