2018 KAWARTHA SUMMER CLASSIC & CDI 3* & CDI1* Cedar Valley Canadian National FEI Youth Championships

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1 2018 KAWARTHA SUMMER CLASSIC & CDI 3* & CDI1* Cedar Valley 2018 Canadian National FEI Youth Championships CDI3*, CDI1*/CDIP/CDIJ/CDIY/CDIU25/CDIYH & EC Gold/Silver/Bronze June 15-17, 2018, over $3,700 in prize money Presented by H2S Management RCRA, Cedar Valley, ON CDI Entries Close May 31, 2018; Gold Entries Close May 31, 2018

2 CDI 3* Cedar Valley & Kawartha Summer ic June 15-17, 2018 Competition Manager Lisa Hossack-Scott Competition Mailing: 2833 Hwy #28, Douro, Ontario K0L 2H0 Tel Send all inquiries to: Host: Lisa Hossack-Scott H2S Management Inc. CDI Ground Jury Stephen Clarke (GBR) FEI 5*, Elizabeth McMullen (CAN) FEI 5* Sarah Geike (USA) FEI4*, Brenda Minor (CAN) FEI4*, Peter Storr (GBR) FEI 4* EC Gold Show Stephen Clarke (GBR) FEI 5*, Elizabeth McMullen (CAN) FEI 5* Sarah Geike (USA) FEI4*, Brenda Minor (CAN) FEI4*, Peter Storr (GBR) FEI 4* Stewards FEI Vet Farrier on Call Vet on Call Chief Steward: FEI Christine Hickman, Assistant Stewards: FEI Jane Holbrook, FEI Lynne Milford, FEI Anne Welch, FEI Leslie Kennedy, EC Scott Foell, EC Lynne Pool. Dr Emily Jantzi Rob Bennett McKee Pownall Office Hours Thursday June 14 Show days Location 11 am to 6 pm 1 hr before start to 1 hr after last ride Royal Canadian Riding Academy 4252 Davis Drive, Cedar Valley, ON L0G 1E0 Phone: The Kawartha Summer ic Dressage Show listed herein is a sanctioned Bronze, Silver, Gold and Platinum competition member of Equestrian Canada (EC), 308 Legget Drive, Suite 100, Ottawa, ON K2K 1Y6, and is governed by the rules of EC and the FEI. (A602.1) Knowledge of EC and FEI rules is the responsibility of each competitor. Both the 2018 General Regulations (Section A) and the 2018 Dressage Rules (Section E) can be downloaded from the Equestrian Canada website at FEI rules can be found on the FEI website at The CDI3*/CDI1*/CDIP/CDIJ/CDIY/CDIYH/CDIU25 event is organized in accordance with the most recent versions of the FEI Statutes, FEI General Regulations, FEI Dressage Regulations, FEI Veterinary Regulations, the Rules for Dressage Events, Equine Anti-Doping and Controlled Medication Regulations, FEI Anti-Doping Rules for Human Athletes and any other relevant FEI regulations. All FEI rules and regulations will be strictly enforced. It is the responsibility of the NFs to ensure their participants are of the correct age.

