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2021 MINNESOTA ARABIAN HORSE BREEDERS, INC.MEDALLION STALLION • AUCTION STALLION
AND PERFORMANCE FUTURITIES
October 1 - 3, 2021•• ENTRY CLOSING DATE: AUGUST 31, 2021 ••
Post entries are accepted until September 19, 2021 for an additional $250.Entries MUST BE Postmarked by August 31, 2021 .
NO METERED OR HAND DELIVERED MAIL WILL BE ACCEPTED .
Minnesota State Fairgrounds • St . Paul, Minnesota
OFFICIAL PRIZE LIST – USEF "LOCAL" RATED SHOW
**NEWLY ADDED PERFORMANCE FUTURITY & AHA SANCTIONED CLASSES**
Fall FestivalFall FestivalFall Festival
SHOW OFFICIALSShow Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Greg Brown (612) 760-1048 Secretary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Leesa Berhow (715) 643-2494Announcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jeff RutzUSEF Steward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kim HouldingRingmasters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dee Thode and Denae SundbergVeterinarian . . . . . University of Minnesota (612) 625-6700 (Friday) (612) 625-9711 (weekend) Farrier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ryan BrookmanFirst Aid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Save A LifeStable Master . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Randy Shaw (920) 450-0611 Ring Clerk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tim MoerbePaddock Master . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Chuck RickartPhotographer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TBDMusic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jeff RutzTrophies & Ribbons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Val SyllaPatronships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Debbie Treadwell (612) 590-8606
MINNESOTA ARABIAN HORSE BREEDERS, INC. OFFICERSDonna Hentges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PresidentLori Conway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vice PresidentBeth Proctor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vice PresidentGeniene Scherer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TreasurerDebbie Treadwell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SecretaryDonna Hentges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorLori Conway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorDeb Treadwell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorPenny Gute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorAnn Benson . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorBeth Proctor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Director Kim McKimmy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Director
OFFICE HOURS Thursday, September 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4:00 PM – 9:00 PMFriday, October 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8:00 AM – Last class leaves ring Saturday, October 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8:00 AM – Last class leaves ringSunday, October 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8:00 AM – Last class leaves ring
PHONE NUMBERS DURING SHOWSHOW OFFICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (651) 642-2338BARN OFFICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (651) 642-2337
Official Prize list ~ 40tH annual
Minnesota arabian Horse breeders, inc.MEDALLION STALLION ~ AUCTION STALLION
AND PERFORMANCE FUTURITIESOctober 1 - 3, 2021
Three judges will be used to adjudicate the Halter/Breeding/In-Hand Classes.All performance classes will be judged by 3 judges.
JUDGES: John Rannenberg • Duane Esser • Chuck Mangan
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RULES AND REGULATIONS
US Equestrian Entry AgreementBy 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 MAHB Fall Festival (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 .
US Equestrian Membership StatementLife, senior active and junior active members shall be eligible to participate in all classes at Regular Competitions, Eventing Competitions at the Modified 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 $45 Show Pass 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 (exception: Friesian performance FR222) 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 . AHA Membership StatementEach competitor (this includes at least one recorded owner and all trainers, drivers, riders, halter handlers, coaches and the person(s) signing the entry blank) in an Arabian Horse Association recognized arabian division, at the time of entry into a competition, must submit a copy of a valid AHA membership/competition card, join AHA or pay an AHA single event membership fee per competitor . When an agent signs for the owner at an AHA recognized competition, both the owner and agent must be members of AHA or pay the AHA single event membership . Single event membership is not acceptable at AHA regional or national competitions . Exhibitors in walk-trot classes are exempt from AHA membership requirements at qualifying competitions, but must have an AHA membership with competition card at AHA regional and national competitions . Exhibitors in lead line classes or parents/guardians signing for minors are exempt from AHA membership requirements . (bod 5/12)
THE MINNESOTA ARABIAN HORSE BREEDERS, INC. (MAHB, INC.) will NOT be responsible for any loss or damage or injury to horses exhibited, or for any articles of any kind or nature that may be lost or destroyed, or in any way injured . Each Exhibitor is responsible for any injury that may be occasioned to any person, or thing, whomsoever, by any horse or vehicle owned or exhibited by him and will not in any case hold the Minnesota Arabian Horse Breeders, this show, its official or employees, or the sponsoring organization or its members responsible for loss or injury of or to any animal, vehicle or article owned or exhibited by them . All horses exhibited in this show will be entirely at the owner’s risk .THE SHOW reserves the right to make such changes in procedures, personnel, rules, and regulations as shall be deemed by them to be in the best interest of this show; any such changes will be posted in the Show Office .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.ARABIAN REGISTRY REQUIREMENT: Horses shown in Purebred Arabian Division must have been issued a certificate of registration from the Arabian Horse Association (or in the case of a foreign entry, have been issued a Competition Visa by the Arabian Horse Association) and/or the Canadian Arabian Horse Registry or, if under one year of age, be eligible for registry and registration applied for (exception: Art . 1699N .1) and must be entered under their full registered name . A COPY OF REGISTRATION PAPERS, FRONT AND BACK, MUST BE INCLUDED WITH THE ENTRY FORM. HORSES MUST BE REGISTERED WITH AHA – NO PENDING HORSES.AGE OF THE HORSE: The age of a horse shall be reckoned as beginning on January 1st of the year in which it was born .MAHB REGISTRY REQUIREMENTS: All horses must be registered with MAHB, and a copy of their MAHB Registration Certificate must be included with the entry . ELIGIBILITY: Only those horses whose dams were nominated into the Minnesota Arabian Horse Breeders, Inc . Futurity programs in the year they were bred are eligible to show in halter and/or Performance Futurity .a .) Any Medallion Stallion foal that has already met the nomination requirements of being nominated into the MAHB, Inc . futurity programs (including payment of $125 .00 to MAHB on or before December 31st of the year the dam of the foal was bred) will be eligible to show in all classes beginning as a yearling, starting 1991 .
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b .) Beginning in 2012, offspring of Medallion Stallions not previously eligible can be nominated for Performance classes under the following rules: 1. Nominations are for performance classes and jackpot halter only . 2. Nomination Fee: $4003. Nomination open to horses of all ages4. Horse must be offspring of any Medallion Stallion . c .) Any horse that has won a Championship in a Performance class at the Minnesota Arabian Horse Breeders Fall Festival may not compete in the same class . A Performance Champion may compete in any other class in which he has not been named champion, with the exception of Jackpot Classes . All Jackpot Classes (In-Hand, Liberty or Performance) allow previous champions to enter . EXHIBITOR PACKETS: Will NOT be released until all entries are complete . AMATEUR STATUS: Every Rider, Driver or Handler must be USEF Amateur Certified or must apply for same to participate in this show . Juniors 18 & Under are considered Amateur . Applications for USEF Amateur cards may be obtained online at usef .org or at the show office . Applicants may apply for full USEF Amateur membership ($80 .00) . Applications must be made prior to showing . This show has changed to a USEF “Local” rating . Owners and Trainers do not need to be members of USEF, and non-member fees are not charged .HANDLER, RIDER AND/OR DRIVER SUBSTITUTION: If it is necessary to change riders or handlers after the close of entries, a replacement may be made . If the replacement is not a currently Certified Amateur, application must be made at the Show at least ONE HOUR prior to the class . Horses shall be handled and shown throughout the entire class by only one and the same person . With the exception that a substitute rider, driver or handler may be used if during the class the original rider, driver or handler becomes ill or injured . NO PERSON CAN SHOW IN MORE THAN ONE SECTION OF THE SAME CLASS . AGE OF RIDER: The age of a rider shall be determined as of December 1 of each year and shall be maintained until December 1 of the following year .ATTIRE: It is the tradition of the show ring that riders, drivers and handlers be correctly attired for each class and that attendants be neatly dressed and the horses properly presented . The management may, at its discretion, bar any entry or person from entering the ring if not suitably presented to appear before an audience .ADMISSION TO ARENA: No person will be permitted to enter the arena except participants in the class, officials and their assistants and the show photographer . Attendants will not be permitted in the arena until summoned by the Judges .CALL FOR CLASSES: Classes will be called promptly . There will be three calls for classes . Two minutes will be allowed after the first horse enters the ring . In case of equipment change, an additional three minutes may be allowed: provided the gate is notified at least one class in advance . Due to possible unforeseen problems with any mechanical device, the PA system and class calls over that system are considered a courtesy .MISSED CALLS FOR CLASSES: It is the exhibitor’s responsibility to have his/her horse at the gate at the prescribed time . While every effort is made to maintain a working PA system, NO protest will be upheld, nor any section changed on the basis of PA failure .POST ENTRIES: Accepted after closing date of August 31st until September 19th at the rate of $250 .00 per class . No entries accepted after September 19, 2021 .NUMBER OF ENTRIES IN CLASSES: All classes will be judged regardless of the number