July 1-2, 2017 Paddock Riding Club - Los Angeles, CA

July 1-2, 2017 Paddock Riding Club - Los Angeles, CA USEF USDF CDS

Star Spangled Dressage July 1-2, 2017 Paddock Riding Club - Los Angeles, CA OFFICIALS JUDGE: TECHNICAL DELEGATE: Paula Lacy S from California Tajie Major SHOW STAFF MANAGER: SHOW SECRETARY: ANNOUNCER: Glenda McElroy Meaghan Mallory Steve Apmadoc VETERINARIAN: Dr. David Ramey FARRIER On Call VIDEOGRAPHER: W Videography 909.208.4448 DETAILS Entries close and must be received by Friday, June 23, 2017 Scratches will be accepted until 6:00 PM, Friday, June 30, 2017 Late Entries will be accepted if schedule permits, with a $50 Late Fee FAX ENTRIES accepted with a $15 office fee. CORNERSTONE OFFICE 818.841.3554 FOR SHOW INFORMATION: CORNERSTONE FAX 818.840.8208 WEBSITE www.cornerstonedressage.com mmmdressage@gmail.com HORSE SHOW OFFICE 818.679.1570 Show Approvals: USEF # 329130 Level 2 Show - USDF # 329130 - CDS

Star Spangled Dressage Class List CLASSES OPEN TO ALL DIVISIONS SAT SUN COST CLASS NAME 70 170 45.00 Training level Rider Test 71 171 45.00 First level Rider Test 72 172 45.00 Second level Rider Test 73 173 45.00 Green Horse Training level Test 1 74 174 45.00 Green Horse Training level Test 3 *Q 75 175 45.00 Green Horse First level Test 1 76 176 45.00 Green Horse First level Test 3 *Q 73R 173R 45.00 Green Rider Training level Test 1 74R 174R 45.00 Green Rider Training level Test 3 *Q 88 188 50.00 USDF Freestyle Test of Choice *Q (please state level on entry form) 89 189 55.00 FEI Freestyle Test of Choice *Q (please state level on entry form) ** Green Horse/Green Rider Classes Classes are open to Horses or Riders who have less than 5 blue ribbons at that level at triple rated competitions. PLEASE ADD Q AND $10.00 FEE FOR USDF/GAIG QUALIFYING FOR ANY CLASS with a *Q OPEN DIVISION CLASSES FRI SAT COST CLASS NAME 6 106 60.00 Prix St. Georges - Open *Q 8 108 60.00 Intermediaire I - Open *Q 12 112 60.00 Intermediaire II - Open *Q 15 115 60.00 Grand Prix - Open *Q 17 117 60.00 Grand Prix Special - Open 24 124 50.00 Training Level Test 1 - Open 26 126 50.00 Training Level Test 2 - Open 28 128 50.00 Training Level Test 3 - Open*Q 33 133 50.00 First Level Test 1 - Open 35 135 50.00 First Level Test 2 - Open 37 137 50.00 First Level Test 3 - Open*Q FRI SAT COST CLASS NAME 42 142 50.00 Second Level Test 1 - Open 44 144 50.00 Second Level Test 2 - Open 46 146 50.00 Second Level Test 3 - Open*Q 51 151 55.00 Third Level Test 1 - Open 53 153 55.00 Third Level Test 2 - Open 55 155 55.00 Third Level Test 3 - Open *Q 58 158 55.00 Fourth Level Test 1 - Open 60 160 55.00 Fourth Level Test 2 - Open 62 162 55.00 Fourth Level Test 3 - Open *Q PLEASE ADD Q AND $10.00 FEE FOR USDF/GAIG QUALIFYING FOR ANY CLASS with a *Q

