Rocking Roll Endurance Ride September 2 & 3, /50/75 AERC/CEI 1*/2* - Saturday, September 2 nd 25/50 AERC/CEI 1*/2* - Sunday, September 3 rd

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1 Rocking Roll Endurance Ride September 2 & 3, /50/75 AERC/CEI 1*/2* - Saturday, September 2 nd 25/50 AERC/CEI 1*/2* - Sunday, September 3 rd ORGANIZING RIDE MANAGER RIDE DAY MANAGER Kim Williams (MAIL PAYMENT/WAIVERS TO) Tamara Williams 1242 Double Pond Rd 92 Cabin Trail Ponce De Leon, FL Hattiesburg, MS C kjwmystique@yahoo.com WHERE: NEW LOCATION!! We ve had a change in venue so spread the word. Melissa and John Hinson have stepped up and offered the use of their farm for us to hold the ride. Bermuda Farms, 2298 Bermuda Lane (aka Steve Lane), Ponce De Leon, Florida. WHEN: Registration will begin on Friday, September 1 at noon and Saturday, September 2 at noon. FEI inspection, Vet-in and FEI rider/tack weigh-in will be from 5:00 7:00 p.m. AERC vet-in will begin at 3 p.m. First time rider meeting will begin at 5:30 p.m. and Rider Meeting will begin at 7:00 p.m. each day. Awards will be given for the limited distance and 50mile/1* rides at the Rider Meeting (estimated 7 p.m.) each day. The awards for the 75 mile/2* rides will be Sunday for Saturday s ride, unless all riders in that distance have completed the ride in time for presentation of the awards at the Rider Meeting (7 p.m). Award time for Sunday s 2* awards will be announced on Saturday. Start times: 75/2* will begin at 5:30 a.m., 50/1* will begin at 6:00 a.m. and LD will start at 6:30 a.m. Start times are subject to change based on weather and at ride management s discretion. All times are Central Time. SANCTIONED BY: AERC, SERA, SEDRA & USEF/FEI. All FEI horses are cross entered into AERC. RIDE RULES: This ride will be conducted in accordance with AERC, SERA, SEDRA, USEF & FEI rules and regulations. All riders must wear an approved safety helmet at all times while mounted. Junior riders must be accompanied throughout the ride by an adult sponsor (18 or older). ALL dogs must be kept on a leash at all times. If your dog is aggressive, LEAVE IT HOME or keep it confined IN your trailer or a crate, not on a leash! No smoking on the trail or in buildings. VETERINARIANS and other Officials (Subject to Change): Martha Misheff, Mike Tomlinson, Carter Hounsel, and Duane Barnett. Treatment Veterinarian: Anne Christopherson. Ground Jury: Adri McCaskill (President of Ground Jury), Sarah Engsberg Hunt and Carol Thompson. Technical Delegate: Heather Hoyns. Stewards: Jack Weber, John Proudman, and Tim Clark. Timers: Samm Bartee, Nancy Gooch, Laurie Underwood & Susan Kasemeyer. Ride Day Manager: Tamara Williams. Ride Day Secretary: Nina Barnett. CAMP: We will be camping at the private farm owned by John and Melissa Hinson. There is plenty of water for humans and horses. There will be port-o-lets, but no showers. There are no electrical sites available. We are trying to arrange for a water slide for the kids and adults, but if we don t, beautiful fresh water Lake Cassidy is about a ½ mile away, so bring your bathing suits! If you plan on arriving earlier than Friday, September 1, please call Kim at to confirm availability. Each horse owner, trainer and/or rider is responsible for safe camping and restraint of their horses. Maximum of two horses per pen. Due to vaccination requirements, there will be a designated area for FEI parking (following signs upon entry to camp). All others can park in open areas. Someone will be available to assist you upon entry to camp. Remember to be considerate of your neighbors when running your generator (5 a.m. 11 p.m.), parking and setting up pens for horses, dogs and kids. Spread manure and hay, fill holes made by horses/dogs and take your trash with you. MOTELS: Several motels are located in DeFuniak Springs, Holiday Inn Express, Best Western Crossroads Inn and Econo Lodge