of entries .SPLITTING OF CLASSES: According to Minnesota Arabian Horse Breeder Futurity Rules, each section of a futurity class is considered part of the same class . Show management will determine number of horses in any section of any class . The colts and fillies will be shown in separate halter classes . The only random draw for sections will be with performance horses . No handler/rider may show more than one entry per class . Order of go according to age, oldest to youngest . Exhibitors will be required to check in with the Assistant Paddock Master prior to the start of the class to verify their position . PROTESTS: A protest must be filed as set forth in USEF GR603 .NO SHOWS: To expedite the flow of classes it would be appreciated if last-minute scratches were reported to the show office as quickly as possible .STALLIONS: Colts/Stallions may be shown by ladies or 18 and under exhibitors .IDENTIFICATION NUMBERS: Every horse entered in this show will be assigned identification numbers . It is important for the proper handling of the show that the correct number be worn by rider/driver/handlers . Numbers will be marked clearly on the back with the horses name and class in which the horse is entered . WHIPS: One whip or cropper handler allowed, however, whips are not mandatory and handlers are allowed to use items such as grass, hat and/or treats to maintain horse’s attention in halter classes . Whips are to be no longer than 6’ (six feet) including the snapper/lash/appendage . Small appendages (no more than 12 inches in length) of ribbon, plastic, etc . are permitted . Excessive or improper use of a whip shall be basis for disqualification .DISCIPLINE/ABUSE: If it is ascertained that any exhibitor has made or caused to be made any false statement in regard to any animal or article exhibited, or if any exhibitor shall attempt to interfere with any of the judges in the performance of his or her duties, said exhibitor shall be excluded from competing or exhibiting . Any act of discourtesy or disobedience to the officials of this show on the part of the owner, lessee, trainer, groom, rider, driver, or handler will disqualify the horse from adjudication . Show Management reserves the right to remove any of the above listed from the show without being liable for compensation or damages . (USEF Rule GR 302) Any action(s) against a horse by an exhibitor which are deemed excessive by a judge, USEF steward or show veterinarian, in the show ring or anywhere on the competition grounds may be punished by official warning, elimination or other sanctions that may be deemed appropriate by the Show Committee . Such action(s) could include but are not limited to excessive use of whips, spurs, or bamboo poles . Exhibitors’ attention is particularity drawn to USEF Rule GR 302 .JUDGES MUST EXCUSE FROM THE RING: Any horse shown that possesses a whip mark (welt) on any portion of the horse . A whip mark or welt is an inflammation of skin and abrasion or laceration . The cardinal signs of inflammation include heat, pain, (sensitivity to palpation) and swelling . The Judges’ finding of fact with respect to the presence or absence of a whip mark (welt) evident during a class shall be final, and no appeal may be taken thereon . The Judge shall make written findings of fact, which shall be delivered to the USEF steward with respect to any horse excused under this rule . Additional cause for mandatory elimination from the arena are a .) removal
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of eyelashes, b .) changing natural color of the mane/tail, c .) balding the area around the eyes or proximal to the muzzle and nostrils . Horses showing signs of undue stress or inhumane treatment or that have cuts or abrasions showing clear evidence of fresh blood in the mouth, nose, chin, shoulder, barrel, flank, or hip area must be considered ineligible to receive an award in that respective class . ARENA & WARM UP RING DIMENSIONS: Arena in main Coliseum is 270’ x 120’ with clay and sand based footing . Warm up areas are: Compeer Arena, 100’ x 70’ and “Cover All,” 100’ x 70’; both have Ag . lime base with sand footing .DRUGS AND MEDICATION: GR301 .8: “To provide funds for research, inspection and enforcement of rules regarding use of medication and drugs, each recognized show must assess a Drug Fee of $16 .00 for each horse entered in the show . At the end of a show, Show Management shall forward to the Association a sum representing the number of horses entered in the show, such to be held by the Association in a separate fund for use in accomplishing the purpose set forth above .”IRS INFORMATION: Please note that the IRS requires us to have appropriate tax ID or Social Security numbers before we can issue any winnings check . Failure to report this information or providing erroneous identification can lead to substantial penalties . We take any possibility of identity theft very seriously, and do keep tax ID and SS numbers in strict confidence . It is essential that you provide correct tax information with your entries to avoid delays in receiving your winnings . Please also note that the tax ID information must match the name on the entry form, and you must identify if you are out of the United States .PRIZE MONEY AND AWARDS: Ribbons and trophies will be awarded in the show ring . All prize money will be sent within 60 days after close of the show . AHA Classes have NO PRIZE MONEY, only ribbons .In the event of a protest, only the prize money in question will be escrowed until USEF makes a determination . In the event USEF upholds a protest, all affected placings will be adjusted and the reserve horse will receive its proper ribbons and prizes .EXHIBITOR INFORMATION: Entries must be serviceably sound and in good condition and must wear long, natural, unbraided mane and natural, unset, un-gingered tail and must be shown without artificial appliances, which include tongue-ties . Action produced by such or similar artificial methods shall be penalized . The use of chains, rollers or similar devices on the show grounds during or before a show are prohibited . The Show Committee shall bar violators from further participation for the remainder of the show, and they shall forfeit all entry fees and winnings for the entire show . (Glitter is prohibited - with the exception of the Themed Liberty Class).IN-HAND/BREEDING CLASSES: Horses must be serviceably sound i .e . horse must not show evidence of lameness, broken wind or complete loss of sight in either eye (see GR 1204 .4) . Transmissible weaknesses shall be considered a serious fault in breeding stock . Colts and stallions 2 years old and over must have both testicles descended . Halter horses are not to be stretched . A horse is considered not stretched if all four feet are flat on the ground and at least one front and one rear cannon bone is perpendicular to the ground . Excessive use of the whip or actions that may disturb other entries shall be severely penalized .PERFORMANCE CLASSES: All horses shall be worked at all gaits both ways of the ring and otherwise as described by class specifications, and at Judge’s discretion, horses shall change from any gait to any other gait . All horses chosen for a work-off must be worked both ways of the ring at any gait listed in class specifications as requested by the Judge . Horses must come to the “line up” at gait requested . In the “line up” horses must stand quietly and may be asked to back individually or as a group . Horses not to stretch on the line . Novice horses must not have won 3 first place ribbons respectively at Arabian Division Competitions in that particular performance section in which they are shown .SADDLE SEAT PLEASURE: English and Country English horses will be accepted in these classes . Novice horses must not have won 3 first place ribbons respectively at Arabian Division Competitions in that particular performance section in which they are shown . Junior horses must comply with the USEF class specs in these divisions . MOTORIZED VEHICLES: Minors who do not have a valid driver’s license which allows them to operate a motorized vehicle in the state in which they reside will not be permitted to operate a motorized vehicle of any kind including, but not limited to, golf carts, motorcycles, scooters or farm utility vehicles on the competition grounds of licensed competitions . Minors who have a valid temporary license may operate the above described motorized vehicles as long as they are accompanied by an adult with a valid driver’s license . The parent(s), legal guardian(s), or individual who signs the entry blank as a parent or guardian of a minor operating a motorized vehicle in violation of this rule are solely responsible for any damages, claims, losses or actions resulting from that operation . 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 Rule 6 . Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this rule .
MAHB JUDGING PROCEDURE FOR YEARLING HALTER CLASSES: Judging of the yearling classes at the 2021 Fall Festival will utilize a comparative scoring system and the winners will be determined according to MAJORITY OPINION .
In the MAHB Auction classes, Judges will mark their cards 1st through 10th . The individual horse receiving the greatest number (majority) of first place votes from the total number of judges officiating will be awarded the title of CHAMPION . No points will be assigned to the ranked entries to determine the title of CHAMPION . The entry with the most accumulated points from the remaining entries will be awarded the title of RESERVE CHAMPION . The Auction entry with the second highest accumulated score of the remaining entries will be awarded the title of THIRD PLACE . The Auction entry with the third highest accumulated score of the remaining entries will be awarded the title of FOURTH PLACE .
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STATE FAIR RULES AND REGULATIONSALL HORSES ON THE STATE FAIRGROUNDS MUST HAVE ORIGINAL CURRENT NEGATIVE COGGINS . ORIGINAL AND A COPY MUST BE PRESENTED IN THE SHOW OFFICE FOR ALL ENTRIES . MEDALLION STALLIONS AND OTHER HORSES ON THE GROUNDS NOT ENTERED IN CLASSES MUST HAVE ORIGINAL READY FOR PRESENTATION UPON REQUEST .
ARRIVAL TIME: No barn access until Wednesday, September 29, 1 p .m ., no exceptions . Include stall requests (with what barn) with entries or call Barn Manager with special requests . Stall set up may begin at 1:00 p .m . on Wednesday, September 29 Horses may arrive at 1:00 p .m . on Wednesday, September 29 Include shavings request with entries; we will try to deliver Wednesday morning . Stalls may not have artificial ceilings; fire code violationsDEPARTURE TIME: Sunday, October 3, 6:00 p .m . All horses, displays and barn decorations MUST be out of the barn no later than 8:00 p .m . Absolutely no stall tear down before the completion of
the final class on Sunday. Inform Barn Office if leaving horses in stalls for someone else after the show.Randy Shaw, Barn Manager, (920) 450-0611COLISEUM EXERCISE TIMES: The Coliseum may be used for practice/exercise during the following times . THURSDAY: 6:00 a .m . – 12:00 a .m . (Midnight) • FRIDAY: 6:00 a .m . – 8:00 a .m . SATURDAY: 6:00 a .m . – 8:00 a .m . • SUNDAY: 6:00 a .m . – 8:00 a .m .