Star Spangled Dressage Class List (Continued) AMATEUR DIVISION CLASSES SAT SUN COST CLASS NAME 7 107 60.00 Prix St. Georges - Am./Jr./YR *Q 10 110 60.00 Intermediaire I - Am./Jr./YR *Q 13 113 60.00 Intermediaire II - Am./Jr./YR *Q 14 114 60.00 Grand Prix - Am./Jr./YR *Q SAT SUN COST CLASS NAME 43 143 50.00 Second Level Test 1 - Amateur 45 145 50.00 Second Level Test 2 - Amateur 47 147 50.00 Second Level Test 3 - Amateur *Q *CLASS 147 IS THE DOVER MEDAL CLASS 25 125 50.00 Training Level Test 1 - Amateur 27 127 50.00 Training Level Test 2 - Amateur 29 129 50.00 Training Level Test 3 - Amateur*Q 34 134 50.00 First Level Test 1 - Amateur 36 136 50.00 First Level Test 2 - Amateur 38 138 50.00 First Level Test 3 - Amateur *Q 52 152 55.00 Third Level Test 1 - Amateur 54 154 55.00 Third Level Test 2 - Amateur 56 156 55.00 Third Level Test 3 - Amateur *Q 59 159 55.00 Fourth Level Test 1 - Amateur 61 161 55.00 Fourth Level Test 2 - Amateur 63 163 55.00 Fourth Level Test 3 - Amateur *Q PLEASE ADD Q AND $10.00 FEE FOR USDF/GAIG QUALIFYING FOR ANY CLASS with a *Q JR/YR DIVISION CLASSES SAT SUN COST CLASS NAME 7 107 60.00 Prix St. Georges - Am/Jr/YR *Q 10 110 60.00 Intermediaire I - Am./Jr./YR *Q 13 113 60.00 Intermediaire II - Am./Jr./YR *Q 14 114 60.00 Grand Prix - Am./Jr./YR *Q 25J 125J 50.00 Training Level Test 1 - JR/YR 27J 127J 50.00 Training Level Test 2 - JR/YR 29J 129J 50.00 Training Level Test 3 - JR/YR *Q 34J 134J 50.00 First Level Test 1 - JR/YR 36J 136J 50.00 First Level Test 2 - JR/YR 38J 138J 50.00 First Level Test 3 - JR/YR *Q SAT SUN COST CLASS NAME 43J 143J 50.00 Second Level Test 1 - JR/YR 45J 145J 50.00 Second Level Test 2 - JR/YR 47J 147J 50.00 Second Level Test 3 - JR/YR *Q 52J 152J 55.00 Third Level Test 1 - JR/YR 54J 154J 55.00 Third Level Test 2 - JR/YR 56J 156J 55.00 Third Level Test 3 - JR/YR *Q 59J 159J 55.00 Fourth Level Test 1 - JR/YR 61J 161J 55.00 Fourth Level Test 2 - JR/YR 63J 163J 55.00 Fourth Level Test 3 - JR/YR *Q PLEASE ADD Q AND $10.00 FEE FOR USDF/GAIG QUALIFYING FOR ANY CLASS with a *Q

RULES AND GENERAL INFORMATION 1. All Cornerstone Dressage shows, are covered by the rules and specifications of the current US Equestrian Rule Book and will be conducted and judged in accordance therewith. 2. 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 nonmember registration 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. 3. 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 Star Spangled Dressage (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 GR908.4. 4. ASSUMPTION OF RISK: By signing the entry blank, the Owner, Lessee, Trainer, Manager, Agent, Coach, Driver, Rider, Handler, Vaulter or Longeur acknowledges that horseback riding, particularly jumping, is a dangerous activity and involves inherent risks that may cause serious injury and in some cases death because of the unpredictable nature and irrational behavior of horses, regardless of their training and past performance and expressly assumes all such inherent risks whether identified herein, in the entry blank or in the Federation Rules and Regulations. A horse, without warning or any apparent cause, can buck, stumble, fall, rear, bite, kick, run, make unpredictable movements, spook, jump obstacles, step on a person's foot, or push a person--all of which may cause the rider or observer to fall or be jolted, resulting in serious injury or death. A horse may also become loose and cause injury to an observer or rider or to another horse--a loose horse can run at full gallop in a panic and run into objects or persons or other horses. The Show Ground Facilities are bordered by highways/roads and thus noise from traffic and other sources occurs that can and will cause a horse to unexpectedly spook or react quickly. The Show Ground Facilities contain roads and driveways that are traversed by cars, golf carts, tractors, trailers and heavy equipment all of which may spook a horse. The above warnings and risks are meant as an example of some of the risks that are inherent and may be encountered but it is agreed this is not an exhaustive list and there are numerous additional conditions and/or events that may result in injuries while participating in the Competition and/or being present on the Show Ground Facilities. 5. Amateurs, Juniors & Young Riders: Amateurs are defined by the rules and specifications of the current USEF Rule Book. All riders entering the Amateur classes must possess or have applied for an USEF Amateur Card prior to riding in the class. All riders in Amateur Divisions must present a USEF Amateur Card when picking up their number or they will not be allowed to show in the Amateur Division. Cards may be applied for at the show office. Jr/ YR rider classes are offered to anyone 21 and under (may compete until the end of the calendar year in which they turn 21). Young Riders are eligible for FEI Young Rider classes from 16-21 yrs. of age. 6. CONDITIONS OF ENTRY: Every horse entered for competition will be under the control of the Horse Show Management, but the Horse Show Management will, in no case, be responsible for any loss or damage that may occur, and it shall be a condition of entry that each exhibitor shall hold the Horse Show and its Directors harmless for any loss or accident to his horse, horses or equipment which may occur from sickness, fire or otherwise.

