Virginia Presidential PFHA Event Paso Fino Horse Competition July 27-29, 2018 East Complex at Virginia Horse Center Lexington, VA Please see Schedule for list of classes that will begin on 7 /27/18.Deadline for Pre-Entry: July 19th, 2018 Show Chair Debbie Suder I Email: dksuder@aol.com I Phone: 804-517-5750 Show Secretary Pam McDermott Address: 120 Harvey Wood Drive, Covington, GA 30016 Email: pamelavmcdermott@gmail.com Cell: 770-490-5035 Home Ph: 770-728-4383 Fax: 1-770-787-5765 Barn Manager Chuck Rechtenbach I Email: crechten@msn.com Cell Phone: 540-280-0140 (please contact for stall assignments) PLEASE READ THE PRIZE LIST CAREFULLY. IMPORTANT CHANGES OCCUR EVERY YEAR TO CLASSES AND SCHEDULES. TRAINERS AND EXHIBITORS ARE RESPONSIBLE FOR KNOWING THE RULES THAT PERTAIN TO THEIR ENTRIES. USEF Licensee No. 4941277 PFHA Competition No. 326670 Rev. 1 dtd 10 May, 2018
Virginia Presidential PFHA Event USEF/PFHA Double Pointed Show Competition #326670 Paso Fino Horse Competition July 27-29, 2018 Virginia Horse Center/East Complex in Lexington, VA This is an AP/USEF C Rated Show with Double Points & 4 Judges * Officials 1 st show judges: Honorable Jesica Hurni #9027 and Sofia Passariello #24507 2 nd show judges: Honorable Derek Fernandez #26850 and German Higuera #7421 PFHA/USEF Steward: Sue Niebling #19674 Show Manager: Debbie Suder Show Secretary: Pamela McDermott Ring Master: Angela Boese-Somma Announcer: 1 st show: Charles Rechtenbach. 2 nd show: Jesica Hurni Barn Manager: Charles Rechtenbach, 540-280-0140 Gate Keeper/Safety Coordinator: Dean Boese Farrier: Bill Hurd/Ducktown Farms Show Management: Debbie Suder. dksuder@aol.com 804-517-5750 Barn Manager: Charles Rechtenbach. crechten@msn.com 540-280-0140. Ensure that you contact the Barn Manager prior to 7/23/2018 for stall assignments. If you arrive without a prior stall assignment, you will be allowed to select your stalls from the stalls still available. Show Secretary: Pam McDermott Address: 120 Harvey Wood Drive, Covington, GA 30016 Email: pamelavmcdermott@gmail.com Cell: 770-490-5035 Home Ph: 770-728-4383 Fax: 1-770-787-5765. IMPORTANT NOTES REGARDING PRE-ENTRIES!! Entries MUST be accompanied by a copy (NOT a picture/snapshot - entry will not be accepted) of the horse Registration Certificate, PFHA Cards for EACH owner, all riders, trainer; USEF Cards for ONE owner, riders and trainer. Pre-entry prices won t be honored if all credentials aren t included by the pre-entry deadline. Email entries are welcomed. DO NOT send entries requiring a signature upon delivery.