3 THE FEI CODE OF CONDUCT FOR THE WELFARE OF THE HORSE The Fédération Equestre Internationale (FEI) expects all those involved in international equestrian sport to adhere to the FEI s Code of Conduct and to acknowledge and accept that at all times the welfare of the horse must be paramount and must never be subordinated to competitive or commercial influences. 1. At all stages during the preparation and training of competition horses, welfare must take precedence over all other demands. This includes good horse management, training methods, farriery and tack, and transportation. 2. Horses and athletes must be fit, competent and in good health before they are allowed to compete. This encompasses medication use, surgical procedures that threaten welfare or safety, pregnancy in mares and the misuse of aids. 3. Events must not prejudice horse welfare. This involves paying careful attention to the competition areas, ground surfaces, weather conditions, stabling, site safety and fitness of the horse for onward travel after the event. 4. Every effort must be made to ensure that horses receive proper attention after they have competed and that they are treated humanely when their competition careers are over. This covers proper veterinary care, competition injuries, euthanasia and retirement. 5. The FEI urges all involved with the sport to attain the highest levels of education in their areas of expertise. A full copy of this Code can be obtained from the Fédération Equestre Internationale, Chemin de la Joliette 8, CH-1006 Lausanne, Switzerland. Telephone: The Code is available in English. The Code is also available on the FEI s website: Equestrian Canada Statement of Principles Equestrian Canada (EC), the national equestrian federation of Canada, supports adherence to humane treatment of horses in all activities under its jurisdiction. All Persons shall be committed to: upholding the welfare of horses, regardless of value, as a primary consideration in all activities; requiring that horses be treated with kindness, respect, and the compassion that they deserve, and that they never be subjected to mistreatment; ensuring that all equestrians including owners, trainers, and competitors, or their respective agents, use responsible care in the handling, treatment and transportation of their own horses as well as horses placed in their care for any purpose; providing for the continuous well-being of horses by encouraging routine inspection and consultation with health care professionals and competition officials to achieve the highest possible standards of nutrition, health, comfort, and safety as a matter of standard operating procedures; providing current information on the Code of Practice for the Care and Handling of Equines and other equine health and welfare initiatives; continuing to support scientific studies on equine health and welfare; requiring owners, trainers and competitors to know and follow their sanctioning organization s rules, and to work within industry regulations in all equestrian competition; and actively promoting the development and adherence of competition rules and regulations that protect the welfare of the horse. The standard by which conduct or treatment will be measured is that which a person who is informed and experienced in generally accepted equine training and competition procedures would determine to be neither cruel, abusive nor inhumane. General EC information Every class offered herein is covered by the rules and specifications of the current rules of EC and will be held and judges in accordance with the EC Rule Book (A602.2) All Canadian entries are required to hold both an EC Passport and a valid EC horse licence to compete, or if owned by a temporary sport licence holder, a Temporary Horse Registration form must be purchased at each competition entered. Foreign entries must sign an affidavit (A602.5) Any horse entered in any class may be selector for equine medication control testing while at the event location. (A602.6)

4 CDI Schedule & Fees Horse Inspection: Thursday June 14, 4:00 pm, Main Indoor Arena Fri # Sat # Sun # Name Fee 1 FEI Children Team** $90 2 FEI Children Individual** $90 3 FEI Pony Team** $100 4 FEI Pony Individual** $100 5 FEI Pony Freestyle** $100 6 FEI Junior Team** $120 7 FEI Junior Individual** $120 8 FEI Junior Freestyle** $120 9 FEI Young Rider Team** $ FEI Young Rider Individual** $ FEI Young Rider Freestyle** $ FEI Prix St Georges $ FEI Intermediate I $ FEI Intermediate I Freestyle $ FEI Prix St George (AM) $ FEI Intermediate I (AM) $ FEI Intermediate I Freestyle (AM) $ FEI Intermediate A $ FEI Intermediate B $ FEI Intermediate II U25** $ FEI GP U25** $ FEI Intermediate II $ FEI GP $ FEI GP Special $ FEI GP U25 Freestyle** $ FEI GP Freestyle $ FEI 5 Y/O Preliminary $ FEI 5 Y/O Finale $ FEI 6 Y/P Preliminary $ FEI 6 Y/O Finale $ FEI 7 Y/O Preliminary $ FEI 7 Y/O Finale $120 **NOTE:** is eligible to be part of the 2018 Canadian National FEI Youth Championships EC Gold Schedule and Fees Fri # Sat # Sun # Name Fee Equine Canada Walk Trot A $ Equine Canada Walk Trot B $ Equine Canada Walk Trot C $ Equine Canada Walk Trot D $40

5 Training Level Test 1 $ Training Level Test 2 $ Training Level Test 3 $ Training Level Test of Choice $ First Level Test 1 $ First Level Test 2 $ First Level Test 3 $ First Level Test of Choice* $50 64 First Level Freestyle $ Second Level Test 1 $ Second Level Test 2 $ Second Level Test 3 $ Second Level Test of Choice* $60 74 Second Level Freestyle $ Third Level Test 1 $ Third Level Test 2 $ Third Level Test 3 $ Third Level Test of Choice* $60 84 Third Level Freestyle $ Fourth Level Test 1 $ Fourth Level Test 2 $ Fourth Level Test 3 $ Fourth Level Test of Choice* $60 94 Fourth Level Freestyle $ FEI 4 Year Old Test $ FEI 5 Year Old Young Horse Preliminary $ FEI 6 Year Old Young Horse Preliminary $ FEI 5 Year Old Young Horse Final $ FEI 6 Year Old Young Horse Final $ FEI Test of Choice* $ FEI Children Team Test** $ FEI Children Individual Test** $ FEI Pony Team Test** $ FEI Pony Individual Test** $ FEI Pony Freestyle** $ FEI Junior Team Test** $ FEI Junior Individual Test** $ FEI Junior Freestyle** $ FEI Young Rider Team Test** $ FEI Young Rider Individual Test** $ FEI Young Rider Freestyle** $ FEI Prix St George $ FEI Intermediate I $ FEI Intermediate I Freestyle $ FEI Intermediate A $ FEI Intermediate B $ FEI Intermediate II U25 $ FEI U25 Grand Prix $ FEI Grand Prix $ FEI Grand Prix Special $ FEI Grand Prix Freestyle $ FEI Para Equestrian TOC $100 * Freestyles are not permitted in Test of Choice classes

