pvda ride for life · see for further information. ... the final % and judge signature must be...

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Opening Date: May 7, 2018 Closing Date: June 8, 2018 USDF/USEF # 324870 PVDA Ride for Life a Level 2 Dressage Competition Saturday & Sunday, June 23-34, 2018 Prince George’s County Equestrian Center and Show Place Arena 14900 Pennsylvania Avenue, Upper Marlboro, MD 20772 Please check the PVDA website at www.pvda.org for updates. A. PRIZE LIST Classes will be split if there are more than three entries per division. Saturday, June 23 Classes Sunday, June 24 Classes Fee 11 USDF Introductory Test A 21 USDF Introductory Test A $ 35 12 USDF Introductory Test B 22 USDF Introductory Test B $ 35 13 USDF Introductory Test C 23 USDF Introductory Test C $ 35 14 USEF Training Level Test 1 OC 24 USEF Training Level Test 1 OC $ 40 15 USEF Training Level Test 2 OC 25 USEF Training Level Test 3 OC $ 40 16 USEF First Level Test 1 OC 26 USEF First Level Test 1 OC $ 40 17 USEF First Level Test 2 OC 27 USEF First Level Test 3 OC $ 40 101 USEF Training Level Test 1 201 USEF Training Level Test 1 $ $ 40 102 USEF Training Level Test 2/BLM 202 USEF Training Level Test 2/BLM $ 40 103 USEF Training Level Test 3/GAIG 203 USEF Training Level Test 3/GAIG $ 40 111 USEF First Level Test 1 $ 211 USEF First Level Test 1 $ 40 112 USEF First Level Test 2/BLM 212 USEF First Level Test 2/BLM $ 40 113 USEF First Level Test 3/GAIG 213 USEF First Level Test 3/GAIG $ 40 121 USEF Second Level 1 $ 221 USEF Second Level 1 $ 40 122 USEF Second Level 2/BLM 222 USEF Second Level 2/BLM $ 40 123 USEF Second Level Test 3/GAIG 223 USEF Second Level Test 3/GAIG $ 40 131 USEF Third Level Test 1 231 USEF Third Level Test 1 $ $ 50 132 USEF Third Level Test 2/BLM 232 USEF Third Level Test 2/BLM $ 50 133 USEF Third Level Test 3/GAIG 233 USEF Third Level Test 3/GAIG $ 50 141 USEF Fourth Level Test 1 241 USEF Fourth Level Test 1 $ $ 50 142 USEF Fourth Level Test 2/BLM 242 USEF Fourth Level Test 2/BLM $ 50 143 USEF Fourth Level Test 3/BLM/GAIG 243 USEF Fourth Level Test 3/GAIG $ 50 150 FEI Prix St. Georges/BLM/GAIG 250 FEI Prix St. Georges/BLM/GAIG $ 60 151 FEI Intermediate TOC BLM/GAIG ^^ 251 FEI Intermediate TOC BLM/GAIG ^^ $ 60 152 FEI Grand Prix TOC BLM/GAIG ^^^ 252 FEI Grand Prix TOC BLM/GAIG ^^^ $ 60 160 USDF Freestyle TOC* BLM/GAIG $ 260 USDF Freestyle TOC* BLM/GAIG $ 50 161 FEI Freestyle TOC BLM/GAIG 261 FEI Freestyle TOC BLM/GAIG $ 60 162 USDF Pas de Deux/BLM 262 USDF Quadrille $ 60 / 80 170 Nat’l Dressage Pony Cup (NDPC) / Pony TOC 270 Nat’l Dressage Pony Cup (NDPC) / Pony TOC $ 45 180 FEI Para-Equestrian TOC 280 FEI Para-Equestrian TOC $ 60 181 FEI Para-Equestrian TOC 281 FEI Para-Equestrian TOC $ 60 182 USEA TOC 282 USEA TOC $ 40 183 USEA TOC 283 USEA TOC $ 40 184 USEF TOC BLM/GAIG 284 USEF TOC BLM/GAIG $ 45 2018 PVDA Ride for Life Page 1 June 23-24, 2018 Show Manager: Julie Gross 301.503.7709 [email protected] Entry Secretary: Carolyn Del Grosso 10401 Peak View Court Damascus, MD 20872 301.509.9566 Show Secretary: Carolyn Del Grosso Announcer: TBA Stable Manager: Carolyn Del Grosso/Julie Gross Medical Services: On grounds during show hours, on call after show hours Technical Delegate: Robyn Nunnally - VA Show Administrator: Potomac Valley Dressage Association, Inc A DC Non-profit Corporation Christina Dale, President Farrier*: On grounds during show hours, on call after show hours Veterinarian*: On call. Phone number will be posted in barns & show program Judges: Debbie Riehl-Rodriguez S - CO David Schmutz S - CA Jennifer Roth S, NC * Name and phone number of Medical Services, Verterinarian, and Farrier will be posted in the show office and in all barns. $$ Money Classes offered both days!! $$

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Page 1: PVDA Ride for Life · See  for further information. ... the final % and judge signature must be submitted with the entry. USDF Training Level freestyle is NOT a GAIG qualifier

Opening Date: May 7, 2018Closing Date: June 8, 2018

USDF/USEF # 324870

PVDA Ride for Life a Level 2 Dressage Competition

Saturday & Sunday, June 23-34, 2018Prince George’s County Equestrian Center and Show Place Arena

