May Day Qualifiers Dressage 1 and 2 Two Separate Shows in One Weekend
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1 May Day Qualifiers Dressage 1 and 2 Two Separate Shows in One Weekend May 12 and May 13, 2018 Jacksonville Equestrian Center USEF/USDF Recognized Level 2 # & Closing Date: April 28, 2018 Judges: Dolly Hannon (S) Paramjeet Chopra (S) TD: Cheryl Tobey Manager/Secretary Carlie Evans W Newberry Rd. Newberry, Fl sehorseshows@gmail.com Assistant Manager: Alan Evans Updated info at Southeast Horse Shows Florida Facebook Page
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3 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 Open & 1E USEF Test of Choice AA/JrYR AA/JrYR & 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 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 State qualifying option on entry form and pay an extra $15 per qualifying class. **(Training Level not eligible for qualifying) Music on CD required. in order to enter a freestyle class at any level, a horse/rider combination must have received a minimum score of 60% in the highest test of the declared freestyle level or any test of a higher level at a Federation Licensed or FEI recognized Dressage Competition or open Dressage class (i.e. open to all breeds) at a Federation Licensed Competition held prior to the competition where the horse/rider combination is entered to ride a freestyle class. A photocopy of the test verifying eligibility, or copy of the USDF score verification, must be submitted with the entry for a freestyle class..
4 1. ENTRIES Please fill out an entry for each day! Nega ve Coggins required on all horses on show grounds! 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 Class fees: Opportunity $40 Introductory through Fourth Level-$48 FEI and Freestyle-$58 Office fees: Mandatory per horse/rider combina on $50.00 per day/show (includes nightwatch). Qualifying fee: GAIG/USDF qualifying rides add $15 to class fee Post Class Entries: at discre on of show secretary $10 per class addi on/change. Late fee: $40 late fee for all entries postmarked a er closing date that are accepted. NOTE: anyone not appearing for a scheduled ride without no fying the show office will be scratched from the rest of their remaining classes (no refunds given). Times posted at the Thursday before the show. Please make sure you check your ride mes each day at the show in case changes have been made to the schedule. 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- Gi to 1st place for each class and ribbons through 6th place. various other highpoints, drawings, etc. 3. STABLING-Permanent 12x12 stalls with full sliding doors. Friday 12:00 PM to Sunday 8:00 PM, Horse Stalls: $110, this 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, $30 non compete 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 Hampton Inn Chaffee Point Blvd RV hookups must be paid for through JEC call FOOTING AND RINGS -20 X 60M in indoor arena and warm-up rings have sand/clay mix foo ng. 20 x 60m in outdoor ring has fiber foo ng. Please lunge horses in designated area only. 6. DIRECTIONS Jacksonville Equestrian Center: Normandy Blvd, Jacksonville, Fl From I-10 take exit #350 Cecil Commerce Parkway, Turn west off the ramp go 3.6 miles and turn right on Normandy Blvd (state Road 228). Go 2.5 miles and JEC is on the right. 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. A er closing date office stall fees & associa on fees, will be refunded if horse is withdrawn on a vet cert. or rider with a medical cer ficate before 1st day of the show. Class fees not refundable. 10. SHARPS DISPOSAL: Compe on management may fine any individuals including owners, exhibitors, trainers, or their agent up to $100 for improper disposal of needles or other sharp disposable instruments. Sharps disposals are available in the barn area. 11. Miscellaneous Rules: Dogs must be contained or leashed at all mes. No lunging in designated warm up areas. No parking allowed between barns. No smoking permi ed in barn area. 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-nego able check. Non-nego able checks will be turned over to USEF per Rule XV, Ar cle 1508.
5 2018 Show Schedule Twice as Nice Dressage 1 Jubilee Dressage Twice as Nice Dressage 2 Dressage on the First Coast Jan 6-7 (Canterbury) Feb 3-4 (Ocala) Feb (Canterbury) Mar 31-Apr1(Jacksonville club) Spring Kick Off Dressage April 14-15(Canterbury) Cinco de Mayo Dressage May Day Qualifiers 1 & 2 Summer Sizzler Dressage 1 Summer Sizzler Dressage 2 Summer Sizzler Dressage 3 Ride Lite Dressage 1 and 2 Holiday Kick Off Dressage Dressage on the First Coast April 28-29( Canterbury) May (JAX) June 2-3 (Canterbury) July 7-8 (Canterbury) Aug 4-5 (Canterbury) Sept 1-2 (JAX) Nov 3-4 (Canterbury) Dec 1-2 (Jacksonville Club) sehorseshows@gmail.com for all prizelists and informa on
6 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 Life, senior ac ve and junior ac ve members shall be eligible to par cipate in all classes at Regular Compe ons, Even ng Compe ons at the Preliminary Level or above and Combined Driving Compe ons at the Advanced Level, Dressage, Reining and Vaul ng Compe - ons and Endurance Rides. A nonmember may par cipate as a handler, rider, driver, owner, lessee, agent, coach or trainer at Regular Compe ons, Even ng Compe ons, Dressage Compe ons, Reining Compe ons and Combined Driving Compe ons upon payment of a $45 Show Pass fee. Par cipants in the following classes are exempted from the Requirements of this rule: 1) leadline; 2) exhibi ons; 3) games and races; 4) classes for 4-H members; 5) walk trot (excep on: Friesian performance FR222) 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 Compe ons. 8) Opportunity classes, 9) ci zens of other na ons who have proof, in English, of current membership in good standing of their own Na onal Federa on, 10) USEA beginner novice division; and 11) assistant handlers in Dressage Sport Horse Breeding classes.
7 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 Management reserves the right to make changes/addi ons/dele ons to this program at any me.
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10 2018 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# CELL PHONE JR/YOUNG RIDER BIRTHDAY RIDER CITIZENSHIP (IF NOT USA ) RIDER STATUS (CIRCLE ONE): JR/YG AA OPEN OWNER USEF# USDF# CELL PHONE OWNER CITIZENSHIP (IF NOT USA ) TRAINER USEF# USDF# CELL PHONE SUBTOTAL CLASS FEES AND QUALIFYING FEES USEF Show Pass FEES USDF NON MEMBER FEE $35 PER NON-MEMBER OFFICE FEE AND/OR BRIDLE # FEE USEF HORSE FEES $8 USEF FEE + $15 DRUG FEE = $23.00 Extra Stabling per night $25 Grounds Fee (if not stabled) $25 per day STABLING FEES# STALL $ TACK STALLS # $ $45 PER NON-MEMBER Credit Card Convenience Fee $ COACH USEF# USDF# 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:
11 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 ZIP CODE
12 2018 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# CELL PHONE JR/YOUNG RIDER BIRTHDAY RIDER CITIZENSHIP (IF NOT USA ) RIDER STATUS (CIRCLE ONE): JR/YG AA OPEN OWNER USEF# USDF# CELL PHONE OWNER CITIZENSHIP (IF NOT USA ) TRAINER USEF# USDF# CELL PHONE SUBTOTAL CLASS FEES AND QUALIFYING FEES USEF Show Pass FEES USDF NON MEMBER FEE $35 PER NON-MEMBER OFFICE FEE AND/OR BRIDLE # FEE USEF HORSE FEES $8 USEF FEE + $15 DRUG FEE = $23.00 Extra Stabling per night $25 Grounds Fee (if not stabled) $25 per day STABLING FEES# STALL $ TACK STALLS # $ $45 PER NON-MEMBER Credit Card Convenience Fee $ COACH USEF# USDF# 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:
13 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 ZIP CODE
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