USDF/USEF Competition # 327877

Level 2 Dressage Competition

Opening Date: April 1, 2011
Closing Date: May 6, 2011
Licensee: Christine Prescott

MAY 14-15, 2011

Official Prize List
JUDGE: J. ASHTON “JEFF” MOORE ( S ), CA
TECHNICAL DELEGATE: PAT MAYKUTH ( r ), GA
OFFICIAL QUALIFYING COMPETITION FOR THE 2011 GREAT AMERICAN INSURANCE GROUP/USDF REGIONAL DRESSAGE
CHAMPIONSHIPS, OFFICIAL USDF/DOVER SADDLERY ADULT AMATEUR MEDAL COMPETITION

EVERY CLASS OFFERED HEREIN THAT IS COVERED BY THE RULES AND SPECIFICATIONS OF THE CURRENT RULEBOOK WILL BE
CONDUCTED AND JUDGED IN ACCORDANCE THEREWITH.

Saturday, May 14, 2011 Sunday, May 15, 2011

1. Introductory Level Test A Open 43. Introductory Level Test A Open
2. Training Level Test 1 Open 44. Training Level Test 1 Open
3. Training Level Test 1 AA 45. Training Level Test 1 AA
4. Training Level Test 1 Jr/YR 46. Training Level Test 1 Jr/YR
5. Training Level Test 1 Opportunity 47. Training Level Test 1 Opportunity
6. First Level Test 1 Open 48. First Level Test 1 Open
7. First Level Test 1 AA 49. First Level Test 1 AA
8. First Level Test 1 Jr/YR 50. First Level Test 1 Jr/YR
9. Second Level Test 1 Open 51. Second Level Test 1 Open
10. Second Level Test 1 AA 52. Second Level Test 1 AA
11. Second Level Test 1 Jr/YR 53. Second Level Test 1 Jr/YR
12. Third Level Test 1 Open 54. Third Level Test 1 Open
13. Third Level Test 1 Jr/YR/AA 55. Third Level Test 1 Jr/YR/AA
14. Fourth Level Test 1 Open 56. Fourth Level Test 1 Open
15. Fourth Level Test 1 Jr/YR/AA 57. Fourth Level Test 1 Jr/YR/AA
16. Introductory Level Test B Open 58. Introductory Level Test B Open
17. Training Level Test 2 Open 59. Training Level Test 2 Open
18. Training Level Test 2 AA 60. Training Level Test 2 AA
19. Training Level Test 2 Jr/YR 61. Training Level Test 2 Jr/YR
20. First Level Test 2 Open 62. First Level Test 2 Open
21. First Level Test 2 AA 63. First Level Test 2 AA
22. First Level Test 2 Jr/YR 64. First Level Test 2 Jr/YR
23. Second Level Test 2 Open 65. Second Level Test 2 Open
24. Second Level Test 2 Jr/YR/AA 66. Second Level Test 2 Jr/YR/AA
25. Third Level Test 2 Open 67. Third Level Test 2 Open
26. Fourth Level Test 2 Open 68. Fourth Level Test 2 Open
27. Introductory Level Test C Open 69. Introductory Level Test C Open
28. Training Level Test 3 Open Q 70. Training Level Test 3 Open Q
29. Training Level Test 3 AA Q 71. Training Level Test 3 AA Q
30. Training Level Test 3 Jr/YR Q 72. Training Level Test 3 Jr/YR Q
31. First Level Test 3 Open Q 73. First Level Test 3 Open Q
32. First Level Test 3 AA Q 74. First Level Test 3 AA Q
33. First Level Test 3 Jr/YR Q 75. First Level Test 3 Jr/YR Q
34. Second Level Test 3 Open Q 76. Second Level Test 3 Open Q
35. Second Level Test 3 Jr/YR/AA Q 77. Second Level Test 3 Jr/YR/AA USDF/Dover
36. Third Level Test 3 Open Q Saddlery Adult Amateur Medal Class Q
37. Fourth Level Test 3 Open Q 78. Third Level Test 3 Open Q
38. Introductory Level Test C Open 79. Fourth Level Test 3 Open Q
39. Prix St. George Open Q 80. Introductory Level Test C Open
40. Intermediare I Open Q 81. Prix St. George Open Q
41. Intermediare II Open Q 82. Intermediare I Open Q
42. Grand Prix Open Q 83. Intermediare II Open Q
84. Grand Prix Open Q
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Where the horses are strong, the riders are beautiful,

and the results are way above average
.
Manager/Secretary: Veterinarian:
Christine Prescott Dr. Aimee Emory Crow
SuCaro Ridge Byrd Creek Equine
1741 County Rd. 29 (334) 787-2512 cell
Tuskegee, AL 36083
(334) 328-4553 cell Farrier (on call): Billy Lewis & Associates
(334) 727-3914 barn (334) 324-9347
C.Prescott@sucaroridge.com
www.sucaroridge.com Medical Services: CARE Ambulance

