Winter Kick Off Dressage

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1 Winter Kick Off Dressage January 21-22, 2017 USEF/USDF Recognized Level 2 # AQHA Dressage Point Approved Judge: Sandy Hotz (S), others TBA TD: Carol Bulmer Closing date: January 7, 2017 Manager/Secretary: Carlie Evans W Newberry Rd. Newberry, Fl Assistant Manager: Alan Evans Updated info at Southeast Horse Shows Florida Facebook Page

2 Class List-please indicate on entry which day 1A. USDF Introductory Test A Open 1B. USDF Introductory Test B Open 1C. USDF Introductory Test C Open 1D. USEF Test of Choice Open & 2. Opportunity Training Level Test 1 Open 3. Opportunity Training Level Test 3 Open 4. Opportunity First Level Test 1 Open 5. Opportunity First Level Test 3 Open 6. USEF Training Level Test 1 Open and AA/JrYR (pinned separately) 7. USEF Training Level Test 2 Open and AA/JrYR (pinned separately) 8. USEF Training Level Test 3 Open and AA/JrYR (pinned separately) 9. USEF First Level Test 1 Open and AA/JrYR (pinned separately) 10. USEF First Level Test 2 Open and AA/JrYR (pinned separately) 11. USEF First Level Test 3 Open and AA/JrYR (pinned separately) 12. USEF Second Level Test 1 Open and AA/JrYR (pinned separately) 13. USEF Second Level Test 2 Open and AA/JrYR (pinned separately) 14. USEF Second Level Test 3-Dover Medal on Sat Open and AA/JrYR (pinned separately) 15. USEF Third Level Test 1 Open and AA/JrYR (pinned separately) 16. USEF Third Level Test 2 Open and AA/JrYR (pinned separately) 17. USEF Third Level Test 3 Open and AA/JrYR (pinned separately) 18. USEF Fourth Level Test 1 Open and AA/JrYR (pinned separately) 19. USEF Fourth Level Test 2 Open and AA/JrYR (pinned separately) 20. USEF Fourth Level Test 3 Open and AA/JrYR (pinned separately) 21. **USDF Freestyle-State Level Open and AA/JrYR (pinned separately) 22. FEI Prix St. George Open and AA/JrYR (pinned separately) 23. FEI Intermediare 1 Open and AA/JrYR (pinned separately) 24. FEI Intermediare A Open 25. FEI Intermediare B Open 26. FEI Intermediare 2 Open and AA/JrYR (pinned separately) 27. FEI Grand Prix de Dressage Open and AA/JrYR (pinned separately) 28. **FEI Freestyle Test of Choice Open & 29. FEI Test of Choice Open & 30. FEI Young Rider Test of Choice Team test & Open 32. Young Horse Test of Choice Open (4yr old USEF, 5 and 6 yr old FEI) 33. FEI Para Equestrian Test of Choice Open 34. FEI Para Equestrian Freestyle Test of Choice Open 35. Materiale Fillies/Mares 3, 4 & 5 yr olds Open 36. Materiale Colts/Stall/Geldi3, 4 & 5 yr olds Open **(Training Level not eligible for qualifying) Mail in copy of the highest test of that level or higher level with score of at least 60% at USEF show. Adequate sound system provided. Music on CD required. State qualifying option on entry form and pay an extra $10 per qualifying class.

