Prize List - Canterbury Showplace

Florido32669
23100W. NewberryRd.Newbercy,
AQHA Approved
CanterburyCincode Moyo Dresssge
Dote: April 18, 2Ot5
Moy 2-3, 2Ot5 Closing
Level2 #331539
VSEF/VSDFRecognized
Judges: LisoSchmidt(5) OthersTBA
TD: SorohBortko"r"
entriesto:
Please
moilcomplete
Secretary:NonnetReod
Inc.
ConterburyShowploce,
23100W NewberryRood,
FL 32669
Newberry,
352-472-6758
oo|.com
Canterburyshows@
NonnetReod
Co-Monagersi
ondJomie VickerY
ool.com
352-472-6758: Canterburyshows@
Updotedinfoot
loce.co
m
uryshon4P
www.Conterb
Drssssgsgsgglgl
A.
B.
1.
2.
3.
4.
5.
6.
9.
10.
11.
12.
13.
14.
17.
18.
19
20.
2t.
22
23.
21.
25
26
27
28
29
30
3L
32.
33.
31.
35.
3€r.
37.
31'A
378
38.
39
40.
41.
4iL.
43.
4,1.
,lii.
-16.
4'l.
4ti.
4tt.
50.
USDFfntroductoryTest A
USDFIntroductoryTest B
USEFTroiningLevelTest 1
Test 1
USEFTroiningLevel
2
USEFTroiningLevelTest
2
USEFTroiningLevelTest
Test 3
USEFTroiningLevel
Test 3
USEFTroiningLevel
Test
1
USEFFirst Level
USEFFirst LevelTest 1
USEFFirst LevelTest2
USEFFirst LevelTest2
USEFFirstLevelTest3
USEFFirst LevelTest 3
USEFSecondLevelTest I
USEFSecondLevelTest 1
USEFSecondLevelTesl2
2
USEFSecondLevelTest
LevelTest3
USEFSecond
USEFSecondLevelTest3-DoverlAedal-5un
Test 1
USEFThirdLe.vel
Third
LevelTesi 1
USEF
USEFThirdLevelTest2
USEFThirdLevelTest 2
Test 3
USEFThirdLe.vel
USEFThirdLevelTest 3
USEFFourthLevelTest 1
USEFFourthlevelTestI
USEFFourthLevelTest?
USEFFourthLevelTest2
USEFFourthLevelTest 3
USEFFourthLevelTest 3
Level
USDFFreestyle-Stote
le)
(QuoIif y ing ExcIudesTroining Level Fr eesty'
Prix
St.
George
FEI
FEI Intermediore1
FEf fntermedioreA
B
FEf fntermediore
FEf fntermediore2
FEI IntermediareFreestYle
FEI 6rondPri;xde Dressoge
FEI 6rondPrixFreestYle
FEI YoungRiderTest of Choice
(FEI YoungRiderTeomTest)
FEI JuniorTestof Choice
(FEI JuniorTeomTest)
YoungHorseTest of Choice
(4yrold USEF,5 ond6 Yr old FEI)
Test of Choice
FEI PoroEguestrion
FreestyleTest of Chotce
FEI PoroEquestrion
ollowed
USDFPosde Deux-Costume
USDFQuodrille-Costumeollowed
HorsePrixSt. George
USEFDeveloping
USDFMoterioleMore 4&5 Yr old
Open
Open
Open
AAlJrYR
Open
AAlJrYR
Opend Quolifying
AAlJrYR& Quolifying
Qpen
AAlJrYR
Open
AAlJrYR
Open& Quolifying
AAlJrYRd Quolifying
Open
A/JrYR
Open
AAlJrYR
Open& Quolifying
AA/JrYP,
& Quolifying
Open
AAlJrYR
Open
AAlJrYR
Open& Quolifying
AA/JrYP.
& Quolifying
Open
AAlJrYR
Open
AAlJrYR
Open& Quolifying
AA/JrYR& Quolifying
Open& Quolifying
5ot/Sun
5(lT/ 5Un
5 C l T /) U n
Sot/5un
501/5un
)oTl )un
5ot/Sun
5ot/5un
Sot/5un
50T/ 5Un
Sot/Sun
5ot,/5un
Sot/5un
Sot/5un
Sot/5un
5ot/5un
5ot/Sun
Sot/5un
50T/)Un
50T/)Un
Sot/5un
Soi/Sun
5ot/5un
50r/)un
5 C l T /5 U n
Sot/5un
)oTl )un
Sot/5un
)oTl )un
Sot/5un
5o't/Sun*'t*
Open& Quolifying
Open& Quolifying
Open
Open
Open& Quolifying
Open& Quolifying
Open& Quolifying
Open& Quolifying
Open
Quolifying
Open
Quolifying
Open
Sot/-<un
Open
Open
Open
apen
Open
5ot/5un
Sot/5un
Sot/5un
5ot/5un
SCIT/-:Un
50T/>Un
Sqt/5un
5ot/Sun
Sot/5un***
50T/)Un
Sot/5un***
5ot/5un
Sot/5un
5ot/5un
50T/ )Un
5ot/5un
50T/)Un
Sot/Sun
SoturdoyAwords
You must siq.nup in the showoffice to be eligiblq!
