Competition #: , Licensee #: Closing Date: Jan 20, 2018

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1 Competition #: , Licensee #: Closing Date: Jan 20, 2018 Is Proud to Present: 34 Years of Dressage and Welcome Back to White Fences I & II Friday - Saturday & Sunday Feb 2-3 & 4, Separate USEF Level 2 Competitions: GAIG/USDF Qualifying Intro-Grand Prix, Freestyles, Para-Equestrian, Junior, Young Rider, Young Horse Manager: Adam Pollak WhiteFencesFL@gmail.com Judges: TBA TD: TBA Entry Secretary: Adam Pollak WhiteFencesFL@gmail.com Show Secretary: Adam Pollak Entry Address: 3978 Hanover Cir Loxahatchee, FL WhiteFencesFL@gmail.com Fax Breakfast, lunch, and beverages will be provided free of charge to all. Haul-in/walk-in charge complimentary of show grounds. These are 2 separate shows. WBTWF I is Fri Sat WBTWF II is Sunday Entering each shows requires a separate and complete entry form with all associated office, USEF, and non-member fees. Stabling, non-compete, and late fees cover entire weekend. We are pleased to announce Miller and Associates as our official Show Vet. Contact them for any vaccination, Coggins, or other veterinary needs

2 WBTWF I is January 2-3, 2018 Friday and Saturday WBTWF II is January 4, 2018 Sunday Each show requires a separate and complete entry Level 2 Classes Open classes are open to Open, AA, and Jr/YR Classes will be split by rider status (Open, AA, Jr/YR) when entries warrant Class List Q: GAIG/USDF Qualifying Most classes offered both days. Use appropriate suffix (T-3 Sat or 1-2 Sun) Use TOC classes for 2 nd ride of same test on same day InA Fri / Sat / Sun Intro Level Test A Open $50 InB Fri / Sat / Sun Intro Level Test B Open $50 InC Fri / Sat / Sun Intro Level Test C Open $50 T-1 Fri / Sat / Sun Training Level Test 1 Open $65 T-2 Fri / Sat / Sun Training Level Test 2 Open $65 T-3 Fri / Sat / Sun Training Level Test 3 Open, Q $65 ($80) 1-1 Fri / Sat / Sun First Level Test 1 Open $ Fri / Sat / Sun First Level Test 2 Open $ Fri / Sat / Sun First Level Test 3 Open, Q $65 ($80) 2-1 Fri / Sat / Sun Second Level Test 1 Open $ Fri / Sat / Sun Second Level Test 2 Open $ Fri / Sat / Sun Second Level Test 3 Open, Q $65 ($80) 3-1 Fri / Sat / Sun Third Level Test 1 Open $ Fri / Sat / Sun Third Level Test 2 Open $ Fri / Sat / Sun Third Level Test 3 Open, Q $65 ($80) 4-1 Fri / Sat / Sun Fourth Level Test 1 Open $ Fri / Sat / Sun Fourth Level Test 2 Open $ Fri / Sat / Sun Fourth Level Test 3 Open, Q $65 ($80) EF-TOC Fri / Sat / Sun T, 1 st, 2 nd, 3 rd, 4 th Level TOC (2 nd ride) Open, Q $65 ($80) PSG Fri / Sat / Sun Prix St. George Open, Q $75 ($90) I-1 Fri / Sat / Sun Intermediare I Open, Q $75 ($90) I-2 Fri / Sat / Sun Intermediare II / A / B TOC Open, Q (I-2) $75 ($90) GP Fri / Sat / Sun Grand Prix Open, Q $75 ($90) GPS Fri / Sat / Sun Grand Prix Special Open $75 YR Fri / Sat / Sun FEI Young Rider TOC YR, Q (team) $75 ($90) JR Fri / Sat / Sun FEI Junior Rider TOC JR, Q (team) $75 ($90) YH Fri / Sat / Sun 4, 5, 6-YR TOC (specify year & prelim or final) Open $75 DFF Fri / Sat / Sun USDF Freestyle TOC (T, 1, 2, 3, 4) Open, Q (no T Q) $75 ($90) FEIF Fri / Sat / Sun FEI Freestyle TOC (I-1, I-A/B, GP) Open, Q $75 ($90) PE-S Fri / Sat / Sun Para-Equestrian TOC 20x40 arena Open $75 PE-L Fri / Sat / Sun Para-Equestrian TOC 20x60 arena Open $75 PEF-S Fri / Sat / Sun Para-Equestrian FS TOC 20x40 arena Open $75 PEF-L Fri / Sat / Sun Para-Equestrian FS TOC 20x60 arena Open $75

