Powhatan s 3rd Annual Celebration of the Horse Central District 4 H Qualifying & Open Show Hosted by Powhatan Riders 4 H Club at Rocky Oak Farm Saturday, May 6, 2017 Show Starts: 9:00 a.m. Gates Open: 7:30 a.m. Judge: Dora Wynne // (Rain date: May 7th) 1. Hunter Jr. Showmanship 2. Hunter Sr. Showmanship 3. Hunter Adult Showmanship 4. Model Hunter In Hand (All Age, All Breed) 5. Hunter Under saddle Walk/Trot (Youth) 6. Hunter Under saddle W/T/C (Youth) 7. Hunter Equita on (Youth) Rail work Only 8. Hunter Hack 2 (Youth) 9. Hunter Under saddle Walk/Trot (Adult) 10. Hunter Under saddle W/T/C (Adult) 11. Hunter Equita on (Adult) Rail Work Only 12. Hunter Hack 2 (Adult) 13. Mini Jr. Showmanship 14. Mini Sr. Showmanship 15. Mini Adult Showmanship 16. Halter Mini (All Age) 17. Lead Line (Free) 18. Youth Showmanship Gaited/Walking/Racking 19. Adult Showmanship Gaited/Walking/Racking 20. Halter Gaited/Walking/Racking (All Age) 21. Mini Pleasure Driving (Youth) 22. Mini Pleasure Driving (Adult) 23. GAYP Gaited/Walking/Racking (Youth) 24. Equita on Gaited/Walking/Racking (Youth) 25. GAYP Gaited/Walking/Racking (Adult) 26. Equita on Gaited/Walking/Racking (Adult) 27. Open Pleasure GAYP Gaited/Walking/Racking (All Age, All Discipline) Lunch Break/Parade of Breeds/Trick Rider not before 12:00 28. Excep onal Rider Showmanship (Youth) 29. Excep onal Rider Showmanship (Adult) 30. Excep onal Rider Hunter/English (Youth) 31. Excep onal Rider Hunter/English (Adult) 32. Excep onal Rider Western (Youth) 33. Excep onal Rider Western (Adult) 34. Excep onal Rider All Age All Discipline 35. Western Jr. Showmanship 36. Western Sr. Showmanship 37. Western Adult Showmanship 38. Halter All Breed All Age Day of Show $12 per class Entry Fees: Showmanship (Qualifying 4 H Members) FREE Lead Line Free Pre register $10 per class Make Checks Payable to: Celebra on of the Horse To Pre register, mail entry form, coggins & equine waiver (4 H members include measurement card) to: Davina Lancaster ATTN: Celebra on of the Horse 5081 C Old Buckingham Road Powhatan, VA 23139 OR e mail to: ropemoos@yahoo.com Entries must be post marked by April 30, 2017 to be considered Pre registered. Please have coggins handy the day of the show! SHOW ADDRESS: 2693 Rocky Oak Road Powhatan, VA 23139 Check out our website for more show informa on and other event ac vi es: www.powhatancelebra ono hehorse.com
39. Western Pleasure W/J (Youth) 40. Western Pleasure W/J/L (Youth) 41. Horsemanship Pa ern (Youth) 42. Horsemanship Railwork (Youth) 43. Western Pleasure W/J (Adult) 44. Western Pleasure W/J/L (Adult) 45. Horsemanship Pa ern (Adult) 46. Horsemanship Railwork (Adult) Break (Trick Rider, Other Demos not before 2:00 47. Open Pole Bending 56. Open Obstacle/Trail 48. Youth Pole Bending Obstacle Challenge 49. Adult Pole Bending (All Breed, All Age, 50. Open Speed Barrel All Discipline, In 51. Youth Speed Barrel Hand or Mounted) 52. Adult Speed Barrel 53. Open Cloverleaf Barrels 54. Youth Cloverleaf Barrels 55. Adult Cloverleaf Barrels RULES and REGULATIONS 1. The Central District Horse Show will be operated in accordance with the rules and regula ons of the State 4 H Horse Show. 2. All Exhibitors showing 4 H with the inten on to qualify for the State show must be bona fide 4 H horse project members. All animals they show must be registered as their project animals and be a part of their Horse Project Record. 3. Parents and exhibitors signing entry forms will be responsible for verifica on of eligibility. All members and parents are encouraged to read the rules in detail prior to entering the show. Signatures by the exhibitor and parent indicate that they have read the rules and that they understand any penalty of disqualifica on or elimina on. 4. Juniors (Jr.) are 13 years old or under as of Sept. 30, 2017. Seniors (Sr.) are 14 or older on Sept. 30, 2017. 5. Members are allowed to qualify more than one project horse at our qualifying show. Out of District exhibitors are allowed. 6. Qualifying is the act of taking the project animal into the ring under the eye of the judge for at least one class during the horse show and comple ng the class successfully in the opinion of the judge. 