RULES (CONTINUED) 7. ENTRY PROCEDURES: PLEASE READ CAREFULLY!! A. Office and Stabling fees: For each horse entered, send your completed entry form, stabling fees or grounds fee and a $20 office fee for each show day entered. You must pay all your class fees, drug fees or association fees and stall or grounds fee with your entry. OFFICE fees are NOT optional. B. No numbers will be issued without full payment and completed entries, including signatures. Cash, check or credit card. C. Entry Acceptance: Entries will be accepted on a first come-first serve basis until classes are filled. Entries received after classes are filled will be notified and, if desired, put on a waiting list. Those on a waiting list not getting into the show will have all fees refunded. NO PHONE entries will be accepted. All entries must be made on official entry blanks and filled out completely as to classes, exhibitors names, addresses, phone numbers, association numbers, and signatures. Parents or guardians must sign the official entry blank of a minor before a number will be released.. Entries close and MUST BE RECEIVED BY JUNE 23, 2017 8. TESTS: The Current USEF FEI and FEI YR tests will be used. 9. SCRATCHES: Exhibitors have the responsibility of informing the Show Office of their intention to scratch. Scratches before the closing date may be made for any reason and all fees will be refunded except offices fees. If you decide to scratch any of the classes after the closing date, you must inform show management in writing to FAX 818.840.8208 or Meaghan Malloryat mmmdressage.com NO REFUNDS, INCLUDING STALL FEES, AFTER CLOSING DATE FOR ANY REASON. No-Shows will be billed for all unpaid entry fees. 10. LATE ENTRIES: All entries must be RECEIVED on or before the closing date or will be considered a late entry. Each late entry will be charged a late fee of $50.00. Late entries will be accepted and given a ride time only as schedule permits. 11. UNPAID CHARGES: Any exhibitor leaving the show with an unpaid balance of entry fees or feed bill, will be billed for these charges and a $35.00 billing fee will be added to the total due. Until these charges are settled, all future entries of rider and owner will be returned. 12. RETURNED CHECKS: Checks returned by the bank will be handled according to the following procedure: A 10% penalty (minimum $25.00) will be assessed for each returned check. 13. RIDING TIMES: Preliminary ride times will be emailed the week before the show and final ride times will be emailed out and put on the website at www.cornerstonedressage.com by 5:00 pm the day before the show for all exhibitors with changes only in accordance with USEF rule GR830.5 - Adequate time intervals cannot be guaranteed when riders enter more than one horse in any class. If you enter classes in different levels or divisions ie. Open - Amateur or junior, there may be a considerable time between rides. It is the responsibility of the rider to inform the management of any time conflicts at least 24 hours before the scheduled rides. Any changes after the show starts will be charged a $15.00 office fee. 14. ARENAS: 20 x 60 arenas of composition footing. Only horses entered in the show will be allowed in warm-up area. No one on foot is allowed in designated warm-ups. Lungeing is to be done ONLY in specified areas. All horses in the warm-up arenas must wear their competition numbers. All arena must be vacated while equipment is being used. 15. RIBBONS AND AWARDS: In classes where three or more riders complete the class, the winner will receive an award. If less than three, ribbons only will be given. Ribbons are awarded to fifth place 16. MANAGEMENT: Horse Show Management reserves the right to itself to interpret all questions and conditions in regard to or arising out of any incident in the show without claims for damages or recourse of any kind. All questions not covered in these rules and regulations shall be decided by the Horse Show Management; their decision will be final. The Horse Show Management reserves itself the right to refuse, accept conditionally, or to cancel any entries, disqualify riders or exhibitors, prohibit exhibition of entries and cancel award prizes, without claim to damages; to change, cancel or combine any classes, to reschedule classes after due notice to exhibitors, or to change rings or rotate judges. 17. FEED AND BEDDING: Hay and Shavings will be available and can be ordered with the Horse Show Manager at Glenda@glenroys.com. All feed and shaving orders must be made in writing.. Advance orders may be made on the enclosed feed and bedding form or in the Dressage show office at the horse show. Orders must be placed by 12:00 pm for same day delivery. Exhibitors may bring their own feed/shavings; however, deliveries by outside feed/shavings companies are prohibited. Exhibitors who bring their own shavings may be subject to a clean-up fee.