6 ** is eligible to be part of the 2018 Canadian National FEI Youth Championships EC Tests can be downloaded from the Equine Canada website at FEI Tests can be downloaded from the FEI website at Canadian National FEI Youth Championships Eligibility: All FEI Youth levels are eligible to participate in this National Championship. Qualifying Period: June 2, 2016 to June 1, 2018 Qualifying Scores: (1) Qualification is based upon a single rider/horse combination. (2) Qualifying classes must be ridden at either EC Gold or Platinum (CDI), USEF national or FEI sanctioned competitions. Note: Riders may use scores obtained in Test of Choice (TOC) classes for qualification. (3) Each rider/horse combination must submit scores as follows: Three (3) Technical Scores Three (3) Technical scores must be submitted, a. Two (2) scores from the FEI Team Test and b. One (1) score from the FEI Individual Test. c. Scores obtained from the 2076 NAJYRC classes may be used for qualification provided they meet all qualification criteria as outlined in this document. The statement of qualifying scores MUST be submitted to participate in the Championships. Qualifying Fee: To be eligible to participate in the Championships a declaration fee of $100 is due with the entry. Declaration of Champions: For the FEI Children/Pony/Junior/Young Rider levels the Canadian Champion (Technical) will be the horse/rider combination with the highest combined score from the Team and Individual. A Canadian Freestyle Champion will be determined by combining the score of the Freestyle test with the highest technical score from either the Team or Individual Tests. The Reserve Canadian Champion will be the horse/rider combination with the second highest combined score as determined above. For the Under 25 level the technical championship with based upon the Interrmediate II, the U25 Grand Prix and for the Freestyle the U25 Grand Prix Freestyle. The scores can come from either the CDI or the EC Gold competition as the judge panels will be identical and the classes will run consecutively. GENERAL RULES AND REGULATIONS ENTRIES CDI Entries close midnight May 31, Gold entries close midnight May 31, 2018 and must be accompanied by: 1. Your complete, legible entry form and payment 2. Your stabling form if stabling 3. Your signed waiver (same page as stabling form) 4. Your current dated cheque, made payable to H2S Management Inc. Faxed or ed entries MUST be paid in full on the same day or they will be subject to a $25 service charge. Payment can be made by transfer. If payment is being mailed it must be received prior to closing date or the entry will ALSO be considered late and incur a LATE FEE. Late entries are those received and/or fully paid after the closing date. Late entries will be subject to a $50 fee and are only accepted at the discretion of the Organizer. Returned Cheques for any reason are subject to a minimum $50 fee.