7. SPORTSMANSHIP IS THE 4 H WAY. Any discourtesy to a judge or show official by any exhibitor, parent or leader may cause an exhibitor to forfeit all ribbons and trophies and disqualify the exhibitor from showing in future 4 H horse shows. APPEALS ARE TO BE MADE TO THE SHOW COMMITTEE BY THE EXHIBITOR ONLY BY WAY OF SECRETARY S WINDOW. Judge's cards will not be posted. Judges may be approached only by way of the SHOW COMMITTEE. 8. The judge's decision will be final and may not be protested. 9. Pre entry forms must be postmarked by April 30th and mailed to Davina Lancaster 5081 C Old Buckingham Rd. Powhatan, VA 23139. 4 H members must include a measurement card, a copy of current Coggins, and equine waiver. Non 4 H exhibitors must include a copy of current Coggins and equine waiver. Make checks payable to: CELEBRATION OF THE HORSE. If an exhibitor is showing more than one animal, a separate entry form and a separate check must be completed for each. 10. All 4 H animals that do not have measurement cards must be measured the morning of show. Report to Secretary stand IMMEDIATELY upon entering the grounds if you need to be measured. Exhibitor numbers will not be issued and the animal cannot be shown un l the secretary has seen the completed measurement card. 11. It is the responsibility of the 4 H member to obtain the rules and entry forms and to submit their completed entry on me. Incomplete or inaccurate forms may result in the member not being allowed to qualify. Also, animals without a current coggins will not be allowed on the show grounds. 12. A horse can be qualified by more than one 4 H member. However, the animal must be registered as the project animal of all youth showing it, and each youth must be keeping records on the animal. 13. Horses and ponies must be healthy and sound and must be suitable to the rider. Suitability will be noted in all classes and safety kept in mind during all classes. 14. Only authorized personnel will be allowed in the rings. 15. NO DOGS OR STALLIONS PERMITTED ON SHOW GROUNDS!!!
16. Six ribbons will be awarded for each class. Grand Champion and Reserve Grand Champion will be awarded to the horse/pony accumula ng the highest and second highest number of points for the en re show. Champion and Reserve Champion ribbons will be awarded in the Trail/Obstacle Challenge. 17. The show commi ee reserves the right to combine or cancel classes with less than 3 entries or to divide unusually large classes. Rain date for event is Sunday, May 7, 2017 and the decision to postpone will be posted on website and Facebook. 18. This is an open show as well as a 4 H Qualifying Horse Show. Lead line for youth 8 years or under. 19. The show management have the right to alter show schedule as directed by judge or as they see fit. RULES for EXHIBITORS 1. All exhibitors should be neat and appropriately dressed. Standard riding and work a re is required in the exercise areas at all mes. Standard riding equipment is required and bareback riding is prohibited. 2. Chaps and spurs are op onal in Western Equita on and the Western Divisions. 3. All 4 H members and anyone under the age of 18 are REQUIRED to wear and use ASTM SEI APPROVED PROTECTIVE HEADGEAR and other safety items at all 4 H events. Safety helmets must be worn with CHIN STRAP FASTENED. Harness must be secured and properly fi ed. Any rider viola ng this rule at any me will be prohibited from further riding un l such headgear is properly in place. Protec ve headgear will be worn without penalty or discrimina on in all divisions and classes. 4. The trail class will be open for exhibitors to ride as their schedule permits, 10:00 a.m. 3:00 p.m. Exhibitors are to check in at the Trail in gate. 5. It is the exhibitor's responsibility to be on me for all classes. A TWO MINUTE GATE CALL will be issued before the start of each class. There will be an order of go for all Showmanship, working Western and speed classes. Any compe tor adding a class will be put at the end of the order. Exhibitors showing more than one animal in more than one division must be aware of this and make class choices accordingly. Add on classes must be made at least 4 classes prior to class. INCLEMENT WEATHER POLICY: The show management reserves the right to cancel or abbreviate the show if condi ons warrant. If this should happen all entries will be no fied as early as possible. This show will be rain or shine. Once show begins there will be no refunds. We will do our best to get everyone qualified. CHECK IN and SHOW DAY PROCEDURES: 1. Coggins will be checked for all animals at the show office. 