CLOSING DATE FOR ENTRIES: MARCH 1st No entries will be accepted after March 5th without prior approval from Organizer.

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1 March LAGNIAPPE EQUESTRIAN CENTER Verger Rd Folsom, La OFFICIALS Organizers: Lena Coleman/Bebe Brown Chief Judge: Katherine Van Dyck Course Designer/Lower Level Jump Judge: Deborah McLaughlin Lower Level Dressage Judge: Vickie Macgowan BASIC SCHEDULE Barns open Friday at 2pm, March 16 Dressage and Stadium on Saturday, March 17 Cross Country on Sunday, March 18 (Final ride times will be provided prior to show date) CLOSING DATE FOR ENTRIES: MARCH 1st No entries will be accepted after March 5th without prior approval from Organizer. ENTRY FEES PER HORSE/RIDER COMBINATION REGULAR FEE CURRENT USPC MEMBER HORSE TRIAL DIVISIONS $225 ($215 for a second horse) $220 ($210 for second horse) (entry fee includes stabling for the weekend and 2 bags of shavings) COMBINED TEST DIVISIONS $150 ($145 for a second horse) $140 ($135 for second horse) (entry fee includes stabling for the weekend and 2 bags of shavings) DRESSAGE TEST ONLY $35 for First test, $30 for subsequent tests $30 for First test, $25 for subsequent tests (If doing a Dressage Test Only on a horse entered in a HT or CT division, the Subsequent test fee applies) NOTE: For entries postmarked after March 1st, a $20 late fee per entry will need to be included with payment Any withdrawal will need to be accompanied with either a doctor excuse or vet letter received by March 31st With appropriate documentation a refund will be given minus a $25 office fee and any late fee TACK STALL $25 (One time charge for the entire weekend) EXTRA SHAVINGS $7.50/bag (No extra shavings will be available on grounds) ADDITIONAL FEES SCHOOLING FEE FOR NON-COMPETING HORSE $20/day (For horses on the grounds for schooling purposes only) CROSS COUNTRY SCHOOLING (Sunday Only) (course open after last CC ride & closed at 4pm; fee payable on show grounds) Competing horse $15 Non-Competing Horse $25 FOR DRESSAGE ONLY ENTRIES OVERNIGHT(4pm to 6pm next day) STALL $25/night (Includes 1 bag of shavings per night reserved) DAY (6am 11pm same day) STALL $25/day (Includes 1 bag of shavings per day reserved) WEEKEND STALL $45 (Fri night thru Sun, Includes 2 bags of shavings) GROUNDS FEE (no stall) $20/day/horse (All trailers must remain attached to a vehicle) THE FOLLOWING USPC CODE OF CONDUCT WILL BE ENFORCED DURING THIS COMPETITION The United States Pony Clubs, Inc. is proud of its reputation for good sportsmanship, horsemanship, teamwork and well behaved members. The USPC expects appropriate behavior from all members, parents and others participating in any Pony Club activity. Inappropriate behavior may include, but is not limited to: possession, use or distribution of any illegal drugs or alcohol; profanity, vulgar language or gestures; harassment (i.e., using words or actions that intimidate, threaten or persecute others before, during or following Pony Club activities); failure to follow rules; cheating; and abusing a horse.