3 DH Fri / Sat / Sun Developing Horse (PSG or GP) Open $75 PAS Fri / Sat / Sun Pas de Deux (per horse) Open $40 QUAD Fri / Sat / Sun Quadrille (per horse) Open $20 F-TOC Fri / Sat / Sun FEI TOC can use for unlisted classes or 2 nd ride Open, Q $65 ($80) MATM Fri / Sat / Sun USDF 3/4/5 yr Materiale Colt Gldg Stal Open $40 MATF Fri / Sat / Sun USDF 3/4/5 yr Materiale Mare / Fillies Open $40 DSE Fri / Sat / Sun Dressage Seat Equitation Open $30 RDR Fri / Sat / Sun USDF Rider Test TOC $30 National Dressage Pony Cup Qualifying Classes Pony-EF Fri/Sat/Sun USEF TOC (Ponies Only) Open, Q $65 ($80) Pony-FEI Fri/Sat/Sun FEI TOC (Ponies Only) Open, Q $75 ($90) Opportunity Classes We have raised the fees on the classes, as riders were entering opportunity then scratching as a cheaper non-compete. No USDF or USEF memberships required by owner, rider, or horse. Scores do not count. No ribbons. No prizes T-1X Fri / Sat Training Level Test 1 Sunday $50 T-2X Sat/ Sun Training Level Test 2 Saturday $50 T-3X Fri / Sun Training Level Test 3 Saturday or Sunday $50 1-1X Fri / Sat First Level Test 1 Sunday $50 1-2X Sat / Sun First Level Test 2 Saturday $50 1-3X Fri / Sun First Level Test 3 Saturday or Sunday $50 Eventing Dressage Tests Specify Fri, Sat, or Sun EB A/B Fri / Sat / Sun Beginner Novice A/B $35 EN A/B Fri / Sat / Sun Novice A/B $45 ET A/B Fri / Sat / Sun Training A/B $45 EP A/B/C Fri / Sat / Sun Preliminary A/B/C $55 EI A/B Fri / Sat / Sun Intermediate A/B $55 EA A/B Fri / Sat / Sun Advanced A/B $55 ET3 Fri / Sat / Sun Training 3-Day Event $55 EP3 Fri / Sat / Sun Prelim 3-Day Event $55 E1S A/B Fri / Sat / Sun FEI One Star Test A/B $65 E2S A/B Fri / Sat / Sun FEI Two Star Test A/B $65 E3S A/B Fri / Sat / Sun FEI Three Star Test A/B $65 E4S A/B Fri / Sat / Sun FEI Four Star Test A/B $65

4 Entry Fees: Office Fee (Mandatory) $45 (see #15) USEF/Drug Fee $23 (not needed for non-competing, Exhibition, or Opportunity) USDF Qualifying Classes + $15 (see #14) Non-competing Horse $50 + Office (see #12) Limited number allowed Late-Entry Fee $10 per day up to $100 see below Stall Fee $225 (Thurs-Sun) (includes clean out) (see #5) Limited stalls Double Stall $325 (Thurs-Sun) (includes clean out) Bedding $10/bag (not available for purchase at show- only preorder) Haul-in/Walk-in Complimentary of Showgrounds USEF Show Pass Fee $45 (required for each owner, rider, and trainer non-member) USEF Show Pass Fee Form Required Also USDF Non-member Fee $35 (required for each owner and rider non-member...no form) USDF Affidavit Fee $5 (with form for incomplete documentation) Credit Card Fee $5 extra per class for paper/faxed/ entries (this covers our direct processing costs) Non-Competes All non-competes enter WBTWF I Stabling Information Stabling fee covers the entire weekend. If entering online, all stabling needs to be done through WBTWF I Late Fee Information Entries must be postmarked, ed, faxed, submitted online, or dropped off by 11:59 pm Jan 20 th to be on-time. The submission date of an entry is valid when the entry contains sufficient horse, rider, owner, and trainer information, membership verifications, signatures, and payment. An with what classes you want and CC info is not valid. A postmark is the date stamped on the envelope, not the day it was placed in a mailbox. Each day late after Jan 20 th will incur a $10 late fee per day, up to $100 maximum late fee. For paper entries, add the appropriate fee. For online entries, the first day's late fee (Jan 21 st, $10) will be automatically added after the closing date (Jan 20 th ). For any day past Jan 21 st, you must add the custom Late Fee x the quantity of days late. If you enter Jan 26 th, you are 6 days late. The first day is added automatically; you need to add 5 additional late fees (5 x $10). The late fee is for the entire show. Do not double late fee when entering WBTWF I & WBTWF II. The online entries will only automatically add the 1 st day late fee for WBTWF I. If you are entering both WBTWF I & II online, add late fees onto WBTWF I only. If you are entering only WBTWF II (Sunday), manually add the appropriate late fee x quantity. By entering the show, you authorize us to amend your show entry fees as necessary to fulfill mathematical errors, late fees, non-member fees, and other appropriate fees. Any non-member fee refund requests must be submitted to WhiteFencesFL@gmail.com within 7 days of end of show. Anything else will be considered a donation to the show.