3 1. ENTRIES STATE WHICH DAY YOU WANT TO RIDE EACH TEST! Make checks payable to SEHS or complete credit card info (include $10 Credit Card Convenience Fee) on entry form. Mail to Carlie Evans W. Newberry Rd., Newberry, Fl or enter online at for a chance to win a $50 Class fees: Introductory through Fourth Level-$48 FEI and Freestyle-$58 Office fees: Qualifying fee: GAIG/USDF qualifying rides add $10 to class fee Post Class Entries: Late fee: rest of their remaining classes (no refunds given). Times posted at the Thursday before the show. Please make sure you check your ride IMPORTANT: PLEASE INCLUDE THE USEF/USDF VERIFICATION PAGE AND COGGINS WITH YOUR ENTRY ONE TIME-WE WILL KEEP IT ON FILE FOR THE REST OF THE YEAR. THIS SHOWS PROOF OF ALL YOUR NUMBERS AND YOUR HORSES NUMBERS. Go to TO PRINT IT OUT. AWARDS- 3. STABLING-Permanent 12x12 stalls with full sliding doors. Friday 12:00 PM to Sunday 8:00 PM, Horse Stalls: $110, Canterbury includes 2 bags of bedding per horse stall PLEASE PRE ORDER EXTRA BEDDING ON YOUR ENTRY. Extra Bedding available on grounds $9.00 per bag. Tack Stalls $95 (no bedding) $25 per horse for extra nights. $25 per horse daily grounds fee for un-stabled horses each day including Friday. NON COMPETING HORSES Must fill out entry form with signatures, pay $35 office fee plus stabling or grounds fee. Neg. Coggins Required Stall assignments will be posted on the stabling info board at entrance as well as at the show office. 4. ACCOMMODATIONS-Canterbury Host Hotel Best Western Gateway Grand Phone: (352) RV hookups a with electric and water only are available on grounds $38 per night. Please reserve with your entry as all hookups are locked. 5. FOOTING AND RINGS -20 X 60M in covered arena and warm- 6. DIRECTIONS Canterbury address is W Newberry Rd., Newberry, Fl From I-75 take exit 387 (Newberry Rd) And go west ~10 miles. Canterbury Showplace is on your right hand side. 7. FOOD food concession on grounds. 8. VETERNARIAN AND FARRIER- names and numbers will posted on show grounds in office, stabling info board and in show program. 9. REFUNDS Full refund less office fee before closing date. refundable. 10. SHARPS DISPOSAL: $100 for improper disposal of needles or other sharp disposable instruments. Sharps disposals are available in the barn area. 11. Miscellaneous Rules: 12. IMPORTANT: All entries shall be on the official entry form of the show. The entry form should be completed in every detail; otherwise, the record of wins may not be properly credited. The show management reserves the right to return any incomplete entry form. All entries must be accompanied by a complete payment. A fee of $50.00 will be added to any account due if any person gives a non-ne -.

4 2017 Show Schedule Twice as Nice Dressage 1 Winter Kick Off Dressage Jubilee Dressage Twice as Nice Dressage 2 Dressage on the First Coast Cinco de Mayo Dressage May Day Qualifiers 1 & 2 Summer Sizzler Dressage 1 Summer Sizzler Dressage 2 Summer Sizzler Dressage 3 Ride Lite Dressage Holiday Kick Off Dressage Dressage on the First Coast Jan 7-8 (Canterbury) Jan 21-22(Canterbury) Feb 4-5 (Ocala) Feb (Canterbury) April 1-2 (Jacksonville club) April 29-30( Canterbury) May (JAX) June 10-11(Canterbury) July 8-9 (Canterbury) Aug 5-6 (Canterbury) Sept 2-3 (JAX) Nov 4-5 (Canterbury) Dec 2-3 (Jacksonville Club)

5 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 recognized 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), guardians), and/or trainer(s) who are responsible for the child committing the offense. Penalties may include the 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 above individuals in accordance with Rule 6. Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this rule Membership Statement follow- 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 a on, 10) USEA beginner novice division; and 11) assistant handlers in Dressage Sport Horse Breeding classes.

6 Saturday High Point Awards Training Level Open and AA/JrYR First Level Open and AA/JrYR Second Level Open and AA/JrYR Third Level Open and AA/JrYR Fourth Level Open and AA/JrYR FEI Open and AA/JRYR USDF/FEI Freestyle Open and AA/Jr/YR Dover Medal Drawings Every Entry-Free Stall at a Southeast Horse Shows Event

7

8 USEF Competition Name: Competition Division(s) and Rating(s): USEF#: WAYS TO SAVE AS A US EQUESTRIAN MEMBER Save 5% on qualifying purchases at checkout Protect yourself with discounted liability and AD&D insurance Buy 10 bags of feed and get one free! Save up to 28% on equipment like Gators (TM) and lawnmowers Get started with a discounted emergency roadside assistance plan. PLUS MANY MORE!

