Dressage at Red Tail Farm I 1100 Rattlesnake Bridge Road Bedminster, NJ USEF/USDF # Level 2 July 19, 2016

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1 Dressage at Red Tail Farm I 1100 Rattlesnake Bridge Road Bedminster, NJ USEF/USDF # Level 2 July 19, Great American Insurance Group/USDF Qualifying Event 2016 Col. Bengt Ljunquist Memorial Championship (BLM) Qualifying Event 2016 ESDCTA Recognized Manager: Amy Gimbel (cell) rtfdressage@gmail.com Secretary: Amy Gimbel (cell) rtfdressage@gmail.com Judges: Barbara Ebner, NJ (S) Marlene Schneider, MN (S) TBD Show Office Phone: Online Entries: Technical Delegate: Dorothy Maxfield, NJ (r ) Volunteer Coordinator: Amy Gimbel (cell) rtfdressage@gmail.com Farrier: Tom LaRose Dave Vanderhoof EMT: Will be on grounds, contact through the show office Licensee: Linda C. Dietz Veterinarian: B.W. Furlong & Associates on call

2 Class List: Every class offered herein which is covered by the rules and specification of the current USEF Rule Book will be conducted and judged in accordance therewith. Please denote on entry Open, CBLMQ, USDF GAIG Q and status of Amateur, Open or Jr/YR. Management reserves the right to split, cancel, combine classes, or substitute judges. GAIG classes are qualifiers for 2016! If entering as GAIG Qualifying class please indicate on entry and include the $10 Qualifying fee. The shows fill quickly and entries will be processed on first come basis. Class # Fee Level Test Qualifications 1 $35 USDF Introductory TOC 101 $35 Training Level Test 1 Open 102 $35 Training Level Test 2 Open/CBLM Q 103 $35 Training Level Test 3 Open/USDF GAIG Q 104 $35 Training Level Test 1 Opportunity 111 $45 First Level Test 1 Open 112 $45 First Level Test 2 Open/CBLM Q 113 $45 First Level Test 3 Open/USDF GAIG Q 114 $45 First Level Test 1 Opportunity 121 $45 Second Level Test 1 Open 122 $45 Second Level Test 2 Open/CBLM Q 123 $45 Second Level Test 3 Open/USDF GAIG Q 124 $45 Second Level Test 3 Dover Medal AA USDF GAIG Q 131 $45 Third Level Test 1 Open 132 $45 Third Level Test 2 Open/CBLM Q 133 $45 Third Level Test 3 Open/USDF GAIG Q 141 $45 Fourth Level Test 1 Open 142 $45 Fourth Level Test 2 Open/CBLM Q 143 $45 Fourth Level Test 3 Open/USDF GAIG Q 150 $55 FEI PSG Open/USDF GAIG Q/CBLM Q 151 $55 FEI Intermediare I Open/USDF GAIG Q/CBLM Q 152 $55 FEI Intermediare II Open/USDF GAIG Q/CBLM Q 153 $55 FEI Grand Prix Open/USDF GAIG Q/CBLM Q 154 $55 FEI TOC Open/USDF GAIG Q/CBLM Q 160 $55 USDF MFS TOC Open/USDF GAIG Q/CBLM Q 161 $60 FEI MFS TOC Open/USDF GAIG Q/CBLM Q 170 $45 FEI YH TOC Open 171 $35 Dressage Seat Equitation

3 Fees: $16 Federation Fee ($8 Drug Fee plus $8 USEF Fee) $30 Office Fee (Non Refundable) $10 GAIG/USDF Qualifying Per Class $30 Late Entry (After Closing Date) $10 Secretary Verification of Documents if incomplete entry $5 USDF Affidavit (if necessary) $25 USDF non-member fee $25 USDF Horse ID $30 USEF Show Pass Fee $40 Non-Competing Horse, must have signed entry form and negative Coggins $10 Add/Change Class Fee $50 Returned check Fee Entries: Please make checks payable to Red Tail Farm. Online entries accepted via Equestrian Entries. Illegible or incomplete entries may be returned or charged the $10 fee. Be sure to include copies of USEF and USDF membership or identification cards for each owner, rider, trainer and horse/pony as applicable. Emergency numbers MUST be included. In compliance with GR 845 will require proof of Equine Influenza Virus and Equine Herpes Virus vaccination for all horses entering the show grounds. USDF Introductory and Opportunity classes are exempt from USEF and USDF membership requirements and are not eligible for show high score awards. USDF GAIG Qualifying Eligible competitors may enter the class USDF GAIG Q for an additional fee of $10. You MUST designate your entry as USDF GAIG Q on the entry and submit appropriate documentation to verify eligibility to enter the class. Copies of USEF AND USDF Horse Registration (NOT HID) must be included. Riders MUST have participating membership in USDF. Owner MUST have a current participating or business membership in the USDF. CBLM Qualifying classes for the 2016 BLM Championship (cblm.org). Riders must be members of a participating organization at the time of the show to be eligible. Musical Freestyles Riders MUST submit with their entry a copy of the highest test of the level entered or higher level (with a minimum score of ) in accordance with USEF rules. Music must be on a good quality CD and must be presented to the show office on day of the class. Parking - Please notify management if you have a large rig so we can accommodate Stabling - Not available