BARNS: All exhibitors are expected to maintain the aisle bordering their stalls in a clean and orderly manner . In accordance with state fire regulations, no autos, truck or trailers will be permitted in the barn . Loading and unloading will be permitted at the curb next to the barn . No parking will be allowed in this area . At no time may any vehicle be parked in front of any barn entrance . After unloading; cars, trucks and trailers must be moved to the designated parking lot west of the Compeer (AgStar) Arena . This means no parking on any black top surface . Vehicles may not be parked on lawns, in driveways, on sidewalks, nor may they park in the streets with the exception of handicapped permit parking . Violators will be ticketed; vehicles will be towed and impounded at owner’s expense .Pets must be on a leash. No pets in coliseum (exception: service dogs such as Seeing Eye, etc.). No pets left unattended in barn overnight.PARKING: Vehicles may not be parked on lawns, in driveways, on sidewalks, nor may they be parked on the street . Violators will be ticketed and vehicles will be towed and impounded at owner’s expense . Unloading and parking areas will be posted . No electric hookups of any kind are available to parked vehicles . No overnight tenting or camping will be permitted, except in (totally) self-contained camper units . No tents are allowed .Note: These regulations are made and enforced by the Minnesota State Fair Board. The show committee will have no authority to intervene on behalf of exhibitors. Everyone’s compliance is requested in this matter.CAMPING: No overnight tenting or camping will be permitted, except in self-contained camper units . Electric hook ups are available . CAMPING IS ONLY PERMITTED IN THE MAHB Fall Festival DESIGNATED LOT West of Compeer Arena . ANYONE CAMPING IN A LOT OTHER THAN THE DESIGNED LOT WILL BE CHARGED $250/DAY TO COVER THE COST OF THE ENTIRE LOT . Complete and return the camping registration form with your entries . A camping permit will be provided when you check in at the show office . The permit must be displayed in the camper window . Camping charge is $35/night .STALL: No showing out of trailers . Every horse is required to have a stall . All stalls will have a stall door unless otherwise requested . Anyone wishing to stall together must state clearly on entry form . Each exhibitor must pay for his or her own stalls .
MAHB JUDGING PROCEDURE CONTINUED....The Auction entry with the fourth highest accumulated score of the TOP remaining entries will be awarded FIFTH PLACE . The 6th through 10th place Auction entries will receive a TEN award . For the MAHB Medallion Halter classes, judges will mark their cards 1st through 5th . A Champion and Reserve will be awarded in each class, with the 3rd through 5th place horses receiving a TOP FIVE award . The 6th through 10th place entries will receive a TOP TEN ribbon . SHARPS CONTAINERS: Competition management shall place a minimum of one sharps container per each competition, whether or not stabling is provided . Additionally, at least one sharps container per fifty occupied stalls for the disposal of needles and other disposable sharp instruments in convenient locations in barns housing competition horses . It is competition management’s responsibility to replace such containers when full and dispose of them properly . Competition management may fine any individuals including trainers, owners, exhibitors or their agents up to $100 .00 for improper disposal of needles or other sharp disposable instruments . SAFE SPORT: All USEF Life and Senior Active members, as well as participants who have regular contact with minor athletes, are required to comply with the U .S . Center for SafeSport training requirement to be eligible to participate in the competition . All participants must adhere to the U . S . Center for SafeSport Code, USEF Safe Sport Policy, and the Minor Athlete Abuse Prevention Policies . More information about these can be found at www .usef .orgPRINTING ERRORS: The show committee is not responsible for errors in printing . Corrections will be posted in the Show Office .
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ENTRY FEES Yearling Auction Futurity Class . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No Charge Yearling Medallion Stallion Futurity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50 .00 per class Two-Year Old Medallion Stallion Futurity . . . . . . . . . . . . . . . . . . . . . . . . . . . . $90 .00 per class Performance Stakes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $90 .00 per class Jackpot Classes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100 .00 per class All AHA Classes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50 .00 per class Post Entries accepted until September 19, 2021 . . . . . . . . . . . . . . $250 .00 addition per class USEF Drug and Office Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $23 .00 per horse Office Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25 .00 per horse Stalls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $85 .00 each
JUDGES' CARDS WILL BE POSTED ONLY AFTER THE FINALS FOR THE CLASS THAT HAS BEEN HELD
ENTRIES MUST BE POSTMARKEDBY August 31, 2021
Post Entries accepted until September 19, 2021 Additional $25000 per class.
ALL ENTRIES MUST BEAR A GOVERNMENT POSTMARK; ABSOLUTELY NO POSTAGE METER MAIL OR HAND DELIVERED ENTRIES WILL BE ACCEPTED .
REFUNDS: Vet outs will be accepted with a vet certificate if submitted by September 22, 2021, 8:00 p .m . Entry fee(s) only will be refunded .
EACH OWNER/EXHIBITOR IS RESPONSIBLE FOR COMPLYING WITH THE RULES CONTAINED HEREIN AND APPLICABLE USEF RULES.
ANYONE DESIRING TO SPEAK WITH A JUDGE MUST MAKE AN APPOINTMENT WITH THE USEF STEWARD, WHO WILL MAKE ARRANGEMENTS FOR MEETING .
ACCESS TO THE BARN IS NOT AVAILABLE UNTIL WEDNESDAY, SEPTEMBER 29—NO EXCEPTIONS .INCLUDE STALL REQUESTS (WITH WHAT BARN) WITH ENTRIES OR CALL BARN MANAGER
STALL SET-UP MAY BEGIN AT 1:00 P .M . ON WEDNESDAY . HORSES MAY ARRIVE AT 1:00 P .M . ON WEDNESDAY .
INCLUDE SHAVINGS REQUESTS WITH ENTRIES; WE WILL TRY TO DELIVER WEDNESDAY MORNING .
ANY QUESTIONS WITH REGARDS TO THE FOREGOING INFORMATION ON THE SHOW ARE TO BE DIRECTED TO FALL FESTIVAL CHAIRMAN, GREG BROWN (612) 760-1048 .
“Non-members are not allowed to solicit breedings to a non-Medallion Stallion at Fall Festival. By solicit, we mean put out promotional material, run videos and pass out rate sheets. If solicitation continues after a request to remove all materials has been issued, horse and owner may be disqualified from further participation and be asked to leave at the discretion of the Show Chairperson.”
ATTENTION COMPETITIORSEach competitor is responsible for supplying management with correct association numbers (US Equestrian (USEF), AHA) 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 awards .
7
2021 FALL FESTIVAL CLASS SCHEDULE
CLASS # CLASS NAME
Friday • October 1, 2021 • 9:00 A.M .
CLASS AHA
117 660 AHA HALF-ARABIAN REINING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
107 225 AHA ARABIAN REINING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
108 1512 AHA ARABIAN PERFORMANCE HALTER - MARES . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
109 2078 AHA ARABIAN PERFORMANCE HALTER - GELDINGS . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
010 - *3 - MAHB MEDALLION 3-YEAR-OLD COLTS & GELDINGS ATH . . . . . . . . . . . . . . . . .FINAL
114 540 AHA HALF-ARABIAN COUNTRY PLEASURE LADIES & GENTLEMEN . . . . . . . . . . . . .FINAL
102 290 AHA ARABIAN HUNTER PLEASURE LADIES & GENTLEMEN . . . . . . . . . . . . . . . . . . .FINAL
110 620 AHA HALF-ARABIAN WESTERN PLEASURE LADIES & GENTLEMEN . . . . . . . . . . . . .FINAL
033 - MAHB HUNTER PLEASURE AOTR (If split, Final will run on Sunday) . . . . . SECTION A & B
Friday • October 1, 2021 • Not Before 1:00 P.M.
013 - MAHB HALTER JACKPOT AOTS (ALL AGES, ALL GENDERS) . . . . . . . . . . . . . . . . . . .FINAL
100 190 AHA ARABIAN WESTERN PLEASURE LADIES & GENTLEMEN . . . . . . . . . . . . . . . . . .FINAL
104 95 AHA ARABIAN COUNTRY PLEASURE LADIES & GENTLEMEN . . . . . . . . . . . . . . . . . .FINAL
041 - MAHB SADDLE SEAT PLEASURE 19 & Over AATR . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
032 - MAHB HUNTER PLEASURE NOVICE HORSE ATR . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
112 733 AHA HALF-ARABIAN HUNTER PLEASURE LADIES & GENTLEMEN . . . . . . . . . . . . . .FINAL
028 - MAHB HUNTER PLEASURE 18 & UNDER JTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
116 515 AHA HALF-ARABIAN ENGLISH PLEASURE LADIES & GENTLEMEN . . . . . . . . . . . . . .FINAL
017 - MAHB WESTERN PLEASURE 19-39 AATR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
Friday • October 1, 2021 • Not Before 6:00 P.M.
101 192 AHA ARABIAN WESTERN PLEASURE AOTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
030 - MAHB HUNTER PLEASURE 40 & OVER AATR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
024 - MAHB WESTERN PLEASURE JACKPOT ATR (Open to all, including previous winners) . . . . . . . . . .FINAL
043 - MAHB SADDLE SEAT PLEASURE NOVICE HORSE ATR . . . . . . . . . . . . . . . . . . . . . . . .FINAL
007 - MAHB MEDALLION 2-YEAR-OLD COLTS/GELDINGS ATH . . . . . . . . . . . . . . . . . . . . .FINAL
014 - *2- MAHB AUCTION WESTERN PLEASURE 4-YEAR-OLDS . . . . . . . . . . . . . . . . . FINAL
015 - *2- MAHB AUCTION WESTERN PLEASURE 5-YEAR-OLDS . . . . . . . . . . . . . . . . . FINAL
023 - MAHB WESTERN PLEASURE JACKPOT 14 & UNDER JTR . . . . . . . . . . . . . . . . . . . . . .FINAL
045 - MAHB COUNTRY PLEASURE JACKPOT ATR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
037 - MAHB HUNTER PLEASURE JACKPOT AOTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
048 - MAHB NATIVE COSTUME JACKPOT ATR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
004 - *1 - MAHB COVID AUCTION 2-YEAR-OLD FILLIES ATH . . . . . . . . . . . . . . . . . . . . . .FINAL
Saturday • October 2, 2021 • 9:00 A.M.