14900 Pennsylvania Avenue, Upper Marlboro, MD 20772

Please check the PVDA website at www.pvda.org for updates.� �

A. PRIZE LISTClasses will be split if there are more than three entries per division.

Saturday, June 23 Classes Sunday, June 24 Classes Fee 11 USDF Introductory Test A 21 USDF Introductory Test A $ 3512 USDF Introductory Test B 22 USDF Introductory Test B $ 3513 USDF Introductory Test C 23 USDF Introductory Test C $ 3514 USEF Training Level Test 1 OC 24 USEF Training Level Test 1 OC $ 4015 USEF Training Level Test 2 OC 25 USEF Training Level Test 3 OC $ 4016 USEF First Level Test 1 OC 26 USEF First Level Test 1 OC $ 4017 USEF First Level Test 2 OC 27 USEF First Level Test 3 OC $ 40101 USEF Training Level Test 1 201 USEF Training Level Test 1 $ $ 40102 USEF Training Level Test 2/BLM 202 USEF Training Level Test 2/BLM $ 40103 USEF Training Level Test 3/GAIG 203 USEF Training Level Test 3/GAIG $ 40111 USEF First Level Test 1 $ 211 USEF First Level Test 1 $ 40112 USEF First Level Test 2/BLM 212 USEF First Level Test 2/BLM $ 40113 USEF First Level Test 3/GAIG 213 USEF First Level Test 3/GAIG $ 40121 USEF Second Level 1 $ 221 USEF Second Level 1 $ 40122 USEF Second Level 2/BLM 222 USEF Second Level 2/BLM $ 40123 USEF Second Level Test 3/GAIG 223 USEF Second Level Test 3/GAIG $ 40131 USEF Third Level Test 1 231 USEF Third Level Test 1 $ $ 50132 USEF Third Level Test 2/BLM 232 USEF Third Level Test 2/BLM $ 50133 USEF Third Level Test 3/GAIG 233 USEF Third Level Test 3/GAIG $ 50141 USEF Fourth Level Test 1 241 USEF Fourth Level Test 1 $ $ 50142 USEF Fourth Level Test 2/BLM 242 USEF Fourth Level Test 2/BLM $ 50143 USEF Fourth Level Test 3/BLM/GAIG 243 USEF Fourth Level Test 3/GAIG $ 50150 FEI Prix St. Georges/BLM/GAIG 250 FEI Prix St. Georges/BLM/GAIG $ 60151 FEI Intermediate TOC BLM/GAIG ^^ 251 FEI Intermediate TOC BLM/GAIG ^^ $ 60152 FEI Grand Prix TOC BLM/GAIG ^^^ 252 FEI Grand Prix TOC BLM/GAIG ^^^ $ 60160 USDF Freestyle TOC* BLM/GAIG $ 260 USDF Freestyle TOC* BLM/GAIG $ 50161 FEI Freestyle TOC BLM/GAIG 261 FEI Freestyle TOC BLM/GAIG $ 60162 USDF Pas de Deux/BLM 262 USDF Quadrille $ 60 / 80170 Nat’l Dressage Pony Cup (NDPC) / Pony TOC 270 Nat’l Dressage Pony Cup (NDPC) / Pony TOC $ 45180 FEI Para-Equestrian TOC 280 FEI Para-Equestrian TOC $ 60181 FEI Para-Equestrian TOC 281 FEI Para-Equestrian TOC $ 60182 USEA TOC 282 USEA TOC $ 40183 USEA TOC 283 USEA TOC $ 40184 USEF TOC BLM/GAIG 284 USEF TOC BLM/GAIG $ 45

2018 PVDA Ride for Life Page �1 June 23-24, 2018

Show Manager: Julie [email protected]

Entry Secretary:Carolyn Del Grosso10401 Peak View CourtDamascus, MD 20872301.509.9566

Show Secretary:Carolyn Del Grosso

Announcer:TBA

Stable Manager: Carolyn Del Grosso/Julie Gross

Medical Services: On grounds during show hours, on call after show hours

Technical Delegate:Robyn Nunnally - VA

Show Administrator:Potomac Valley Dressage Association, Inc A DC Non-profit Corporation Christina Dale, President

Farrier*: On grounds during show hours, on call after show hoursVeterinarian*: On call. Phone number will be posted in barns & show program

Judges:Debbie Riehl-Rodriguez S - CODavid Schmutz S - CAJennifer Roth S, NC

* Name and phone number of Medical Services, Verterinarian, and Farrier will be posted in the show office and in all barns.

$$ Money Classes offered both days!! $$

Page 2: PVDA Ride for Life · See  for further information. ... the final % and judge signature must be submitted with the entry. USDF Training Level freestyle is NOT a GAIG qualifier

B. DEFINITIONSOpen Class is open to all horses and riders. Please mark your entry accordingly.AA Class is open to Adult Amateurs only. Competitors must compete as adults from the beginning of the calendar year in which they reach the age

of 22 and must hold a current USEF Amateur Card. Please mark your entry accordingly

JR Class is open to Junior Riders only, ages 18 and under in the current year. Please mark your entry accordingly.YR Class is open to Young Riders only, ages 16-21 in the current year. Please mark your entry accordingly.JYR Class is open to Junior Riders and Young Riders only.$ $ signifies a division in this class is a money class. 111 AA, 121 Open, 160 MFS. 201 AA, 231 AA, 241 Open. 1st = $50, 2nd = $35, 3rd = $15.

TOC Test of Choice - specify test on entry formUSEF TOC For classes 184 & 284 USEF TOC tests for Training - Fourth level are available but, can only be entered if also riding in the same test already

that day. For example, you must enter class 101 to enter class 184 and choose First 1.BLM Qualifying class for the 2018 Colonel Bengt Ljungquist Memorial Championships. Riders must be members of a participating USEF Group

Member Organization at the time of the show to be eligible. See www.cblm.org for further information.GAIG Qualifying class for the 2018 Great American Insurance Group (GAIG)/USDF Championships (must declare qualifying ride on entry form.) An

additional $15 fee is required (in addition to the regular class fee) and must be paid prior to the start of the class.