Same
*HighScoringMosterRiden(oge55 ondover)
*HighScoringAdultRider(22-54)
* H i g hS c o r i n g
J u n i o r / Y o u nRgi d e r( o g e 2 lo n db e l o w )
*HighScoringOpenMoleRiderfor the Doy
*HighScoringAmoteur/JrYR
MoleRiderfor the Doy
*HighScoringOpenFemole
Riderfor the Doy
*HighScoringAmateur/JrYR
Riderfor the Doy
Femole
*HighScoringPonyfor the Doy
SundoyLunchTime Qrowing
Morningwill be put in o
Everyclosswinneron SoturdoyondSundoy
Cord.
a
drowingfor $50 Gas
DoverMedol
Closs22 SecondLevel Test 3 AA on Sundoy
lst thru 6th ploceribbonsond o gift will be givenf or eochclossboth doys.
BreedAssociotionRibbons
poperswith yourentrylll
YouMUSTsendo copyof breedregistrotion
Americon
MorgonHorseAssociotion
RegistrY
Americon
Wormblood
5ocietY
Trokehner
Americon
SPorthorse
Friesion
6OV-Oldenburg
KWPN
STATEWHICHDAYYOUWANTTORIDEEACLITEST!
Ei'ITRIESNegativeRequiredCttgginsrequired on all horseson shou'grounds!
Make checkspayabte to Canterburl,Showplaceor completecredit card info on entryform. Mail to
CanterburyShowplace,Inc., 23100 Il NewberryRoad,l''lewberry,FL 32669 $10 Credit Card Conv,znience
Fee will be apltlied to total.
Classfees:Introductory through Fourth Level-517 FEI and Freestyle-$57
Office.fees:Mandatoryper horseiridercombination 530
a "Q" on entry
Quattfyingfee: GAIG/USDF cluulif ingrides add 510to classfee and markwith
per
acldition/change
class
Post ClassEntries; at discretionofshow secretary525
Latefee: 535latefeefor all entriespostmarkedafter closing date that are accepted,
ride v'ithout notifying the shov' office will be scratchedJ'ront
NOTE: anyonetnot appearingfor a schedulerJ
the rest of their remaining classe.s(no reftrndsgiven).
and evailableby emailing the show secretatT'the
Times-posted at www.Canterburyshowplace.com
Thursdaybeforethe show. Pleasenrakesure.youcheckyour ride titneseach day at the shou'inc'ase
changeshave beenmade to the sc:hedule.
STABLI^'G-PermanentI2xl2 stallsv,ithfullsliding doors.Friday l2:00 noon to Sunday8:00 pm,
Horse and TacA:Stalls:5100(Stallsare stripped and are not pre-bedded. Canterburyrequires a min,lmunt
of 2 bagsper httrse stall to be purchased through thefacility, you can supply additional shovings or
purchasethem onyour entryform.for 57.50per bag)THE USE OF STALL GUARDS IS PROHIBITED.
STALL DOOR,SMUST REMAIA'CLOSED,4ND LATCHED WHEN OCCUPIED.
STRAWBEDDIIVG IS NOT PERh'l|TTED IN STALLS without prior orrqngement. A reJundableclean up
depositof $30 trterstallwill be reqttired,
$25 per horsef<:trextra nights. 525per horse daily groundsfeefor unstabledhorses each day incltrating
l-r iday).
Paddocksare avuilable Ql 575/br the weekend. Pleasecall 352-472-6758or enail
to make aruangements.
c'anlerburyshou,s@aol.corn
NON COMPET'ING HORSESMu,stfill out entryform v,ith signatures,pay $30 olficefee plus stabling or
groundsfee. Negative Coggins test required.
Stallassignmentswill be posted on lhe "stabling info" board atfront offacility. PleaseDO l'/OTChange
stalls with prior pernrissionfrom management.
3. ACCOMMODATIONS-Host BayntotltInn 352-332-8292lttake sureyou askfor the special Canterburl'Rute.
CantperHook IJpsare locatedon grounds,$35 per night. Sendreservationand paymentwith entr.v.RV 'Sites
are lockedso you must make a reservationand receivean assignedlocalion.
1.
535pernight. Sendreservalionand paymenlwith enltl'.
Camperf,look IJpsttre locatedon ggrounds,
j.
FOOTING AND RINGS -20 X 60M itt coveredarenav,ith sand/claymirJboting. 20 x 60m in outcl,or,tring
antl wurm-up ringshaveJiberfooting. Pleaselunge horsesin grassareu.sonly.
6.
DIRECTIONS- I-75 to exit #387 (5R26)gowest l0 miles,Canterburyis onyour right handside.
Fl 32669
PhysicalAddressis 22806 I1/.Nev'berry Rd','Yewberry',
7.
FOOD-food concessionon grounds.
8.
VETERN'ARIANAND F,4RRIER- nqmesand numberswill posted on show grottnds in tff ce, sttthling ';ry'rt
bctard and in showprogrunt.
g. REFUNDS-Offce.feesandClassFecsarenotre/itndableafterclosingdate.