020 - MAHB WESTERN PLEASURE NOVICE HORSE ATR . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
036 - MAHB HUNTER PLEASURE JACKPOT ATR (Open to all, including previous winners) . . . . . . . . . . .FINAL
040 - MAHB SADDLE SEAT PLEASURE 18 & UNDER JTR . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
021 - MAHB WESTERN PLEASURE AOTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
103 292 AHA ARABIAN HUNTER PLEASURE AOTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
111 622 AHA HALF-ARABIAN WESTERN PLEASURE AOTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
035 - MAHB HUNTER PLEASURE JACKPOT 14 & UNDER JTR . . . . . . . . . . . . . . . . . . . . . . . .FINAL
011 - MAHB 4 & OVER MARES JACKPOT ATH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
8
CLASS # CLASS NAMESaturday • October 2, 2021 • Not Before 1:00 P.M.CLASS AHA 002 - MAHB AUCTION YEARLING FILLIES ATH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL115 542 AHA HALF-ARABIAN COUNTRY PLEASURE AOTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL019 - MAHB WESTERN PLEASURE JUNIOR HORSE ATR . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL042 - MAHB SADDLE SEAT PLEASURE JUNIOR HORSE ATR . . . . . . . . . . . . . . . . . . . . . . . . .FINAL009 - *3 - MAHB MEDALLION 3-YEAR-OLD FILLIES ATH . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL016 - MAHB WESTERN PLEASURE 18 & UNDER JTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL046 - MAHB SADDLE SEAT JACKPOT ATR (Open to all, including previous winners) . . . . . . . . . . . . . . . .FINAL034 - MAHB HUNTER PLEASURE JACKPOT 15-18 JTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL001 - MAHB AUCTION YEARLING COLTS/GELDINGS ATH . . . . . . . . . . . . . . . . . . . . . . . .FINAL
Saturday • October 2, 2021 • Not Before 6:00 P.M.003 - *1- MAHB COVID AUCTION 2-YEAR-OLD COLTS/GELDINGS ATH . . . . . . . . . . . . .FINAL038 - *2-MAHB AUCTION SADDLE SEAT 4-YEAR-OLDS . . . . . . . . . . . . . . . . . . . . . . . . FINAL039 - *2-MAHB AUCTION SADDLE SEAT 5-YEAR-OLDS . . . . . . . . . . . . . . . . . . . . . . . . FINAL012 - MAHB 4 & OVER GELDINGS JACKPOT ATH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL106 75 AHA ARABIAN ENGLISH PLEASURE LADIES & GENTLEMEN . . . . . . . . . . . . . . . . . . .FINAL029 - MAHB HUNTER PLEASURE 19-39 AATR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL008 - MAHB MEDALLION 2-YEAR-OLD FILLIES ATH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL113 735 AHA HALF-ARABIAN HUNTER PLEASURE AOTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL026 - *2-MAHB AUCTION HUNTER PLEASURE 4-YEAR-OLDS . . . . . . . . . . . . . . . . . . . . .FINAL027 - *2-MAHB AUCTION HUNTER PLEASURE 5-YEAR-OLDS . . . . . . . . . . . . . . . . . . . . .FINAL047 - MAHB LIBERTY JACKPOT ATH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL
Sunday • October 3, 2021 • 10:00 A.M.006 - MAHB YEARLING MEDALLION FILLIES ATH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL031 - MAHB HUNTER PLEASURE JUNIOR HORSE ATR . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL018 - MAHB WESTERN PLEASURE 40 & OVER AATR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL105 97 AHA ARABIAN COUNTRY PLEASURE AOTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL022 - MAHB WESTERN PLEASURE JACKPOT 15-18 JTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL033 - MAHB HUNTER PLEASURE AOTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FINAL IF NEEDED025 - MAHB WESTERN PLEASURE JACKPOT AOTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL044 - MAHB SADDLE SEAT PLAESURE AOTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FINAL 005 - MAHB YEARLING MEDALLION COLTS/GELDINGS ATH . . . . . . . . . . . . . . . . . . . . . . . .FINAL
Fall FestivalFall FestivalFall Festival
**** SPECIAL ANNOUNCEMENTS*****1 - COVID Auction & Medallion classes are open to two-year-olds that would have been eligible
to show in the 2020 Yearling Auction & Medallion Classes.
*2 - MAHB reserves the right to combine the 2021 4 & 5 Year-Old Auction Performance classes if entries are 5 or less.
*3 - Open only to 3 Year-Olds that would have shown in the 2020 2-Year-Old classes.
9
UNITED STATES EQUESTRIAN FEDERATION : 4001 WING COM
MANDER W
AY : LEXINGTON, KY 40511 : 859.258.2472 : FAX 859.231.6662 : USEF.ORG
WAIVER AND RELEASE OF LIABILITY,
ASSUMPTION OF RISK AND INDEM
NITY AGREEMENT
For and in consideration of United States Equestrian Federation, Inc. dba US Equestrian (“USEF”) allowing me, the undersigned, to participate in any
capacity (including as a rider, driver, handler, vaulter, longeur, lessee, owner, agent, coach, official, trainer or volunteer) in a USEF sanctioned, licensed or approved event or activity, including but not lim
ited to equestrian clinics, practices, shows, competitions and related or incidental activities (“USEF Event”
or “USEF Events”); I, for myself, and on behalf of m
y spouse, children, heirs and next of kin, and any legal and personal representatives, executors, admin-
istrators, successors,, and assigns, hereby agree to and make the following contractual representations pursuant to this Agreem
ent (the “Agreement”):
A. RULES AND REGULATIONS: I hereby agree to be bound and abide by the rules, regulations, and policies of USEF as published in the USEF Rule Book and on the website at www.usef.org, as am
ended from tim
e to time.
B. ACKNOWLEDGM
ENT OF RISK: I knowingly, willingly, and voluntarily acknowledge the inherent risks associated with the sport of equestrian and know that horseback riding and related equestrian activities are inherently dangerous, and that participation in any USEF Event involves risks and dangers including, with-out lim
itation, the potential for serious bodily injury (including broken bones, head or neck injuries), sickness and disease (including comm
unicable diseases), traum
a, pain & suffering, permanent disability, paralysis and death; loss of or dam
age to personal property (including my m
ount & equipment) arising out of the
unpredictable behavior of horses; exposure to extreme conditions and circum
stances; accidents involving other participants, event staff, volunteers or specta-tors; contact or collision with other participants and horses, natural or m
anmade objects; adverse weather conditions; facilities issues and prem
ises conditions; failure of protective equipm
ent (including helmets); inadequate safety m
easures; participants of varying skill levels; situations beyond the imm
ediate control of the USEF Event organizers and com
petition managem
ent; and other undefined, not readily foreseeable and presently unknown risks and dangers (“Risks”).
EQUINE ACTIVITY LIABILITY ACT WARNING:
CAUTION: HORSEBACK RIDING AND EQUINE ACTIVITIES CAN BE DANGEROUS. RIDE AT YOUR OWN RISK.
Under the laws of most States, an equine activity sponsor or equine professional is not liable for any injury to, or the death of, a participant in
equine activities resulting from the inherent risks of equine activities.
C. ASSUMPTION OF RISK: I understand that the aforem
entioned Risks may be caused in whole or in part or result directly or indirectly from
the negligence of m
y own actions or inactions, the actions or inactions of others participating in the USEF Events, or the negligent acts or omissions of the Released Par-
ties defined below, and I hereby voluntarily and knowingly assume all such Risks and responsibility for any dam
ages, liabilities, losses, or expenses that I incur as a result of m
y participation in any USEF Events. I also agree to be responsible for any injury or damage caused by m
e, my horse, m
y employees or
contractors under my direction and control at any USEF Event.
D. WAIVER AND RELEASE OF LIABILITY, HOLD HARM
LESS AND INDEMNITY: In conjunction with m
y participation in any USEF Event, I hereby release, waive and covenant not to sue, and further agree to indem
nify, defend and hold harmless the following parties: USEF, USEF Recognized Affiliate Associations,
the United States Olympic & Paralym
pic Comm
ittee (USOPC), USEF clubs, mem
bers, Event participants (including athletes/riders, coaches, trainers, judg-es/officials, and other personnel), the Event owner, licensee, and com
petition managers; the prom
oters, sponsors, or advertisers of any USEF Event; any charity or other beneficiary which m
ay benefit from the USEF Event; the owners, m
anagers, or lessors of any facilities or premises where a USEF Event m
ay be held; and all directors, officers, em
ployees, agents, contractors, and volunteers of any of the aforementioned parties (Individually and Collectively, the
“Released Parties” or “Event Organizers”), with respect to any liability, claim(s), dem
and(s), cause(s) of action, damage(s), loss, or expense (including
court costs and reasonable attorney fees) of any kind or nature (“Liability”) which may arise out of, result from
, or relate in any way to my participation in
the USEF Events, including claims for Liability caused in whole or in part by the negligent acts or om
issions of the Released Parties.
E. COMPLETE AGREEM
ENT AND SEVERABILITY CLAUSE: This Agreement represents the com
plete understanding between the parties regarding these issues and no oral representations, statem
ents or inducements have been m
ade apart from this Agreem
ent. If any provision of this Agreement is held to be
unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from
this Agreement and shall not affect the validity and
enforceability of any remaining provisions.
I HAVE CAREFULLY READ THIS DOCUMENT IN ITS ENTIRETY, UNDERSTAND ALL OF ITS TERM
S AND CONDITIONS, AND KNOW IT CONTAINS AN ASSUM
PTION OF RISK, RELEASE AND W
AIVER FROM LIABILITY, AS W
ELL AS A HOLD HARMLESS AND INDEM
NIFICATION OBLIGATIONS.