^^ Intermediate TOC. Intermediate A and B tests are NOT GAIG qualifiers. ^^^ Grand Prix TOC. The Grand Prix Special test is NOT a GAIG qualifier.* Freestyles have a prerequisite score of 60% for the highest test of the freestyle level of any test of a higher level. A copy of this test, including

the final % and judge signature must be submitted with the entry. USDF Training Level freestyle is NOT a GAIG qualifier.** Intro A,B, & C and Classes Marked OC are not recognized by USEF. For horses and riders only in Intro or Opportunity classes USEF and

USDF membership and horse registration are not required. The USEF Drug fee is required. Scores earned in Intro or Opportunity classes may not be applied toward the USEF and USDF awards or programs. USEF requires a separate Competition Entry Form for these classes.

NDPC Pony Test of Choice Entries in this class will be eligible for the 2018 National Dressage Pony Cup (NDPC) year-end awardsOC Opportunity Classes - No USEF/USDF memberships or Horse ID required for opportunity classes if ONLY entering OC and/or Intro. Horses

entered only in opportunity are exempt from the USEF Drug Fee. Riders/horses are permitted to cross-enter into other recognized classes.

C. ENTRY FEES

Introductory Level Classes $35 per classTraining, First, & Second Level Classes $40 per classThird & Fourth Level Classes $50 per classFEI Classes (PSG, Int, GP, 4, 5, & 6 YO) $60 per class

USDF Musical Freestyles $50 per classUSDF-GAIG Qualifying Classes Additional $15 per class for USDF/GAIG qualifying classes if Q is desiredPas de Deux $60 per pair (each rider pay $30)Quadrille $80 per team (each rider pay $20)

NDPC Pony Test of Choice $45 per classUSEF Non-Member Fee (Show Pass) $45 per USEF non-member owner, rider, and/or trainer (individuals only participating in Introductory, Pas de Deux

and/or Quadrille are exempt from this feeUSDF Non-Member Fee / Show $35 per USDF non-member owner and/or rider (individuals only participating in Introductory, Pas de Deux,

Quadrille and/or Opportunity are exempt from this fee))USDF Non-Member Affidavit Fee / Show $5 per show for non-member owner and/or rider who previously paid the non-member fee but cannot provide the

non-member number or current USDF member who cannot show proof of membership. The affidavit may also be used to verify horse registration and/or ownership if correct USDF horse registration document cannot be provided. Paid in addition to the USDF $35 non-member fee.

Office Fee $50 (non-refundable) $25 of the office fee goes to Johns Hopkins UniversityUSEF Drug/Medication Fee $23 - $15 D/M + $8 fee (Non-competing and OC only horses are exempt from this fee. One fee/horse/show.)Grounds Fee $30 per day for each horse not stabled (either stabling or daily grounds fee must be paid)Stabling for Duration of Show $120 (fee if horse stays overnight, either stabling or daily grounds fee must be paid)

Stabling per Day (Daily Stall) $60 (6am to 6pm daily, either stabling or grounds fee must be paid)Tack Stall $110 for duration of the show or $60 daily (6am to 6pm)Bedding (per bale) $12 (stall delivery for pre-ordered bedding only)Post Entry Surcharge $50 (check PVDA website or email Show Secretary to determine if late entries will be accepted)

Class Change $10 (if granted by Show Secretary)Camper Hookup Per Day $40 per day; first come/first served (8-10 camper spots available)Non-Competing Horse Submit entry form, current Coggins, $50 office fee, and $30/day grounds fee or stabling fee ($110 for show or $60

per day.) Horse must wear bridle number when not in trailer or stall.Vendors $50 per day. Fee waived for photographer and videographer. Must provide proof of insurance and sign a release

form.

2018 PVDA Ride for Life Page �2 June 23-24, 2018

Page 3: PVDA Ride for Life · See  for further information. ... the final % and judge signature must be submitted with the entry. USDF Training Level freestyle is NOT a GAIG qualifier

1. Entry Form: Entries must be submitted on a 2018 Region One Entry Form (attached) and available at www.usdfregion1.org. Entries will be accepted only with the entry form and payment. The Owner, Rider, and Trainer (and Coach, if applicable) boxes on page two must ALL have SIGNATURES (no “same”.) For Test of Choice (TOC) classes the test must be indicated on page 1 of the form.2. Payment: Each entry must have its own separate check, made payable to PVDA. Fees must be paid in full with the entry form. If a check for entry fees is returned by the bank, the entry will be placed on a waiting list until all fees are paid in cash, money order, or cashier’s check. All returned checked are subject to a $30 service fee. Pas de Deux: each rider pays 1/2 of class fee. Quadrille: each rider pays 1/4 of class fee. 3. Coggins Certificate: Entries without proof of a negative Coggins test valid throughout the show date will not be accepted. If a new Coggins test is pending, the new certificate must be submitted to the show secretary before the horse can enter the show ground. Email of a scanned certificate is acceptable. The Coggins certificate must state the horse’s name as it appears on the entry blank (USEF Rule GR 907.3)4. USEF/USDF Horse Recording/Registration and Owner/Rider/Trainer/Coach Memberships: If you are snail mailing your entry without using www.EquestrianEntries.com, use the USEF Affiliates Membership Verification Service at www.eqverifcation.org to provide proof of horse USEF/USDF recording/registration, owner and rider USEF/USDF memberships, and trainer USEF membership.• USEF Horse Recording and USDF Horse Registration: Proof required for USDF-GAIG regional championship qualifying classes. USDF Horse Identification Number (HID) required, as a minimum, for non-qualifying classes. Proof must be provided with the entry form.• USEF Membership: USEF members must provide proof of current membership with the entry form. If rider, owner, and/or trainer cannot show validation for current USEF membership a $45 USEF non-member fee (Show Pass) must be paid with the entry form. (Trainer = person responsible/liable for horse while on show grounds.)• USDF Membership: USDF members must provide proof of current membership with the entry form. If current USDF member cannot show proof of membership, they should fill out the affidavit and pay the $5 fee. If rider and/or owner are not current USDF members, a $35 USDF non-member fee/show must be paid with the entry form along with the affidavit and $5 fee. If a rider and/or owner previously paid a non-membership fee and cannot provide the non-membership number, in addition to the $35 non-member fee, a $5 affidavit fee will be assessed.•USEF Exemptions: Horses and people involved only in Introductory, Pas de Deux and/or Quadrille classes are exempt from USEF horse recording requirements and USEF membership requirements.•USDF Exemptions: Horses and people involved only in Introductory, Pas de Deux and/or Quadrille classes are exempt from USDF horse registration requirements and USDF membership requirements.5. Freestyle Test: With their entry riders competing in freestyle classes must submit a copy of the highest test of the freestyle level, or any test of a higher level, on the competition horse, with a minimum score of 60%.6. MPA Disclosure: If a horse has received medroxyprogesterone acetate (MPA), commonly known as the human product Depo-Provera® within 90 days and is competing at a USEF licensed competition an MPA Disclosure Form must be completed. https://www.usef.org/forms-pubs/pZXMbDmczIw/medroxyprogesterone-acetate-mpa