4 ATTENTION COMPETITORS: Each competitor is responsible for supplying management with the correct applicable numbers and hard copy proof (USDF and USEF) for horse, owner, rider and trainer, before the day(s) of the competition. The scores of competitors who fail to supply correct numbers may not be counted toward national awards. Times: It is possible that the show may start as early as 7 a.m. and end as late as 8:30 p.m. Times will be posted on foxvillage.com and check Red Tail Farm facebook and website for additional announcements. Unofficial times will be posted 4 days before the show. Official times will be posted noon the day prior to the show. Late Entries: Entries will be accepted after the closing date at Managements discretion if space allows and with appropriate late fee. Refunds: Full refund less office fee if scratch is received before closing date. No refunds will be provided after closing date including for cancelations due to Acts of God, acts of terrorism, inclement weather, and/or other emergencies. Coggins: A copy of a negative Coggins test dated within 12 months of show date must be provided Sharps Container: Will be located in the barn for the disposal of needles and other disposable sharp instruments. Competition management may fine any individuals including trainers, owners, exhibitors, or their agents up to $100 for improper disposal of needles or other sharp disposable instruments. Bridle Numbers: It is compulsory for the bridle number to be worn by the horse, competitor, or handler at all times, when the horse is being handled or exercised. Protective Headgear: USEF rules go into effect upon arrival at the show grounds. Per DR Protective Headgear must be worn at all times when mounted (exception for FEI competitors exempt by FEI rules. It is recommended that ALL competitors wear protective headgear.) Awards: Ribbons awarded through sixth place Adult Amateur High Score Ribbon awarded for each level as sponsored by Flying Change Farm USDF/Dover Adult Amateur Medal awarded to the Adult Amateur rider in class 124 with the highest score of 60 percent or better in the designated class. Additionally, the rider must be either a USDF Participating or Group member to be eligible for this award Footing: Arena Works Gold Plus footing in Indoor arena 180 x 90 (warm up), Arena Works Gold Plus footing in standard competition arena (20m x 60m), and lunging pad with Arena Works Gold Plus footing. Professional Services: Contact numbers will be posted the day of the show at the show office. EMT will be on grounds. Vet and Farrier will be on call.

5 Hold Harmless Clause: Understanding that horse sports may be hazardous and dangerous, even leading to permanent injury or death, each owner, rider, spectator, and other participant assumes any and all risk of loss or injury and agrees to hold harmless, regardless of negligent acts or omissions, Red Tail Farm LLC/Linda D LLC, the show management, show committee, and all horse show personnel. Directions: 1100 Rattlesnake Bridge Rd. Bedminster, NJ Food/Refreshments: Will be available on show grounds for purchase We love dogs, but please leave them at home. No dogs allowed. 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. Motor Vehicle Statement 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.

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8 2016 USDF/Dover Saddlery Adult Amateur Medal Program The USDf/Dover Saddlery Adult Amateur Medal Program is designed to specifically recognize and encourage adult amateurs riding at Second Level. Awards 1. USDF/Dover $addlery Medal Recipient The eligible rider with the highest score of 60 percent or better in the designated Second Level Test Three class or applicable test of choice USDf/Dover Saddlery Adult Amateur Medal class at a participating competition will receive a handcrafted USDF/Dover Saddlery pewter medal and neck ribbon. Winners will receive a $20 Dover Saddlery gift certificate for the first three USDf/Dover Saddlery Medals they win during the competition season. 2. USDF/Dover Saddlery National Merit Award A USDf/Dover Saddlery National Merit Award will be awarded to riders winning three USDF/Dover Saddlery Medals in the same competition year. 3. Year-End Awards The USDF/Dover Saddlery Medal National Champion and Reserve Champion are determined from the average of the top three winning ride scores during the competition year. The champion receives a $1000 Dover Saddlery gift certificate and the reserve champion receives a $500 Dover Saddlery gift certificate. Rider Eligibility 1. Rider must have a current USDF Participating or Group Membership and be a member in good standing of USDF when the scores are earned. 2. Rider must be an adult amateur in accordance with Article GR1306 of the USEF rules and be designated with USEF as an adult amateur at the time the scores are earned. Owner & Horse Eligibility 1. Horse and owner must meet minimum competition eligibility requirements at the time scores are earned. Additional Information For additional information and an updated list of competitions offering the USDF/Dover Saddlery Adult Amateur Medal Program, please visit Competitions/rev. 5/7/2015