By signing below, I (as the participant or as the Parent/Legal Guardian of the minor identified below) hereby accept and agree to the term
s and condi-tions of this Agreem
ent in connection with my (or the m
inor’s) participation in any USEF Event. If, despite this Agreement, I, or anyone on m
y behalf or the m
inor’s behalf, makes a claim
for Liability against any of the Released Parties, I will indemnify, defend and hold harm
less each of the Released Parties from
any such Liabilities as the result of such claim.
RIDER/DRIVER/HANDLER/VAULTER/LONGEUR (mandatory)
Signature: ____________________________________________Print Nam
e: ___________________________________________
TRAINER (mandatory)
Signature: ____________________________________________Print Nam
e: ___________________________________________
OWNER/AGENT (m
andatory)
Signature: ____________________________________________Print Nam
e: ___________________________________________
COACH (mandatory)
Signature: ____________________________________________Print Nam
e: ___________________________________________
Parent/Guardian Signature: (Required if Rider/Driver/Handler/Vaulter/Longeur is a minor) _______________________________________________________________________
Print Parent//Guardian Name: _______________________________
Emergency Contact Phone No. __________________________________
Is Rider/Driver/Vaulter a U.S. Citizen: __Yes __No
10
2021
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____
____
____
____
____
____
____
____
____
____
____
_
Cam
per M
ake/
Mod
el__
____
____
____
____
____
____
____
____
____
____
____
____
____
___
Cam
per L
icen
se P
late
Num
ber_
____
____
____
____
____
____
____
____
____
____
____
____
Plac
e a
chec
k by
eac
h ni
ght y
ou p
lan
to c
amp
on th
e sh
ow g
roun
ds
W
edne
sday
Sep
tem
ber 2
9
Thur
sday
Sep
tem
ber 3
0
Frid
ay O
ctob
er 1
Satu
rday
Oct
ober
2
Sund
ay O
ctob
er 3
OFF
ICE
USE
ONL
Y
Date
Rec
eive
d:__
____
____
____
____
____
___
Paid
by:
Chec
k C
heck
#__
____
____
____
____
____
____
____
____
____
____
_
Adde
d to
Sho
w B
ill _
____
____
____
____
____
____
____
____
____
___
Cam
ping
Fee
s
#___
____
_ N
ight
s cam
ping
X $
35 /
Nig
ht
$___
____
_ To
tal E
nclo
sed
Cam
ping
Fee
11
By entering a Federation-licensed Competition and signing this entry blank as the O
wner, Lessee, Trainer, M
anager, Agent, Coach, D
river, Rider, H
andler, Vaulter or Longeur and on behalf of m
yself and my principals, representatives, em
ployees and agents, I agree that I am subject to the Bylaw
s and Rules of The U
nited States Equestrian Federation, Inc. (the “Federation”) and the local rules of the Arabian H
orse Associaiton and this com
petition. I agree to be bound by the Bylaw
s and Rules of the Federation and of the competition. I w
ill accept as final the decision of the Hearing Com
mittee on any
question arising under the Rules, and agree to release and hold harmless the com
petition, 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 Com
petition may use or assign photographs, videos,
audios, cable - casts, broadcasts, internet, film, new
media or other likenesses of m
e and my horse taken during the course of the com
petition for the prom
otion, coverage or benefit of the competition, sport, or the Federation. Those likenesses shall not be used to advertise a product and they m
ay not be used in such a w
ay as to jeopardize amateur status. I hereby expressly and irrevocably w
aive and release any rights in connection with such use, including
any claim to com
pensation, 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 N
ew Y
ork, and any action instituted against the Federation must be filed in N
ew Y
ork State. See GR908.4.
I HA
VE C
AR
EFULLY
REA
D TH
IS DO
CU
MEN
T IN ITS EN
TIRETY
, UN
DER
STAN
D A
LL OF ITS TER
MS A
ND
CO
ND
ITION
S, AN
D
KN
OW
IT CO
NTA
INS A
N A
SSUM
PTION
OF R
ISK, R
ELEASE A
ND
WA
IVER
FRO
M LIA
BILITY, A
S WELL A
S A H
OLD
HA
RM
LESS A
ND
IND
EMN
IFICA
TION
OBLIG
ATIO
NS.
By signing below, I (as the participant or as the Parent/Legal G
uardian of the minor identified below
) hereby accept and agree to the terms and conditions
of this Agreem
ent in connection with m
y (or the minor’s) participation in any U
SEF Event. If, despite this Agreem
ent, I, or anyone on my behalf or the
minor’s behalf, m
akes a claim for Liability against any of the Released Parties, I w
ill indemnify, defend and hold harm
less each of the Released Parties from
any such Liabilities as the result of such claim.
BY SIG
NIN
G BELO
W, I A
GR
EE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank and all term
s and provisions of this Prize List. If I am
signing and submitting this A
greement electronically, I acknow
ledge that my electronic signature shall have the
same validity, force and effect as if I affixed m
y signature by my ow
n hand.
ABC
12
ADDI
TIO
NAL
INFO
RMAT
ION
TRAI
NER
INFO
RMAT
ION
M
ust b
e fil
led
out,
if no
Tra
iner
, ow
ner m
ay w
rite
in “
sam
e”
OW
NER
INFO
RMAT
ION
Ow
ner n
ame
as it
app
ears
on
regi
stra
tion
pape
rs/p
urch
ase
agre
emen
t
RIDE
R/HA
NDL
ER IN
FORM
ATIO
N
HORS
E IN
FORM
ATIO
N
TOTA
L FE
ES
ALL
ENTR
IES
MU
ST B
E PR
OPE
RLY
SIG
NED
ON
SEC
ON
D PA
GE
Hors
e Nam
eRe
g. No
. MA
HB C
ert #
DOB
Sex
Color
Au
ction
Foa
l Y
es
No
Sire
Da
m
SEND
TO:
Le
esa B
erho
w N1
2861
190th S
t Bo
ycev
ille, W
I 547
25
715-
643-
2494
lrber
howh
ss@
gmail
.com
Ride
r/Han
dler
A N
ame
AHA#
US
EF/E
C#
Birth
date
(Mino
rs O
nly)
Addr
ess
City
State
Zip
Clas
s #
Clas
s #
Clas
s #
Clas
s #
Clas
s#
Clas
s #
Clas
s #
Ride
r/Han
dler A
To
tal F
ees
Fee $
Fe
e $
Fee $
Fe
e $
Fee $
Fe
e $
Fee $
Ride
r/Han
dler
B N
ame
AHA#
US
EF/E
C#
Birth
date
(Mino
rs O
nly)
Addr
ess
City
State
Zip
Clas
s #
Clas
s #
Clas
s #
Clas
s #
Clas
s#
Clas
s #
Clas
s #
Ride
r/Han
dler B
To
tal F
ees
Fee $
Fe
e $
Fee $
Fe
e $
Fee $
Fe
e $
Fee $
Ride
r/Han
dler
C N
ame
AHA#
US
EF/E
C#
Birth
date
(Mino
rs O
nly)
Addr
ess
City
State
Zip
Clas
s #
Clas
s #
Clas
s #
Clas
s #
Clas
s #
Clas
s #
Clas
s #
Ride
r/Han
dler C
To
tal F
ees
Fee $
Fe
e $
Fee $
Fe
e $
Fee $
Fe
e $
Fee $
Nam
e
AHA
# US
EF/E
C #
Farm
/Ran
ch
USEF
Far
m #
Curre
nt Ad
dres
s Ph
one
City
St
Zip
Nam
e
AHA
# US
EF/E
C #
Farm
/Ran
ch
USEF
Far
m #
Curre
nt Ad
dres
s Ph
one
City
St
Zip
Send
Ack
nowl
edge
ment
to O
wner
____
____
Tra
iner _
____
___
Ack
nowl
edgm
ent to
(prin
t)___
____
____
____
____
____
____
____
__
Stab
le W
ith __
____
____
____
____
____
____
____
____
____
____
____
____
$ $ $ $ $
Tota
l Cla
ss F
ees
Patron
@ $500
Sta
lls @
$100
Tac
k S
talls
@ $100
Ear
ly A
rriva
l @ $
25
Sha
ving
s @
$7/
bag
$ M
anda
tory
Fee
s $
30
$
23
Offi
ce C
harg
e @
$30
/Hor
se
US
EF
Dru
g Fe
e
$15
Dru
g/$8
Adm
in
AH
A R
es 9
-90
@$5
/Hor
se
$
5
Non
Mem
ber F
ees
$ U
SE
F S
how
pass
@ 4
5/P
erso
n $
Oth
er F
ees
$ $ $
Spo
nsor
ship
s C
ampi
ng @
$35
/Nig
ht
Look
Up
Fee
3% C
redi
t Car
d co
nven
ienc
e fe
e $
TOTA
L EN
CLO
SED
FEES
$
FULL
PAY
MEN
T IN
U.S
. FU
NDS
REQ
UIR
ED
Mak
e Ch
ecks
Pay
able
to: MAH
BCr
edit
Card
s: I
nclu
de C
C pa
ymen
t For
m w
/ent
ry
FOR
OFFI
CE U
SE O
NLY
Date
Rece
ived
Chec
k #/C
C au
th.
MIN
NES
OTA
AR
AB
IAN
HO
RSE
BR
EED
ERS
FALL
FES
TIV
AL
Octob
er 1s
t - 3r
d, 20
21Pr
e-En
tries m
ust b
e pos
tmar
ked o
n or b
efore
Aug
ust 3
1, 20
21PL
EASE
TYP
E OR
PRI
NT/O
NLY
ONE
HORS
E PE
R EN
TRY
FORM
. Al
l entr
ies m
ust b
e CO
MPLE
TE.