Stallfees,AssociationJee:;,
camper.feeswillbe refuncledif horse isv,ithtlrawnon avet cerl. or riderv'ith a medical certi"ficatebelbre lst da|o/
th<tshow.
All entriessl-rallbe on the othcial entry form olthe shorv. The entry lbrnr should be completedin cvery detail: otherrvise.tlie
IIII,ORTAYI':
r e c o r do 1 ' r v i n sm a l , n o t b e p r o p e r l yc r c d i t e d .T h e s h o r rm a n a g e m e nrte s e n e st h e r i g h t t o r e t u r na n f i n c o m p l c t ee n t r y l b r n r . A l l e n t r i e sr n u s tb e
t u e i f a n l p c r s o ng i v e sa n o n - n e g o t i a b lceh e c k . N o r r a c c : o m p a n i ebdy a ' c o m p l e t ep a ) m e n t .A t ' e eo l ' $ 5 0 . 0 ( )r i i l l b e a < J d etdo a n ) a c c o u n d
n c g o t i a b l c h e c k sw i l l b e t u r n e do v e r t o U S E F p e r R u l e X V . A r t i c l e I 5 0 8 a n d A H A C h a p t e r6 o f t h e c u r r e n th a n d b o o k .
I0.
SHARPSDISPOSAL: - Contpetitionmanagementma.1,
fine any individualsincluding owners,exhibitors,
of needlesor other sharp disposableinstruments.
dispctsal
improper
trqiners,or their agent up to $l00Jbr
qvoilable
area.
the
barn
in
are
Sharps disposa'ls
I I,
MII\ORS v,ho do not hare a valitl driver's licensev'hich allo\a,sthem to operatea motorizetlvehicle in the
stateinwhich they residewill not be permilted to operatea motorizedvehicleof any kind including, bul not
scooters,orfarm utiliry vehicleson the competiliongrounls 'tJ
lintireclto, gof'carts, motorcyc'les,
recognizedcompetitions,Minctrswho have a valid temporarylicensemay operatethe abovedescri,bed
m o t o r v e h i c l e s a s l o n g a s t h e y , a r e a c c o m p a n i e d b y a n a d u l t w i t h a v a l i d d r i v e r ' s l i c eVnist tel a
. tionofthis
responsible
who
are
trainer(s)
guardian(s),
and/or
porent(s),
the
rulewill be causefor sanctionsagainst
guardian(s),
for the child cctmmittingthe o/fense. Penalties may include exclusion of this child, parent(s),
and/or trainer(s)from the competitiongroundsfor the remuinderof the conpetition and chargesbeing
filed againstqn, of the aboveindit,idualsin ac'cordancev'ith Rule 6. Wheelchairsand other mobili4'
assistancedevic:esfor individuals with disabilities are exemptfrom this rule,
12.
Miscellaneous Rules: Dogs must be containedor leashedat all times. No lungeing in designatedw'arm
up areas, I',loparking allowed befiveenbqrns..Nosmokingpermitted in barn area,
USEF MEMBERSIIIP S,TATEMENT
Life, senioractive andjunior active members,shallbe eligible to participate in all classesa'r
RegularCompetitions,EventingCompetitionsat the Preliminary Level or aboveand Combined
Driving Competitionsat the AdvancedLevel,Dressage,Reining and Vaulting Competitionsand
EnduranceRides.A nonmemberma1,participate as a handler,rider, driver, owner, les'see,
EventingCompetitions,Dressage
agent,coachor trainer at Regular Clompetitions,
Reining Competitionsand CombinedDriving Competitionsuponpaymentof a 530
Cctmpetitions,
Show PassJbe.Participants in the.following classesare exempted
from the Requirementsof this
rtt,le;l) leadline; 2) exhibitions;3) gamesand races: 1) classesfor {-H members;5) walk trot
(academyc'las.ses
are clusseslimited to horsesusedregularly in o lest:on
anclacarlemycla,sses
quadrille classes;7) NRH'4
progrctm);
'Eniors'ed 6) USDF introductory level tests,pos de deuxend
8) Opportunityclasses,9) citizenso/'other nationsvvhohat'e
Reining CLtmpetitions.
proqf, in English,o.fcutent mentbershipin good slundingof their ov,n Nalional Federation' l0)
Lri;EAbeginnernovicedivision; and lt) assistanthundlersin DressageSport Horse Breedlng
clusses.
At CanterburyShowplace
Fl
hrttv,benn,
AdultAmateurMedalProgram
Saddlery
2015USDF/Dover
to specifically
The USDF/DoverSaddleryAdult AmateurMedalProgramis designed
Level.
riding
at
Second
amateurs
adult
recognize
andencourage
Arvards
1.USDF/DoverSaddleryMedalRecipient
Theeligibleriderwith the highestscoreof 60 percentor betterin the designated
testof choiceUSDF/DoverSaddlery
SecondLevelTestThreeclassor applicable
will receivea handcrafted
competition
AdultAmateurMedalclassat a particrpating
will receivea $20
Winners
USDF/DoverSaddlerypewtermedalandneckribbon
DoverSaddlerygift certificatefor thefirst threeUSDF/DoverSaddleryMedalsthey
season.
win duringthecompetition
Merit Award
Natronal
2. USDF/DoverSaddlery
A USDF/DoverSaddleryNationalMerit Au'ardwill be awardedto riderswinning
year.