7 Limitations: The Organizer reserves the right to refuse any entry, cancel, postpone, change or reschedule any class or condition they deem advisable. entry confirmations will be sent. Please make sure that you include a legible and valid address on your entry form. Please only reject class entry errors. CDI Draws: For Friday times, ½ hour after horse inspection. For Saturday and Sunday, 1/2 hour after last competition. CATEGORIES GOLD classes will offer the Open category. If there are more than four (4) entries per category at any level the organizing committee has the option of separately grouping any category for the purpose of placings and awards. If a category is not indicated on the entry form the rider will automatically be put in the Open category CANCELLATIONS Cancellations will only be accepted with a Veterinarian/Doctor s Certificate. Refunds of 100% of entry and stabling fees, less administration fee, will be allowed up until the closing date. Refunds of 50% of class entry fees, less administration fee, will be made after the closing date and before midnight June 14. After June 14 there will be no refunds There will be no refunds on stabling fees after the closing date. HORS CONCOURS GOLD Hors Concours entries will not be accepted, PASSPORTS GOLD: ALL Canadian entries are required to hold both an EC passport and a valid EC horse recording and have paid EC Horse Recording Annual Activation fee compete, or if owned by a temporary sport license holder, a Temporary Horse Registration form must be purchased at each competition entered. Foreign entries must sign an affidavit. (A602.4) Any ponies requiring measurement will be measured on Thursday at 6pm, location tba NUMBERS All competition and non-showing horses must wear a number at all times in the schooling and exercise areas and in the competition rings. Passports will be returned upon return of number. Failure to display the number as required May incur elimination or disqualification. GOLD NON-SHOWING HORSES There is a $ charge for non-showing horses. Non-showing horses are subject to all the rules pertaining to showing horses but will not pay a DC Levy or EC Drug fee. GOLD RIDING TIMES Riding times will be available at or by June 13, The times will change frequently after initial posting. It is the riders responsibility to check for current times every competition day. STABLING CDI : ALL CDI horses must be stabled on the grounds. CDI stabling cost is $250 per stall (Wed noon- Sun 7pm) and are indoor permanent stalls. EC Gold horses wishing to stable with the CDI horses (space permitting) must have proof of vaccinations as per FEI rules and ID documentation and pay the CDI stabling and security/emergency fee. Priority for CDI stabling will be given to CDI competing horses. EC GOLD: The cost per stall is $ for the weekend (Thurs-Sun). Stalls may be available for rent for the day for $100. Day stalls if available, will be available at 6 am and must be vacated and cleaned by 7 pm the same day. There is no overnight stabling unless booked for the weekend. CDI /Gold: Stalls will not be bedded, please bring your own shavings or shavings will be available at $9.00 per bag. Please bring your own hay, feed and buckets. EC Gold early arrival by special request, $50.00 extra per day or part thereof. EC Gold Stabling opens at 9 am on Thursday and horses must leave by 7pm on Sunday. HST - HST (harmonized sales tax) at 13% is applicable on all fees. HELMETS EC Rules, Section E, Dressage ARTICLE E 4.0 SAFETY HEADGEAR: All athletes, regardless of age or level or competition, must wear properly fitted and fastened ASTM/SEI or BSI/BS EN approved protective headgear at all times when mounted at any EC-sanctioned Dressage competition at the event location. Note: At the tack check which follows the test, the steward May ask the athlete to dismount so that the helmet May be inspected for the ASTM/SEI or BSI/BS EN label. CDI PRESENTATIONS Participation in the prize-giving ceremony of placed Athlete/Horse combinations is compulsory. Failure to do so entails losing the classification (rosette, plaque, prize in kind, prize money). As per FEI Art. A436, competitors are required to be mounted for all CDI class awards. Riders are required to ride the horse on

8 which they have won the award being presented. Anyone wishing to substitute a horse (for safety reasons) for presentations, must first inform and be given approval by the President of the Ground Jury & the OC through the FEI steward and secretary. QUERIES Questions concerning rules, scoring or entries May be made to the Steward for discussion with the Organizing Committee. Protests must be made in writing within 48 hours of the completion of the class and accompanied by a deposit of $200.00, cash or certified cheque. See EC Rules DRUG TESTING EC/FEI Drug and Medications rules apply at these shows. Any horse entered in any class at any competition may be selected for equine medication control testing while at the event location. INSURANCE All owners and competitors are personally responsible for damages to third parties caused by themselves, their employees, their agents or their horses. Third party insurance providing full coverage for participation in equestrian events is necessary. EC Gold RIBBONS Ribbons will be presented to 6 th place. For the Gold EC classes, division champion and reserve champion in divisions that have 6 or more competitors and will be determined by adding the best 3 scores together, not including Test of Choice classes or Freestyles. For Gold FEI classes the best 2 technical scores not including Test of Choice will be used. In classes or divisions with less than 6 competitors, classes and or divisions may be combined at the discretion of the organizing committee. CLASSES The organizing committee reserves the right to combine or split classes at its discretion. FREESTYLE MUSIC Must be submitted when competitor package is picked up and on CD/USB. Or ed ahead of show. PARKING Vehicles must be parked in designated areas only or may be towed at the owners expense. There will be no parking on the roads and the barn areas at any time. After unloading, please do not park in the stable area. CDI SECURITY Security will be provided per FEI Veterinary Regulations, 13 th Edition Effective January 1, The show organizers and the facility accept no responsibility for lost or stolen items. Please do not leave items unattended. DOGS If you must bring your furry friend please make sure 1. you stoop & scoop, 2. do not allow your friend to run loose, 3. you use a leash that can extend no longer than 2 metres. Penalties will be levied for any offenders. Warm up and Exercise Schedule Warm up will be available as posted. Competition rings will be open to riders on Thursday until 5 pm. After that time, competition rings will be available at the discretion of the organizer. REFUNDS Competitors owed any refund of fees will receive their refund no earlier than 2 weeks after the competition if they paid by cheque. OTHER Substitutions are permitted at the discretion of the competition organizer and The organizing committee reserves the right to refuse any entry for any reason. Per Article A801, every entry at an EC-sanctioned competition shall constitute an agreement by the person responsible that the owner, lessee, trainer, manager, agent, coach, driver or rider and horse shall be subject to the EC constitution and all rules of EC and any additional rules set by the competition. It is the responsibility of all individuals participating in any capacity in EC-sanctioned competitions to be knowledgeable regarding the EC constitution and the applicable rules of EC and the additional rules, if any, imposed by the competition. Do not participate in this EC-sanctioned competition in any capacity if you do not consent to be bound by the constitution and rules of EC and any additional rules imposed by the competition. Accommodations Comfort Inn & Suites, Newmarket RCRA Booking is under Lisa Hossack show secretary for availability