2 Photographer: Jessica Jones with Unbridled Imagery will be the ride photographer. Pictures will be available at the end of each ride day. FARRIER: Dennis Owens will be the ride farrier and will be on premises from Friday through Sunday (until completion of ride). To make an appointment in advance, call VET CHECKS: All vet checks are in camp. We suggest that you bring cover for shade for your horses at the trailer as well as the vet check area. TRAILS: Most if not all of the trails will be on dirt roads. We re trying to route these so you will have as much shade as possible but obviously it s summer in Florida and you will have stretches of sunshine (wear sunscreen). The dirt roads have some wooden bridges and sections of gravel rock, so if your horse is sensitive to rock we suggest you ride with shoes or wear protective boots. There will be spotters for all paved road crossings and throughout the trail, however, riders are responsible for following trail and for yielding to traffic. There will be water for the horses about every 4 miles and food available for the horses at different stops. We ll also have cold water for the riders at different locations on trails throughout the ride. AWARDS: Completion awards will be given to everyone who completes the course. Top 10, Best Condition and Turtle awards will be given for the LD, 50 and 75 mile ride each day. If you have to leave early, please make arrangements for someone to pickup your award. Awards will NOT be mailed. FOOD: Since this is a no frills ride, no food is provided by ride management. Restaurants, gas stations, grocery stores, motes etc are within miles of ride camp. FEES: AERC 25/30/50 Miles - $90. AERC 75 Miles - $130. CEI 1*/80 km -$235. CEI 2*/120 km - $335. Juniors ride AERC for ½ price! (A Junior is a rider 15 years or younger as of December 1, 2016). Young Riders must pay full entry fee and will compete in a separate Young Rider division, not the junior division. All riders that are not AERC members will be required to pay a $15 non-membership fee each day (be prepared to show your AERC card at registration or send a copy with your entry form). Each rig (truck/trailer, camper, truck/tent, combo etc) will be required to pay a $15 camping for use of the facilities. ALL entries should be submitted online at then print and mail waivers, entry form and payment to Kim Williams, 1242 Double Pond Rd, Ponce De Leon, FL FEI DEFINITE ENTRY DEADLINE is by 3 pm August 24, ANY CHECKS THAT ARE RETURNED FOR INSUFFICIENT FUNDS AND NOT HONORED WITHIN TWO WEEKS FROM THE DATE OF THE RIDE WILL BE TURNED OVER TO THE STATE FOR PROSECUTION, AS WELL AS ANY FURTHER ACTION THAT CAN BE TAKEN THROUGH AERC AND FEI. IN ADDITION, THERE WILL BE A SURCHARGE OF $100 FOR OUR INCONVENIENCE. Cancellations: Once you vet in, there are no refunds if you choose not to ride. Refunds for cancelations received after August 24 will be made at ride management s discretion. If you do not vet in successfully, you will be given a refund, minus a $25 non-refundable portion of your entry PLUS THE CAMPING FEE. No-shows/no-calls and withdrawals or pulls after crossing the start line will not receive any refunds. If an FEI horse does not successfully vet in, an office fee of $100 plus the USEF IHP & Drug fees AND CAMPING FEE must be paid prior to any refund being given. All cancellations must be made directly to ride management. Extras: ICE; We are trying to get an ice truck to come to ride camp so that you can purchase bagged ice from them during the ride. If you will want a large quantity of ice bags to use during the ride and throughout the weekend please note this on your entry form..