Veterinarian/On Call: Blue Ridge Equine Clinic Ph: 540-460-5702. Info will be posted in barns & show office. EMT On Grounds: First Response Medical, 540-572-4842 Facility: The Virginia Horse Center is a world-class facility 120 x 260 arena with sand/clay footing in the East Complex Arena. Permanent stalls (12 x 10 with 7 10 walls) with doors (5 x 8 ) are provided. VHC does not allow arrivals between midnight & 7:00am. Stall fees cover show date from 8 am/thursday to 11:59 pm/sunday. Layovers/Early arrivals are $40 per night/per stall. For early arrivals, please make advance arrangements with the show secretary or with the VHC. Address: 487 Maury River Rd, Lexington, VA 24450 Web: www.horsecenter.org PH: 540-464-2950. Show Times & Fee Schedule 1st Show: Friday, July 27th - 9:00am & Saturday, July 28th - 9:00am 2nd Show: Saturday, July 28th - approx. 12:00pm & Sunday, July 29th - 9:00am RIBBONS: 1st 6th Place and Honorable Mention Walk Corto Leadline Classes...FREE Youth Classes & All Championships...Flat Fee $35 Pre-Entry by 07/19/2018...$30 per judge/per class Post-Entry after 07/19/2018...Add per class entry fee $10 Novice/Amateur Owner & Trained Classes...Flat Fee $25 Stall/Tack Room (does NOT include shavings!)...$85 (Thu 8am to Sun/midnt) Office Fee...$12 USEF Fees/per horse (drug & medications )...$23 USEF Non-Member Fees....$45 USEF Membership Fee.$80 Except where noted, class fees are per judge/per class. Checks, cash, credit & debit cards accepted. Make checks payable to: VAPPFHA. Classes may be combined at the discretion of the show management. All classes are covered by and will be conducted and judged in accordance with the current PFHA and USEF Rule Books. The show management also reserves the right to move classes to a more advantageous time. Classes moved will be published in the show office the day prior. See these rules posted at the show office. PLEASE NOTE: Trocha & Trote y Galope classes are NON POINTED.
Show Requirements & Show Secretary Info The following documentation is required for stalls or to enter a class: Current Coggins (within 12 months) Health Certificate (30 days out of state) ***Please note: All horses entering the grounds of a USEF licensed competition must be accompanied by documentation of Equine Influenza Virus and Equine Herpes Virus (Rhinopneumonitis) vaccinations within six months prior to entering the stables.*** Entry Form -Fully Completed with all required signatures Copy of PFHA Registration (front & back) Copy of current PFHA membership cards for Riders, Trainers & Owners Copy of current USEF membership card USEF Non-members: $30 Amateurs: $30 Pre-entry & discounted price applies only to COMPLETE entries! Horse cancellations prior to the class will not be charged. Dogs must be hand held or tied leashes in/around barns, arena, practice facility, or parking area. Violators will be subject to a $100 fine by VHC Security Office. Sponsorship & Promotional Opportunities Be a Part of the Event Be Seen: Take advantage of our sponsorship and promotional opportunities: Class Sponsorships: VAPPFHA Members $10 ea. Class Package: 15 Classes $120 Banner Display in Arena: One Show Display $100 2 Consecutive Shows $150 Figure 8 Barrel Wrap Banners/55 gallon (with your name): 2 Consecutive Shows $200 Ad space: Have your ad seen in our enews (350+ emails), our Facebook group (270+ members) and our website! 1 month $35; 6 months $65; 12 months $125! ALL MUST BE PRE-PAID!