Saddlen'Medalsin thesamecompetttton
threeUSD[i/Dover
,\wards
3. Year-End
'fhe
are
Champion
andReserve
Champion
MedalNatronal
Saddlery
LJSDF/Dover
ridescoresduringthe
fiom the averageof thetop threer,vinning
determined
Dover
Saddlerygift certificateand
recerves
a
year.
The
champion
$1000
competition
gift
thereservechampionreceivesa $500DoverSaddlery certificate.
R i d e rE l i g i b i l i t v
andbe a
or GroupMembership
I Riderrnusthavea currentUSDFParticipating
memberin goodstandingof USDFwhenthescoresareearned
with ArticleGRI 306of theUSEF'
in accordance
2. Ridermustbe an adultanlateur
adult
amateurat thetime thescoresare
as
an
u'ith
USEF
rulesandbedesisnated
earned.
Owner& HorseEligibility
at the
eligibilityrequirements
l . I lorsearrdownermustmeetminimumcompetition
timescorcsarcearned
AdditionalInformation
offeringtheUSDF/Dover
listof'competrtions
information
andan updated
Foradditional
Adult AmateurMedalProgram,pleasevisit
Saddlery
asp.
org/awardsiperlbrmanceiadr-rltmedalprogram.
http://www.usclf.
I rev. 7I 3(\l2t)| 4
Conroetitions
ofdressage.
Fordetails
ofachievement,
andpromotion
therecognition
Benefits:
isdedicated
toeducation,
Membership
USDF
USDF
programs,
Member
ortheUSDF
refertotheUSDF
Guide
andotheropportunities,
awards,
benefits,
including
educational
onmember
website
atvrww.usdf.org,
t "'-_l
I competitionI
I is rer:ognized
I
by USDF I
I
f o r2 0 l s
I
I
including
foreign
riders
and
andriders,
Competitions:
Owners
for USEF.licensed/USDF-recoq,nized
Membership
Requirements
competition
asa rideror
ina USEF-licensed/USDF-recognized
toparticipate
whoarenotresidents
oftheUS,wishing
owners
(NM)identification
numbr.'r
andpaythe
(PM),
Non-Member
Membership
orhavea USDF
Membership,
Participating
musthaveeither
a USDF:
Group
owner/lessee,
ata USEFcannot
compete
withtheirUSDF
BM) Individuals
compete
asriders
butcannot
members
canownhorses
NMfee,(Note:
USDF
business
USDF
Membership.
Education
witha USDF
licensed/USiDF-recognized
competition
(HlD)number
Lfetime
Horse
ldentification
ora USDF
Horse
musthaveeither
a USDF
competitions
Horses
conrpeting
atUSEF-licensed/USDF-recognized
secretary.
mustbepresented
tothecompetition
(LHR)Proper
certificates
credentials
orverification
Registratior
ofa
withverriflcation
secretary
thecompetition
competition,
andnotabletopresent
ina USEF-licensed/USDF+ecognized
wishing
toparticipate
Riders
andowners
filingfee.A copy
AffidavitFormandpaythe$5affidavit
a USDFCompetition
andUSDFLHRor USDFHlD,mustcomplete
or NMidentification,
USDFmembership
beusedatGreat
purposes
Affidavits
cannot
forupto60days.(Exception:
mayalsobeusedforverilication
formfromanother
competition
ofa completed
affidavit
Dressage
Championships.)
lrrsurance
Group/USDF
Regirrnal
Amencan
Exceotions:
group
where
thosesiresor
classes,
(lBCs)
inDSHB
.
siresanddamsofhorses
atDSHB
competitions,
Breed
Classes
onlyinInriividual
llorses
competing
atREula'Competitions
restricted
orDSHB
classes
dressage
horses
onlyinbreed
competing
inthesamecompetition,
competing
damsarenotactually
pasdedeux,
quadrille,
classes,
areexempt
FEIPara-Equestrian
Level
tests,
lntroductory
(e.g.allArabian,
orinUSDF
classes),
allFriesian
orallMorgan
walk{rot,
acadermy
and
for4-Hmembers,
games
classes
andraces,
ridden
inleadline,
exhibitions,
Alsoexempt
arehorses
lromthisrequirement.
classes.
opporlunity
NM
fromtheUSDF
HIDrequirements
arealsoexempt
fromtheUSDF
.
which
areexempt
r:ompeting
onlyinclasses
ll,iders
andowners/lessees
classes
In-Hand
orGroup
inDSHB
competing
ofhorses
Alsoexempt
arehandlers
andNl/ feerequuements,
identification
number
Delined
Membershios
ll0.PMsare
November
participating
yearisDecember
1 through
Themembership
direcdy
byUSDF.