2 HT & CT Divisions Offered Dressage tests will be ridden in a small arena and must be ridden from memory unless otherwise noted Levels to be held on an Enclosed Cross Country Course for HT Divisions 12 * Jumping height of 12 max * Required Dressage Test 2015 USDF Introductory Level Test A (test may be read, but will incur a 2 point penalty) 18 * Jumping height of 18 max * Required Dressage Test 2015 USDF Introductory Level Test B (test may be read, but will incur a 2 point penalty) Levels to be held on the Open Cross Country Course for HT divisions Introductory Developing Beginner Novice Novice Training * Jumping height of 24 max * Required Dressage Test 2015 USDF Introductory Level Test C (test may be read, but will incur a 2 point penalty) * Jumping height of 2 3 max * Required Dressage Test USEF Beginner Novice Test A (test may not be read) * Jumping height 2 7 max * Required Dressage Test 2018 USEF Beginner Novice Test B * Jumping height 2 11 max * Required Dressage Test 2018 USEF Novice Test B * Jumping height 3 3 max * Required Dressage Test 2018 USEF Training Test B Dressage Test Only Information 1. Levels to be offered are USDF Introductory, USEF Training through Second Level and above and USEA Beginner Novice through Prelim. Each test will be considered a class. 2. All USEF Training level and above tests will be performed in a standard arena. All USDF Intro level tests and USEA tests will be performed in a small arena. 3. Tests may be called but you must arrange your own caller. We highly encourage all tests ridden at First Level and above and USEA Beginner Novice and above be ridden from memory. 4. Tests to be used 2015 USDF Intro tests 2015 USEF Level Dressage tests for Training level and above 2018 USEA Beginner Novice through Preliminary (may choose test A or B) DEEP SOUTH REGION S SHOW GROUND RULES The SHOW GROUND is identified as the o area in and around the show barns o area in and around all show arenas, warm up areas and cross country course o area in and around the concession stand o any area where a mounted or unmounted competitor is present SMOKING POLICY: Smoking is not allowed on the Show Grounds or in the presence of any members at the rally. DOG POLICY: For the safety of our competitors and spectators, dogs are not allowed on the Show Grounds and must be leashed at all times. Dogs must never be left unattended. MOTORIZED VEHICLES: ALL motorized vehicles operated anywhere on the show ground facility must be operated by a licensed driver. Use of Bar-b-que pits or any other cooking devise that produces smoke will not be allowed near the show arenas, warm up areas or the show barns. GENERAL SHOW INFORMATION 1. A 12 month negative coggins dated March 19, 2017 or later must be included with all entries. Any entry received without a Coggins will be considered incomplete and the late fee will be assessed. 2. Attire should be casual and tidy with hard soled shoes required. All riders must wear a protective helmet with a secure retention system. All riders must wear a medical armband or medical bracelet and a protective vest when on the open cross country course. 3. Show T-shirt: Commemorative shirts are available by preorder only. NOTE: Shirt order forms and payment must made to Cantering Cajuns Pony Club(see order form). Personal checks will be accepted. Orders must be received by March 1st. There will be a VERY limited number of extra shirts for sale at rally. 4. Ribbons to 6 th place will be awarded in each division. High point awards will be given in the HT and CT divisions. 5. Concession stand will be available in the club house.

3 6. Emergency personnel will be on grounds during all riding phases 7. Longeing will be limited to the open area between the jump arena and show barns. To comply with USPC guidelines, the person longeing must wear a helmet and paddock boots (or similar footwear). 8. USPC events depend on volunteers for success. Since the Cross Country phase needs the greatest number of volunteers, in order for us to hold this phase we will need any adult spectators to volunteer as Cross Country Jump Judges. An orientation meeting will be held Sat evening with time TBA. No prior experience necessary. 