Activities Join us for the many fun-filled activities we have planned during our show. Flag Ceremony Paso Fino Fun Cla$$e$ (Games/fun classes will be held immediately following the end of Saturday evening classes.) Exhibitor s Dinner (Saturday evening): Our dinner is $10.00 per person. Children 10 & under eat free. Tickets will be available in Show Office. Menu will be posted on in show office. Silent Auction Table (100% proceeds to VAPPFHA). White Elephant Sales Table (40% to VAPPFHA and 60% to Donors). For more information and to donate items, please contact Virginia Foster - Email: River_House_Farm@yahoo.com Logistics Golf cart rentals are available from the Virginia Horse Center stable office. To reserve a cart, please email: stableoffice@horsecenter.org. For camping facility information, call 540-464-2966. Camping Facilities. The Virginia Horse Center has 78 camping spots with 30/50 amp electric and water hook-ups. Selection of sites is made first come at time of arrival. The Virginia Horse Center is located at 487 Maury River Rd, on the NW side of Lexington, VA. From the East Take 1-81 North or South to 1-64 West. Exit on 191. Proceed to 164 West to Exit 55. Turn right on Rt 11 North. Go 1/10th mile to Route 39 West to the Horse Center (approx. 1 mile). Host Hotel: Days Inn: $75.95 + tax. 540-463-6400 mention VA horse show Address: 2809 Lee Hwy, Lexington, VA 24450 Phone: 540-463-9131 We suggest that you make your reservation soon. Mention VA horse show to receive discounted rate. Other hotels: Econo Lodge: $79.99 540-463-2739 mention VA horse show Sleep Inn: 15% off for VA Horse Show competitors 540-463-6400 Country Inn and Suites: 15% off for VA Horse show competitors. 540-464- 9000 Super 8: 15% off for VA Horse show competitors 540-463-7858
487 Maury River Rd, Lexington VA 24450 540-464-2950 www.horsecenter.org DIRECTIONS The Virginia Horse Center is located on the northwest side of Lexington, Virginia. From the North or South: I-81 to Exit 191. Proceed on I-64 West 1/2 mile to Exit 55. Turn right on Route 11 North, and immediately left on Route 39 West. The Virginia Horse Center is one mile ahead on the left. From the East: I-64 West to I-81 South. I-81 South to Exit 191. Proceed on I-64 West 1/2 mile to Exit 55. Turn right on Route 11 North, and immediately left on Route 39 West. The Virginia Horse Center is one mile ahead on the left. From the West: I-64 East to Exit 55. Turn left on Route 11 North, and proceed 1/4 mile to stoplight. Turn left on Route 39 West. The Virginia Horse Center is one mile ahead on the left.
Classes might be added, combined and/or 48. Performance A/O Colts-4 y/o eliminated. Fri. July 27, 2018/9:00am - Start Show #1 49. Performance A/O Stallions-5 & 6 y/o 1. Trail-Open 50. Performance A/O Stallions-7 and older 2. Trail-Amateur 51. Performance A/O Championship Colts/Stallions 3. Versatility-Open 52. Fino A/O Fillies-3 y/o 4. Versatility-Amateur 53. Fino A/O Fillies-4 y/o 5. Bella Forma Fillies-Yearlings 54. Fino A/O Mares-5 & 6 y/o 6. Bella Forma Fillies-2 y/o 55. Fino A/O Mares-7 and older 7. Bella Forma Fillies-3 y/o 56. Fino A/O Geldings-3 y/o 8. Bella Forma Mares 57. Fino A/O Geldings-4 y/o 9. Bella Forma Mares & Fillies Championship 58. Fino A/O Geldings-5 & 6 y/o 10. Bella Forma Geldings-Yearlings 59. Fino A/O Geldings-7 and older 11. Bella Forma Geldings-2 y/o 60. Fino A/O Colts-3 y/o 12. Bella Forma Geldings-3 y/o 61. Fino A/O Colts-4 y/o 13. Bella Forma Geldings 62. Fino A/O Stallions-5 & 6 y/o 14. Bella Forma Geldings Championship 63. Fino A/O Stallions-7 and older 15. Bella Forma Colts-Yearlings 64. Fino Sub-Junior 7-12 