Open Date: June 20, 2015 USEF Level 3 Competitions Closing Date: Entries in Secretary s Hand: Aug 5,2015

Transcription

1 Open Date: June 20, 2015 USEF Level 3 Competitions Closing Date: Entries in Secretary s Hand: Aug 5,2015 Friday, August 21, 2015 Ole South Dressage PRELUDE USEF/USDF # , AQHA Approved Miller Coliseum, 304 W. Thompson Ln Murfreesboro TN Ole South PRELUDE and Ole South CLASSIC" are two separate Dressage shows. Each show must have its own separate Entry Form & Documents Licensee: Central Tennessee Dressage Assoc. President: Jennifer Thompson Official Prize List Show Website: August 22-23, 2015 Ole South Dressage CLASSIC USEF/USDF # AQHA Approved Great American/USDF 2015 Regional Qualifiers USDF/Dover Adult Amateur Medal Program, AQHA Approved Official USDF Region 3 Youth Regional Team Competition National Dressage Pony Cup 2015 Partner Show Sponsored by Flint Ridge Farm Jockey Club Thoroughbred Incentive Program Licensee: Central Tennessee Dressage Assoc. President: Jennifer Thompson PRIZE LIST Show Website: *********************************************************** Entry Secretary: Sandy Donovan PO Box 980 Southern Pines, NC (M) sandydonovan@gmail.com Manager/Safety Officer: Sandy Donovan Co-Manager: Mary Cokeing Secretary: P. Gaboury TD: Susan Moran (R-KY) Judges Sarah Geike (S-CT) Tami Batts (S-NC) Veterinarian: On Call. Tennessee Equine Farrier: Leslie Jones/ Nightwatch / Braiding: Amy Sturzzieri brookesedge@aol.com

2 FRI SAT SUN CLASS USDF Intro Test A USDF Intro Test B USDF Intro Test C Training Level Test Training Level Test Training Level Test 3-Q First Level Test First Level Test First Level Test 3 Q Second Level Test Second Level Test Second Level Test 3 Q (#123 & 223 are USDF/Dover Medal AA Classes) Third Level Test Third Level Test Third Level Test 3- Q Fourth Level Test Fourth Level Test Fourth LevelTest 3 - Q Prix St.Georges - Q Intermediare I - Q FEI Intermediare II,- Q Grand Prix Q FEI TOC Intermediare A or B, GPS Opportunity Classes Friday 101N Training 1 Opportunity 103N Training 3 Opportunity Saturday 202N Training 2 Opportunity 203N Training 3 Opportunity Sunday 301N Training 1 Opportunity 303N Training 3 Opportunity Opportunity Classes: These classes are exempt from required USEF and USDF fees for horse, rider, trainer, etc. Entries inopportunity classes may ONLY cross enter into Introductory classes USEF/FEI TOC- Young Horses USEF Developing Horse Test: 7-9 Yr Olds USDF MFS Test of Choice, Q (Training MFS is NOT a Q Test) FEI Freestyle Test of Choice, Q ( state level on entry) TOC: USDF Pas de Deux (state level on entries) FEI Test of Choice - Open, Q (Only tests not listed elsewhere in prize list) TOC Intro 4th Level PONY CLASS (state level on entry) (Class 281 is National Dressage Pony Cup Ribbon Class) Dressage Seat Equitation (Jr/YR) Dressage Seat Equitation (AA) Materiale Three-yr old Fillies Materiale Three-yr old Colts and Geldings Materiale Four and Five-yr old Mares Materiale Four and Five-yr old Stallions and Geldings Q=Qualifying class for GAIG/USDF Regional Dressage Championship; add $10 or will be considered open. O=OPEN Jr/YR= Juniors and Young Riders Only. Must list birth date on Entry. AA = Adult Amateur: enclose copy of USEF Amateur card with entry. TOC: State test on entry. DSE = Dressage Seat Equitation. Classes will be pinned as: Open, JR/YR and AA Management reserves the right to split or combine classes as entries warrant. All entries are processed on a first come first served basis.