Competition Management: Official Show Photographer:

Christine Prescott Event Photographer, Inc. (678) 491-6222
ries007@earthlink.net
Technical Delegate: website:
Pat Maykuth, r, GA www.besteventphotographer.com
gallery:
Judge: http://shop.besteventphotographer.com/redcart/
J. Ashton Moore, S, CA

Effective March 1, 2011, for dressage: Anyone mounted on a horse must wear protective headgear
except those riders age 18 and over while on horses that are competing only in FEI levels and tests at
the Prix St. Georges level and above (including FEI Young Rider Tests, the USEF Developing Prix
St. Georges Test and the USEF Brentina Cup Test).

USEF MEMBERSHIP STATEMENT

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.
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Opportunity Classes: Horse/Rider combinations entered in opportunity classes may NOT cross-
enter into regular USEF classes, but MAY enter USDF Introductory Level classes.

Qualifying & Open Divisions: There are no “qualifying only” classes. Riders may qualify for
the 2011 Great American Insurance Group/USDF Regional Championships only in a class
designated as a qualifying class. Specify “Q” for qualifying on the entry form and pay the
additional $10 qualifying fee per class. This competition is a qualifying competition for the 2011
Great American Insurance Group/USDF Regional Championships.

Important Note: Horses entered in qualifying classes must be entered under the complete
official name registered with USEF and USDF, and the name(s) of the owner(s) must be
correct on both USEF and USDF membership cards. All documentation must match.
Riders and owners wishing their horses to be entered into USDF Regional Championship
qualifying classes must be current members of USEF and Participating Members (not
Group Members) of USDF, (owner may be a USDF business member) and their horses
must be fully registered with both organizations before the competition. A copy of horse’s
recording or registration certificates must accompany all qualifying entries.

Show management reserves the right to split classes if entries warrant or to balance unusual
amounts of entries, excessive scratches or due to extenuating circumstances. All entries must
indicate JR/YR, AA, or Open on the entry blank or they will be considered “Open” in the case
that entries warrant splitting classes.

Ride Times: All times are to be considered tentative until official ride times are posted at 12:00
noon on Friday, May 13, 2011 at the secretary stand. Competitors showing three or more horses
do so at their own risk. While show management will try to allow adequate time between rides,
we cannot guarantee a certain amount of time. Refunds will not be given if times are not
satisfactory. Ride Times will be made available May 12, 2011. Unless indicated otherwise on
your entry, ride times will be sent via email.

No Shows: We may reserve the right to fill a competitor’s subsequent ride times if that
competitor fails to notify the competition of his/her intention to scratch. (DR126.3)
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2011 USEF Federation Entry Agreement : This agreement is also included in your entry form
and MUST be completed. Please read the following text carefully:
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Entries: Checks should be made out to: SuCaro Ridge

1741 County Road 29
Tuskegee AL 36083
The following MUST ACCOMPANY YOUR ENTRY:
1. Copy of current, Negative Coggins Test
2. Copies of rider’s USEF card, and USDF card
3. Copies of trainer’s USEF card, and USDF card
4. Copies of owner’s USEF card, and USDF card
5. Copies of horse’s USEF registration, and USDF registration
6. All 4 completed pages of entry form
7. Check for entry fees
8. Separate check for $35.00 stripped stall deposit if you are stabling your horse
9. If you are submitting results to a breed association, please include copies of all
registration paperwork for you and your horse.

Show management will keep all documents, be sure to save a copy for your own records. A fee of
$35 will be charged for returned checks. Entries will not be accepted without a check.
Management reserves the right to limit entries or refuse any entry, combine, divide or cancel
classes, use substitute judges or make any other changes as deemed appropriate at the time.
Entries will be accepted on a “First Come, First Served” basis. (USEF Rule Book GR915.3.a)
This is a small show, so please enter early to ensure your slot.