16. Bella Forma Colts-2 y/o 65. Fino Junior 13-17 17. Bella Forma Colts-3 y/o 66. Fino Youth Championship 18. Bella Forma Stallions 67. Fino A/O Championship Fillies/Mares 19. Bella Forma Stallions & Colts Championship 68. Fino A/O Championship Geldings 20. Pleasure A/O Fillies-3 y/o 69. Fino A/O Championship Colts/Stallions 21. Pleasure A/O Fillies-4 y/o 70. Driving 22. Pleasure A/O Mares-5 & 6 y/o 71. Horsemanship Sub-junior 7-12 23. Pleasure A/O Mares-7 and older 72. Horsemanship Junior 13-17 24. Pleasure A/O Championship Fillies/Mares 73. Horsemanship Youth Championship 25. Pleasure A/O Geldings-3 y/o 74. Horsemanship Adult Amateur 26. Pleasure A/O Geldings-4 y/o 75. Pleasure Fillies-3 y/o 27. Pleasure A/O Geldings-5 & 6 y/o 76. Pleasure Fillies-4 y/o 28. Pleasure A/O Geldings-7 and older 77. Pleasure Mares-5 & 6 y/o 29. Pleasure A/O Championship Geldings 78. Pleasure Mares-7 and older 30. Pleasure A/O Colts-3 y/o 79. Pleasure Championship Fillies/Mares 31. Pleasure A/O Colts-4 y/o 80. Country Pleasure 32. Pleasure A/O Stallions-5 & 6 y/o 81. Pleasure Geldings-3 y/o 33. Pleasure A/O Stallions-7 and older 82. Pleasure Geldings-4 y/o 34. Pleasure A/O Championship Colts/Stallions 83. Pleasure Geldings-5 & 6 y/o 35. Trote y Galope 84. Pleasure Geldings-7 and older 36. Trocha 85. Pleasure Championship Geldings 37. Performance A/O Fillies-3 y/o 86. Pleasure Colts-3 y/o 38. Performance A/O Fillies-4 y/o 87. Pleasure Colts-4 y/o 39. Performance A/O Mares-5 & 6 y/o 88. Pleasure Stallions-5 & 6 y/o 40. Performance A/O Mares-7 and older 89. Pleasure Stallions-7 and older 41. Performance A/O Championship Fillies/Mares 90. Pleasure Championship Colts & Stallions 42. Performance A/O Geldings-3 y/o 91. Pleasure Sub-Junior 7-9 43. Performance A/O Geldings-4 y/o 92. Pleasure Sub-Junior 10-12 44. Performance A/O Geldings-5 & 6 y/o 93. Pleasure Junior 13-17 45. Performance A/O Geldings-7 and older 94. Pleasure Youth Championship 46. Performance A/O Championship Geldings 95. Silver Medal Equitation 7-17 47. Performance A/O Colts-3 y/o 96. Walk Corto Leadline 3-9 97. Costume 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.
Classes might be added, combined and/or eliminated. Sat. July 28, 2018/9:00am - Show #1 cont. 205. Bella Forma Fillies-Yearlings 206. Bella Forma Fillies-2 y/o 98. Sales/Showcase Class/Entry: $20 per horse 207. Bella Forma Fillies-3 y/o 99. Western Pleasure-Open 208. Bella Forma Mares 100. Western Pleasure-Amateur 209. Bella Forma Mares & Fillies Championship 101. Performance Fillies-3 y/o 210. Bella Forma Geldings-Yearlings 102. Performance Fillies-4 y/o 211. Bella Forma Geldings-2 y/o 103. Performance Mares-5 & 6 y/o 212. Bella Forma Geldings-3 y/o 104. Performance Mares-7 and older 213. Bella Forma Geldings 105. Performance Championship Fillies/Mares 214. Bella Forma Geldings Championship 106. Performance Geldings-3 y/o 215. Bella Forma Colts-Yearlings 107. Performance Geldings-4 y/o 216. Bella Forma Colts-2 y/o 108. Performance Geldings-5 & 6 y/o 217. Bella Forma Colts-3 y/o 109. Performance Geldings-7 and older 218. Bella Forma Stallions 110. Performance Championship Geldings 219. Bella Forma Stallions & Colts Championship 111. Performance Colts-3 y/o 220. Pleasure A/O Fillies-3 y/o 112. Performance Colts-4 y/o 221. Pleasure A/O Fillies-4 y/o 113. Performance Stallions-5 & 6 y/o 222. Pleasure A/O Mares-5 & 6 y/o 114. Performance Stallions-7 and older 223. Pleasure A/O Mares-7 and older 115. Performance Championship Colts & Stallions 224. Pleasure A/O Championship