RULES (CONTINUED) 18. HOSE/ WASHING: Do not wash horses in barn area. Please use the wash racks. We recommend that you have a garden hose available. 19. STALL CLEANING: Manure must be placed in designated areas. Trash must be kept separate from manure. A violation will result in a $100 fine. 20. STABLING: NO STRAW IS PERMITTED - ONLY SHAVINGS FOR BEDDING. NO FIRST BEDDING is provided, but may be ordered prior to the show. Permanent stalls are of wood or canvas construction, 10' X 10" with doors. Stalls are $175.00 Thursday through Sunday; Additional days will be charged $25 per day;. Any exhibitor using straw will be assessed an additional charge. Any exhibitor removing stall doors will be charged an additional $100. If you need to arrive before Thursday or stay longer than Sunday, you must call and make special arrangements (818) 841-3554, we will try to accommodate you depending on the schedule at the Equestrian Center 21. SCHOOLING HORSES: Horses not entered in the show must be registered with the Horse show office and will be given a number to be worn at all times outside of the stall. Appropriate stall or ground fees, drug fees and a $45 Per show day schooling fee must be paid. Any person(s) riding a schooling horse must have signed an official entry blank and/or release form. No school horses are allowed in the warm-up area during the competition. Schooling horses scratching after scratch date will be charged a $15.00 office fee. 22. PROTESTS: Any exhibitor lodging a protest must first deposit $100 with the secretary of the show, which sum will be forfeited to the Horse Show if not sustained. All protests must be filed in writing, signed by the protester, and filed with the Show secretary within 48 hours of the occurrence of the alleged violation. 23. DOGS ARE A SERIOUS SAFETY AND HEALTH PROBLEM AT ALL HORSE SHOWS. Dogs must be confined to the stable area at all times and be leashed!! Any dog's owner will be fined $100 and may be asked to leave the show grounds if his/her dog is caught or even OBSERVED outside the stable area. Blenheim EquiSports is serious about dog control. Owners are expected to clean up after their dogs. 24. PARKING: All vehicles must be parked in designated parking areas. Access roads adjacent to the barns are for loading and unloading only! Unauthorized vehicles in non-designated parking areas or permit only parking areas are subject to tow away at owner s expense. CVC22658 CVC22500.1. 25. OVERNIGHT PARKING: There is NO OVERNIGHT PARKING FOR RV. Any questions about overnight parking call Glenda McElroy (818) 841-3554. 26. RAIN SCHEDULE: In the event of rain, times will be rescheduled to accommodate as many rides as possible - if we cancel your class, your money for that class will be refunded - if you scratch a class that is rescheduled, you will be liable for all class fees. 27. VEHICLES: 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) who are responsible for the child committing the offense. Penalities may include exclusion of the child, parent(s), guardian(s), and/or trainer(s) from the competition grounds for the remainder of the competition and charges being filed against any of the above individuals in accordance with Rule 6. Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this rule. 28. HELMETS:Effective April 1, 2013, for dressage: Anyone mounted on a horse must wear protective headgear.

USEF Competition Name: Competition Division(s) and Rating(s): USEF#: WAYS TO SAVE AS A US EQUESTRIAN MEMBER Save 5% on qualifying purchases at checkout Protect yourself with discounted liability and AD&D insurance Buy 10 bags of feed and get one free! Save up to 28% on equipment like Gators (TM) and lawnmowers Get started with a discounted emergency roadside assistance plan. PLUS MANY MORE!