Late Entries: Late entries will be accepted at management’s discretion. Any entries
RECEIVED (not postmarked) after May 6, 2011 will be considered late and will be
charged the $50 late entry fee- no exceptions. To avoid late entry fees, be sure that
your entry is in the SECRETARY’S HAND BY MAY 6, 2011.

Entry Fees:
USDF Introductory Level Tests $40.00
USDF Training – Fourth Level Tests $45.00
GAIG/USDF Qualifying Fee (mark “Q” on Entry form) $10.00
This is in addition to the class fee, if riding in a TOC class,
riders must choose to ride the qualifying test for that level.
PSG-GP $50.00
Stabling Fees
Weekend Stabling (Friday, Saturday, and Sunday Nights) $135.00
Includes initial bedding (equivalent of two bags), horses may arrive no
earlier than noon Friday and must leave by noon Monday.
Stall Deposit Fee $35.00
Please enclose a separate check for the stall deposit. If you strip your SEPARATE CHECK
stall after the competition, this check will be destroyed. If the stall is
not completely stripped, the check will be cashed
.
Weekend Tack Stall $75.00
No bedding, will be assigned only after all stalls are assigned
Non-Stabled Horses (Grounds Fee) $50.00
Covers entire weekend
*SUNDAY ONLY Non-Stabled Horses (Grounds Fee) $35.00
This does NOT apply to Saturday only riders. This applies ONLY to
riders trailering in on Sunday.
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Non-Competing Horses $50.00

For entire weekend, per horse
Extra Shavings $7.00
(per bag equivalent)

Organization Fees
USDF Non Member Fee $25.00
USEF Fee (Drug Fee $7, USEF $8) $15.00
Per horse
USEF Non Member Fee $30.00
Other Fees
Office Fee $35.00
Per horse/rider
Late Entry Fee $50.00
Any entry received after closing date, accepted at the discretion of
management
Post Entry Fee $30.00
Change fee (change of rider/horse/class) PER CLASS

Refunds: Entries will be refunded in full, less the office fee PRIOR TO THE CLOSING DATE
ONLY- NO EXCEPTIONS. Absolutely no refunds, including stabling, will be given for any
reason, including weather, after the closing date.

Withdrawals: USEF rules require that competitors must request permission of the show
secretary prior to withdrawing or removing their horse from the show facility prior to the end of
the show. (USEF Rule Book GR1305.1)

Post Entry Fee: This will be charged per change per class for any changes made to the entry
after the closing date. Riders wishing to add qualifying status or withdraw qualifying status
may do so without incurring a fee.

Concessions/Restrooms: Concessions by Duff’s Stuff available on grounds. Restrooms located

around the competition area and in the competition barn.

Public Phone: Landline public phone for emergencies on the first floor of the main barn. The
phone number is (334) 727-3914.

Directions: From I-85S: Take exit 26/Tallassee. Turn left at the top of the ramp onto Co. Rd.
30. Continue 2.5mi to stop sign at little white church, go straight through stop sign for 2.2 mi
until you reach the second little white church, Bradford’s Chapel. Make a right immediately after
Bradford’s Chapel onto Co. Rd. 29. SuCaro Ridge is 0.2mi on the right hand side of the road.

From I-85 N Take exit 26/Tallassee. Turn right at the top of the ramp onto Co. Rd. 30. Continue
2.5mi to stop sign at little white church, go straight through stop sign for 2.2 mi until you reach
the second little white church, Bradford’s Chapel. Make a right immediately after Bradford’s
Chapel onto Co. Rd. 29. SuCaro Ridge is 0.2mi on the right hand side of the road.

Accommodations: The Holliday Inn Express 334-271-5516 (9250 Boyd-Cooper Parkway,

Montgomery, AL) is the official hotel of Dressage at The Ridge. Be sure to ask for the special
horse show rate.
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Stabling Information: Tack stalls will be assigned only after all horses are assigned stalls. Main
Competition Barn 12’ x 14’ stalls have Dutch Doors, individual lights and power outlet, and
water faucets in every stall. Stall flooring is Stall Skins. Small barn has 12x12 stalls, full doors,
and automatic waterers. Initial bedding is included in the stabling fee. Additional bedding may
be purchased at $7/ bale equivalent.

No smoking is permitted in or near the stabling area. No nails or screws may be used. Please
keep horses off the sod on the lawn of the competition barn.

If competition stalls fill, off-site stabling at Bare Bones Farm, less than 4 miles from show-
grounds, is available. Management will contact you prior to officially accepting your entry if this
should occur.