You may enter the show one of three way: (ONLINE ENTRIES ARE PREFERRED)1. Hand Written and Snail Mail: Print the 2018 Region 1 Licensed Show Entry Form (available at www.usdfregion1.org or pages 9-10 of this prizelist). Snail mail the completed signed form, check, Coggins, USEF Affiliates Membership Verification Service print-out, copy of test to qualify for a freestyle ride (if applicable), and copy(ies) of Para-Equestrian documents (if applicable). Snail mail to the Entry Secretary. With this method the office fee is $50.2. Online Application and Snail Mail: Log on to www.EquestrianEntries.com and follow the instructions to enter the show but do not submit the payment. Print out the Equestrian Entries report and obtain signatures from Rider, Owner, and Trainer. Snail mail the Equestrian Entries report, check, Coggins, copy of qualifying freestyle test (if applicable), and copy(ies) of Para-Equestrian documents (if applicable) to the Entry Secretary. With this method the office fee is $50.3. Total Online Application: Log on to www.EquestrianEntries.com and follow the instructions to enter the show, submit the Coggins and other documents, and make your payment. Equestrian Entries will forward your entry, payment, and all other documents to PVDA. This method will cost you 3% of the cost of your fees. With this method, the office fee is $50.

• Snail Mailed Entries: Mail entry packets to the show secretary. Do not send entry packets via registered, certified, or signature-required mail. No telephone, fax, or email entries will be accepted.• Grounds Fee: A $30 per day grounds fee must be paid for horses that are not stabled during the show.• Non-Competing Horses: Must be registered with the Show Secretary. The owner/representative must provide copy of a current Coggins test report, pay the office fee, and pay either a stabling fee or daily grounds fee(s). The owner/representative of non-competing horses does not pay the USEF Drug/Medication fee. Non-competing horses must wear a bridle number at all times when they are not trailered or stabled.• Test Versions: Current editions of the USEF tests for Training Level through Fourth Level will be used. Current editions of the USDF Introductory Level, Quadrille and Pas de Deux tests and current editions of the FEI Prix St. Georges, Intermediate I, II, A and B, and Grand Prix tests will be used. Copies of the tests may be obtained from the governing body website for each organization.• Limited Entries: Entries may be limited if the show is over-subscribed. Entries received after the show is full will be placed on a waiting list. The show may fill prior to the closing date.• On-time and Late Entries: On-time entries must be received by the Entry Secretary on or before the closing date. Entries received after the closing date will be accepted on a space available basis. Entries received after the closing date may be charged a $50 post entry surcharge.• Acknowledgement of Entry Receipt: Will be emailed to each rider. Please check for errors, notify the secretary immediately if errors exist.• Ride Times: will be available on the website www.pvda.org at least one week before the show date.• Horse Substitutions: Riders may substitute horses once they have entered only upon presentation of a vet certificate for the incapacitated horse, or a bill-of- sale, and only in the same classes in which the first horse was entered. The secretary must be notified at least 24 hours before the class(es) take place and a new entry form must be completed and submitted, along with a copy of a current Coggins for the new horse.• Refunds: No refund for overpayment of $10 or less. For scratches prior to the closing date, entry fees will be refunded less a $35 office fee. After the closing

date, no refunds (including stabling fees and overpayments) will be issued for any reason, including rider and/or horse health/injury, Acts of God, inclement weather, terrorism, or other emergencies.

• USEF Rules: 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. USEF rules go into effect upon arrival at the show grounds.• New Vaccination Requirements: Effective 12/01/2015, Horses entering the show grounds must be accompanied by documentation of Equine Influenza Virus and Equine Herpes Virus (Rhinopneumonitis) vaccinations within 6 months prior to entering the show grounds. Horses not in compliance with this rule may be required to leave the grounds upon request by Competition Management (GR845)• Show Management Rights: Show Management reserves the right to refuse entries (USEF Rule V) and to make changes, deletions, or corrections, as deemed necessary.