3 FEES : August 21,22,23, 2015 Open Show Class Fees Introductory Level Classes & DSE & Materiale $35 Training through Fourth Level Classes $45 FEI classes & Freestyles $55 USDF Pas de Deux (each entry) $25 Miscellaneous Fees Office Fee (Per show) $35 GAIG Qualifying add $10 USEF Fee per horse $16/horse (D&M $7, USEF $9) USEF Show Pass non-member fee $30 USDF non-member fee $25 USDF Affidavit Fee $ 5 Late fee (for entries RECEIVED after Aug 6) $25 Non-Competing Horse Fee $25. Parking Fee (Required for non-stabled horses) $25/horse/day Camper hook-up per night $35/night Post entry fee per class $10/class STABLING: If attending BOTH SHOWS please include ALL STALL INFO on your Entry for for Ole South Dressage (Saturday/Sunday) Additional Bedding (shavings) $ 8/bag (pre-order for early delivery) Stall/night (All stalls include 1 bag initial bedding) $50 Stall / 2 night weekend $100 Stall / 3 nights $150 Tack Stall / night (no bedding) $ 40/night LEVELS: Intro - Grand Prix. All tests will be current editions. AWARDS: Awards (in classes of 3 or more) and six ribbons. High Score for each Level and Division, Intro through 4th. High Score FEI for each Division (AA. Open, Jr/YR.) (Does not include Freestyle, YH or Opportunity at any Level.) Several awards have been applied for. Check for final list. Be sure to enclose your registry papers with your entry. National Dressage Pony Cup Awards sponsored by Flint Ridge Farm will be presented for scores earned in Saturday class #281. PONY MEASUREMENT: Measurement of ponies will be conducted by appointment at the show. All expenses related to the measurement will be the responsibility of the owner of the pony or ponies up to $ Contact the Show Manager if you want to arrange to have a pony measured. Only measured ponies may participate in Pony Classes. Expenses may include vet travel time and trip fees, and any other expenses not normally

4 associated with a dressage show. The Jockey Club Thoroughbred Incentive Program (T.I.P.) is offering ribbons and prizes to the high score Thoroughbred at each level in the CLASSIC show (Saturday Classes). Eligible horses must provide T.I.P. numbers to event organizer with entry. For more information, visit ENTRIES: Freestyle entries must be accompanied by a photocopy of test verifying eligibility (minimum requirement 60% at the highest test of a declared level from an USEF show or any test of a higher level). Freestyle music must be given to the announcer at least four hours before the scheduled ride time. Coordinate a sound check time with the announcer. Juniors please list your birth date. State qualifying where applicable. GAIG/USDF qualifying entries must include copy of USEF and USDF horse registration cards. State level on Test of Choice classes. Riders who are not US citizens please include a copy of foreign competitors license or USEF Card. GUEST HORSE: Non Competing horses are welcome. Send a completed entry form with a $25 user fee plus the $25 Office fee. Submit a current Coggins with entry and pay either stabling or day parking. Competing horses will take preference over guests if warm up areas are crowded. Make check payable to CTDA and mail with entry, USDF/USEF documents and copy of negative Coggins to Secretary. Entries must be received by the closing date. (Waive signature requirements for receipt). Entries received after closing date will be placed on a waiting list. Returned check policy: Void entry and incur a $25 charge. Entries placed on a waiting list until a money order, certified check or cash is received. ON LINE ENTRIES: is the website for online entries to this show. It is also the source for legible, "mistake proof typed entries even if you do not choose to pay by credit card through them. Fees for online entries are 5% of entry. Or you can print the information and send with a check to the show secretary. Refunds: Before closing date full refund, less office fee. No refunds after closing date, including cancellation of classes due to inclement weather. Tennessee law requires the original negative Coggins (drawn within 12 months of the show) be presented to the show secretary when picking up competition packets. EVERY CLASS OFFERED HEREIN WHICH IS COVERED BY THE RULES AND REGULATIONS OF THE CURRENT FEDERATON RULE BOOK WILL BE CONDUCTED AND JUDGED IN ACCORDANCE THEREWITH. EACH ENTRY MUST include all required documentation. For on line entries follow the instructions. is an excellent site to print USEF / USDF card copies for horses, riders and owners all on one page...no photocopying necessary. For full details of entry requirements consult the USDF guidelines at: An excellent site to print USEF / USDF card copies for horses, riders and owners all on one page Go to: STABLING: If you are coming to both parts of the show please note on both entry forms, but pay on CLASSIC Entry Form. Permanent 10 X 10 stalls, with sliding doors.. Barns have wash racks, modern bathrooms/showers, vending areas.