9. A coaches meeting will be held Sat AM (Time and location TBA). All Coaches must check in to receive their identification band. HOTEL: A block of 25 rooms has been reserved at Country Inn and Suites, 130 Holiday Blvd, Covington, LA 70433; (985) Available rooms are Standard Double Queen for $95/night plus tax, and Queen private Suite for $115/ night plus tax. The hotel is approximately 30 minutes away from rally grounds. Breakfast is included and will open at 6am. Reservations need to be made by March 1st and you must mention that you are with Deep South Region Pony Club. There are other hotels in this area if you wish to shop around. HOOKUPS: A limited number of spots are available at Lagniappe for $50 for the weekend. There will be spots reserved for rally officials so these spots may not be used. The remainder of the hookup spots are available on a first come basis. Please be prepared to use generator power in case all hookups are taken. Payment for the spot must be made Friday when checking in and all checks need to be written to Lagniappe Equestrian Center. DIRECTIONS TO LAGNIAPPE: Coming from I-12 (east or west): Take Covington/Mandeville exit to US 190 toward Covington. Once through Covington take split to the left onto Hwy 25. Stay on Hwy 25 through Folsom. Once through Folsom you will see Spencer s Feed Store on the left and almost immediately the sign for Lagniappe on the right (white sign with jumping horse). Turn right onto Verger road. Lagniappe is at the end of the road. Coming from I-59: Take Poplarville exit, Hwy 26 west towards Bogalusa. Once through Bogalusa, this hwy will turn into Hwy 10. Stay on Hwy 10 through Franklinton. Once through Franklinton take Hwy 25 south towards Folsom. Before reaching Folsom you will see the sign for Lagniappe (white sign with jumping horse) on your left. Turn left onto Verger road. Lagniappe is at the end of the road. HINT: If you see Spencer s Feed Store on your right you have gone too far. Coming from I-55: Take Amite Exit (Hwy 16). Go east on Hwy 16. Turn right onto Route 450 South. This will dead end at Hwy 25. Turn right onto Hwy 25 towards Folsom. At about 1.5 miles, before reaching Folsom, you will see the sign for Lagniappe (white sign with jumping horse) on your left. Turn left onto Verger road. Lagniappe is at the end of the road. HINT: If you see Spencer s Feed Store on your right you have gone too far. For additional information please contact Lena Coleman ( ; coleman117@cox.net) MAIL ENTRIES TO Lena Coleman Highway 437 Covington, La ALL ENTRIES MUST INCLUDE Competitor entry form (one per horse/rider combination) USPC Activity Release form (one per rider, not required for current USPC members) 12 month negative coggins dated March 19, 2017 or later for each horse entered Payment in full payable to Cantering Cajuns Pony Club Optional: T-shirt order form with payment NOTE: All of the above must be included with each entry or it will be considered an incomplete entry and the LATE fee will apply.

4 Deep South Region Fundraiser Horse Trials Competitor Information Form (one form per competitor) Closing Date: March 1, 2018 NOTE: Entries must be postmarked by March 1st and must be complete. Any entry postmarked after March 1 or is incomplete will be assessed the appropriate late fees. Any entry postmarked after March 5th will be accepted only with prior approval. Any withdrawal will need to be accompanied with either a doctor excuse or vet letter by March 31, With appropriate documentation a refund will be given minus a $25 office fee and any late fees. Please print CLEARLY Competitor s Name Age (if less than 18) Address: Contact Info: Phone Are you a member of USPC : Y N If Yes, which club: If No, a signed USPC Activity Release must be included with entry 12 month negative coggins dated March 19, 2017 or later must be submitted for all horses entered Horse Age Breed Color 2 nd Horse Age Breed Color Coach (if applicable): I would like to be stabled with: LOUISIANA EQUINE/FARM ANIMAL LIABILITY WARNING Under Louisiana 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, pursuant to R.S. 9: Parent Certification (for competitors under the legal age of consent) I/We, the parent(s) of have reviewed the above information and we agree to allow our child to compete in this United States Pony Club Activity in the discipline and at the level as so noted above. Parent/Guardian Signature (Only 1 signature required) Date Parent/Guardian Signature Date I agree to follow the USPC Code of Conduct (to be signed by competitor and parent/guardian) Competitor Date Parent/Guardian Signature Date MAIL ENTRIES TO Cantering Cajuns Pony Club c/o Lena Coleman Hwy. 437 Covington, La ALL CHECKS OR MONEY ORDERS NEED TO BE WRITTEN TO CANTERING CAJUNS PONY CLUB TOTAL PAYMENT SUBMITTED