5 Effective Dec 1, 2015 per USEF Rule GR 845: At Federation licensed competitions, horses entering the grounds must be accompanied by documentation of Equine Influenza Virus and Equine Herpes Virus (Rhinopneumonitis) vaccinations within six months prior to entering the stables. Horses not in compliance with this rule may be required to leave the competition grounds upon request by Competition Management. Per USEF, this has been interpreted to include all horses entering grounds, including hack-ins and trailer-ins. Do not submit the papers to show management ahead of time. Have them in your trailer, in a groom bag, etc at all times so that they can be produced upon request. Note: Riders must check in at show office at least 1 hour before ride time and use White Fences supplied bridle numbers. Entrants who do not check in at the office to pick up numbers at least 1 hour before ride time may be considered a no-show/scratch for show.

6 Mandatory Checklist for Entries: (every single item is even more than Mandatory!) Use this checklist. Anything missing will delay your entry processing and it makes my day more difficult! =) (Certain exceptions apply: Intro, Non-competing, Opportunity, Exhibition) Horse name and stats, owner, rider and trainer name, full address, , and telephone info Same is permissible. If you have shown at WF within the last year, we do not need all the details (address, phone, , horse stats, etc) Show correspondence will be via and website Class information filled in. Qualifying and fees, if necessary. Rider status (AA, Open, Jr, YR [B-day]) Owner, Rider, and Trainer signatures on entry form ~~~~3 signature boxes filled~~~~ Negative Coggins drawn no earlier than 1 year before show (Palm Beach County law for horses to enter equestrian facility) We do not keep yours on file. Owner, rider, trainer, (coach if applicable) and horse cards for USEF and USDF from RENEW YOUR MEMBERSHIPS!!! Cards cannot say expired 11/30/17!!! Print all the cards on 1 sheet USDF / USEF Non-member forms or registrations, as necessary Check/Money Order made out to WFEC Shows or full Credit Card info with 3/4 digit code, Zip code, and expiration date (we do not need your full billing address)

7 General Information: 1. Make check or money order payable to WFEC Shows and mail with completed entry form, available from and all required documentation to: WBTWF I & II 3978 Hanover Cir. Loxahatchee, FL Do not send entries registered or signaturerequired. You may also drop entries off in drop box by showgrounds mailbox. 2. Bounced checks will incur a $50 fee and payment must be made by money order, certified check, or cash in person. 3. Entrants must check in at show office to pick up provided bridle numbers. Bridle numbers not picked up at least 1 hour before ride time will be considered a no-show/scratch for entire show. 4. Schooling, entry pickup, and stabling move-in is available starting noon on Thursday. Stabling move-in is highly recommended on Thursday. Stabling move-in during show may be more difficult 5. Stabling: Limited availability as permanent wood and tent stalls, 10'x10', with doors. Tack stalls are available for same price. Double stalls available only in tent. For group stabling, make sure all members use exact same group name. Sharps containers throughout stabling areas. 6. Awards: Ribbons will be awarded from 1st to 18th place for every class, each day. Various non-cash prizes will also be awarded. 7. Footing/Arenas: Competition will take place in 20m x 60m GGT-sand all-weather arenas. Warmup rings are 2 20m x 60m GGT-sand arenas, one of which is mirrored all-weather. GGT- sand all-weather round pen for lunging, and ample grass fields are available. No lunging in arenas. 8. Concessions: Free food and drinks will be provided throughout the show. 9. Refunds: Refunds, less office fee, can be given, when requested in writing to WhiteFencesFL@gmail.com before closing date. No refunds of any kind will be given for any reason (including with vet note) after the closing date. Moving an entry to the next show is the same as giving a refund. We are happy to give class fee credits if you need to scratch and are able to scribe or ring steward. 10. Opportunity Classes: Available to all riders, including those cross-entered in recognized classes. No USEF or USDF membership numbers for rider, trainer, or horse are required. No USEF/Drug Fee is required. Scores do not count for any standings. See USEF.org for info. 11. Freestyles: Music must be provided on a CD or MP3 player with standard headphone jack. Tapes/cassettes are not accepted. Sound check is available on Friday during schooling. Rider must submit copy of necessary test score for appropriate level. Certain computers burn CDs in non-universal formats. No guarantee of sound quality without sound check. 12. Non-competing Horses: Non-competing horses do not need any USDF or USEF memberships and have access to showgrounds from Thurs-Sunday for schooling. All entries require Office Fee, Non-Competing Horse Fee ($50), Coggins, and all 3 signatures. Number of non-competes in show is limited at manager's discretion. 13. Late Entries: Mailed entries are considered late if postmarked after the closing date. Dropped off entries are considered late if they are dropped off after the closing date. Late entries are accepted at the discretion of the Secretary with appropriate late fees. 14. Qualifying Classes: If entering a GAIG/USDF qualifying class please indicate and include the $15 Qualifying Fee. Copies of all cards, including USDF Lifetime Horse Registration must be included. 15. Office Fee: The office fee ($45) is required for each horse-rider combination for every entry. 16. Tentative ride times will be available on Official times will be posted at the show office by noon, Thursday before the show. 17. All dogs must be leashed on a maximum 6-foot lead. 18. Helmets: Helmets must be worn by all riders when mounted on the showgrounds. 19. Vet and Farrier will be on call during show. Contact information will be available in show office. EMT will be on grounds.

