Payment of the $50 Individual Rider Fee is Due upon receipt if paid by 7/1/18 $45 Due upon receipt

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Individual Membership & Placement Form 2018-2019 All completed transactions will be processed in the order in which they are received. Please allow fifteen business days for processing Payment of the $50 Individual Rider Fee is Due upon receipt if paid by 7/1/18 $45 Due upon receipt This is your official YEDA Individual Membership Form. Accurate completion of this form will determine your competition level for the entirety of the YEDA Season. New Member Team Name Name Returning Member Rider Name First M. Last Back # # Riders Height Rider s Email Current Grade for 18-19 School year Riders Weight Home Mailing Address Street Address City State Zip Code Expected Graduation Cell/Primary PH #: ( ) - YR Year Parent s Name: Parent Email Parent PH # ( ) - Rider s Parent s Home Address Street Address City State Zip Code School of Record School School Address Street Address City State Zip Code If you have competed in recognized shows you may be asked to submit a printed copy of your competition/points records along with this form. For YEDA purposes, recognized shows includes AQHA, NRHA, APHA, PtHA, ApHC, IBHA, ABRA & POA. USEF and any other association that keeps national records. Coach s Assessment of YEDA Divisions: Note: If either the coach or student believes that the form places the rider into a class unfairly, and that this rider should be placed into a division other than the one indicated by the form, please explain your circumstances in the appropriate place on the back page and suggest an appropriate level. This form will be given to the National Steward for placement.

EVERY YEAR A NEW PLACEMENT/MEMBERSHIP FORM MUST BE FILLED OUT COMPLETELY. RETURNING MEMBERS, PLEASE INDICATE WHAT DIVISION YOU SHOWED IN LAST SEASON RETUNING REMEMBERS LIST 2017-2018 DIVISION DID YOU FINISH IN THE TOP 3 IN YOUR DIVISION IN 2017 2018 SHOW SEASON? YES NO DID YOU FINISH 1 st OR 2 nd AT 2018 NATIONALS? YES NO Answering YES to the above 2 questions will automatically move you up to the next division. When answering the below placement questions any new points or titles earner prior to the start of the new YEDA season must be disclosed If moving from Junior High to Senior High a lateral move is considered the next division. 2018/2019 Western Category: (choose one) Elementary Jr. High Sr. High 2018/2019 Division: Coach s Signature: Date: Rider Signature: Date: Parent/Guardian Signature: Date: Your signature also guarantees the student and coach will adhere to YEDA social media policy and rules of the organization. Your signature additionally guarantees you are a fulltime student in good academic standing. You are subject to all rules, fines and disciplinary actions if warranted. The Youth Equestrian Development Association (YEDA) recommends that all riders be actively enrolled in a weekly lesson program. YEDA Individual Placement Form Rule In order to compete in YEDA shows, an individual member showing YEDA must submit a completed YEDA Individual Placement Form to the Team Coach who will sign and forward it to the CFO, listed below prior to the Member s first show. Coaches are responsible for accurately evaluating a rider in the appropriate division. An Individual Placement Form must be retained annually for the entirety of student s eligibility. NOTE: 1. Because of the yes/no format of this form, the questions in each section are not intended to always match the class description of the same section. Rather, a yes answer in one section is, in many cases, an affirmation of the rider being over-qualified for the class description in the next lower class.) 2. For those students coming to YEDA from another team riding national organization that places their riders in divisions based on experience those students must compete in the equitant division equal or greater than that division they have completed. All class descriptions refer to the guidelines specified in Rule R32.