Fillies/Mares 116. Performance Sub-Junior 7-12 225. Pleasure A/O Geldings-3 y/o 117. Performance Junior 13-17 226. Pleasure A/O Geldings-4 y/o 118. Performance Youth Championship 227. Pleasure A/O Geldings-5 & 6 y/o 119. Fino Fillies-3 y/o 228. Pleasure A/O Geldings-7 and older 120. Fino Fillies-4 y/o 229. Pleasure A/O Championship Geldings 121. Fino Mares-5 & 6 y/o 230. Pleasure A/O Colts-3 y/o 122. Fino Mares-7 and older 231. Pleasure A/O Colts-4 y/o 123. Fino Geldings-3 y/o 232. Pleasure A/O Stallions-5 & 6 y/o 124. Fino Geldings-4 y/o 233. Pleasure A/O Stallions-7 and older 125. Fino Geldings-5 & 6 y/o 234. Pleasure A/O Championship Colts/Stallions 126. Fino Geldings-7 and older 235. Trote y Galope 127. Fino Colts-3 y/o 236. Trocha 128. Fino Colts-4 y/o 237. Performance A/O Fillies-3 y/o 129. Fino Stallions-5 & 6 y/o 238. Performance A/O Fillies-4 y/o 130. Fino Stallions-7 and older 239. Performance A/O Mares-5 & 6 y/o 131. Fino Championship Fillies/Mares 240. Performance A/O Mares-7 and older 132. Fino Championship Geldings 241. Performance A/O Championship Fillies/Mares 133. Fino Championship Colts/Stallions 242. Performance A/O Geldings-3 y/o 134. Equitation Sub-junior 7-12 243. Performance A/O Geldings-4 y/o 135. Equitation Junior 13-17 244. Performance A/O Geldings-5 & 6 y/o 136. Equitation Youth Championship 245. Performance A/O Geldings-7 and older 137. Equitation Adult Amateur 246. Performance A/O Championship Geldings END SHOW #1 Sat. July 28, 2018/ Start Show #2 Appx 12:00 247. Performance A/O Colts-3 y/o 248. Performance A/O Colts-4 y/o 201. Trail-Open 249. Performance A/O Stallions-5 & 6 y/o 202. Trail-Amateur 250. Performance A/O Stallions-7 and older 203. Versatility-Open 251. Performance A/O Championship Colts/Stallions 204. Versatility-Amateur 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.
Classes might be added, combined and/or 300. Western Pleasure-Amateur eliminated. Sun. July 29, 2018/9:00am - Show #2 301. Performance Fillies-3 y/o cont. 252. Fino A/O Fillies-3 y/o 302. Performance Fillies-4 y/o 253. Fino A/O Fillies-4 y/o 303. Performance Mares-5 & 6 y/o 254. Fino A/O Mares-5 & 6 y/o 304. Performance Mares-7 and older 255. Fino A/O Mares-7 and older 305. Performance Championship Fillies/Mares 256. Fino A/O Geldings-3 y/o 306. Performance Geldings-3 y/o 257. Fino A/O Geldings-4 y/o 307. Performance Geldings-4 y/o 258. Fino A/O Geldings-5 & 6 y/o 308. Performance Geldings-5 & 6 y/o 259. Fino A/O Geldings-7 and older 309. Performance Geldings-7 and older 260. Fino A/O Colts-3 y/o 310. Performance Championship Geldings 261. Fino A/O Colts-4 y/o 311. Performance Colts-3 y/o 262. Fino A/O Stallions-5 & 6 y/o 312. Performance Colts-4 y/o 263. Fino A/O Stallions-7 and older 313. Performance Stallions-5 & 6 y/o 264. Fino Sub-Junior 7-12 314. Performance Stallions-7 and older 265. Fino Junior 13-17 315. Performance Championship Colts & Stallions 266. Fino Youth Championship 316. Performance Sub-Junior 7-12 267. Fino A/O Championship Fillies/Mares 317. Performance Junior 13-17 268. Fino A/O Championship Geldings 318. Performance Youth Championship 269. Fino A/O Championship Colts/Stallions 319. Fino Fillies-3 y/o 270. Driving 320. Fino Fillies-4 y/o 271. Horsemanship Sub-junior 7-12 321. Fino Mares-5 & 6 y/o 272. Horsemanship Junior 13-17 322. Fino Mares-7 and older 273. Horsemanship Youth Championship 323. Fino Geldings-3 y/o 274. Horsemanship Adult Amateur 324. Fino Geldings-4 y/o 275. Pleasure Fillies-3 y/o 325. Fino Geldings-5 & 6 y/o 276. Pleasure Fillies-4 