9 GREATAM)t NtUH4 GROUP 2016 Great American Insurance Group/USDF Regional Dressage Championships Ausow REGIONAI I)?e36aqe CHAMPION41PS A single Regional Dressage Championship program organized by the United States Dressage Federation (USDE), and recognized by the United States Equestrian Federation, Inc. (USEF), will be held in each of the nine USDF regions. In addition, Alaska and Hawaii may each hold state championships if an official request from a Group Member Organization (GMO) is received by April 1 of the prior year. The Regional Championship Program Rules can be found on the USDE website at Please refer to the 2016 USDF Member Guide for the comprehensive list of rules and requirements for this program. Membership/Registration Requirements for Qualifying and Championships Rider: Horse: Owner: Must have a USDF Participating* Membership (PM) at the time qualifying scores are earned and at the time of the championships. Must have a USEF membership (Junior Active, Senior Active, or Life) at the time the qualifying scores are earned and at the time of the championships. Must have a USDF Lifetime Horse Registration (LHR) at the time qualifying scores are earned and at the time of the championships. Must have a USEF (Annual or Lifetime) Membership recorded at the time qualifying scores are earned and at the time of the championships. USDE horse registration and USEF horse/recording must be in the name(s) of the current owner(s) or lessee(s) of record. A horse is not required to have breed registry papers. Must have a USDF membership (PM* or Business Member (BM)) at the time the qualifying scores are earned and at the time of the championships. Must have a USEF membership (Junior Active, Senior Active, or Life) at the time qualifying scores are earned and at the time of the championships. * PMs are USDF members who join USDF directly. USDF Group Members (GM) are ineligible. Minimum Qualifying Scores. One set of nationally-standardized qualifying scores has been established for all USEF/USDF Regional Championships, for levels through Grand Prix, in three divisions: open, adult amateur and junior/young rider. FEI Junior and FEI Young Rider classes have only one respective division. Freestyles have only open divisions. The minimum percentages are as follows: Training Level (Test 3) First Level (Test 3) Second Level (Test 3) Third Level (Test 3) Fourth Level (Test 3) FEI Junior (Team lest) FEI Young Rider (Team Test) Prix St. Georges Intermediate I Intermediate II Grand Prix OPEN 68% 66% 64% 62% 62% AA 62% 61% JR/YR 62% 61% FREESTYLE First Level Second Level Third Level Fourth Level Intermediate I Grand Prix OPEN AA JR/YR Rev May 2015