5 Pre Order extra shavings to have them available for your arrival. For Groups: Specify ONE name to coordinate the group. TIMES: Official times available Thursday, noon at show office. Unofficial times posted Monday night before show at Entry acknowledgements will be ed. Please include LEGIBLE addresses and telephone number on entry form. ACCOMODATIONS: Baymont Suites Host Hotel. Breakfast included. Inquire early for best rate. Check availability with other national chains. Days Inn, Clarion Inn, Doubletree Inn, Hampton, etc. National Dressage Pony Cup Awards will be presented for scores earned in Saturday class #281. PONY MEASUREMENT: Measurement of ponies will be conducted by appointment at the show. All expenses related to the measurement will be the responsibility of the owner of the pony or ponies up to $ Contact the Show Manager if you want to arrange to have a pony measured.. Expenses may include vet travel time and trip fees, rental of an Approved Measuring Stick, and any other expenses not normally encountered at a recognized horse show. DIRECTIONS: From Nashville or Chattanooga: I-24 to exit 78B (Highway 96) toward Murfreesboro. At the first traffic light, turn left on Thompsons Lane. Go 5.7 miles to entrance on left. From Franklin: I-65 S. to I-840 E. Get off oat Exit 55A - Murfreesboro, Hwy 41/Hwy 70S. Go 2 miles to Thompsons Lane and turn left. Go 3.8 miles to Miller Col on left. ARENAS: Air conditioned Indoor arena. Competition: 20 X 60 meters, two indoor, (side by side) one outdoor. Warm-up: One covered one outdoor, separate area for lunging. All outdoor rings are sand/quarter down mix. Indoor rings are clay/sand mix with coliseum seating. All arenas are open for schooling from Thursday noon until 8:00 pm. On Friday and Saturday from end of competition until 8:00 pm. Warm up arenas are open for schooling any time. HOSPITALITY: Concessions available on grounds. OTHER. See USEF Rule for head gear details. Entries accepted on a first come, first served basis. Management reserves the right to combine or divide classes, add or substitute judges or make any changes as required by circumstances. OPPORTUNITY CLASSES: These classes are exempt from required USEF and USDF fees for horse, rider, trainer, etc. Entries in opportunity classes may ONLY cross enter into Introductory classes. All dogs must be leashed, no dogs allowed in coliseum. Youth Regional Team Competition Rules A Rider may compete as a Junior/Young Rider until the end of the calendar year in which they reach the age of 21. The USDF Youth Regional Team Competition is a unique show for Youth, featuring team competition in dressage, educational programs, team medals and mounted awards ceremony. The United States Dressage Federation (USDF) is sponsoring a competition in each region so young riders everywhere can join in the fun! There are no qualifying scores needed to enter. A team can be 3 or 4 riders. You may enter as part of a team or as an individual, and be put on a scratch team. A