3 ADDITIONAL FEI INFORMATION: For US riders and horses, requirements for FEI 2*/120 KM entry and FEI 1*/80 KM entry are USEF membership for rider and owner, USEF equine registration lifetime -- note, if passports are required, even if national passport, USEF lifetime registration), USEF high performance fee (already in entry fees), and FEI annual registration for rider and equine, and horse national (e.g, USEF-issued national) or FEI Passport. Note: FEI horses crossing international borders must have FEI passports, even for 1* and 2* events. Please ensure the equine's name is consistent on all documentation (e.g., Coggins vs Passport vs entry vs FEI registration...). Important New FEI Rule for 2017: for 2017 ALL NEWLY FEI REGISTERED HORSES MUST HAVE A PASSPORT which in 1* and 2* events may be a National Passport. Previously registered (that is through 2016) horses may compete 1* and 2* without passports. If the horse is doing 1* and 2* domestic events without a passport, breed registration papers MUST be presented. If no breed registration papers are available, a passport must be used. Important USEF Rule starting 2016: all FEI horses entering the grounds of a USEF-licensed competition must be accompanied by documentation of Equine Influenza Virus and Equine Herpes Virus (Rhinopneumonitis) vaccinations within six months prior to entering the stables. GR 845 is the relevant USEF General Regulation. This applies just to FEI horses in this competition or horses camped in the FEI area. Athletes should be prepared with proof of the Rhino vaccination -- ideally within a passport, where the flu vaccination frequently also has rhino in it, so a full identification of the vaccine used may suffice. Or separate declaration from the administering veterinarian that the vaccination has been given. Note: as of 2013, all new FEI equine registrations must have an appropriate microchip identification (from 2014 Vet Regs "All horses registering with the FEI for the first time must be identifiable using a microchip and reader, compatible with ISO and ISO "). For non-us riders and / or horse, all FEI entries require permission from the National Federation asserting qualification to ride in the upcoming event, and good standing with the National Federation. With the new on-line FEI entry system, this should be automatic, so the prior requirement of an to ride manager or paper copy mailed ahead of time has been superceded. All horses and riders must be FEI registered for All (non-us) 1* and 2* horses must have a valid FEI passport. By USEF rules, even non-us riders MUST pay the USEF high performance fee, so it is buried in the entry fees already. However, in 2016, a horse / rider combination from Canada can claim an exemption of the $35 IHP fee, by filing a copy of the appropriate form with ride management (at time of registration in advance of arrival on site). NOTE: Florida law requires that all horses entering Florida from another State have a negative coggins within one year and health certificate not more than 30 days old. Horses from Florida being transported within the State will be required to have a negative coggins within one year. DIRECTIONS From the East: Take I 10 to exit 96 (Highway 81) in Ponce De Leon, FL. Go North on Highway 81 about a mile to Highway 90. Turn left on to Highway 90 West. Go approximately 1.8 miles to Highway 10A/Old Spanish Trail. Turn right on to 10A and go to the 2 nd paved road on the right, which is County Road 183A. Turn right on to 183A and follow it to Line Road (intersection of Kidd Road and Line Road). Turn right on to Line road and go approximately 2 miles to Bermuda Lane (formerly Steve Lane) which will be on your right directly across from Sandy Creek Baptist Church. Once you turn on to Bermuda Lane, you have arrived. Follow parking signs. From the West: Take I 10 to exit 85 (Highway 331) in DeFuniak Springs, FL. Go North on Highway 331 to Highway 90. Turn right (East) on to Highway 90 until you come to Kidd Road/County Highway 183N on the left. Turn left on to Kidd Road and take it about 7 miles to the intersection of Union Crossroad. Continue straight across at the intersection on to Line Road. Continue on Line Road approximately 2 miles to Bermuda Lane (formerly Steve Lane) which will be on your right directly across from Sandy Cree Baptist Church. Once you turn on to Bermuda Lane, you have arrived. Following parking signs.

4 From the North: Highway 331 South to DeFuniak Springs, FL Then take Highway 90 East to Kidd Road/County Highway 183N. Turn left on to Kidd Road and take it to the intersection of Union Crossroad. Continue straight across at the intersection on to Line Road. Continue on Line Road approximately 2 miles to Bermuda Lane (formerly Steve Lane) which will be on your right directly across from Sandy Cree Baptist Church. Once you turn on to Bermuda Lane, you have arrived. Following parking signs. If you choose this option, there are shorter ways to go, but require smaller, less travelled country roads. You can search on MapQuest or Google for the best option for you.

5 Rocking Roll /50/75 AERC/CEI 1*/ 2* - Saturday, September 2 nd 25/50 AERC/CEI 1*/2* - Sunday, September 3 rd REGISTRATION FORM Remember ALL riders use Then mail in payment and waivers to Kim Williams Rider Name AERC # Address(complete) City State Zip Telephone No Jr s age Sponsor of Jr Rider Emergency Contacts (list two): Telephone No Telephone No Weight Division: Feather (up to 160) Lightweight ( ) Middleweight( ) Heavyweight (211 +) Jr(15 or younger as of 12/1/16) Young Rider(16-21) Junior riders must ride with a sponsor over the age of 18 or have a letter from AERC allowing them to ride as an unsponsored Young Rider pursuant to rule Young Riders must pay full entry fee. Young Riders are years of age and must be registered with the AERC for that division. RIDES ENTERED (circle at most one ride / day) Sat Sep 2 ND Sun Sep 3 rd AERC 30 $90 AERC 50 $90 AERC 75 $_130 FEI 1* 50 $235 FEI 2* $335 HORSE NAME: HORSE AERC #: AGE: COLOR: BREED: REG.# SEX: OWNER NAME: ADDRESS: AERC 25 $90 AERC 50 $90 FEI 1* $235 FEI 2* $335 HORSE NAME: HORSE AERC # AGE: COLOR: BREED: REG.# SEX: OWNER NAME: ADDRESS: All FEI riders must register online in two places plus this entry form through your national federation USEF account for USA riders and at for all FEI On-line FEI definite entries due by 3 pm August 24, 2017 then mail waivers and payment to Kim Williams. All AERC riders must complete the online version and then mail in waivers and payment to Kim Williams. I want to reserve bags of ice for the event (if ice is available).