9 2018 Canadian National FEI Youth Championships Statement of Qualifying Scores Date Show Name Judge/Panel Test/Score As an FEI Youth competitor, if you submit this summary sheet this is your indication that you would like to participate in the Canadian National FEI Youth Championships along with the declaration fee of $100.

10 Mail to: Lisa Hossack-Scott Entry # 2833 Hwy 28, Douro, ON K0L 2H0 Ph: CLOSING DATE: May 31, 2018 Horse Name Stallion Mare Gelding For Sale? CDI3* Cedar Valley USE THIS FOR CDI ENTRIES HORSE Colour Height Breed Year of Birth Passport # Name Postal Code Phone EC/NSO # RIDER OWNER Address FEI # For Juniors Only Date of Birth (mm/dd/yy) Name Postal Code Phone EC/NSO # Address FEI # # Name (Refer to Prize list for class fees) Entry Fees Other Fees: (MANDATORY) Admin Fee: $60 Medic/Emerg Fee: $35 Drug Fee: $45 DC Levy Fee: $10 $ Stabling from stabling page 13% Total Payable to H2S Management Inc.

11 2018 Kawartha Summer ic Use this for GOLD Entries HORSE Mail to: Lisa Hossack-Scott Entry # 2833 Hwy 28, Douro, ON K0L 2H0 Ph: CLOSING DATE: May 31, 2018 Horse Name Stallion Mare Gelding EC Licence FEI Passport Colour Height Breed Horse Year of Birth PP/Licence # Name Postal Code Phone EC # RIDER OWNER Address PSO # Rider Category if split Open Adult Amateur (must be indicated on EC Sport Licence card) Junior For Juniors Only Date of Birth (mm/dd/yy) Name Postal Code Phone EC # Address PSO # Division Number Description Entry Fees Other Fees: (MANDATORY) Admin Fee: $60 Medic/Emerg Fee $25 Drug Fee: $7.00 DC Levy Fee: Total Other Fees $10 Stabling from stabling page 13% $ Total Payable to H2S Management Inc.

12 2018 Kawartha Summer ic Use this for Silver Entries HORSE Mail to: Lisa Hossack-Scott Entry # 2833 Hwy 28, Douro, ON K0L 2H0 Ph: CLOSING DATE: May 31, 2018 Horse Name Stallion Mare Gelding EC Licence FEI Passport Colour Height Breed Horse Year of Birth PP/Licence # Name Postal Code Phone EC # RIDER OWNER Address PSO # Rider Category if split Open Adult Amateur (must be indicated on EC Sport Licence card) Junior For Juniors Only Date of Birth (mm/dd/yy) Name Postal Code Phone EC # Address PSO # Division Number Description Entry Fees Other Fees: (MANDATORY) Admin Fee: $60 Medic/Emerg Fee $25 Drug Fee: $7.00 DC Levy Fee: Total Other Fees $10 Stabling from stabling page 13% $ Total Payable to H2S Management Inc.