9 2016 COMPETITION NAME COMPETITION DATES Official Use Only BRIDLE # NAME OF HORSE PREVIOUS NAME (IF ANY) USEF# USDF# FOR SALE BREED SEX HEIGHT COLOR COGGINS DATE (ENCLOSED COPY) SIRE DAM DAM S SIRE COUNTRY OF BIRTH YEAR OF BIRTH BREEDER FEI/PASSPORT # GROOM RIDER/HANDLER CLASS NO. DIVISION CLASS DESCRIPTION QUAL Y/N FEES USEF# USDF# ADDRESS CITY/ST/ZIP CELL PHONE JR/YOUNG RIDER BIRTHDAY ADDRESS RIDER CITIZENSHIP (IF NOT USA ) RIDER STATUS (CIRCLE ONE): JR/YG AA OPEN OWNER USEF# USDF# ADDRESS CITY/ST/ZIP CELL PHONE ADDRESS OWNER CITIZENSHIP (IF NOT USA ) TRAINER USEF# USDF# ADDRESS CITY/ST/ZIP CELL PHONE SUBTOTAL CLASS FEES AND QUALIFYING FEES USEF Show Pass FEES $30 PER NON-MEMBER USDF NON MEMBER FEE $25 PER NON-MEMBER OFFICE FEE AND/OR BRIDLE # FEE USEF HORSE FEES $8 USEF FEE + $8 DRUG FEE = $16.00 Extra Stabling per night $25 Grounds Fee (if not stabled) $25 per day STABLING FEES # $ TACK STALLS # $ Credit Card Convenience Fee $ ADDRESS COACH USEF# USDF# ADDRESS CITY/ST/ZIP Please Fill Out Both Sides of This Form. Reverse side MUST be SIGNED. OTHER OTHER LATE Fees $40 TOTAL FEES Stabling Information & Special Requests: Please list only ONE name (either individual or barn) for entire group (so we can get everyone together) Stable Group: Contact:

10 I hereby agree to release, indemnify and hold harmless USDF, its instructors, officers, directors, agents, and volunteers from and against any and all loss, liability or damage arising from or because of, or in connection with, participation in this competition or related activities. I also hereby agree to release, indemnify and hold harmless Southeast Horse Shows, Canterbury Showplace, the competition licensee, show management, competition staff, show committee and members, officers,directors, agents, and volunteers from and against any and all loss, liability or damage arising from or because of, or in connection with, participation in this competition or related activities. UNITED STATES EQUESTRIAN FEDERATION, INC. ENTRY AGREEMENT I have read the United States Equestrian Federation, Inc. (the Federation ) Entry Agreement (GR906.4) as printed in the Prize List for this Competition and agree to all of its provisions. I understand and agree that by entering this Competition, I am subject to Federation Rules, the Prize List, and local rules of the competition. I agree to waive the right to the use of my photos at The competition, and agree that any actions against the Federation must be brought in New York State. 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 above includes all of their officials, officers, directors, employees, agents, personnel, volunteers and affiliated organizations. 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. BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank. OWNER S/AGENT S SIGNATURE (MANDATORY) RIDER/HANDLER SIGNATURE (MANDATORY) TRAINER S SIGNATURE (MANDATORY) COACH S SIGNATURE (IF APPLICABLE) PRINT NAME PRINT NAME PRINT NAME PRINT NAME PARENT/GUARDIAN SIGNATURE IF RIDER/DRIVER/TRAINER/HANDLER/VAULTER/LONGEUR IS UNDER 18 PRINT PARENT/GUARDIAN NAME RIDER EMERGENCY CONTACT INFORMATION NAME OF CONTACT/RELATIONSHIP: PHONE: FILL OUT ONLY IF THE COMPETITION YOU ENTER ON THIS ENTRY FORM OFFERS CERTAIN USE OF CHARGE CARDS!! VISA AMEX CARD NO. EXP DATE MasterCard Discover NAME ON CARD: CVV # BILLING ADDRESS ZIP CODE

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