6 FEI entry fees include: USEF $33 (NF+ Drug Fee); $35 USEF IHP event FEI. FEI riders (incl non-us) must pay, EXCEPT the IHP fee for Canadians with Horse exemption form (send copy with entry, deduct $35). Note: no meals are included in entry fees Entry Fees from above (Saturday + Sunday) $ Add $15 / ride if not AERC member PER RIDE $ Camping fee at $15 / rig for event $ LATE FEE OF $40 if entry form and deposit are not in management s hands by August 24 th $ Total Due $ Deposit (minimum of $40 for AERC FEI must pay $200 per ride) -$ Balance Due $ Entries received after August 24 will be accepted only at management discretion (not guaranteed, and $40 AERC late fee will apply and $100 FEI LATE FEE if it can be accepted). Refunds for cancellations received after August 25 will be made at ride management s discretion. You MUST supply Coggins test papers valid through September 4, 2017 at check-in or send a copy in advance. Please make checks payable and mail to: Kim Williams 1242 Double Pond Rd Ponce De Leon, FL AERC, SIGN FIRST LIABILITY ON NEXT PAGE! FEI ENTRIES, SIGN BOTH WAIVERS BELOW Questions? Call Kim Williams at

7 LIABILITY RELEASE As a participant in the Rocking Roll ENDURANCE RIDE hosted by Melissa J. and John W. Hinson, Michael A. and Penny R. Voegeli and Catherine K. Hinson with Bermuda Farm, Phil and Kim Williams, on September 2 nd and 3 rd, I hereby agree to comply with any rules of AERC, SERA, SEDRA, and the conditions and regulations of this event. I understand that endurance riding involves being in remote areas for extended period of time, far from communications, transportation and medical facilities; that these areas have many natural and man-made hazards which ride management cannot anticipate, identify, modify or eliminate. I understand that horses can be excitable, difficult to control and unpredictable and that accidents can happen to anyone at any time. I assume full responsibility for myself and the animal I am riding or is in my care. I will hold Melissa J. and John W. Hinson, Michael A. and Penny R. Voegeli, Caherine K. Hinson, Bermuda Farm, Phil and Kim Williams, AERC, SERA, SEDRA, Holmes County, its officers and all individual members thereof, all ride personnel, and all property owners over whose land I may cross, their representatives, successors and assigns, blameless for any accident, injury or loss that might occur due to my participation in the Rocking DK Roll Endurance Ride. I further agree to hold any and all of the aforementioned individuals and organizations free from all liability for such injury or loss. This release extends to all claims of every kind and nature whatsoever, whether known or unknown, and I expressly waive any benefits that I may otherwise have under provisions of the law of Florida relating to the release of unknown claims. I understand that this release constitutes a limitation on my legal rights. UNDER FLORIDA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES. I hereby certify that my horse is not under the influence of medication and will not be treated with or given any medications prohibited by AERC rules. I also hereby give permission to AERC or its duly appointed agent to take any appropriate action deemed necessary to check for possible administration of drugs to my horse. The undersigned verified acceptance of risks and responsibilities for rider s and horses conditions and certifies that all information on this form is correct to the best of his/her knowledge. I give consent for and will be financially responsible for emergency medical treatment for myself and/or the horse that I am riding or is in my care if I am unable to give informed consent. I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND AND AGREE WITH THE CONDITIONS OF THIS RELEASE. Dated, Rider s Signature Signature of Parent/Guardian of Junior Horse Owner s Signature

8 IF NOT ENTERING FEI, IGNORE THIS PAGE: U.S. EQUESTRIAN MEMBERSHIP STATEMENT 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 $30 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. U. S. Equestrian Federation Entry Agreement 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 (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, cablecasts, 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 GR 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, 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. Rider/Driver/Handler/ Vaulter/Longeur Owner/Agent Trainer Coach (mandatory) (mandatory) (mandatory) (if applicable) Signature: Signature: Signature: Signature: Print Name: Print Name: Print Name: Print Name: Citizenship: Citizenship: Citizenship: Parent/Guardian Signature: (Required if rider, driver, handler, vaulter, longeur is a minor): Parent/Guardian Name (print): Emergency Contact Name & Phone No: Is Rider/Driver/Vaulter a U. S. Citizen?: Yes No