issued
toanindividual
(PM):
A membership
Membership
their
21st
whohavenotr€)ached
forindividuals
(YPM)
isavailable
Membership
Youth
Participating
A USDF
($300),
($i5),s-iears
orlife($1,500).
for-1-year
availabie
andto
competitions
atUSEF-licensed/USDF-recognized
tocompete
year($60)A PMallows
themember
rnembership
1ofthecurrent
birthday
byDeiember
Finals
Series
Breeders
Championshic
Group/USDF
Amerrcan
Insurance
Year-End
Awards,
Great
participate
forallAdequan@/USDF
owner/lessee
asa riderand/or
program
Dressage
Championship
Regional
Group/USDF
American
Insurance
andtheGreat
Group
through
anaffiliate
toUSDF
name
andduesaresubmitted
when
themember
byUSDF
toanindividual
(GM):
issued
A membership
Mernbership
Group
atUSEF-licensed/USDF-recognized
tocompete
themember
30.A Gl'/allows
1 andendsNovember
(GMO)TheGMyearbegins
December
Organization
Member
program.
Awards
Rider
intheUSDF
competitions
andparticipate
directly
byUS)F.TheUSDF
ororganization
toa business
30andisissued
November
1 through
(BM):
thatrunsDecember
A memirership
Business
Membership
only.
ownership
ofhorse
requirements
BMssatisfy
benefits.
ofadvertising
offers
a widervariety
BM($200)
l ynbi ynU
E d u c a t i o n M e m b e r s h i p ( E M ) : ' A m e m b e r s h i p i s sd
u ierdetcot a
d iSvTD
ihdFius.aoln l i n e e d u c a t o n o n l y m e m b e r s h i p e x p i r e s l 2 m o n t h s e r f t e r
competition,
ata USEFlicensed/USDF+ecognized
tocompete
joined.
anindividual
typedoesNOTallow
Thismembership
thatmustbe
NMfeeof$25percompetition
willbea USDF
NMrider
there
andUSDF
NMowner/lessee
(NM)
Number:
ForeachUSDF
ldentification
Non-Memtrer
Formif the
Affliavit
feeandCompetition
andthe$5affldavit
Report
ofFeesdocument
withtheUSDF
along
to USDF,
andsubmitted
bytheshowsecretary
collected
paying
USDF
the
from
also
exempt
are
number
requirements
NM
exempt
from
the
or
riders
Owneri/essees
provroe
NM
card.
of
their
LiSDF
person
a copy
cannor
hM
o rfseeeh. a s a t l e a s t o n e o w n e r w h o i s a c u r r e n
NaMnsd,aolnl l y o n e o f t h e o w n e r s m u s t p a yl ftthheeN
ore
se
N M f e el f.t h e r e a r e m u l t i p l e o w n e r s o f a h a
post
withth,:USDF
NMfeesnotreceived
pM,GM,orBMthereisnoNMleeassessed.
USDF
forallapplicable
willbeinvoiced
management
Competition
USDF
daystotheUSDF.An
3Ct
theNMfeeswithin
tosubmrt
isthenrequired
management
NMs.Compettion
listing
allUSDF
papenarork,
witha report
along
competitiorr
NMcard
a USDF
hasbeenassigned,
NMnumber
a USDF
benellts.
Once
membership
foranyUSDF
noteligible
numbeiis
NMidentification
witha USDF
individual
website.
fromtheUSDF
canbeobtained
t,utwillNOTbe
willberecorded,
withanHIDnumber
($25).
bya horse
Scores
eamed
forhorses
number
(HlD)Number:
tracking
A,one{ime
Horseldentification
Regional
Group/USDF
Insurance
American
inGreat
tocompete
isnoteligible
withanHIDnumber
A horse
Year-End
Awards.
nOequan6lUSOf
torvards
counted
toa Lifetime
canbeupgraded
Frnals.
AnHIDnumber
Series
Championship
Breeders
Group/USDF
Insurance
American
orGreat
qualifying
classes
6rchampionship
tobe
rot
need
fee
that
does
g70.
is
a
one'time
An
HID
number
HID
number.
not
need
an
it
does
LHR
lf a horse
hasa USDF
(LHR)
fora feeof
iorsenegistration
renewed.
hmerican
atG'eat
tocompete
Awards,
andeligible
Year-End
forAdequano/USDF
iseligible
(LHR):
withanLHR($95)
A horse
Horse
Registration
Lifetime
assuming
classes,
qualifying
andchampionship
(3roup/USDF
Regional
Group/USDF
lnsurance
American
andGreat
Finals
Senes
Breeders
Charnpionship
Insurance
renewed
need
to
be
not
An
LHR
does
HID
number.
need
an
it
not
has
LHR
does
horse
an
fortheowner
andrideraremet.lf a
requirements
Howto JoinUSDF
may
(LHR)
Registration
Horse
participating
andLifetime
(HlD)number,
(BM),
Horse
ldentification
Membership
(PM),
Business
Membership
Applications
forUSDF
locations:
inthefollowing
befound
offlce.
theformandfaxormailit totheUSDF
online
ordownload
.