Enclo
se c
orre
ct fee
s, CO
PIES
of t
he f
ollo
wing
: hor
se re
gist
ratio
n pa
pers
, pur
chas
e co
ntrac
t (if a
pplic
able)
, US
EF/E
C m
embe
rshi
p ca
rds,
amate
ur ce
rtifica
tion (
if app
licab
le), a
nd
AHA
Com
petit
ion
level
mem
bers
hip
card
s for
each
ride
r, dr
iver,
hand
ler, t
rain
er an
d ow
ner.
AH
A S
ingl
e E
vent
Mem
bers
hip
@ $
35
13
ADDI
TIO
NAL
INFO
RMAT
ION
TRAI
NER
INFO
RMAT
ION
M
ust b
e fil
led
out,
if no
Tra
iner
, ow
ner m
ay w
rite
in “
sam
e”
OW
NER
INFO
RMAT
ION
Ow
ner n
ame
as it
app
ears
on
regi
stra
tion
pape
rs/p
urch
ase
agre
emen
t
RIDE
R/HA
NDL
ER IN
FORM
ATIO
N
HORS
E IN
FORM
ATIO
N
TOTA
L FE
ES
ALL
ENTR
IES
MU
ST B
E PR
OPE
RLY
SIG
NED
ON
SEC
ON
D PA
GE
Hors
e Nam
eRe
g. No
. MA
HB C
ert #
DOB
Sex
Color
Au
ction
Foa
l Y
es
No
Sire
Da
m
SEND
TO:
Le
esa B
erho
w N1
2861
190th S
t Bo
ycev
ille, W
I 547
25
715-
643-
2494
lrber
howh
ss@
gmail
.com
Ride
r/Han
dler
A N
ame
AHA#
US
EF/E
C#
Birth
date
(Mino
rs O
nly)
Addr
ess
City
State
Zip
Clas
s #
Clas
s #
Clas
s #
Clas
s #
Clas
s#
Clas
s #
Clas
s #
Ride
r/Han
dler A
To
tal F
ees
Fee $
Fe
e $
Fee $
Fe
e $
Fee $
Fe
e $
Fee $
Ride
r/Han
dler
B N
ame
AHA#
US
EF/E
C#
Birth
date
(Mino
rs O
nly)
Addr
ess
City
State
Zip
Clas
s #
Clas
s #
Clas
s #
Clas
s #
Clas
s#
Clas
s #
Clas
s #
Ride
r/Han
dler B
To
tal F
ees
Fee $
Fe
e $
Fee $
Fe
e $
Fee $
Fe
e $
Fee $
Ride
r/Han
dler
C N
ame
AHA#
US
EF/E
C#
Birth
date
(Mino
rs O
nly)
Addr
ess
City
State
Zip
Clas
s #
Clas
s #
Clas
s #
Clas
s #
Clas
s #
Clas
s #
Clas
s #
Ride
r/Han
dler C
To
tal F
ees
Fee $
Fe
e $
Fee $
Fe
e $
Fee $
Fe
e $
Fee $
Nam
e
AHA
# US
EF/E
C #
Farm
/Ran
ch
USEF
Far
m #
Curre
nt Ad
dres
s Ph
one
City
St
Zip
Nam
e
AHA
# US
EF/E
C #
Farm
/Ran
ch
USEF
Far
m #
Curre
nt Ad
dres
s Ph
one
City
St
Zip
Send
Ack
nowl
edge
ment
to O
wner
____
____
Tra
iner _
____
___
Ack
nowl
edgm
ent to
(prin
t)___
____
____
____
____
____
____
____
__
Stab
le W
ith __
____
____
____
____
____
____
____
____
____
____
____
____
$ $ $ $ $
Tota
l Cla
ss F
ees
Patron
@ $500
Sta
lls @
$100
Tac
k S
talls
@ $100
Ear
ly A
rriva
l @ $
25
Sha
ving
s @
$7/
bag
$ M
anda
tory
Fee
s $
30
$
23
Offi
ce C
harg
e @
$30
/Hor
se
US
EF
Dru
g Fe
e
$15
Dru
g/$8
Adm
in
AH
A R
es 9
-90
@$5
/Hor
se
$
5
Non
Mem
ber F
ees
$ U
SE
F S
how
pass
@ 4
5/P
erso
n $
Oth
er F
ees
$ $ $
Spo
nsor
ship
s C
ampi
ng @
$35
/Nig
ht
Look
Up
Fee
3% C
redi
t Car
d co
nven
ienc
e fe
e $
TOTA
L EN
CLO
SED
FEES
$
FULL
PAY
MEN
T IN
U.S
. FU
NDS
REQ
UIR
ED
Mak
e Ch
ecks
Pay
able
to: MAH
BCr
edit
Card
s: I
nclu
de C
C pa
ymen
t For
m w
/ent
ry
FOR
OFFI
CE U
SE O
NLY
Date
Rece
ived
Chec
k #/C
C au
th.
MIN
NES
OTA
AR
AB
IAN
HO
RSE
BR
EED
ERS
FALL
FES
TIV
AL
Octob
er 1s
t - 3r
d, 20
21Pr
e-En
tries m
ust b
e pos
tmar
ked o
n or b
efore
Aug
ust 3
1, 20
21PL
EASE
TYP
E OR
PRI
NT/O
NLY
ONE
HORS
E PE
R EN
TRY
FORM
. Al
l entr
ies m
ust b
e CO
MPLE
TE.
Enclo
se c
orre
ct fee
s, CO
PIES
of t
he f
ollo
wing
: hor
se re
gist
ratio
n pa
pers
, pur
chas
e co
ntrac
t (if a
pplic
able)
, US
EF/E
C m
embe
rshi
p ca
rds,
amate
ur ce
rtifica
tion (
if app
licab
le), a
nd
AHA
Com
petit
ion
level
mem
bers
hip
card
s for
each
ride
r, dr
iver,
hand
ler, t
rain
er an
d ow
ner.
AH
A S
ingl
e E
vent
Mem
bers
hip
@ $
35
CO
GG
INS
FO
R A
LL H
OR
SES
MU
ST
BE
PR
ESEN
TED
IN
TH
ES
HO
W O
FFIC
E O
R C
OP
IES
SEN
T W
ITH
EN
TRIE
S.
MIN
NE
SOTA
AR
AB
IAN
HO
RSE
BR
EE
DE
RS
FAL
L FE
STIV
AL
Sep
tem
ber
26
-28
, 201
4A
LL
HO
RSE
S M
UST
BE
STA
LLE
D.
AN
YON
E W
ISH
ING
TO
STA
LL
TO
GE
TH
ER
PLE
ASE
MA
KE
NO
TE
ON
TH
IS F
OR
M.
Send
To:
M
ary
Tron
son
1541
6 N
ight
inga
le S
tree
t N
WA
ndov
er, M
N 5
5304
763-
755-
1698
co
mtr
on5@
aol.c
om
Each
per
son
sign
ing
this
ent
ry fo
rm a
ckno
wle
dges
that
he/
she
has
read
the
fron
t and
reve
rse
of th
is E
ntry
For
m a
nd a
gree
s to
the
appl
icab
le te
rms,
con
ditio
ns, w
aive
rs, r
elea
ses,
inde
mni
ficat
ion
and
cons
ent a
s se
t for
th h
erei
n. E
ach
pers
on a
gree
s th
atth
e in
form
atio
n is
acc
urat
e to
the
best
of h
is/h
er k
now
ledg
e. A
LL O
WN
ERS,
TRA
INER
S, R
IDER
S, D
RIVE
RS &
HA
NDL
ERS
MU
ST S
IGN
ON
THE
BA
CK. M
inor
ent
rant
s m
ust a
lso
have
par
ent/
guar
dian
sig
natu
re(s
) on
the
back
.
Pre
Entr
ies C
lose
Aug
. 31,
201
4Po
st E
ntri
es C
lose
Sep
t. 15
($50
0 pl
us c
lass
fees
)EC
WA
IVER
- I h
ereb
y ce
rtify
that
eve
ry h
orse
, rid
er a
nd/o
r driv
er is
elig
ible
as
ente
red
and
agre
e fo
r mys
elf a
nd m
yre
pres
enta
tives
to b
e bo
und
by th
e Co
nstit
utio
n an
d Ru
les
of th
e Eq
uine
Can
ada
at th
is c
ompe
titio
n. It
is h
ereb
y re
cogn
ized
that
all
eque
stria
n sp
orts
invo
lve
inhe
rent
risk
and
that
no
helm
et o
r pro
tect
ive
equi
pmen
t can
pro
tect
aga
inst
all
fore
seea
ble
inju
ry. I
her
eby
acce
pt th
is ri
sk a
nd h
old
harm
less
the
EC, t
he c
ompe
titio
n, th
eir o
ffici
als,
org
anize
rs, a
gent
s, e
mpl
oyee
s an
dth
eir r
epre
sent
ativ
es. (
EACH
OW
NER
, TRA
INER
, RID
ER, D
RIVE
R, H
AN
DLER
AN
D TH
EIR
PARE
NTS
/GUA
RDIA
NS
IF M
INOR
S M
UST
SIG
N O
N B
ACK
.)
Plea
se e
nclo
se e
-mai
l add
ress
for c
onfir
mat
ion
OFF
ICE
USE
ON
LY
PLE
AS
E T
YP
E O
R P
RIN
T - O
NLY
ON
E O
WN
ER P
ER E
NTR
Y FO
RM
. All
entr
ies
mus
t be
CO
MP
LETE
. Enc
lose
cor
rect
fees
, cop
ies
of h
orse
regi
stra
tion
pape
rs, c
opie
s of
Cog
gins
, pur
chas
e co
ntra
ct (i
f app
licab
le),
US
AE/
CE
mem
bers
hip
card
s, a
mat
eur c
erti
ficat
e (if
app
licab
le).