8 20. Completed tests can be mailed back after show if a self-addressed, stamped envelope is provided with entry forms. Unclaimed tests will be discarded at end of season (Nov 30) 21. Directions: Located in the White Fences community. From Wellington: Take Southern Blvd (SR 80) West and turn right (North) on Seminole-Pratt Whitney Road. At Sycamore Dr (2 nd traffic light), turn left (West). At stop sign, turn left through White Fences gate onto Horse Trail. At T, turn left onto Hanover Cir. Trailers: At Y, turn left to go South on Buck Ridge Trl. Take 2 nd bridge over canal into parking field. Cars may park anywhere along perimeter fence of showgrounds. Please do not block gates/entraces. Because of limited parking area, please refrain from parking nontrailering vehicles in trailer field. From other areas: From the Florida Turnpike (exit 97) or I-95 (exit 68) take Southern Blvd (SR 80) west. Follow directions from Wellington. Address is 3978 Hanover Cir. Loxahatchee, FL ***DO NOT*** ***DO NOT*** ***DO NOT*** Use Lion Country Safari Rd Many GPS units and map websites will incorrectly route this way. For updated class info, ride times, and future show info, please visit us at Like our page on FaceBook. Search for White Fences Equestrian Center Management reserves the right to split, cancel, or change the day of classes to balance unusual amounts of entries,excessive scratches or due to extenuating circumstances. 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, the show management, show committee, and all horse show personnel. EVERY CLASS OFFERED HEREIN WHICH IS COVERED BY THE RULES AND SPECIFICATIONS OF THE CURRENT USEF RULE BOOK WILL BE CONDUCTED AND JUDGED IN ACCORDANCE THEREWITH.

9 2018 Official Use Only BRIDLE # COMPETITION NAME COMPETITION DATES 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# FEI/LOCAL# ADDRESS CITY/ST/ZIP CELL PHONE JR/YOUNG RIDER BIRTHDAY ADDRESS RIDER CITIZENSHIP (IF NOT USA ) RIDER STATUS (CIRCLE ONE): JR/YG AA OPEN OWNER USEF# USDF# LOCAL# ADDRESS CITY/ST/ZIP CELL PHONE ADDRESS OWNER CITIZENSHIP (IF NOT USA ) TRAINER USEF# USDF# LOCAL# SUBTOTAL CLASS FEES AND QUALIFYING FEES USEF Show Pass FEES $45 PER NON-MEMBER 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 CDI HORSE FEES $8 USEF FEE + $ 25 DRUG FEE = $33.00 IHP DISCIPLINE FEE ($35 IF REQUIRED) ADDRESS STABLING FEES $ /STALL CITY/ST/ZIP TACK STALLS $ /STALL CELL PHONE BEDDING $ /BALE ADDRESS COACH USEF# USDF# LOCAL# NON COMPETING HORSE FEE SPONSORSHIP GROUNDS FEE OR OTHER FEES ADDRESS CITY/ST/ZIP Please Fill Out Both Sides of This Form. Reverse side MUST be SIGNED. OTHER LATE/CHANGE/BANK CHARGES FOR CC TOTAL FEES Stabling Information & Special Requests: Please list only ONE name (either individual or barn) for entire group (so we can get everyone together) Group/Self Tue Wed Thu Fri Sat Sun Mon Stalls Tack Stalls Stable Group: Contact:

10 I hereby agree to release, indemnify and hold harmless USDF, its instructors, officers, directors, agents, and volunteers from and against any and all loss, liability or damage arising from or because of, or in connection with, participation in this competition or related activities. I also hereby agree to release, indemnify and hold harmless the competition liscensee, 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. Federation Entry Agreement Effective 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, 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 resulted, 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. Copied from USEF website 11/14/2013 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!! (Check in the prize list or individual competition requirements) VISA AMEX CARD NO EXP DATE MasterCard Other NAME ON CARD: CVV # BILLING ADDRESS ZIP CODE