D. ENTRY PACKET REQUIREMENTS

E. HOW TO ENTER THE SHOW

F. OTHER ENTRY REQUIREMENTS AND INFORMATION

G. OTHER SHOW RULES AND INFORMATION

2018 PVDA Ride for Life Page �3 June 23-24, 2018

Page 4: PVDA Ride for Life · See  for further information. ... the final % and judge signature must be submitted with the entry. USDF Training Level freestyle is NOT a GAIG qualifier

• Class and Judge Changes: Management reserves the right to split, combine, delete, or add classes. Management also reserves the right to add or substitute judges or make any changes required by circumstances.• Veterinarian, Farrier, and EMT: A farrier and EMT will be on the grounds during the show and on call after show hours. A veterinarian will be on call for the duration of the show. All emergency numbers will be posted in the Secretary's Office and the barns.• Bridle Numbers: Bridle numbers must be worn at all times when a horse is being hand-walked, exercised, or ridden.• Freestyle CDs: Riders competing in freestyle classes must present a good quality CD at least two hours prior to their scheduled ride time.• Headgear: Effective January 1, 2014, for dressage: From the time horses are officially admitted to the competition grounds by competition management, anyone mounted on a horse at any time on the competition grounds, including non-competing riders, riders on non-competing horses, mounted participants in exhibition classes and those competing in all classes and tests, including Para-Equestrian tests, must wear protective headgear as defined by this rule and otherwise in compliance with GR801. Any rider violating this rule at any time must immediately be prohibited from further riding until such headgear is properly in place. Protective headgear is defined as a riding helmet which meets or exceeds ASTM (American Society for Testing and Materials)/SEI (Safety Equipment Institute) standards for equestrian use and carries the SEI tag. The harness must be secured and properly fitted. Unless jackets are waived, while in the competition ring, exhibitors wearing protective headgear must wear a short, dark jacket, dark tailcoat (only permitted for tests above Fourth Level), or Armed Services or police uniform (if eligible), dark hat covers (where applicable) and must otherwise conform to DR120 (see GR801).• No-shows: If a competitor fails to notify the competition secretary of his/her intention to scratch a test (i.e., is a "no show"), competition management reserves the right to fill all of that competitor's subsequent ride times (USEF Rule DR 126.3).• Damages to Third Parties: All owners and competitors are personally responsible for damages to third parties caused by themselves, their employees, their agents, or their horses. They are therefore strongly advised to take out third-party insurance providing full coverage for participation in equestrian events.• Sharps Containers: Each barn has one sharps container per 50 horses available (per GR 1210.4). Show Management may fine any individual, including trainers, exhibitors, owners, or their agents, up to $100 for improper disposal of needles or other sharp disposable instruments.• Motorized Vehicles: Any person operating any motorized vehicle, including golf carts, must have a valid driver’s license from his/her state of residence.• Vendors: $50 per day (fee waived for photographer and videographer). Must provide proof of insurance and sign a release form • Show Office Hours: Friday before the show 12:00 noon to 6 PM; Saturday and Sunday 6 AM until show end on each day. • PVDA provides rider addresses and email addresses to the photographer and videographer.

• Dogs: Must be leashed while on show grounds and in stable area. No dogs in the office areas; violations will result in a fine to owners.• Gray Water: Do not dump gray water (waste water) on the show ground.• Smoking: Smoking is not permitted within 100 feet of the barns or in/near the show office.• Food: Food will be available for purchase on the show grounds.• Show Arenas: One indoor arena 20m x 60m with sand and rubber footing. Up to two covered sand/rubber 20m x 60m arenas. Up to two outdoor bluestone/sand 20m x 60m arenas.• Warm up areas: Two outdoor sand/rubber arenas. Ample outdoor grass areas. Lunging is permitted in designated areas only.

• Limited 10’ x 10’ permanent stalls are available on a first-come, first-served basis. Bring buckets and screw eyes. Stalls have permanent doors.• Due to limited stabling, stalls may be restricted to competing horses whose entries are received by the closing date.• Horse and tack stalls are $120 per weekend (12 noon on Friday through 7pm on Sunday). Day stalls (6am to 6pm) are $60 per day. Use of tack stalls may be limited.• Early arrival or late departure is available for $30/stall. Competitors must contact the Stable Manager to arrange early arrivals or late departures, and may be responsible for additional security or associated fees.• Initial bedding is not provided. Bedding may be pre-ordered with the entry at $12/bag delivered to your stall. Additional bedding may be purchased during the show for $12/bag; pay at the show office and pick-up at the bedding trailer.• Stalls do not have to be cleaned prior to departure.• Stall assignments will be posted on the PVDA web site for horses whose current Coggins has been submitted.• Riders must provide emergency contact information on their entry form and on the stall card.

• Class Awards: Trophy and six ribbons in each class. Management reserves the right to combine and split classes.• High Score Awards (only training, first, second, third, fourth, and FEI [PSG, Int, & GP] classes considered):

• Ribbon to the competitor with the highest score of the show (Overall High Score) and second highest score of the show (Reserve High Score).• Ribbon to the competitor with the highest score of the show among Training, First, Second, Third, Fourth, and FEI classes.• Ribbon to the Open, AA, and JYR competitors with the highest score.

• Class #123.1 is a USDF/Dover Adult Amateur Medal Program class. See www.usdf.org/awards/performance/adultmedalprogram.asp for further information.• National Dressage Pony Cup Awards: Pony classes will be offered at each show. You must participate in at least three out of the four shows to be eligible for

NDPC PVDA Pony Series Awards. PVDA Shows included in this series are: Annual Spring Show 5/19-20, Ride for Life 6/23-24, Waredaca I 9/1, Waredaca II 9/2. All tests and freestyles ridden in Pony classes will automatically be entered in NDPC Year-End Awards, even if the rider is not a member of the NDPC. Learn more at www.DressagePonyCup.com

• From I-95 Washington Beltway: Take I-95 to exit 11A, Pennsylvania Ave South/East (Route 4). Stay on Route 4 East for seven miles to Upper Marlboro exit (there are signs to the equestrian center). Turn right at the stop sign.• From I-695 Baltimore Beltway: Take I-695 to Route 97 South to Route 3 South, which becomes Route 301. Continue to exit at Route 4 North/West (Towards Washington). Take the first exit (Upper Marlboro). At the stop sign take a left to the equestrian center.