Youcansubmit
theapplication
www.usdf.org,
website:
OntheUSDF
which
are
Competitions
andRegular
Competitions,
asDressage
byUSEF
classifled
o Intheshowoffice
competitrons
atUSEF-licensed/USDF-recognized
ooentoallbreeds.
1
KY4051
Lexington,
r
971-2277
at(859)
theUSDFoffice
Bycalling
orwriting
,4051lronllorksParkway,
bythe
thedateaccepted
ata competition,
or,if applying
intheUSDF
office
feesarereceived
isthedatetheformandconect
Theeffective
dateofmembership
onthatsameday
horse
owner
member,
and/or
secretary,
bythecompetition
issigned
anddated
provided
iheapplication
secretary,
competition
07114
ru
OfficialUs'-.Onlv
B R I D L E#
Cincode MayoDressagg
Cotuprrrroru
lggg Canterbury
ConrpETtTtoN
DlreSMayZ-3,2015
RIDER/HANDLER
usor#
user#
rer/rocnu#
AooREss
Crrv/Sr/ZrrCrlr PHore---_Jn/Youlrc
Rroen BrnrHony
Evnt noonEss
F N o rU S A
R t o e n C t r t ; z e r u s H (t P
RtoenSrerusrc'*c,ro*tr: Jnlt'c L__j
AA Ll
Oper Ll
OWNER
USDF#
LocAt#
SuarorRL
ClnssFeesnnoQunlrrvrruc
Fees
$0,00
ADDRESS
USEF Show Pass Fees $30 or^ NoN-MEMBER
Crw/Sr/Zrp
U S D F N o r u M e t u t e e nF e e $ 2 5 p E RN o N - M € M B E R
Cell Prore
noonless
Er'rnru
O r r r c EF r E a n o / o nB n r o l r # F e e
$ 3,1.00
U S E FH o n s eF e e s
$ 1 60 0
$ 8 U S E F F E E+ $ 8 D R U GF E E= $ 1 6 . 0 0
O w r u E RC r l z f n s H l P ( i r N o rU S A)
U U I H O R S EI . E E S
F E E= $ 2 8 . 0 0
$ 8 U S E FF e e+ $ 2 0 D R U G
TRAINER
usor#__
U5trTf
I H PD t s c r p l t nFee e( $ 3 5r r n e o u r n e o )
L-ocnl#
00/SrArL
Srnll @ 9$100
SrneLrNc
Fees _
AooRess
Srnrr-p g$10000/Srell $0 00
Crrv/Sr/Zrp
acr SrnLls
_
Cerl Pnone
BEoorNo
_Bnles@$
E v n tn o o R r s s
Nor.iCovperrr.rc
HoRSEFEE
COACH
SporrtsoRsHtp
usDF#__
u5trr f
$0 00
/Belr:
$000
GnounosFeeon otnenrees $25lday
r-ocnl#
Mandatory
Bedding
2 @ $Z.SO
ADDRESS
Or
Ctrv/Sr/Zrp
Lqre/CFreNoe/Bnrux
CnaRcesron CC
$15.00
PleaseFill Out Both Sidesof This Form. Reverseside MUSTbe SIGNED.
Stabling
lnfOfmatiOn
GrouplSelf
Stalls
TackStalls
StableGroup:
& SpeCial ReqUeStS: PteasetistontyoNEname(eitherindividuat
orbarn)rorentiresroup(sowecangereverycnetosether)
Tue
Wed
Thu
Fri
Sat
Sun
T T tr T T T
T I E E E tl
Contact:
Mon
tr
n
I h e r e b y a g r e e t o r e l e a s e ,i n d e m n i f ya n d h o l d h a r m l e s sU S D F , i t s i n s t r u c t o r so, f f i c e r s ,d i r e c t o r s ,a g e n t s , a n d v o l u n t e e r sf r o m a n d a g a i n s t
any and
a l l l o s s , l i a b i l i t yo r d a m a g e a r i s i n gf r o m o r b e c a u s e o f , o r i n c o n n e c t i o nw i t h , p a r t i c i p a t i o ni n t h i s c o m p e t i t i o no r r e l a t e da c t i v i t i e s .I a l s o
h , J r e b ya g r e e t o
r e l e a s e ,i n d e m n i f ya n d h o l d h a r m l e s st h e c o m p e t i t i o nl i s c e n s e e ,s n o w m a n a g e m e n t ,c o m p e t i t i o ns t a f f ,s h o w c o m m i t t e ea n d m e m b e r s ,
officers,
d i r e c t o r s i l g e n t s ,a n d v o l u n t e e r sf r o m a n d a g a i n s t a n y a n d a l l l o s s , l i a b i l i t yo r d a m a g e a r i s i n gf r o m o r b e c a u s e o f , o r i n c o n n e c t i o n, # i t h ,p a r t i c i p a t i o n
in
this competitionor related activities.