18 a
nd o
ver A
mat
eurs
nee
d U
SEF
card
s.N
ame
of F
irst
Hor
se
Reg
. No.
D
OB
S
ex
Col
or
Hei
ght
Sir
e D
am
MA
HB
Cer
t#
Rid
er/d
rive
r/ha
ndle
r C
lass
Num
bers
Rid
er/d
rive
r/ha
ndle
r C
lass
Num
bers
US
EF/E
C#
US
EF/E
C#
Entr
y Fe
es
Entr
y Fe
es
Entr
y Fe
es
TO
TAL
CLA
SS F
EES
$ __
____
___
____
____
_ O
ffice
Cha
rge
@ $
25 p
er h
orse
$ _
____
____
____
____
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edal
lion
Stal
lion
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ls
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____
____
____
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x St
alls
@ $
85
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____
___
____
____
_ U
SEF
Dru
g Fe
es @
$16
per
hor
se
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____
____
____
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havi
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@ $
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er b
ag
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____
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ther
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____
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CLO
SED
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TAL
FEES
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____
___
Nam
e of
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ond
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se
Reg
. No.
D
OB
S
ex
Col
or
Hei
ght
Sir
e D
am
MA
HB
Cer
t#
Rid
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rive
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ndle
r C
lass
Num
bers
Rid
er/d
rive
r/ha
ndle
r C
lass
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rd H
orse
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olor
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am
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t#
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bers
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RE
THA
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ERS
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H S
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E H
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SE,
US
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EX
T TA
BLE
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VIN
G H
OR
SE
DA
TA B
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K
FOR
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RE
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N T
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ERS
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H S
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E H
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SE,
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T TA
BLE
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VIN
G H
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SE
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RE
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N T
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IES
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te, Z
ip _
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ec#
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BLE
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EC#
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e __
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EC#
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_
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___
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Met
hod
of p
aym
ents
(U.S
. Fun
ds o
nly)
:
q C
heck
q
M
aste
rCar
d q
Visa
(mak
e ch
eck
paya
ble
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AHB
)
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ount
of C
harg
e $
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___ _
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Card
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e _ _
___ _
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___ _
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Sign
atur
e _ _
___ _
___ _
___ _
___ _
__ __
__ _
___ _
___
CO
GG
INS
FO
R A
LL H
OR
SES
MU
ST
BE
PR
ESEN
TED
IN
TH
ES
HO
W O
FFIC
E O
R C
OP
IES
SEN
T W
ITH
EN
TRIE
S.
MIN
NE
SOTA
AR
AB
IAN
HO
RSE
BR
EE
DE
RS
FAL
L FE
STIV
AL
Sep
tem
ber
26
-28
, 201
4A
LL
HO
RSE
S M
UST
BE
STA
LLE
D.
AN
YON
E W
ISH
ING
TO
STA
LL
TO
GE
TH
ER
PLE
ASE
MA
KE
NO
TE
ON
TH
IS F
OR
M.
Send
To:
M
ary
Tron
son
1541
6 N
ight
inga
le S
tree
t N
WA
ndov
er, M
N 5
5304
763-
755-
1698
co
mtr
on5@
aol.c
om
Each
per
son
sign
ing
this
ent
ry fo
rm a
ckno
wle
dges
that
he/
she
has
read
the
fron
t and
reve
rse
of th
is E
ntry
For
m a
nd a
gree
s to
the
appl
icab
le te
rms,
con
ditio
ns, w
aive
rs, r
elea
ses,
inde
mni
ficat
ion
and
cons
ent a
s se
t for
th h
erei
n. E
ach
pers
on a
gree
s th
atth
e in
form
atio
n is
acc
urat
e to
the
best
of h
is/h
er k
now
ledg
e. A
LL O
WN
ERS,
TRA
INER
S, R
IDER
S, D
RIVE
RS &
HA
NDL
ERS
MU
ST S
IGN
ON
THE
BA
CK. M
inor
ent
rant
s m
ust a
lso
have
par
ent/
guar
dian
sig
natu
re(s
) on
the
back
.
Pre
Entr
ies C
lose
Aug
. 31,
201
4Po
st E
ntri
es C
lose
Sep
t. 15
($50
0 pl
us c
lass
fees
)EC
WA
IVER
- I h
ereb
y ce
rtify
that
eve
ry h
orse
, rid
er a
nd/o
r driv
er is
elig
ible
as
ente
red
and
agre
e fo
r mys
elf a
nd m
yre
pres
enta
tives
to b
e bo
und
by th
e Co
nstit
utio
n an
d Ru
les
of th
e Eq
uine
Can
ada
at th
is c
ompe
titio
n. It
is h
ereb
y re
cogn
ized
that
all
eque
stria
n sp
orts
invo
lve
inhe
rent
risk
and
that
no
helm
et o
r pro
tect
ive
equi
pmen
t can
pro
tect
aga
inst
all
fore
seea
ble
inju
ry. I
her
eby
acce
pt th
is ri
sk a
nd h
old
harm
less
the
EC, t
he c
ompe
titio
n, th
eir o
ffici
als,
org
anize
rs, a
gent
s, e
mpl
oyee
s an
dth
eir r
epre
sent
ativ
es. (
EACH
OW
NER
, TRA
INER
, RID
ER, D
RIVE
R, H
AN
DLER
AN
D TH
EIR
PARE
NTS
/GUA
RDIA
NS
IF M
INOR
S M
UST
SIG
N O
N B
ACK
.)
Plea
se e
nclo
se e
-mai
l add
ress
for c
onfir
mat
ion
OFF
ICE
USE
ON
LY
PLE
AS
E T
YP
E O
R P
RIN
T - O
NLY
ON
E O
WN
ER P
ER E
NTR
Y FO
RM
. All
entr
ies
mus
t be
CO
MP
LETE
. Enc
lose
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rect
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ies
of h
orse
regi
stra
tion
pape
rs, c
opie
s of
Cog
gins
, pur
chas
e co
ntra
ct (i
f app
licab
le),
US
AE/
CE
mem
bers
hip
card
s, a
mat
eur c
erti
ficat
e (if
app
licab
le).
18 a
nd o
ver A
mat
eurs
nee
d U
SEF
card
s.N
ame
of F
irst
Hor
se
Reg
. No.
D
OB
S
ex
Col
or
Hei
ght
Sir
e D
am
MA
HB
Cer
t#
Rid
er/d
rive
r/ha
ndle
r C
lass
Num
bers
Rid
er/d
rive
r/ha
ndle
r C
lass
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C#
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y Fe
es
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y Fe
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y Fe
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SS F
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ffice
Cha
rge
@ $
25 p
er h
orse
$ _
____
____
____
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_ M
edal
lion
Stal
lion
Stal
ls
$ _
____
____
____
____
_ Bo
x St
alls
@ $
85
$ __
____
___
____
____
_ U
SEF
Dru
g Fe
es @
$16
per
hor
se
$ _
____
____
____
____
_ S
havi
ngs
@ $
7 p
er b
ag
$
___
____
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____
____
_ O
ther
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____
____
____
____
_ EN
CLO
SED
TO
TAL
FEES
$ __
____
___
Nam
e of
Sec
ond
Hor
se
Reg
. No.
D
OB
S
ex
Col
or
Hei
ght
Sir
e D
am
MA
HB
Cer
t#
Rid
er/d
rive
r/ha
ndle
r C
lass
Num
bers
Rid
er/d
rive
r/ha
ndle
r C
lass
Num
bers
US
EF/E
C#
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EF/E
C#
Nam
e of
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rd H
orse
R
eg. N
o.
DO
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Sex
C
olor
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eigh
t
Sir
e D
am
MA
HB
Cer
t#
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ndle
r C
lass
Num
bers
Rid
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ndle
r C
lass
Num
bers
US
EF/E
C#
US
EF/E
C#
FOR
MO
RE
THA
N T
WO
RID
ERS
WIT
H S
AM
E H
OR
SE,
US
E N
EX
T TA
BLE
, LEA
VIN
G H
OR
SE
DA
TA B
LAN
K
FOR
MO
RE
THA
N T
WO
RID
ERS
WIT
H S
AM
E H
OR
SE,
US
E N
EX
T TA
BLE
, LEA
VIN
G H
OR
SE
DA
TA B
LAN
K
FOR
MO
RE
THA
N T
HR
EE H
OR
SES
, REQ
UES
T A
DD
ITIO
NA
L FO
RM
S O
R M
AK
E P
HO
TOC
OP
IES
OWN
ER (a
s ap
pear
s on
reg.
pap
ers
or c
ontr
act)
Nam
e __
____
____
____
__ __
____
____
____
_ ___
____
____
____
____
____
____
__
Add
ress
___
____
____
___ _
_ ___
____
____
____
____
____
____
____
____
____
___
City
, Sta
te, Z
ip _
____
____
____
_ __ _
____
____
____
__ __
____
____
____
____
___
Nam
e be
long
ing
to th
is S
oc.S
ec#
___
____
____
___ _
_ ___
____
____
____
____
Coac
h __
____
____
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____
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____
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____
____
____
____
____
____
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Trai
ner _
____
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____
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____
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____
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Add
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___
____
____
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____
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____
____
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____
____
___
City
, Sta
te, Z
ip _
____
____
____
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____
____
____
__ __
____
____
____
____
___
STA
BLE
WIT
H __
____
____
____
____
____
____
____
__ __
____
____
____
____
___
USA
E/
EC#
___
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__ __
__ __
__ __
__ __
___
Phon
e __
_ ___
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_ ___
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__
USA
E/EC
# _
__ _
____
____
____
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USA
E/
EC#
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__ __
__ __
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e __
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_
# __
____
____
__ __
____
____
____
____
____
____
____
____
____
___
$ $ $ $
Met
hod
of p
aym
ents
(U.S
. Fun
ds o
nly)
:
q C
heck
q
M
aste
rCar
d q
Visa
(mak
e ch
eck
paya
ble
to M
AHB
)
Am
ount
of C
harg
e $
__ _
___ _
___ _
__ __
__ __
_ _
Card
#_ _
___ _
____
____
____
___ _
___ _
__ _
___ _
_
Exp.