y/o 326. Fino Geldings-7 and older 277. Pleasure Mares-5 & 6 y/o 327. Fino Colts-3 y/o 278. Pleasure Mares-7 and older 328. Fino Colts-4 y/o 279. Pleasure Championship Fillies/Mares 329. Fino Stallions-5 & 6 y/o 280. Country Pleasure 330. Fino Stallions-7 and older 281. Pleasure Geldings-3 y/o 331. Fino Championship Fillies/Mares 282. Pleasure Geldings-4 y/o 332. Fino Championship Geldings 283. Pleasure Geldings-5 & 6 y/o 333. Fino Championship Colts/Stallions 284. Pleasure Geldings-7 and older 334. Equitation Sub-junior 7-12 285. Pleasure Championship Geldings 335. Equitation Junior 13-17 286. Pleasure Colts-3 y/o 336. Equitation Youth Championship 287. Pleasure Colts-4 y/o 337. Equitation Adult Amateur 288. Pleasure Stallions-5 & 6 y/o 289. Pleasure Stallions-7 and older 290. Pleasure Championship Colts & Stallions 291. Pleasure Sub-Junior 7-9 292. Pleasure Sub-Junior 10-12 293. Pleasure Junior 13-17 294. Pleasure Youth Championship 295. Silver Medal Equitation 7-17 296. Walk Corto Leadline 3-9 297. Costume 298. Sales/Showcase Class/Entry: $20 per horse 299. Western Pleasure-Open 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.
AMATEUR OWNER & TRAINED CLASSES ADDED! Please note the following classes have been added to each show. Show #1 Friday July 27, 2018 34a - Pleasure Amateur Owner & Trained 51a - Performance Amateur Owner & Trained 69a - Fino Amateur Owner & Trained Show #2 Saturday July 28, 2018 234a - Pleasure Amateur Owner & Trained 251a - Performance Amateur Owner & Trained Sunday July 29, 2018 269a - Fino Amateur Owner & Trained
Hrs # EB # Paso Fino Horse Show Official Entry Form Only One Horse per Entry Form USE THIS FORM FOR NONPOINTED CLASSES ONLY Horse s Complete Registered Name Sire Dam PFHA Horse Reg # or PFHA Show Validation Certificate # Horse Sex Date of Foaling Horse Color Check class(es) to Enter Rider Full Name Junior Date of Birth PFHA # ENTRY FEE BILL TO PAYBACKS TO (If not designated, they will be sent to the first owner listed below) OWNER PFHA Mem # OWNER PFHA Mem # OWNER PFHA Mem # ADDRESS Total from Above PFHA Affidavit Fees People x $15 Horse Stalls x $ ea. Tack Rooms x $ ea. Visiting Horse Fee x $ Shavings x $ ea. TOTAL FEES Checks Payable to CITY STATE ZIP PHONE E-MAIL TRAINER PFHA MEM # REQUIRED SIGNATURES NEEDED ON REVERSE
NONPOINTED CLASSES ONLY Release, Assumption of Risk, Waiver and Indemnification This document waives important legal rights. Read it carefully before signing. SIGNATURES BELOW INDICATE THAT YOU HAVE READ AND UNDERSTAND THE ABOVE. SIGNATURES REQUIRED IN THREE (3) PLACES BELOW UNSIGNED ENTRIES WILL NOT BE ACCEPTED. CAREFULLY READ THIS AGREEMENT BEFORE SIGNING. Every entry made on this entry blank shall constitute an agreement and affirmation that all participants (which shall include, without limitation, the owner, lessee, trainer, manager, agent, coach, driver, rider, handler and the horse) for themselves, their principals, representatives, employees and agents: (1) shall be subject to the rules of the Paso Fino Horse Association, including those posted in this Prize List, on the PFHA website, and in Paso Fino Horse World magazine; (2) represent that every horse, rider, driver and handler is eligible as entered; (3) agree to be bound by the rules of the Paso Fino Horse Association, and will accept as final the decision of the hearing committee on any question arising under said rules, and agree to hold the Paso Fino Horse Association, its officers, directors and employees harmless for any action taken; and (4) agree that