Further information is available at www.showplacearena.com

Official Hotel of the PVDA Ride for Life Comfort Inn & Conference Center - Bowie 301-464-0089 / 800-228-5150

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 Potomac Valley Dressage Association, Inc., organizer, show committee, and all horse show personnel.

H. SHOW FACILITY RULES AND INFORMATION

I. STABLING

J. AWARDS

K. DIRECTIONS

L. ACCOMMODATIONS

M. PVDA HOLD HARMLESS CLAUSE

2018 PVDA Ride for Life Page �4 June 23-24, 2018

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The Potomac Valley Dressage Association, Inc and its show committee will not be responsible for bills and outstanding debts of competitors.

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 non-member 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 Show Pass fee. Participants in the following classes are exempt from the requirements of this rule: 1) leadline; 2) exhibitions; 3) games and races; 4) classes for 4-H members; 5) walk trot (exception: Friesian performance FR218) 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.

In accordance with GR1301.7: 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. Penalties 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 Chapter 6. Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this rule.

N. PVDA STATEMENT FOR BILLS AND OUTSTANDING DEBTS OF COMPETITORS

O. USEF MEMBERSHIP STATEMENT

P. USEF MOTOR VEHICLE STATEMENT

Q. USDF STATEMENT ON ANIMAL WELFARE

2018 PVDA Ride for Life Page �5 June 23-24, 2018

USDF Statement on Animal WelfareThe United States Dressage Federation, Inc. (USDF), a federation of over 100 independent organizations throughout the United States with a member-ship of nearly 30,000 members, supports the concept of ethical treatment of animals.

Dressage is a classical method of training horses, based upon the horse’s natural responses, as carried out in a gradual, planned program during which the horse’s athletic abilities are improved in a systematic manner. As a result, the horse becomes capable, comfortable, and responsive in partnership with the rider without the use of force. Dressage competition at various levels of achievement is the ultimate test of the training program to determine whether the desired harmony between horse and rider has been achieved.

The rules pertaining to dressage competition prohibit the use of artificial appliances, training aids, and drugs, which would force the horse to submit. Instead, the emphasis is upon training and a cooperative partnership with the rider. Major competitions are carefully monitored to assure that there is no unnecessary force or harshness displayed.

Unlike other horse sports in which horses enter training at a relatively immature state, dressage training is usually not seriously begun until the horse is three or four. The top levels of achievement require five or more years of progressive training and it is not unusual to see horses in international competition in their late teens. This, in itself, places a premium on good care and soundness throughout the horse’s life.

While supporting the concept of animal welfare in its broadest form, the United States Dressage Federation, Inc., also recognizes that it is unrealistic to ascribe human emotions and responses to the horse which in its wild state is a creature of flight, living a hard and precarious existence. Under domes-tication, the horse is assured of ample food, water, and shelter, as well as protection against infectious diseases and damaging parasites, thus leading a longer and healthier life with a high rate of survival.

As an educational organization, USDF has numerous programs, which teach people how to pursue the accepted, humane training methods. A program of certifying instructors also emphasizes protecting the horse’s welfare in pursuit of dressage training.

United States Dressage Federation4051 Iron Works Parkway, Lexington, KY 40511

Phone: 859-971-2277, Fax: 859-971-7722, [email protected], www.usdf.org

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Each competitor is responsible for supplying management with correct association numbers (United States Dressage Federation, United States Equestrian Federation) for horse, owner, rider, and trainer before the day(s) of the competition. The scores of competitors who fail to supply correct numbers may not be counted toward national.

R. USEF FEDERATION PAGE

S. USDF ATTENTION COMPETITORS

2018 PVDA Ride for Life Page �6 June 23-24, 2018

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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 Competitor & Member Guide or the USDF website at www.usdf.orgMembership 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, Participating Membership (PM), or have a USDF Non-Member (NM) identification number and pay the USDF NM fee. (Note: USDF Business Members can own horses but cannot compete as riders with their USDF Business Memberships.) 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 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 DefinedParticipating Membership (PM): A membership issued to an individual directly by USDF. The membership is December 1 through November 30. PMs are available 1-year ($90), 5-years ($360) or life ($1,800). A USDF Youth Participating Membership (YPM) is available for individuals who have not reached their 21st birthday by December 1 of the current membership year ($72). 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 Organizer (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 ($240) 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 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 $35 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 ($35). Scored earned by a horse with a 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 $80. 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 ($115) 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 a 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.

T. USDF RECOGNITION PAGE

2018 PVDA Ride for Life Page �7 June 23-24, 2018

This competition is recognized by USDF for 2018

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The Potomac Valley Dressage Association (PVDA) is the second oldest dressage club in the United States. Founded in 1964 in Gaithersburg, MD, PVDA promoted the art and sport of dressage by providing leadership, education, scholarships, and competitions. Much of the credit for PVDA’s leading position belongs to Frederick (Stretch) Harting. Hating stabbed the Potomac Horse Center in Gaithersburg in the early 1960s. He employed Great Britain’s Betty Howett, a Fellow of the British Horse Society and a highly acclaimed student of Nuno Oliveira of Portugal. She installed the BHS system of stable and horse management, teaching, and riding. Hating called the instruction course “Horsemasters” and had it trademarked. Collette Stevens joined the Horse Center soon after as its instructor and stable manager.

The names of former students of the Potomac Horse Center read like an American equestrian “Who’s who.” Just to mention a few: USET members Kay Meredith and Elizabeth Lewis, and internationally recognized combined training instructor and judge Sally O’Connor. Other are Brian Ross, Grant Schneidman, Gina Lacroix, Margaret Gafford, Linda Oliver, Wendy Carlson, and Gretchen Veronica. They all companied horses to national awards. Linda Zang was a graduate of one of the first Horsemaster’s courses as well. Following her graduation, she went on to extended course work at Stromsholm in Sweden, culminating in her participation in the 1979 Pan American Games and the 1980 Olympics.