Class 1 & 2: Pearl Western Horsemanship Pearl riders are student riders of any skill level that walk jog and who are riders currently enrolled in 4th of 5th grade for the school year of competition. Pearl riders have two years of eligibility starting with their initial completion of the YEDA Individual Membership Form. ARE YOU ENTERING THE 4TH OR 5TH GRADE FOR THIS COMPETITION YEAR? YES NO Classes 3, 4, 11 & 12: Opal Western Horsemanship Opal riders are Walk-jog students who are beginning riders who have not competed in mounted competition which require them to canter or lope. IS THIS STATEMENT TRUE? I HAVE NEVER COMPETED IN A CLASS THAT REQUIRES ME TO LOPE OR CANTER. YES NO Classes 5, 6, 13 & 14: Emerald Western Horsemanship Emerald riders are students that have competed in 8 or fewer open non-recognized shows that require them to lope or canter. HAVE YOU COMPETED IN 8 OR LESS SHOWS WHICH REQUIRE YOU TO LOPE OR CANTER? YES NO Classes 7, 8, 15, & 16: Ruby Western Horsemanship Ruby riders have competed in more than eight (8) shows that require a rider to lope or canter. Ruby riders may not have earned more than 25 national points from any association including novice classes. This excludes roping, games, halter, showmanship 10 & under classes, and/or non-loping classes. IS THIS STATEMENT TRUE? I HAVE NOT EARNED 25 NATIONAL POINTS FROM ANY NATIONAL ASSOCIATION INCLUDING NOVICE BUT EXCLUDING ROPING, GAMES, HALTER, SHOWMANSHIP 10 & UNDER CLASSES, AND/OR NON-LOPING CLASSES. YES NO Classes 9, 10, 17, & 18 : Sapphire Western Horsemanship / Ranch Riding Sapphire riders are those who have earned 26 or more national points from any national association including novice but excluding roping, games, halter, showmanship 10 & under classes, and/or non-loping classes. Sapphire riders are also riders who have completed at a national run show including but not limited to World Championships, National Championships, Novice Championships, Congress, and Derby. HAVE YOU EARNED 26 OR MORE NATIONAL POINTS FROM ANY NATIONAL ASSOCIATION INCLUDING NOVICE BUT EXCLUDING ROPING, GAMES, HALTER, SHOWMANSHIP 10 & UNDER CLASSES, AND/OR NON-LOPING CLASSES. YES NO HAVE YOU COMPETED IN A NATIONAL RUN SHOW INCLUDING BUT NOT LIMITED TO WORLD CHAMPIONSHIPS, NATIONAL CHAMPIONSHIPS, NOVICE CHAMPIONSHIPS, CONGRESS, AND DERBY? YES NO

Class 19: Diamond Western Horsemanship Diamond riders are those who have finished in Top Fifteen (15) at a national run show including but not limited to World Championships, National Championships, Novice Championships, Congress, and Derby. Including novice but excluding roping, games, halter, showmanship 10 & under classes, and/or non-loping classes. HAVE YOU EVER FINISHED IN THE TOP FIFTEEN (15) AT A NATIONAL RUN SHOW INCLUDING BUT NOT LIMITED TO WORLD CHAMPIONSHIPS, NATIONAL CHAMPIONSHIPS, NOVICE CHAMPIONSHIPS, CONGRESS, AND DERBY INCLUDING NOVICE BUT EXCLUDING ROPING, GAMES, HALTER, SHOWMANSHIP 10 & UNDER CLASSES, AND/OR NON-LOPING CLASSES? YES NO Class 20: Diamond Reining ARE YOU ELIGIBLE FOR CLASS 19: DIAMOND HORSEMANSHIP? YES NO HAVE YOU HAD AT LEAST 6 MONTH OF PROFESSIONAL REINING TRAINING WITHIN THE PAST YEAR? YES NO NOTE: 1. A Student must be enrolled in school full-time at the time of any YEDA Competition. Proper documentation must be on file prior to the first competition of each academic term. 2. If you consider yourself a lower level rider than this form indications, please attach an explanation page. 3. For those students coming to YEDA from another team riding national organization that places their riders in divisions based on experience those students must compete in the equitant division equal or greater than that division they have completed.

TO DOCUMENT PRIOR COMPETITION RECORDS: LIST YOUR NAME EXACTLY AS IT APPEARS IN ASSOCIATION RECORDS, AND list your ID# for each association in which you have actually competed. (Not one in which you are simply a card holding member who has never participated in competition). United States Equestrian Federation (USEF): United States Eventing Association (USEA) : American Quarter Horse Association (AQHA): American Paint Horse Association (APHA): Pinto Horse Association (PtHA): Appaloosa Horse Club (ApHC): National Reining Horse Association (NRHA): United States Dressage Federation (USDF): International Buckskin Horse Association (IBHA) American Buckskin Registry Association (ABRA) Palomino Horse Breeders Association (PHBA) Pony of the Americas (POA) Other: May we use your photo for promotional literature of YEDA? YES NO Please send all forms to: Debbie Arnold, CFO 2415 State Route 603 Ashland, OH 44805 Checks Payable to YEDA