they participate voluntarily in the competition fully aware that horse sports and the competition involve inherent dangerous risk of serious injury or death and by participating they expressly assume any and all risks of injury or loss, and they agree to indemnify and hold the Paso Fino Horse Association and their officers, directors, employees and agents harmless from and against all claims including for any injury or loss suffered during, or in connection with the competition, whether or not such claim, injury or loss resulted, directly or indirectly, from the negligent acts or omissions of said officers, directors, employees or agents of the Paso Fino Horse Association. I also agree that as condition of and in consideration of acceptance of entry, the competition may use or assign photographs, videos, audios, cablecast, or other likenesses of me and my horse taken during the course of the competition for the promotion coverage or benefit of the competition. 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. BY SIGNING BELOW, I AGREE to be bound by all applicable Paso Fino Horse Association Rules and all terms and provisions of this entry blank. OWNER (Mandatory Name & Signature required)) TRAINER (Mandatory Name & Signature required)) #1. RIDER (Mandatory) MINORS CANNOT SIGN THE ENTRY FORM ON ANY LINE Print Name Print Name Print Name Signature X Signature X Signature X #1. Parental / Guardian Consent if a Minor Signature X #1 RIDER ADDRESS / CITY / ZIP #2. RIDER (Mandatory) Print Name Signature X #2 Parental / Guardian Consent if a Minor Signature X #2 RIDER ADDRESS / CITY / ZIP EMERGENCY CONTACT PHONE NUMBER DURING SHOW: BEFORE MAILING BE SURE YOU HAVE: Enclosed the PFHA Show Validation Certificate, PFHA membership cards for each owner, rider and trainer, Negative Coggins dated within 12 months of the show date and Total Fees for this Entry. All out of state horses must present upon arrival at the show a Vet Cert dated within 30 days of the show. 1
ENTRY COVER SHEET FOR FAXED ENTRIES Show Secretary: PAM McDERMOTT Email: pamelavmcdermott@gmail.com (note the "V") FAX #: 1-770-787-5765 (must include the number "1") - This form is required with ALL Faxed entries - Do NOT re-send entries unless your fax is confirmed lost by Show Secretary - Do not fax and then mail your entries (no duplicates) - All deadlines will be strictly adhered to IMPORTANT: To verify that all faxed pages were received, please number each of your pages in the upper right hand corner and draw a circle around the number. I will be able to see which pages are missing and you will only have to re-fax the missing pages instead of the entire package. FROM: DATE: EMAIL: Note: CONFIRMATION OF RECEIPT OF YOUR ENTRY IS VIA EMAIL ONLY. Please print your email address CLEARLY. I will not phone you regarding your entry. Your Fax Number: # Pages Faxed (including this cover sheet): PLEASE READ THE PRIZE LIST AND SCHEDULE. NO PRE-ENTRY PRICES WILL BE GRANTED FOR INCOMPLETE ENTRIES. I RECEIVE ENTRIES FOR NUMEROUS BREEDS AND SHOWS SO PLEASE BE SURE TO PUT THE NAME AND DATE OF THE SHOW ON THE ENTRY FORM. I REQUIRE THE NUMBER OF STALLS ON THE ENTRY FORM FOR BILLING PURPOSES ONLY - YOU MUST MAKE THE STALL_RESERVATION THROUGH THE BARN MANAGER FOR THE SHOW. ALL STALL, RV, SHAVINGS INFO IS CONTAINED IN THE PRIZE LIST. LOOKING FORWARD TO SEEING YOU AT THE SHOW! TRAVEL SAFELY
USEF Competition Name: Competition Division(s) and Rating(s): USEF#: DISCOVER THE at USequestrian.org Photo: John McCarthy for Howard Schatzberg #DiscoverTheJoy