6 team may represent a dressage club, farm, barn, instructor, Pony Club, 4-H club, any youth riding club, or be a group of individuals. Any individual or partial team needing team members is encouraged to send in their entry and a mixed team will be formed. To enter, send in the Team Competition Entry Blank. See or contact the secretary for a form...or fill one out at check in at the show. RULES: On the day of the Youth Regional Team competition while on the grounds (including the stabling area) the horse or pony may only be ridden by the Youth Rider that will be competing on that horse or pony. If the Team Competition is held in conjunction with an open competition, then on the day of the day of the Youth Team Competition the horse or pony may only be ridden by the Youth Rider competing it in the team competition. One whip is allowed and must be in accordance with the USEF whip rules. Horses and ponies are to be braided Parents are encouraged to participate. Awards Ceremony: Riders will be expected to be dressed in riding clothes and mounted for the awards ceremony. TESTS: Each competitor will ride two tests in their division. Riders competing in FEI divisions will only ride one test. All tests used will be current issue. TEAM NAMES : Have fun with this! Some examples are: Pony Power; Wild Things... AWARDS: USDF rider team medals on neck ribbons will be awarded for first through sixth place in each division. Standings will be determined by the average of each team s total score. Any division with more than six teams will be split. USDF Rosettes will be awarded to the Individual High Score Champion in each division. Riders will be expected to be dressed in riding clothes and mounted for the awards ceremony. USDF Shining Star pins will be awarded to recognize outstanding sportsmanship amongst USDF Youth Members (see USDF Shining Star Award nomination form for further details). SCORING: All scores from each team will be counted. No scores will be dropped. Total points from each team member will be added and averaged for team score. Three and four member teams may be in the same division. IMPORTANT INFORMATION: There will be a team meeting on Friday evening (early) Details will be posted. All team competition will all take place on Saturday, There is no fee to compete on a team. In addition to your normal entry form, please submit a note indicating your intention to be on a team specifying the classes to include in team competition. Include team name and names of other members. If you want to be assigned to a team please indicate. We encourage all eligible competitors to join a team and join in the fun. If you need additional members to fill out your team we will arrange it as possible. Team Competition forms will be finalized at the Friday Meeting. Scores will posted in the secretary s office. Please check them early and often to see how your team progresses! MOUNTED AWARDS ceremony will be held Saturday evening.

7 Federation Entry Agreement I have read the United States Equestrian Federation, Inc. (the Federation ) Entry Agreement (GR906.4) as printed in the Prize Lists for Ole South Dressage and PRELUDE 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 ENTRY AGREEMENT By entering a Federation-licensed Competition and signing this entry blank as the Owner, Lessee, Trainer, Manager, Agent, Coach, Driver, Rider, Handler, Vaulter or Longeur and on behalf of myself and my principals, representatives, employees and agents, I agree that I am subject to the Bylaws and Rules of The United States Equestrian Federation, Inc. (the Federation ) and the local rules of the competition. I agree to be bound by the Bylaws and Rules of the Federation and of the competition. I will accept as final the decision of the Hearing Committee on any question arising under the Rules, and agree to release and hold harmless the competition, the Federation, their officials, directors and employees for any action taken under the Rules. I represent that I am eligible to enter and/or participate under the Rules, and every horse I am entering is eligible as entered. I also agree that as a condition of and in consideration of acceptance of entry, the Federation and/or the Competition may use or assign photographs, videos, audios, cablecasts, broadcasts, internet, film, new media or other likenesses of me and my horse taken during the course of the competition for the promotion, coverage or benefit of the competition, sport, or the Federation. Those likenesses shall not be used to advertise a product and they may not be used in such a way as to jeopardize amateur status. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation. The construction and application of Federation rules are governed by the laws of the State of New York, and any action instituted against the Federation must be filed in New York State. See GR908.4.

8 USEF 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. GOLF CARTS AND ANY MOTORIZED VEHICLE STATEMENT: All golf carts and motorized vehicles on the show grounds must be driven only by those having a valid state driver s license. All liability associated with any motorized vehicles is owned by the motorized vehicle driver, owner and lessee. 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) from the competition grounds for the remainder of the competition and charges being filed against of the above in accordance with Rule 6. Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this rule. USEF Article GR ENTRY FORMS: Entry forms are available on or or on the last pages of this document.