PVDA was organized at meetings in the upstairs lounge of the Potomac Horse Center in the spring of 1964. The original board included Erna and Clarence Edmonds (Col. Ed), Sally O’Connor, Gen. Jonathan Burton, Linda Zang, and Col. Donald Thackeray.

In 1970 the Potomac Horse Center employed Col. Bengt Ljungquist from Sweden, a former Olympian in both fencing and dressage. After a short time at the Potomac horse Center, Ljungquist became a permanent trainer at Linda Zang’s Idlewild Farm in Davidsonville, MD. As Zang is fond of saying, “These were the days when top riders would come from around the country to work with Col. Ljungquist.” Later Ljungquist coached the United States Equestrian Team and, because of his prominence, PVDA’s influence rose as well. Idlewild became the hub for East Coast riders long-listed with the USET, including Robert Dover, Kay Meredith, Janalee Salestrom Redmond, Jayne Ayers, Elizabeth Madlender, and Zang herself. In memory of his great contribution to the sport, PVDA member Sam Barish established the Col. Bengt Ljungquist Memorial Championship (BLM) in 1982. PVDA hosted the first BLM Championship together with its 18th Annual Competition, October 15-16, 1983, at the Prince George’s Equestrian Center, Upper Marlboro, MD.

Today PVDA’s membership encompasses dressage enthusiasts in Maryland, Virginia, the District of Columbia, West Virginia, North Carolina, Pennsylvania, Delaware, and New Jersey. PVDA sponsors licensed and schooling shows, clinics, education programs, JR/YR programs and other opportunities. If you are not already a member PVDA invites you to join us in the fun and exhilaration of our local dressage activities.

U. POTOMAC VALLEY DRESSAGE ASSOCIATION

Potomac Valley Dressage Association Membership Application 2018PVDA is a USDF Group Member Organization and PVDA members are automatically USDF Group Members.

THE PVDA MEMBERSHIP YEAR RUNS FROM JANUARY 1 THROUGH DECEMBER 31.

I wish to apply for the following: I would like to volunteer to:1 YEAR 2 YEAR ❑ Scribe ❑ Set Up ❑ Marketing

• Junior Affiliate (<18) ❑ $45 ❑ $75 ❑ Manager ❑ Breakdown ❑ Write Articles• Young Adult (18-21) ❑ $60 ❑ $100 ❑ Steward ❑ Show Other ❑ Ride for Life• Adult ❑ $60 ❑ $100 ❑ Runner ❑ Education ❑ Anything• Senior (65 & older) ❑ $45 ❑ $75 ❑ Scoring ❑ Computer• Patron ❑ $75 ❑ $125

• Business Affiliate ❑ $100 ❑ $175 I offer the following services: ❑ Instructor at Level: _______________• Family (priced for 2) ❑ $85 ❑ $145 ❑ Judge at Grade: ______________ ❑ Trainer at Level: _________________• Additional Family ❑ $20 ea ❑ $40 ea ❑ USEF TD at Level: ____________ ❑ Breeder of: ______________________• Life Adult ❑ $799 PVDA Membership Directory Options

Name DOB*: ❑ AA ❑ Pro List my Phone # ❑ Yes ❑ No List my Email ❑ Yes ❑ No I would like to donate toward: Year End Trophy Fund: $___________PVDA Ride for Life: $_______________Mail completed application with check

made payable to PVDA to: Liz Erwin, PVDA Membership 16816 Norbrook Drive Olney, MD 20832 [email protected] or 301.924.5970

Family #1 DOB*: ❑ AA ❑ Pro

Family #2 DOB*: ❑ AA ❑ Pro

Street

City/St/Zip

Phone Email

I have been a PVDA Member ❑ Yes ❑ No USDF # _________

Primary GMO ❑ Do not snail mail me a newsletter

2018 PVDA Ride for Life Page �8 June 23-24, 2018

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2018 PVDA Ride for Life Page �9 June 23-24, 2018

2018 DRESSAGE COMPETITION ENTRY FORM Effective December 1, 2017, use this form for entering USEF/USDF Licensed Dressage Competitions held in USDF Region 1 (PA, NJ, DE, MD, VA, NC, WV) Competitors are responsible for duplicating their own additional copies of this entry form. This is a 2-sided form; please make 2-sided copies. Other versions of entry forms may not be accepted by Region 1 competitions. TYPE OR PRINT CLEARLY -- ONLY ONE HORSE / RIDER or HANDLER PER ENTRY FORM Enclose copy of all 2018 USEF Membership Cards (Rider/Handler, Owner/Agent, Trainer, Coach) or verification.

Official Use Only Bridle No.

Competition Name:

_____________________________________________ Competition Date(s): ________________ NAME OF HORSE (Horse MUST be named) BREED COUNTRY (Where Bred) SEX HEIGHT COLOR AGE DOB

Date of Coggins (must attach copy):

Breed Registration Number:

Check here If this horse is for sale and you want this to be listed in the Program _____

Sire: Dam: Dam’s Sire: For Dressage Sport Horse Breeding (DSHB) classes, Sire, Dam, Dam’s Sire & Breeder names required for ALL breed registered horses & recommended for others. Breeder:

Rider/Handler: __________________________________ Primary Phone: _______________Alternate Phone: _______________ Rider’s Address: _________________________________________________________________________________________ Rider/Handler E-Mail: _____________________________________________________________Citizenship*: ______________ Owner: _____________________________________ Primary Phone: ________________Alternate Phone: _________________ Owner’s Address: __________________________________________________________E-Mail: ________________________ Trainer: ______________________________ Trainer’s Address:___________________________________________________ Coach: _______________________________ Trainer’s Phone during Competition: ____________________________________