2. A Cer fied Measurer will be available to measure animals the morning of the show between 9 11 a.m. at Show office. A er that report to the secretary stand. Show numbers will not be issued un l the show secretary has a record of each animal's official measurement. 3. Neither the Show, Show Commi ee, Powhatan Riders 4 H Club, Rocky Oak Farm, Powhatan County Extension or it's volunteers will be held responsible for any accident to an exhibitor or the property of any exhibitor, spectator or any other persons during this event. 4. All exhibitors must return their back numbers. 5. Food will be offered for sale all day on the show grounds. FOR MORE INFORMATION: Show Manager: Rose Borkey (804) 598 7255 Show Manager: Davina Lancaster (804) 598 1372 or (434) 390 5110 or e mail ropemoos@yahoo.com Show Secretary: Jackie Bonner Show Secretary: Show Commi ee: Ellie Lancaster Rose Borkey, Davina Lancaster, Melissa Clayton, Powhatan County Extension & Powhatan Riders 4 H Club
Powhatan s 3rd Annual Celebration of the Horse Central District 4 H Qualifying & Open Show Hosted by Powhatan Riders 4 H Club at Rocky Oak Farm Saturday, May 6, 2017 // Judge: Dora Wynne // (Rain date: May 7) Are you qualifying for the Virginia State 4 H Horse Show? Yes No EXHIBITOR INFORMATION: Fill out form completely and print neatly. Include measurement card (4 H projects), copy of coggins and equine waiver. If your horse(s) need to be measured please tell show secretary immediately upon arrival! Exhibitor Name: Address: Exhibitor Birthdate: Age as of Sept. 30, 2017: Phone: E mail: County: Club: Name of Horse: Height of Horse: Age: Color: Coggins Accession Number & Date: Owners Name and Address if different than above: CLASSES (Check the classes you would like to enter) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 Amount Paid: Check #: Total # of Classes: I agree to exhibit under the rules of this show and agree that neither the show nor sponsors will be responsible for any accident or injury to an exhibitor or property of any exhibitor or spectator or property of any spectator. The exhibitor agrees to indemnify the show, Powhatan Riders 4 H Club, Powhatan County Extension, Farm Bureau and Rocky Oak Farm against any claim or liability for damage caused by him or his animal. Accidents or injury to any rider should be reported as soon as possible to the show chair or show secretary. The exhibitor and/or representa ve hereby agree to abide by all rules and decisions of the show including the entry system. Exhibitor and parent or guardian hereby a ests that they have read the rules for this event and that this exhibitor and entry meet all rules and regula ons for this show. Any excep ons to these rules must be approved prior to the show by the Appeals Commi ee. Please carefully read and sign the Equine Ac vity Liability Release Waiver. Signature of EXHIBITOR Signature of PARENT/GUARDIAN
Open Trail/Obstacle Challenge and Parade of Breeds Open Trail/Obstacle Challenge (1) The trail course is open 10:00 a.m. 3:00 p.m. (2) You may ride the trail course any me your schedule permits while open. (3) Check in at the Trail Course Parade of Breeds (1) If you would like to par cipate in the free class, please write down the informa on on your breed on an index card and give it to the show secretary. The informa on you provide will be read over the loud speaker during the Parade of Breeds class. To Pre register, mail entry form, coggins & equine waiver (4 H members include measurement card) to: Davina Lancaster ATTN: Celebra on of the Horse OR e mail to: ropemoos@yahoo.com 5081 C Old Buckingham Road Powhatan, VA 23139 Entries must be post marked by April 30, 2017 to be considered Pre registered. Please have coggins handy the day of the show! Extension is a joint program of Virginia Tech, Virginia State University, the U.S. Department of Agriculture, and state and local governments. If you are a person with a disability and desire any assis ve devices, services or other accommoda ons to par cipate in this ac vity, please contact the Powhatan Extension office at ((804) 598 5640/TDD*) during business hours of 8 a.m. and 5 p.m. to discuss accommoda ons 5 days prior to the event. *TDD number is (800) 828 1120.