9 2015 Great American Insurance Group/USDF Regional Dressage Championships A single Regional Dressage Championship program organized by the United States Dressage Federation (USDF), 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 USDF website at Please refer to the 2015 USDF Member Guide for the comprehensive list of rules and requirements for this program. Membership/Registration Requirements for Qualifying and Championships Rider: 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. Horse: Must have a USDF Lifetime Horse Registration (LTR) 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. USDF 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. Owner: 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: OPEN AA JR/YR Training Level (Test 3) 68% 63% 63% First Level (Test 3) 66% 62% 62% Second Level (Test 3) 64% 61% 61% Third Level (Test 3) 62% 60% 60% Fourth Level (Test 3) 62% 60% 60% FEI Junior (Team Test) 60% FEI Young Rider (Team Test) 60% Prix St. Georges 60% 60% 60% Intermediate I 60% 60% 60% Intermediate II 60% 60% 60% Grand Prix 60% 60% 60% FREESTYLE OPEN AA JR/YR First Level 63% Second Level 63% Third Level 63% Fourth Level 63% Intermediate I 63% Grand Prix 63% Rev Aug 2014

10 2015 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 Saddlery 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. 7/30/2014

11 Ole South PRELUDE & Ole South CLASSIC Level 3 USEF/USDF #

12 USDF Membership Benefits: USDF is dedicated to education, the recognition of achievement, and promotion of dressage. For details on member benefits, including educational programs, awards, and other opportunities, refer to the USDF Member Guide or the USDF website at This competition is recognized by USDF for 2015 Membership Requirements for USEF-licensed/USDF-recognized Competitions: Owners and riders, including foreign riders and owners who are not residents of the US, wishing to participate in a USEF-licensed/USDF-recognized competition as a rider or owner/lessee, must have either a USDF Group Membership, Participating Membership (PM), or have a USDF Non-Member (NM) identification number and pay the USDF NM fee. (Note: USDF business members can own horses but cannot compete as riders with their USDF BM.) Individuals cannot compete at a USEFlicensed/USDF-recognized competition with a USDF Education Membership. Horses competing at USEF-licensed/USDF-recognized competitions must have either a USDF Horse Identification (HID) number or a USDF Lifetime Horse Registration (LHR). Proper credentials or verification certificates must be presented to the competition secretary. Riders and owners wishing to participate in a USEF-licensed/USDF-recognized competition, and not able to present the competition secretary with verification of a USDF membership or NM identification, and USDF LHR or USDF HID, must complete a USDF Competition Affidavit Form and pay the $5 affidavit filing fee. A copy of a completed affidavit form from another competition may also be used for verification purposes for up to 60 days. (Exception: Affidavits cannot be used at Great American Insurance Group/USDF Regional Dressage Championships.) Exceptions: Horses competing only in Individual Breed Classes (IBCs) at DSHB competitions, sires and dams of horses in DSHB group classes, where those sires or dams are not actually competing in the same competition, horses competing only in breed restricted dressage or DSHB classes at Regular Competitions (e.g. all Arabian, all Friesian, or all Morgan classes), or in USDF Introductory Level tests, pas de deux, quadrille, FEI Para-Equestrian classes, are exempt from this requirement. Also exempt are horses ridden in leadline, exhibitions, games and races, classes for 4-H members, walk-trot, academy and opportunity classes. Riders and owners/lessees competing only in classes which are exempt from the USDF HID requirements are also exempt from the USDF NM identification number and NM fee requirements. Also exempt are handlers of horses competing in DSHB In-Hand or Group classes. Memberships Defined Participating Membership (PM): A membership issued to an individual directly by USDF. The membership year is December 1 through November 30. PMs are available for 1-year ($75), 5-years ($300), or life ($1,500). A USDF Youth Participating Membership (YPM) is available for individuals who have not reached