Stall Deposit: Please include a separate check in your entry for a $35.00 stall deposit. If you
completely strip your stall, the check will be destroyed. If you are unable to strip your stall
before you leave, the check will be cashed.

Trailer-In Horses: There will be a grounds fee of $50 per horse per weekend in addition to other
applicable charges. OR if you are trailering in on Sunday only, a grounds fee of $35 per horse
will be charged rather than the full $50. Please note that this reduced fee does not apply to
riders trailering in on Saturday only.

Non-competing Horses: Non-competing horses are welcome at the show pending stall
availability. A non-competing horse fee of $50 per weekend will be charged. All non-competing
horses will be issued a non-competitor number and it must be worn on the left side of his bridle or
halter at any time he is not in his stall for the duration of the show. A copy of current negative
Coggins Test must be submitted to management.

Arenas: A standard 20 X 60 meter arena will be used for all classes, including Introductory
levels. Riding within the dressage competition arenas is not allowed before the show at any time;
however, riding around the perimeter of the arenas is permitted before and after the competition
each day.

Footing: Competition arena and warmup arena footing is all-weather sand base with water
retention additives. The arena has a complete sprinkler system that will be used to eliminate dust.
Additional warmup offered on well-established turf.

Lunging/Warmup: A designated lunging area is provided in the large fenced in field near the
big barn. Footing is well-established turf. NO LUNGEING in anywhere other than the
designated areas at any time. The gate to the designated lunge area must remain closed.

Sharps Containers: Pursuant to USEF GR1210.4, each barn has one sharps container per 50
horses. Competition management may fine any individuals including trainers, owners, exhibitors,
or their agents up to $100 for improper disposal of needles or other sharps disposable instruments.

Dogs: You may bring your dog to the show, but it must be kept on a leash no longer than six feet
and attached to a person or immovable object at ALL TIMES. A loose dog fine of $50, checks
made out to “Macon County Humane Society,” will be imposed. THIS RULE WILL BE
ENFORCED.
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Schooling: Schooling hours begin at the hour of daylight and end at sunset. Lunging may be done
in the designated area only.

Veterinarian: The official show veterinarian is Dr. Aimee Emory Crow of Byrd Creek Equine.
The official veterinarian will be available by appointment Saturday morning to conduct necessary
measurements. Dr. Aimee Emory Crow will be on call for the duration of the show. She may be
reached at (334) 787-2512.

Farrier: Mr. Billy Lewis, Certified Journeyman Farrier, is on call for the show. He may be
reached at: (334) 324-9347.

Golf Carts, Scooters, and other Motorized Vehicles - Motorized Vehicle Statement in accordance
with GR901.29: 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.

Camper/RV Hookup: At this time we do not offer camper/RV hookup. Water and electricity
hookups from the barn are NOT ALLOWED.

Bridle Numbers: All horses must wear bridle numbers on the side of his bridle or halter at any
time he is not in his stall.

“UNDER ALABAMA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE

PROFESSIONAL IS NOT LIABLE FO AN INJURY TO OR THE DEATH OF A
PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT
RISKS OF EQUINE ACTIVITIES, PURSUANT TO THE EQUINE ACTIVITIES
LIABILITY ACT.” – Alabama Code 1975 § 6-5-337

Prizes & Awards:

Ribbons (first through sixth place) will be awarded for every class. Show management reserves
the right to combine classes as entries warrant.

Championship & Reserve Championship Prizes will be awarded for the following:
1. High Score Adult Amateur
2. High Score Open Rider
3. High Score Junior/Young Rider
4. High Score Dressage Pony (may be ridden by any competitor)*
5. E.L.D.E.R.S. (Elegant Ladies Dressage Equitation Riders Society) Champion: To be
awarded to the highest scoring female rider over 50.*
6. Highest Scoring RRDCTA Member
*It is the competitor’s responsibility to notify show management of eligibility to compete for
the Dressage Pony, RRDCTA, or E.L.D.E.R.S. awards.
All Championship prizes will be awarded Sunday.
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This entry is eligible for Need: For Office USE ONLY
(circle): Horse USEF USDF Coggins
___________________ Rider USEF USDF
Owner USEF USDF $__________
ELDERS Yes No
DRESSAGE AT THE RIDGE Trainer USEF USDF
PONY Yes No Signature: Rider Owner Trainer Econtact Parent
RRDCTA Yes No ENTRY PAGE 1 of 4
Please complete a separate entry for each horse.
NAME OF HORSE PREVIOUS NAME (IF FOR BREED REGISTRY SEX
ANY) SALE? INITIALS