5 Deep South Region Fundraiser Horse Trials Class Entry Form Use a separate Entry Form for Each Horse/Rider Combination Rider Horse HORSE TRIAL AND COMBINED TEST CLASS LIST Check off Division Entering REGULAR FEE CURRENT USPC MEMBER FEE HT $225 ($215 for a second horse) HT $220. ($210 for second horse) CT $150 ($145 for a second horse) CT $140 ($135 for second horse) Fee 12 HT CT Beginner Novice HT CT 18 HT CT Novice HT CT Introductory (2 ) HT CT Training HT CT Developing (2 3 ) HT CT TOTAL HT/CT ENTRY FEE DRESSAGE ONLY CLASS LIST Check off Test(s) to be Ridden REGULAR FEES CURRENT USPC MEMBER FEES $35 for First test, $30 for subsequent tests $30 for First test, $25 for Subsequent tests (If doing a Dressage Test Only on a horse also entered in a HT or CT division, the Subsequent test fee applies) TOTAL NUMBER OF TESTS TO BE RIDDEN TOTAL DRESSAGE ONLY FEES USEA BN Test A USEA Training Test A Intro A Training Level 3 USEA BN Test B USEA Training Test B Intro B First Level 1 USEA NOV Test A USEA Prelim Test A Intro C First Level 2 USEA NOV Test B USEA Prelim Test B Training Level 1 First Level 3 Training Level 2 Fee Second level and Above (Specify Tests) ADDITIONAL FEES (NOTE: entry fee for HT & CT includes stabling for the weekend and 2 bags of shavings) Fee Overnight Stall ($25/night) Fri Sat Includes 1 bag of shavings night reserved Day Stall ($25/day) Sat Sun Includes 1 bag of shavings per day reserved Weekend Stall (Fri thru Sun) ($45) Includes 2 bags of shavings Extra Shavings ($7.50/bag) Number of bags Tack Stall ($25 for weekend) Grounds Fee (no stall) ($20/day/horse) Sat Sun Schooling Fee for Non-competing Horse ($20/day) Sat Sun Cross Country Schooling Competing horse ($15) Non-competing horse ($25) Late fees TOTAL ADDITIONAL FEES TOTAL FOR THIS ENTRY

6 THE UNITED STATES PONY CLUBS, INC. RELEASE, ASSUMPTION OF RISK, WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT FOR USPC NON-MEMBERS This document waives important legal rights. Read it carefully before signing. I AGREE for myself, and/or my child, my/our administrators and assigns, in consideration for my, and/or my child s, participation in this United States Pony Clubs, Inc. (USPC) activity to the following: I AGREE that I choose to participate voluntarily in an USPC activity, as a rider, driver, handler, lessee, owner, agent, spectator, volunteer, and/or trainer. I am fully aware and acknowledge that horse sports and USPC activities involve inherent dangerous risks of accident, loss, and serious bodily injury including, but not limited to, broken bones, head injuries, trauma, pain, suffering or death ( Harm ). I fully understand that this release covers, but is not limited to, inherent risks of an equine activity which mean a danger or condition that is an integral part of an equine activity, including but not limited to, any of the following: The propensity of an equine to behave in ways that may result in injury, death, or loss to persons on or around the equine; The unpredictability of an equine s reaction to sounds, sudden movement, unfamiliar objects, persons, or other animals; Hazards, including, but not limited to, surface or subsurface conditions; A collision with another equine, another animal, a person, or an object; The potential of an individual during an equine activity to act in a negligent manner that may contribute to injury, death, or loss to the person of the participant or to other persons, including but not limited to, failing to maintain control over an equine or failing to act within the ability of the participant. I Acknowledge that it is my/parent/legal guardian responsibility to ensure that I am/my child is wearing a completed wristband or armband card at this USPC activity. I authorize USPC, it successors or assigns, officials, officers, directors, employees, agents and/or volunteers to obtain and release to any USPC activity personnel (including, but not limited to, organizers, instructors, test examiners, chaperones), and to any first aid and safety personnel, medical professional, and treating medical facility, any information regarding my/my child s medical history, symptoms, treatment, exam results and/or diagnosis contained in the wristband or armband card. Furthermore, I agree and understand that it is my/parental/legal guardian responsibility to ensure that I/my child will not participate in any USPC mounted activities if I/my child have/has had a head injury or other medical condition and have/has been restricted from activity, until such time as the injury or condition is resolved and any activity restriction is lifted. I AGREE to