their 21 st birthday by December 1 of the current membership year ($60). A PM allows the member to compete at USEF-licensed/USDF-recognized competitions and to participate as a rider and/or owner/lessee for all Adequan /USDF Year-End Awards, Great American Insurance Group/USDF Breeders Championship Series Finals and the Great American Insurance Group/USDF Regional Dressage Championship program. Group Membership (GM): A membership issued to an individual by USDF when the member name and dues are submitted to USDF through an affiliate Group Member Organization (GMO). The GM year begins December 1 and ends November 30. A GM allows the member to compete at USEF-licensed/USDF-recognized competitions and participate in the USDF Rider Awards program. Business Membership (BM): A membership that runs December 1 through November 30 and is issued to a business or organization directly by USDF. The USDF BM ($200) offers a wider variety of advertising benefits. BMs satisfy requirements of horse ownership only. Education Membership (EM): A membership issued to an individual directly by USDF. This online education only membership expires 12 months after the date joined. This membership type does NOT allow an individual to compete at a USEF-licensed/USDF-recognized competition. Non-Member (NM) Identification Number: For each USDF NM owner/lessee and USDF NM rider there will be a USDF NM fee of $25 per competition that must be collected by the show secretary and submitted to USDF, along with the USDF Report of Fees document and the $5 affidavit fee and Competition Affidavit Form if the person cannot provide a copy of their USDF NM card. Owners/lessees or riders exempt from the NM number requirements are also exempt from paying the USDF NM fee. If there are multiple owners of a horse and all are NMs, only one of the owners must pay the NM fee. If the horse has at least one owner who is a current USDF PM, GM, or BM there is no NM fee assessed. Competition management will be invoiced for all applicable USDF NM fees not received with the USDF post competition paperwork, along with a report listing all USDF NMs. Competition management is then required to submit the NM fees within 30 days to the USDF. An individual with a USDF NM identification number is not eligible for any USDF membership benefits. Once a USDF NM number has been assigned, a USDF NM card can be obtained from the USDF website. Horse Identification (HID) Number: A one-time tracking number for horses ($25). Scores earned by a horse with an HID number will be recorded, but will NOT be counted towards Adequan /USDF Year-End Awards. A horse with an HID number is not eligible to compete in Great American Insurance Group/USDF Regional qualifying or championship classes or Great American Insurance Group/USDF Breeders Championship Series Finals. An HID number can be upgraded to a Lifetime Horse Registration (LHR) for a fee of $70. If a horse has a USDF LHR it does not need an HID number. An HID number is a one-time fee that does not need to be renewed. Lifetime Horse Registration (LHR): A horse with an LHR ($95) is eligible for Adequan /USDF Year-End Awards, and eligible to compete at Great American Insurance Group/USDF Breeders Championship Series Finals and Great American Insurance Group/USDF Regional qualifying and championship classes, assuming requirements for the owner and rider are met. If a horse has an LHR it does not need an HID number. An LHR does not need to be renewed. How to Join USDF Applications for USDF Participating Membership (PM), Business Membership (BM), Horse Identification (HID) number, and Lifetime Horse Registration (LHR) may be found in the following locations: On the USDF website: You can submit the application online or download the form and fax or mail it to the USDF office. In the show office at USEF-licensed/USDF-recognized competitions classified by USEF as Dressage Competitions, and Regular Competitions which are open to all breeds. By calling or writing the USDF office at (859) , 4051 Iron Works Parkway, Lexington, KY The effective date of membership is the date the form and correct fees are received in the USDF office or, if applying at a competition, the date accepted by the competition secretary, provided the application is signed and dated by the competition secretary, member, and/or horse owner on that same day. 07/14