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 www.usdf.org. This competition is recognized by USDF for 2017 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 (GM), Participating Membership (PM), or have a USDF Non-Member (NM) identification number and pay the USDF Non-Member (NM) fee. (Note: USDF Business Members can own horses but cannot compete as riders with their USDF Business Membership.) Individuals cannot compete at a USEF-licensed/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 or quadrille, 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: www.usdf.org. 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) 971-2277, 4051 Iron Works Parkway, Lexington, KY 40511 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. 02/16

California Dressage Society 2017 Membership Form Active Membership...$70.00 Additional Family Member...$60.00 Life Membership...$1,000.00 Name Address City State Zip Phone ( ) Cell ( ) Email Address Chapter Preference Would you like to use your Visa or MC? Card # Expiration Date: v-code visa mastercard Signature Would you like to make an additional donation and be a Patron of Dressage? CDS Supporter $25-$500 ; Silver Supporter $501-$2,000 ; Gold Supporter $2,001 - $5,000 ; and Patron $5,000 + Would you like to add $25 to qualify for the Regional Adult Amateur Competition There will be a competition offered for Adult Amateurs each year in each CDS Region, check website for qualifying Would you like to add $25 to be on the Trainers List in the Roster (not available after Dec 1) Would you like to add $100 to support Club 100 Junior Programs Group membership in the United States Dressage Federation (USDF) is included with CDS membership. All CDS memberships go from December to December. Anyone joining after Oct. 1 will be a member for the following year. Please check any of the following that apply: Renewing member New member Birthdate if under 22 ( / / ) TD EMT Judge Amateur Trainer / Instructor Qualified Riding Member (QRM) California Dressage Society P O Box 417 Carmel Valley, CA 93924 (831) 659-5696 fax (831) 659-2383 paula@california-dressage.org www.california-dressage.org

STABLE WITH: COACH (If Applicable) Parent / Guardian (If Rider is a minor) USDF Non-Member Fees @25 per non member USDF Affidavit Fee @ 5.00/USEF HP Fee $35.00 Late Fee $50 Emergency Contact & Cell Phone #: Total Fees: Owner Star Spangled Dressage July 1-2, 2017 For Office Use Only Name Entry # Address Entries Must be RECEIVED by Friday June 23, 2017 City/State/Zip For More Information Send Entries To: Payment Information: (Make checks payable to Woodside Dressage) Contact Meaghan Mallory at: Cornerstone Dressage Phone USEF # 818-841-3554 or PO Box 3608 USDF # CDS # mmmdressage@gmail.com Glendale, CA 91221 Fax: 818.840.8208 Email FAX or email your Entry Check # Amount: RIDER INFORMATION TRAINER CLASSES Name Name Classes Fees Address Address City/State/Zip City/State/Zip SAT USEF # Phone # USEF # Phone # SUN Amateur Yes / No Email: Email Address: USDF # CDS # USDF # CDS # Total Class Fees: NAME OF HORSE HORSE FEI # HORSE USEF # HORSE USDF # STABLE INFO Breed Color Age Sex Height Yr. of Birth Sire: Dam: USEF ENTRY AGREEMENT DEPOSIT AMOUNT DUE WITH THIS ENTRY UNITED STATES EQUESTRIAN FEDERATION, INC. ENTRY AGREEMENT I have read the United States Equestrian Federation, Inc. (the Federation ) Entry Agreement (GR906.4) as printed in the Prize List for this Competition 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 at the competition, and agree that any actions against the Federation must be brought in New York State. Release, Assumption of Risk, Waiver and Indemnification This document waives import ant 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 above includes Cornerstone Event Management, Paddock Riding Club, CDS, USDF and all of their officials, officers, directors, employees, agents, personnel, volunteers and affiliated organizations. 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. I AGREE TO ALL RULES IN THE PRIZE LIST INCLUDING THE ADDITIONAL HOLD HARMLESS AND THE SCRATCH/REFUND POLICY Office Fee $20 per day $ Stall Fees (See Stable Info) $ ARRIVAL DAY: Grounds Fee $20 x (for horses not stabled) $ NO RV/Overnight Parking TOTAL AMOUNT ENCLOSED $ FEES DUE AT SHOW Class Fees $ California Drug Fees $ 5.00 USEF Fee - $16 per horse $ 16.00 CDS Scholarship Fees $ 3.00 Facility Fees ($10 per non showing day) OWNER / AGENT (Mandatory) RIDER / HANDLER (Mandatory) TRAINER (Mandatory) Class Sponsorship - $50 $ Signature: Signature: Signature: Print Name: Print Name: Print Name: OTHER FEES THAT MAY APPLY: USEF Non-Member fees @ 30 per non member $ Signature: Signature: Print Name: Print Name: FOR FEED & BEDDING CALL (818) 841-3554