release the USPC, its successors or assigns, officials, officers, directors, employees, agents, personnel, volunteers and affiliated organizations from all claims including, but not limited to, claims for money or property, disability, covenants, actions, suits, causes or action, obligations, debts, costs, expenses, attorneys fees, judgments, orders and liabilities of whatsoever kind or nature in law, equity or otherwise, whether now known or unknown, suspected or unsuspected, and whether concealed or hidden, including but not limited to any state or federal statutory or common law claim or remedy of any kind whatsoever arising out of or in any way connected with any Harm to me or my horse and for any Harm caused by me or my horse to others, even if the Harm resulted, directly or indirectly, from the negligence of the USPC or the USPC activity. I AGREE to expressly assume all risks of Harm to me or my horse, including Harm resulting from the negligence of the USPC or the USPC activity, and specifically agree to the applicable state statute/law regarding equine/farm animal activity liability and signed posting (if any), in any state in which I or my child participates in a USPC activity. While a list of state statues and select portions of those statues believed to be in effect at the time of the execution of this agreement is attached hereto, I AGREE to locate, review and understand the full applicable state statutes in place in my jurisdiction. I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) the USPC and the USPC activity 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 in the USPC activity. I AGREE that neither I, nor any one claiming through me, will hereafter bring, commence, prosecute or maintain, or cause or permit to be brought, commenced, prosecuted or maintained, any suit or action, either at law or in equity, in any court in the United States or in any state thereof, or elsewhere, against the USPC, its successors or assigns, for, on account of, arising out of, or in any way connected with any Harm to me or my horse, and that neither I, nor any one claiming though me, will enforce, prosecute, or recover upon, or attempt to enforce, prosecute, or recover upon, any claim or right of action whatsoever, which I, or any one claiming though me, may now have or hereafter assert, in any way connected with claims for Harm to me or my horse, and for claims made by others for any Harms caused by me or my horse at the USPC activity. I AGREE this Agreement is the entire agreement of the parties, and supersedes all prior oral and written understandings and agreements. This Agreement may be modified only by a written amendment signed by both parties. I AGREE that if any provision of the Agreement is found to be invalid or illegal by a court of competent jurisdiction, the remaining provisions shall be construed as if the affected provision had not been included in order to effectuate the intent of the parties. In the event this form is signed by the parent/guardian of a minor, then all representations and acknowledgements herein are expressly made by, for, and on behalf of the parent/guardian and minor. By signing below, I AGREE to be bound by all applicable USPC rules and all terms and provisions of the USPC activity. I acknowledge that I enter into this release after having read the same, and place my signature hereto of my own free voluntary act and deed. By signing below, I represent to the USPC that I fully understand its contents that I do not need any further explanation, and I waive any further explanation. I have read and AGREE to abide be the above. REQUIRED all signatures must be originals, not photocopies. OR Original Signature of Participant Date Original Signature of Applicant s Parent(s) or Legal Guardian(s) Date Required if applicant is of the age of majority in their state of residence. Required if applicant is under the age of majority in their state of residence. Revised 08/2017

7 2018 EVENTING RALLY/FUNDRAISER HT T-SHIRT ORDER FORM Please mail this form along with payment to the following address (checks written to Cantering Cajuns) Cantering Cajuns C/O Lena Coleman Highway 437 Covington, La Name: Club: SIZE QUANTITY PRICE AMOUNT Youth XS $20.00 Youth SM $20.00 Youth MED $20.00 Youth LG $20.00 Adult SM $20.00 Adult MED $20.00 Adult L $20.00 Adult XL $20.00 TOTAL Attach payment to this form (Personal checks accepted) All T-Shirt orders must be received by the closing date, March 1st A very limited number of shirts will be available for sale