Federation Entry Agreement Effective
B y e r l t e r i n ga F e d e r a t i o n - l i c e n s eC
d o m p e t j t i o na n d s i g n i n gt h i s e n t r y b l a n k a s t h e O w n e r , L e s s e e ,T r a i n e r ,M a n a g e r ,A g e n t , C o a c h , D r i v e r ,R i d e r ,
H a n d l e r ,V a u l t e ro r L o n g e u ra n d o n b e h a l f o f m y s e l f a n d m y p r i n c i p a l s r, e p r e s e n t a t i v e se,m p l o y e e sa n d a g e n l s , I a g r e e t h a t I a m s u b j e c lt.o t h e
Bylaws
a n d R u l e s o f T h e U n i t e d S t a t e s E q u e s t r i a nF e d e r a l i o n ,I n c . ( t h e " F e d e r a t i o n "a) n d t h e l o c a l r u l e s o f t h e C o m p e t i t i o n .l a g r e e t o b e b o u n c lb y t h e
B y l a w s a n d R u l e s o f t h e F e d e r a l i o na n d o f t h e c o m p e t i t i o n .I w i l l a c c e p t a s f l n a l t h e d e c i s i o no f t h e H e a r i n g C o m m i t t e eo n a n y q u e s t i o na r i s i n gu n d e r
t h e R u l e s ,a n d a g r e e t o r e l e a s ea n d h o l d h a r m l e s st h e C o m p e t i t i o n t, h e F e d e r a t i o n t, h e i r o f f i c i a l s ,d i r e c t o r sa n d e m p l o y e e sf o r a n y a c t i o n t a k e n
under
t h e R u l e s . I r e p r e s e n t h a t I a m e l l g i b l et o e n t e r a n d / o r p a r t i c i p a t eu n d e r l h e R u l e s ,a n d e v e r y h o r s e I a m e n t e r i n gi s e l i g i b l ea s e n t e r e d .I a l s o
agree
t h a t a s a c o n d i t i o no f a n d i n c o n s i d e r a t i o no f a c c e p t a n c eo f e n t r y ,t h e F e d e r a l i o na n d / o r t h e C o m p e t i t i o nm a y u s e o r a s s i g n p h o t o g r a p h s v, i d e o s ,
a u d i o s ,c a b l e - c a s t sb, r o a d c a s t s ,i n t e r n e t ,f l l m , n e w m e d i a o r o t h e r l i k e n e s s e so f m e a n d m y h o r s e t a k e n d u r i n g t h e c o u r s e o f t h e C o m p e t i t i o nf o r t h e
promotion, coverage or benefit of the Competition, sport, or the Federation.Those likenesses shall not be used to advertise product
a
and they may
n o t b e u s e d i n s u c h a w a y a s t o j e o p a r d i z ea m a t e u r s t a t u s . I h e r e b y e x p r e s s l ya n d i r r e v o c a b l yw a i v e a n d r e l e a s ea n y r i g h t s i n c o n n e c t i o nw i l h s u c h
u s e , i n c l u d i n ga n y c l a i m t o c o m p e n s a t i o n ,i n v a s i o no f p r i v a c y ,r i g h t o f p u b l i c i t y o
, r t o m i s a p p r o p r i a t i o nT. h e c o n s t r u c t i o na n d a p p l i c a t i o no f F e d e r a t i o n
r u l e s a r e g o v e r n e db y t h e l a w s o f t h e S t a t e o f N e w Y o r k , a n d a n y a c t i o n i n s t i t u t e da g a i n s tt h e F e d e r a t i o nm u s t b e f i l e d i n N e w y o r k S t a t e . S e e
GR908.4.
F e d e r a t i o n R e l e a s e ,A s s u m p t i o n o f R i s k . W a i v e r . a I d I n d e m n i f i c a t i o n
T h i s d o c u m e n t w a i v e s i m p o r t a n tl e g a l r i g h t s .R e a d i t c a r e f u l l yb e f o r e s i g n i n g .
I A G R E E i n c o n s i d e r a t i o nf o r n r y p a r t i c i p a t i o ni n t h i s C o m p e t i t i o nt o t h e f o l l o w i n g :
" s u s e d h e r e i n i n c l u d e st h e L i c e n s e ea n d C o m p e t i t i o nM a n a g e m e n t ,a s w e l l a s a l l o f t h e i r
I A G F I E Et h a t " t h e F e d e r a t i o n "a n d " C o m p e t i t i o n a
officialso
, f f i c e r s ,d i r e c t o r s ,e m p l o y e e s ,a g e n t s , p e r s o n n e l ,v o l u n t e e r sa n d F e d e r a t i o na f f i l i a t e s .
I A G R E E t h a t I c h o o s e t o p a r t i c i p a t ev o l u n t a r i l yi n t h e C o m p e t i t i o nw i t h m y h o r s e , a s a r i d e r ,d r i v e r ,h a n d l e r ,v a u l t e r ,l o n g e u r ,l e s s e e ,o w n e r ,
a g e n t , c o a c h , t r a i n e r ,o r a s p a r e n t o r g u a r d i a no f a j u n i o r e x h i b i t o r .I a m f u l l y a w a r e a n d a c k n o w l e d g et h a t h o r s e s p o r t s a n d t h e C o r n p e t i t i o ni n v o t v e
l n h e r e n td a n g e r o u sr i s k s o f a c c i d e n l ,l o s s , a n d s e r i o u s b o d i l y i n j u r yi n c l u d i n gb r o k e n b o n e s , h e a d r n . j u r i e st ,r a u m a , p a i n , s u f f e r i n g ,o r d e a t h . ( " H a r m " ) .