13 2015 Dressage Show Entry Form ONLY one Horse/Rider-Handler per form. Fill out form COMPLETELY all blanks should be filled in use n/a if something does not apply to you. CHECK PRIZELIST/USEF RULEBOOK/ Show Name: Show Date(s): Required Horse Information: Check # Check Amt Horse Name: USEF# Status: USDF# Type: Date Of Coggins: Breed: Sex: Ht: Color: Year Foaled: Sire: Dam: Breeder: Office Use Only Local GMO # Country where Bred: Check Required Rider/Handler Information: One: Name: USEF# USDF# Type: AA Address: Phone: Day Class # Classes DOB if Jr/YR: Cell: Class Name (& Test if TOC) Also indicate any qualifying status (other than GAIG/USDF) with class name GAIG Q (+$10) JR YR Open Class Fee Required Owner Information: Name: USEF# USDF# Type: Address: Required Trainer Information (Adult responsible for Horse at Show) Name: USEF# Address: # Stabling/Day Park/Camping $ All Fees: $ Regular Stall Total Class Fees plus Q Fees: Tack Stall Total Stabling & Camping Fees: Day Parking # of days Office Fee Required per Entry: $35.00 Extra Nights Stabling # of nights USEF Fee Required per Horse (D&M=$8+USEF=$8): $16.00 Other Stable (if offered paddock, etc.) USEF Show Pass ($30) see Rules/Prizelist: State Type of Other stabling: USDF n/m Fee ($25/participant) see Rules/Prizelist: Camping: # hookups # nights Rig Size: Amp. needed: Description of Other Fee(s) if included: Office Use Extra Bedding: (Pay with Entry) Total Fees Enclosed: Stable With (ONE name for group):

14 2015 Dressage Show Entry Form Page 2 REQUIRED FOR ALL ENTRIES Horse: Rider: Owner: Trainer: Emergency Contact Rider Arrival Day/Time: Staying at: Emergency Contact HORSE: Special Requests: Under NC,VA,SC,GA AL and TN 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 exclusively from the inherent risks of equine activities. (N.C. Gen. Stat. 99E-1-3, VA Code Ann , S.C. Code Ann , 12-4, GA Code Ann, Code of Ala (1994) and Tenn. Code Ann respectively). United States Equestrian Federation, Inc. Entry Agreement FEDERATION ENTRY AGREEMENT By entering a Federation-licensed Competition and signing this entry blank as the Owner, Lessee, Trainer, Manager, Agent, Coach, Driver, Rider, Handler, Vaulter or Longeur and on behalf of myself and my principals, representatives, employees and agents, I agree that I am subject to the Bylaws and Rules of The United States Equestrian Federation, Inc. (the Federation ) and the local rules of Ole South Dressage Classic and PRELUDE. I agree to be bound by the Bylaws and Rules of the Federation and of the competition. I will accept as final the decision of the Hearing Committee on any question arising under the Rules, and agree to release and hold harmless the competition, the Federation, their officials, directors and employees for any action taken under the Rules. I represent that I am eligible to enter and/or participate under the Rules, and every horse I am entering is eligible as entered. I also agree that as a condition of and in consideration of acceptance of entry, the Federation and/or the Competition may use or assign photographs, videos, audios, cable - casts, broadcasts, internet, film, new media or other likenesses of me and my horse taken during the course of the competition for the promotion, coverage or benefit of the competition, sport, or the Federation. Those likenesses shall not be used to advertise a product and they may not be used in such a way as to jeopardize amateur status. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation. The construction and application of Federation rules are governed by the laws of the State of New York, and any action instituted against the Federation must be filed in New York State. See GR 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 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. BOD 1/23/11 Effective 12/1/11 Parent/Guardian Signature (REQUIRED if Rider/Handler is a minor): Parent/Guardian PRINT NAME and Phone Number: Rider/Handler (Mandatory) Owner/Agent (Mandatory) Trainer (Mandatory - Adult) Coach (If Applicable) USEF # USEF # USEF # USEF # Sign: Sign: Sign: Sign: Print: Print: Print: Print: Rider/Handler US Citizen? Yes No No entry is valid without original signatures from the above individuals; writing same is not acceptable. Trainer signature: MUST be from Adult; Parent/Legal Guardian may sign for child under child s USEF membership.