HORSE RIDER/HANDLER OWNER (At least one) TRAINER COACH (if applicable) USEF#

USEF#

USEF#

USEF#

USEF#

USDF#

USDF# USDF#

LOCAL ASSN # All USEF members (including riders, handlers, trainers, coaches, owners, agents or lessees) are required to submit proper membership documentation to the show secretary prior to competing. Exhibitors who do not

Unless show provides entry verification service: * MUST attach copies of USEF & USDF Horse Recording and Registration Certificates for GAIG/USDF Qualifying and Championship Classes. * MUST include a copy of USEF Amateur Certification if competing as an Adult Amateur. Go to http://www.eqverification.org/ to print copies.

send a copy of their card with their entry or are unable to produce the card when registering at the competition, or for whom the competition cannot verify such information (with the exception of Federation measurement cards) will be required to pay a $45 Show Pass fee which is non-refundable. EACH Junior and Senior participant (rider, handler, trainer, coach and one owner/agent per horse) is required to be a USEF Active “Competing” Member or pay a $45 Show Pass fee (see the official USEF Show Pass Statement in prize list). Non-U.S. citizen participants in Dressage/DSHB classes MUST attach current proof, in English, of current membership in good standing in their own N.F in order to be exempt from USEF Show Pass fees.

Class # Day Class Name (Level//Division/Test – if TOC) GAIG Fee Fee Payment For Fee Office Use

Subtotal, Class Fees USEF Show Pass/Non-Member

Fee(s) ($45 per participant) USEF Fee per horse:

(D&M $15+ USEF $8) = $23 CDI horses only: USEF Fee per

horse: (D&M $25 + USEF $8) = $33 CDIs only: USEF IHP Discipline Fee

($35 per entry) Stabling / Grounds Fee (For Non-

Stabled Horses) USDF Non-Member Fee(s)

($35 per rider/owner) Office Fee Late Fee, Bridle Number Fee,

Camper Fee

SUBTOTAL Class Fees Other Fee(s)

JR or YR Birthdate: _________________________ Riders are eligible to compete as a Jr/YR until the end of the calendar year in which they reach the age of 21 TOTAL FEES DUE:

CDI / CDI-Y/ CDI-J/ CDI-P COMPETITORS MUST COMPLETE THE FOLLOWING INFORMATION:

Rider: Citizenship: FEI Rider Registration #: Competing for Country:

Horse: Present Nationality: Birthdate: Previous Name (if any):

FEI Passport #: FEI Horse Registration #: Person Responsible:

Owner: Citizenship: Owner Social Security or Tax ID # (required to receive prize money):

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2018 PVDA Ride for Life Page �10 June 23-24, 2018

US 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 [insert name here] (“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. 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, 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.

*RIDER/HANDLER (mandatory) *OWNER / AGENT (mandatory) *TRAINER (mandatory) COACH (If applicable) Signature:

Signature: Signature (must be 18 or older): Signature:

Print:

Print: Print: Print:

PARENT/GUARDIAN (Required if rider/handler is a minor, i.e. under 18) (Home/Parent) Emergency Contact Is RIDER a U.S. citizen? (mandatory) Phone #

Signature:

Print:

YES ________ NO ________

* No entry is valid without original signatures from the above individuals; Photocopied signatures or writing “same” are NOT acceptable. STABLING / CAMPER HOOK-UP RESERVATION FORM (Refer to Prize List for Specifications) ENTRY PREPARATION CHECKLIST

Contact NAME and NUMBER for Rider Emergency: Contact NAME and NUMBER for Horse Emergency: Before Mailing, Be Sure You Have: ____________________/______________________ __________________/_______________________ ___Completed Both Sides of Entry Form ___All Original Required Signatures ___________________________________________ _________________________________________ ___ Enclosed a Copy of the Current Name of Lodgings Where Rider or Responsible Party Will be Staying During the Competition

Hotel Number at the Competition (For Emergency Contact Purposes)

Negative Coggins (EIA) Certificate (Refer to Show Specifications for Date Validity

Stall Sex Check Stall Days/Nights Desired (see prize list directives) Requirements. Copy must be legible.) Occupant (S,M,G) Mon Tues Wed Thurs Fri Sat Sun ___ Supplied all Required Ass’n Numbers

Horse Name

___ Enclosed Copies of Applicable USEF and/or USDF Cards or Documents

If accompanied by NON-COMPETING HORSE, must complete separate entry form and pay all applicable fees. ___ Completed the Stabling / Camper Tack

n/a ___ Vaccination Certificate ___ Enclosed a Check / Money Order for

Approx. Time of Arrival:

__________________

Approx. Time of Departure:

__________________

all Applicable Fees. ___Attached photocopy of Test(s) verifying

Special Requests*:

____________________________________________________________________

USDF & FEI Freestyle Test eligibility (ex. for exempt classes)

_______________________________________________________________________________________ Mail this Entry Form, Supplemental Documents, and Fees to the

*Provide name of individual with whom you desire to be stabled (if part of a group, make sure you all name the same person) ______________________________________________________

Competition (Entry) Secretary Identified on the Prize List.

Stabling fees: ___________stalls for ___________nights @ $ _________ per night = __________________

EMERGENCY CELL CONTACT # OF SOMEONE WITH YOU /YOUR GROUP

Camper fees _____hook-ups @ $______ea (flat rate) OR _____nights @ $ _______ per night = _________

AT THIS SHOW WHO IS NOT LISTED ELSEWHERE ON THIS ENTRY FORM

TOTAL STABLING / CAMPER HOOK-UP FEES: _________________

________________________________

If paying by credit card, complete the following:

Name on Card: ___________________________________ Credit Card #:___________________________________

Expiration Date: _______ / ________ � Visa � MasterCard � Discover Card CCV: _______

Signature: ________________________________________

PLEASE SUBMIT ANY IMPORTANT INFORMATION FOR THE ANNOUNCER ON A SEPARATE SHEET