13 2018 Kawartha Summer ic Use this for Bronze Entries Mail to: Lisa Hossack-Scott 2833 Hwy 28, Douro, ON K0L 2H0 Ph: INCLUDE COPIES OF ALL MEMBERSHIP CARDS CLOSING DATE: May 31, 2018 Horse Name Stallion Mare Gelding Entry # HORSE Colour Height Breed Horse Year of Birth Name Postal Code Phone EC # RIDER OWNER Address PSO # Rider Category if split Open Junior For Juniors Only Date of Birth (mm/dd/yy) Name Postal Code Phone EC # Address PSO # Division Number Description ALL BRONZE CLASSES ARE $50 EACH (W/T $40) Entry Fees Other Fees: (MANDATORY) Admin Fee: $60 Medic/Emerg Fee $25 Drug Fee: $3.50 DC Levy Fee: Total Other Fees $10 Stabling from stabling page 13% $ Total Payable to H2S Management Inc.

14 Stabling Info: Check Days Needed Horse Name Wed Thurs Fri Sat Sun For Sale? Tack Stall Wed Thurs Fri Sat Sun Daily Stabling as available Wed Thurs Fri Sat Sun Rates Thursday through Sunday Stabling Number of Stalls = x = $ Daily Stabling (6am to 7pm) Number of days = x = $ Shavings delivered to your stall prior to arrival Name of Stable Group/Coach Emergency Contact Person $9 per bag If you do not want your shavings delivered indicate by checking box to the right Number of bags ACCEPTANCE OF RISK FORM - THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS AND LIABILITIES. PLEASE READ CAREFULLY. Every entry at a KAWARTHA LAKES DRESSAGE ASSOCIATION (KLDA) event shall constitute an agreement that the person making it (owner, lessee, trainer, manager, agent, coach, driver, rider) and the horse shall be subject to the Constitution and the Rules of Equestrian Canada, the local rules of KLDA and the facility, and that the owner and/or participant and any of their representatives are bound by the Constitution and the Rules of Equestrian Canada, KLDA, H2S Management Inc., The Royal Canadian Riding Academy and B. G. Schickedanz (York) Inc.,; accept as final the decision of the Hearing committee on any questions arising under said rules and agree to hold KLDA, the facility, E.C., their officials, directors and employees harmless for any action taken. I hereby certify that every horse, rider and/or driver is eligible as entered and agree for myself and my representatives to be bound by the Constitution and Rules of Equestrian Canada at this competition. It is hereby recognized that all equestrian sports involve inherent risk and that no helmet or protective equipment can protect against all foreseeable injury. I hereby accept this risk and hold harmless the E.C., KLDA, the facility, the competition, their officials, organizers, agents, employees and their representatives. The person responsible (PR) agrees to the release of any information on the entry form to EC. (A802.4) Must be signed by the person responsible I acknowledge that any activity involving horses is high risk including but not limited to: (a) the propensity of any equine to behave in ways that May result in injury, harm or death to persons on or around them and to potentially collide with, bite or kick other animals, people or objects; (b) the unpredictability of an equine s reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects; (c) the potential for other participants to behave in a negligent manner that May contribute to injury to themselves or others, including failing to act within their abilities to maintain control over an equine In addition to consideration given for my Participation in this event being held at RCRA, in June 2018, I and my heirs, executors, administrations and assigns agree; To Waive ALL Claims that I might have against the Organizing Committee, KLDA, H2S Management Inc., RCRA and B.G. Schickedanz (York) Inc. as well as their directors, officers, agents, representatives, employees, officials, members, volunteers and the owners or occupier of the land upon which the event is held (all of them collectively hereinafter referred to as the HOST ); and To Release the HOST from Any and All Liability for any loss, damages, injury, or expense that I or my Legal Representatives might suffer as a result of my Participation due to any cause whatsoever including any NEGLIGENCE ON THE PART OF THE HOST ; and To HOLD HARMLESS AND INDEMNIFY THE HOST from any and all liability for bodily injury or property damage to any third part which might result from my Participation. I hereby declare that in signing this document I have read and fully understood and agree to the terms and conditions stated herein and that it is binding upon my executors, heirs, and assigns. Signature: Person Responsible (Mandatory): Dated: Printed Name of Person Responsible: EC # *If a participant is under the age of 18 yrs. as of January 1, 2018, the parent/guardian must also sign below. I acknowledge as parent/guardian of that I have read and fully understand and agree to the terms and conditions stated herein on behalf of and myself. RE: JUNIOR HEADGEAR: In the event that (name of junior rider) participates in an Equestrian Canada sanctioned competition where approved headgear is required for juniors, he/she will wear a properly fitted and fastened approved helmet. It is understood that juniors not meeting this requirement will not be allowed to compete at these competitions (A802.6) and (A905) Signature of Parent/Guardian: Date: = x $9 each = $ Phone No. Total Stabling Fees Stabling Fee Calculations $

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