4-H Form Publication 388-035 Revised 2014 * Virginia Polytechnic Institute and State University Equine Release, Waiver, and Indemnification Statement The undersigned participant, and his or her parent or legal guardian if the participant is under the age of 18 years, does/do hereby execute this release, waiver, and indemnification for himself or herself/themselves and his or her/their heirs, successors, representatives, and assigns and, thereby, agree(s) and represents as follows: To release the Virginia Polytechnic Institute and State University and the Commonwealth of Virginia, its members, employees, agent, representatives, subsidiary corporations, and those governmental agencies and other organizations affiliated with this activity from any and all liability, loss, damage, costs, claims, and/or causes of action, including but not limited to all bodily injuries and property damage arising out of participation in the activity, it being specifically understood that said activity includes the handling of equine by the undersigned participant. The undersigned person(s) further agree(s) to indemnify the Virginia Polytechnic Institute and State University and the Commonwealth of Virginia, its employees, members, agents, representatives, and those governmental agencies and other organizations affiliated with this project, and hold them harmless for any liability, loss, damage, cost, claim judgment, or settlement which may be brought or entered against them as a result of the undersigned person s participation in said activity. If involved in equine activities pursuant to Section 3.2-6202 amended of the Code of Virginia the undersigned(s) execute(s) this waiver of the undersigned(s) rights to sue and agree(s) to assume all risks resulting from the intrinsic dangers of equine activities. Intrinsic dangers of equine activities is defined as those dangers or conditions that are an integral part of equine activities, including but not limited to, (i) the propensity of equines to behave in ways that may result in injury, harm, or death to persons on or around them; (ii) the unpredictability of an equine s reaction to such things as sounds, sudden movement, and unfamiliar objects, persons, or other animals; (iii) certain hazards such as surface and subsurface conditions; (iv) collisions with other animals or objects; and (v) the potential of a participant acting in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the equine or not acting within the participant s ability. This waiver shall remain valid unless expressly revoked by the participant or Parent or guardian of a minor. The revocation shall be in writing which shall be delivered to the provider and shall become effective thirty (30) days after delivery to the provider. In the case of school-, college-, and university-sponsored classes and programs, waivers executed by a participant or parent or guardian of a participant shall apply to all equine activities in which the participant is involved in the next succeeding twelve (1 2) month period unless earlier expressly revoked in writing. The revocation shall become effective thirty (30) days after it is delivered to the provider. The undersigned(s) agrees to maintain all medical and health insurance needed to cover all risks of any kind in any place in livestock, equine, and/or other activities. I, the undersigned participant, will wear and use, in accordance with established Cooperative Extension policy and procedure, all safety equipment and to ensure equipment is in good condition at all times. Printed Name of Participant Printed Name of Parent or Guardian Signature of Participant Signature of Parent or Guardian if participant is under age 18 yrs Date Personal Statement for Adult Non-Helmet Use I,, understand that Virginia Tech and the Commonwealth of Virginia highly recommended for safety reasons that I wear an ASTM certified riding helmet while engaged in equine activities. I have freely chosen not to wear this recommended safety equipment, to include an ASTM certified riding helmet, while I am engaged in equine activities and elect to accept full responsibility for any injuries that might arise as a result of failure to use or wear recommended safety equipment. Signature www.ext.vt.edu Produced by Communications and Marketing, College of Agriculture and Life Sciences, Virginia Polytechnic Institute and State University, 2013 Virginia Cooperative Extension programs and employment are open to all, regardless of race, color, national origin, sex, religion, age, disability, political beliefs, sexual orientation, genetic information, marital, family, or veteran status, or any other basis protected by law. An equal opportunity/affirmative action employer. Issued in furtherance of Cooperative Extension work, Virginia Polytechnic Institute and State University, Virginia State University, and the U.S. Department of Agriculture cooperating. Edwin J. Jones, Director, Virginia Cooperative Extension, Virginia Tech, Blacksburg; Jewel E. Hairston, Administrator, 1890 Extension Program, Virginia State, Petersburg. VT/0614/4H-304NP 1 *18 U.S.C. 707