10 2016 DRESSA GE COMPETITION ENTRY FORM Effective December 1, 2015, use this form for entering USEFIUSDE Licensed Dressage Competitions held in USDF Region 1 (PA, NJ, DE, MD, VA, NC, WV) Competitors are responsible for duplicating their own additional copies of this entry form. This is a 2-sided form; please make 2-sided copies. Other versions of entry forms may not be accepted by Region 1 competitions. TYPE OR PRINT CLEARLY -- ONLY ONE HORSE I RIDER or HANDLER PER ENTRY FORM Enclose copy of all 2076 USEF Membership Cards (Rider/Handler, Owner/Agent, Trainer, Coach) or verification. Competition Name: Competition Date(s): Official Use Only Bridle No, Rider/Handler: Primary Phone: Phone: Rider s Address: Citizenship*: Rider/Handler Owner: Primary Phone: Owner s Address: Trainer: Trainees Addres: Coach: Trainer s Phone during Competition: Alternate Phone: HORSE RIDERIHANDLER OWNER (At least one) TRAINER COACH (if applicable) Stabling / Grounds Fee (For Non- UEI- Uihb# U3EI-# uu-# LOCAL ASSN# USQF# Unless show provides enfry verification service: MUST attach copies of USEF & USDF Horse Recording and Registration Certificates for CAIG/USDF Qualifying and Championship Classes. * MUST include a copy of USEF Amateur Certification if competing as an Adult Amateur. Go to I oral to print USDF# SUBTOTAL Class Fees All USEF members (including riders, handlers, trainers, coaches, owners, agents or lessees) are required to submit proper membership documentation to the show secretary prior to competina. Exhibitors who do not send a copy of their card with their entry or are unable to produce the card when registering at the competition, or for whom the competition cannot verify such information (with the exception of Federation measurement cards) will be required to pay a $30 Show Pass fee which is non-refundable. EACH Junior and Senior participant (rider, handler, trainer, coach and one owner/agent per horse) is required to be a USEF Active Competing Member or pay a $30 Show Pass fee (see the official USEF Show Pass Statement in prize list). JR or YR Birthdate: Riders are eligible to compete as a JrIYR until the end of the calendar year in which they reach the age of 21 i]il..] g. ],li.p]51.l.] Non-U.S. citizen participants in DressagelDSHo classes MUST attach current proof, in English, of current in qood standing in their own N.F in order to be exempt from USEF Show Pass fees. Subtotal, Class Fees Payment For Fee Office Use USEF Show Pass/Non-Member Fee(s) ($30 per participant) USE Fee per horse: (D&M $8 USEF $8) $16 CDI horses only: USEF Fee per horse: (D&M $20 + USEF $8) = $28 CDIs only: USEF IHP Discipline Fee ($35 per entry) Stabled Horses) USDF Non-Member Fee(s) ($25 per rider/owner) Office Fee Late Fee, Bridle Number Fee, Camper Fee Other Fee(s) TOTAL FEES DUE: Rider: Citizenship: FEI Rider Registration #: Competing for Country: Horse: Present Nationality: Birthdate: Previous Name (if any): EEl Passport #: EEl Horse Registration #: Person Responsible: Owner: Citizenship: Owner Social Security or Tax ID # (required to receive prize money):

11 US 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 [insert name here] ( 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 from the competition, and agree that any actions against the Federation must be brought in New York State. 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 GR8OI and, if applicable, EVII4, 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 accidenuinjury 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 submifting 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. BOD 1/23/11 Effective 12/1/11 li]:i ]Ilfl7r.nrw) ni1tltliltt1*ii(fltflrit&) Signature: Signature: Signature (must be 18 or older): Signature: Print: Print: 1int: Lint: u1iiwliutl.1tuit(.r. Signature: Print: YES NO * No entry is valid without original signatures from the above individuals; Photocopied signatures or writing same are NOT acceptable. STABLING I CAMPER HOOK-UP RESERVATION FORM (Refer to Prize List for Specifications) ENTRY PREPARATION CHECKLIST Contact NAME and NUMBER for Rider Emergency: Contact NAME and NUMBER for Horse Emergency: Before Mailing, Be Sure You Have: Name of Lodgings Where Rider or Responsible Party Will be Staying During the Competition Hotel Number at the Competition (For Emergency Contact Purposes) Stall Sex Check Stall DayslNights Desired (see prize list directives) Occupant (S,M,G) Mon Tues Wed Thurs Fri Sat Sun Horse Name If accompanied by NON-COMPETING HORSE, must complete separate entry form and pay all applicable fees. Tack In/al I I I I I Approx. Time of Arrival: Special Requests : Approx. Time of Departure: *provjde name of individual with whom you desire to be stabled (if part of a group, make sure you all name the same person) Stabling fees: $ per night = Camper fees..hook-ups $ ea (flat rate) OR..nights $ per night = TOTAL STABLING I CAMPER HOOK-UP FEES:...Completed Both Sides of Entry Form...All Original Required Signatures Enclosed a Copy of the Current Negative Coggins (EIA) Certificate (Refer to Show Specifications for Date Validity Requirements. Copy must be legible.)...supphed all Required Ass n Numbers...Enclosed Copies of Applicable USEF and/or USDF Cards or Documents Completed the Stabling I Camper...Enclosed a Check! Money Order for all Applicable Fees....Allached photocopy of Test(s) verifying USDF & EEl Freestyle Test eligibility (ex. for exempt classes) Mail this Entry Form, Supplemental Documents, and Fees to the Competition (Entry) Secretary Identified on the Prize List. EMERGENCY CELL CONTACT # OF SOMEONE WITH YOU/YOUR GROUP AT THIS SHOW WHO IS NOT LIS TED ELSEWHERE ON THIS ENTRY FORM PLEASE SUBMIT ANY IMPORTANT INFORMATION FOR THE ANNOUNCER ON A SEPARATE SHEET

12 - - USEF Competition Name Competition Division(s) and Ratinqs:. A G4_4,,r) scoi S 5oro S?o j WcA