SIRE DAM COGGINS COLOR HEIGHT

DATE

DAM’S SIRE DATE OF COUNTRY BREEDER PASSPORT# ELIGIBILE FOR:

BIRTH OF BIRTH WRITE ELDERS,
PONY OR BOTH

OWNER INFORMATION RIDER/HANDLER INFORMATION

NAME: NAME:

ADDRESS: ADDRESS:

CITY, STATE, ZIP: CITY, STATE, ZIP:

CITIZENSHIP (IF NOT US) CITIZENSHIP (IF NOT US)

PHONE: PHONE:

CELL PHONE: CELL PHONE:

EMAIL: EMAIL:

EMERGENCY CONTACT: EMERGENCY CONTACT:

PHONE: PHONE:

IF STABLING AT THE SHOW, PLEASE LIST YOUR RIDER STATUS (CIRCLE) RIDER DATE OF BIRTH:
STALL ASSIGNMENT GROUP HERE: Req for JR/YR and to be
JR./YR AA OPEN Eligible for ELDERS award

TRAINER INFORMATION COACH INFORMATION

NAME: NAME:

ADDRESS: ADDRESS:

CITY, STATE, ZIP: CITY, STATE, ZIP:

CITIZENSHIP (IF NOT US) CITIZENSHIP (IF NOT US)

PHONE: PHONE:

EMAIL: EMAIL:
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Page 2 of 4
HORSE RIDER OWNER TRAINER COACH
USEF# USEF# USEF# USEF# USEF#

USDF# USDF# USDF#

PLEASE ENCLOSE COPIES OF
CURRENT MEMBERSHIPS,
LOCAL OR FEI# LOCAL OR FEI# LOCAL OR FEI# REGISTRATIONS, AND
COGGINS TEST

PLEASE REFER TO “ENTRY FEE” SECTION OF THE PRIZE LIST FOR CLASS FEE INFORMATION

CLASS # DESCRIPTION TEST TO BE RIDDEN QUALIFYING? FEES

SUBTOTAL CLASS FEES

USEF NON-MEMBER FEE $30

Please make checks payable to:
SuCaro Ridge
Mail your completed entry to:
SuCaro Ridge
Attn: Christine
1741 County Road 29
Tuskegee, AL 36083
Show Secretary Email:
C.Prescott@sucaroridge.com
www.sucaroridge.com
Class Fees:
Intro Tests: $40
Training – Fourth: $45
PSG-GP: $50
Qualifying Fee: $10
USDF NON-MEMBER FEE $25
USEF HORSE FEE ($8 USEF Fee+ $7 Drug Fee $15)
$15.00
HORSE ID NUMBER FEE (IF APPLICABLE) $20
IHP DISCIPLINE FEE ($35 IF REQ)
OFFICE FEE/BRIDLE FEE
$35.00
STABLING ($135) OR TRAILER IN ($50)
EXTRA BEDDING ($7/BALE)
LATE ENTRY FEE ($50)
NON-COMPETING HORSE FEE
TOTAL FEES
*If you are stabling, please be sure to enclose a separate
check for $35.00 for your stall deposit.
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PAGE 3 OF 4
Federation Entry Agreement Effective 12/1/09
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 the
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.
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
resulted, 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.
**NO ENTRY is valid without original signatures from the individuals below; writing “same” is not acceptable. **
**Trainer Signature MUST be from Adult; Parent/Legal Guardian may sign for child under child’s USEF membership.**
Rider/Driver Owner Agent/Trainer Coach
Handler/Vaulter/Lungeur (mandatory) (mandatory) (if applicable)
(mandatory)

Print Name

Signature
Parent/Guardian (Required if Rider/Driver/ Handler/ Emergency Contact Information
Information Vaulter/Longeur is a minor)

Name:_____________________________
Print Name
Phone:_____________________________
Signature
Is Rider/Driver/Vaulter a U.S. Citizen?: ______Yes _____ No
WARNING: “UNDER ALABAMA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT
LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM
THE INHERENT RISKS OF EQUINE ACTIVITIES, PURSUANT TO THE EQUINE
ACTIVITIES LIABILITY ACT.” – Alabama Code 1975 § 6-5-337
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Entry PAGE 4 OF 4
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Dressage at The Ridge

#327877 Level 2
May 14-15, 2011
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