I A G F I E E t o h o l d h a r m l e s sa n d r e l e a s et h e F e d e r a t i o na n d t h e C o m p e t i t i o nf r o m a l l c l a i m s f o r m o n e y d a m a g e s o r o t h e r w i s ef o r a n y H a r m t o m e
o r m y h o r s e a n d f o r a n y H a r m o f a n ' yn' a t u r e c a u s e d b y m e o r m y h o r s e t o o l h e r s , e v e n i f t h e H a r m a r i s e s o r r e s u l t sr e s u l t e d ,d i r e c f l yo r i n d i r e c t l yf,r o m
t h e n e g l i g e n c eo f t h e F e d e r a t i o no r t h e C o m p e t i t i o n .
I A G F I E Et o e x p r e s s l ya s s u m e a l l r i s k s o f H a r m t o m e o r m y h o r s e , i n c l u d i n gH a r m r e s u l t i n gf r o m t h e n e g l i g e n c eo f t h e F e d e r a t i o no r t h e
Comoetition.
I A G F I E Et o i n d e m n i f y( t h a t l s , 1 0 p a y a n y l o s s e s ,d a m a g e s , o r c o s t s i n c u r r e db y ) t h e F e d e r a t i o na n d t h e C o m p e t i t i o na n d t o h o l d l h , - . mh a r m r e s s
w i t h r e s p e c tt o c l a i m sf o r H a r m t o m e o r m y h o r s e , a n d f o r c l a i m s m a d e b y o t h e r s f o r a n y H a r m c a u s e d b y m e o r m y h o r s e w h i l e a t t h e C o m p e t i t i o n .I
h a v e r e a c lt h e F e d e r a t i o nR u l e s a b o u t p r o t e c t i v ee q u i p m e n t ,i n c l u d i n gG R 8 0 1 a n d i f a p p l i c a b l e ,E V 1 1 4 ,a n d I u n d e r s t a n dt h a t I a m e n t i f l e , d
to wear
p r o t e c t i v ee q u i p m e n tw i t h o u t p e n a l t y 'a, n d I a c k n o w l e d g et h a t t h e F e d e r a t i o ns t r o n g l ye n c o u r a g e sm e t o d o s o w h i l e W A R N I N G t h a t n o p r o t e c t i v e
g
u
a
r
d
e q u i p m e n tc a n
a g a i n s t a l l i n j u r i e s .l f I a m a p a r e n t o r g u a r d i a no f a j u n i o r e x h i b i t o r ,I c o n s e n tt o t h e c h i l d ' s p a r t i c l p a t i o na n c jA G R E E t o a l l o f t h e
a b o v e p r o v i s i o n sa n d A G R E E t o a s s u m e a l l o f l h e o b l i g a t i o n so f t h i s R e l e a s eo n t h e c h i l d ' s b e h a l f .I r e p r e s e n lt h a t I h a v e t h e r e q u i s i t et r i t i n i n g ,
c o a c h i n ga n d a b i l i t i e st o s a f e l y c o m p e t e i n t h i s c o m p e t i t i o n .
I A G R : E Et h a t i f I a m i n j u r e da t t h i s c o m p e t i t i o n t, h e m e d i c a l p e r s o n n e lt r e a t a n gm y i n j u r i e sm a y p r o v i d e i n f o r m a t i o no n m y i n j u n /a n c lt r e a t m e n tt o
t h e F e d e r a t i o no n t h e o f f i c a aUl S E F a c c i d e n V i n j u r yr e p o r tf o r m .
B Y S I G N I N GB E L O W I A G R E E t o b e b o u n db y a l la p p l i c a bFl ee d e r a t i o
Rnu l e sa n da l ll e r m sa n dp r o v i s i o n
o sf t h i se n l r yb l a n ka n da l lt e r m s a n d p r o y i s i o n so f t h i s
P r i z e L i s t . l f I a m s i g n i n ga n d s u b m i t t i n gt h i s A g r e e m e n te l e c t r o n i c a l l yI ,a c k n o w l e d g et h a t m y e l e c t r o n i cs i g n a t u r es h a l l h a v e t h e s a r n e v a l i d i t y ,f o r c e
a n d e f f e c ta s i f I a f f i x e dm y s i g n a t u r ebr y m y o w n h a n d . C o p i e d f r o m U S E F w e b s i t e 11 / 1 4 1 2 j03
Pntrur
Nnve
Narr,le
or CoNTAcr/RELATtoNSHtp:
Pntrur
Nnue
Psorue:
F|LLoUToNLY|FTHEcoMPET|TloNYoUENTERoNrnisetlrnyroR
(Checkin the prizellstor individual
competition
requirements)
n
vtsA
l
MasterCard l-l
I I auex
Otn", -
BILLING
ADDRESS
CARD
NO.
EXPDATE
NAMEON CARD:
cw#
Z I PC O D E