Dat
e _ _
___ _
__ __
__ __
__ __
__ __
_ ___
_ ___
_
Nam
e _ _
___ _
___ _
___ _
___ _
___ _
__ __
_ ___
_ ___
_
Sign
atur
e _ _
___ _
___ _
___ _
___ _
__ __
__ _
___ _
___
CO
GG
INS
FO
R A
LL H
OR
SES
MU
ST
BE
PR
ESEN
TED
IN
TH
ES
HO
W O
FFIC
E O
R C
OP
IES
SEN
T W
ITH
EN
TRIE
S.
MIN
NE
SOTA
AR
AB
IAN
HO
RSE
BR
EE
DE
RS
FAL
L FE
STIV
AL
Sep
tem
ber
26
-28
, 201
4A
LL
HO
RSE
S M
UST
BE
STA
LLE
D.
AN
YON
E W
ISH
ING
TO
STA
LL
TO
GE
TH
ER
PLE
ASE
MA
KE
NO
TE
ON
TH
IS F
OR
M.
Send
To:
M
ary
Tron
son
1541
6 N
ight
inga
le S
tree
t N
WA
ndov
er, M
N 5
5304
763-
755-
1698
co
mtr
on5@
aol.c
om
Each
per
son
sign
ing
this
ent
ry fo
rm a
ckno
wle
dges
that
he/
she
has
read
the
fron
t and
reve
rse
of th
is E
ntry
For
m a
nd a
gree
s to
the
appl
icab
le te
rms,
con
ditio
ns, w
aive
rs, r
elea
ses,
inde
mni
ficat
ion
and
cons
ent a
s se
t for
th h
erei
n. E
ach
pers
on a
gree
s th
atth
e in
form
atio
n is
acc
urat
e to
the
best
of h
is/h
er k
now
ledg
e. A
LL O
WN
ERS,
TRA
INER
S, R
IDER
S, D
RIVE
RS &
HA
NDL
ERS
MU
ST S
IGN
ON
THE
BA
CK. M
inor
ent
rant
s m
ust a
lso
have
par
ent/
guar
dian
sig
natu
re(s
) on
the
back
.
Pre
Entr
ies C
lose
Aug
. 31,
201
4Po
st E
ntri
es C
lose
Sep
t. 15
($50
0 pl
us c
lass
fees
)EC
WA
IVER
- I h
ereb
y ce
rtify
that
eve
ry h
orse
, rid
er a
nd/o
r driv
er is
elig
ible
as
ente
red
and
agre
e fo
r mys
elf a
nd m
yre
pres
enta
tives
to b
e bo
und
by th
e Co
nstit
utio
n an
d Ru
les
of th
e Eq
uine
Can
ada
at th
is c
ompe
titio
n. It
is h
ereb
y re
cogn
ized
that
all
eque
stria
n sp
orts
invo
lve
inhe
rent
risk
and
that
no
helm
et o
r pro
tect
ive
equi
pmen
t can
pro
tect
aga
inst
all
fore
seea
ble
inju
ry. I
her
eby
acce
pt th
is ri
sk a
nd h
old
harm
less
the
EC, t
he c
ompe
titio
n, th
eir o
ffici
als,
org
anize
rs, a
gent
s, e
mpl
oyee
s an
dth
eir r
epre
sent
ativ
es. (
EACH
OW
NER
, TRA
INER
, RID
ER, D
RIVE
R, H
AN
DLER
AN
D TH
EIR
PARE
NTS
/GUA
RDIA
NS
IF M
INOR
S M
UST
SIG
N O
N B
ACK
.)
Plea
se e
nclo
se e
-mai
l add
ress
for c
onfir
mat
ion
OFF
ICE
USE
ON
LY
PLE
AS
E T
YP
E O
R P
RIN
T - O
NLY
ON
E O
WN
ER P
ER E
NTR
Y FO
RM
. All
entr
ies
mus
t be
CO
MP
LETE
. Enc
lose
cor
rect
fees
, cop
ies
of h
orse
regi
stra
tion
pape
rs, c
opie
s of
Cog
gins
, pur
chas
e co
ntra
ct (i
f app
licab
le),
US
AE/
CE
mem
bers
hip
card
s, a
mat
eur c
erti
ficat
e (if
app
licab
le).
18 a
nd o
ver A
mat
eurs
nee
d U
SEF
card
s.N
ame
of F
irst
Hor
se
Reg
. No.
D
OB
S
ex
Col
or
Hei
ght
Sir
e D
am
MA
HB
Cer
t#
Rid
er/d
rive
r/ha
ndle
r C
lass
Num
bers
Rid
er/d
rive
r/ha
ndle
r C
lass
Num
bers
US
EF/E
C#
US
EF/E
C#
Entr
y Fe
es
Entr
y Fe
es
Entr
y Fe
es
TO
TAL
CLA
SS F
EES
$ __
____
___
____
____
_ O
ffice
Cha
rge
@ $
25 p
er h
orse
$ _
____
____
____
____
_ M
edal
lion
Stal
lion
Stal
ls
$ _
____
____
____
____
_ Bo
x St
alls
@ $
85
$ __
____
___
____
____
_ U
SEF
Dru
g Fe
es @
$16
per
hor
se
$ _
____
____
____
____
_ S
havi
ngs
@ $
7 p
er b
ag
$
___
____
__
____
____
_ O
ther
$ _
____
____
____
____
_ EN
CLO
SED
TO
TAL
FEES
$ __
____
___
Nam
e of
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se
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. No.
D
OB
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ex
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or
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ght
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e D
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t#
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E H
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BLE
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VIN
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RE
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H S
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E H
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SE,
US
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EX
T TA
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VIN
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SE
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K
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RE
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N T
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UES
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IES
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EC#
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hod
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ents
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. Fun
ds o
nly)
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heck
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Visa
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eck
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ount
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harg
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e _ _
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___ _
___ _
___ _
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__ _
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CO
GG
INS
FO
R A
LL H
OR
SES
MU
ST
BE
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ESEN
TED
IN
TH
ES
HO
W O
FFIC
E O
R C
OP
IES
SEN
T W
ITH
EN
TRIE
S.
MIN
NE
SOTA
AR
AB
IAN
HO
RSE
BR
EE
DE
RS
FAL
L FE
STIV
AL
Sep
tem
ber
26
-28
, 201
4A
LL
HO
RSE
S M
UST
BE
STA
LLE
D.
AN
YON
E W
ISH
ING
TO
STA
LL
TO
GE
TH
ER
PLE
ASE
MA
KE
NO
TE
ON
TH
IS F
OR
M.
Send
To:
M
ary
Tron
son
1541
6 N
ight
inga
le S
tree
t N
WA
ndov
er, M
N 5
5304
763-
755-
1698
co
mtr
on5@
aol.c
om
Each
per
son
sign
ing
this
ent
ry fo
rm a
ckno
wle
dges
that
he/
she
has
read
the
fron
t and
reve
rse
of th
is E
ntry
For
m a
nd a
gree
s to
the
appl
icab
le te
rms,
con
ditio
ns, w
aive
rs, r
elea
ses,
inde
mni
ficat
ion
and
cons
ent a
s se
t for
th h
erei
n. E
ach
pers
on a
gree
s th
atth
e in
form
atio
n is
acc
urat
e to
the
best
of h
is/h
er k
now
ledg
e. A
LL O
WN
ERS,
TRA
INER
S, R
IDER
S, D
RIVE
RS &
HA
NDL
ERS
MU
ST S
IGN
ON
THE
BA
CK. M
inor
ent
rant
s m
ust a
lso
have
par
ent/
guar
dian
sig
natu
re(s
) on
the
back
.
Pre
Entr
ies C
lose
Aug
. 31,
201
4Po
st E
ntri
es C
lose
Sep
t. 15
($50
0 pl
us c
lass
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WA
IVER
- I h
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rtify
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ry h
orse
, rid
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ible
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e fo
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elf a
nd m
yre
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tives
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e bo
und
by th
e Co
nstit
utio
n an
d Ru
les
of th
e Eq
uine
Can
ada
at th
is c
ompe
titio
n. It
is h
ereb
y re
cogn
ized
that
all
eque
stria
n sp
orts
invo
lve
inhe
rent
risk
and
that
no
helm
et o
r pro
tect
ive
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pmen
t can
pro
tect
aga
inst
all
fore
seea
ble
inju
ry. I
her
eby
acce
pt th
is ri
sk a
nd h
old
harm
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the
EC, t
he c
ompe
titio
n, th
eir o
ffici
als,
org
anize
rs, a
gent
s, e
mpl
oyee
s an
dth
eir r
epre
sent
ativ
es. (
EACH
OW
NER
, TRA
INER
, RID
ER, D
RIVE
R, H
AN
DLER
AN
D TH
EIR
PARE
NTS
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RDIA
NS
IF M
INOR
S M
UST
SIG
N O
N B
ACK
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se e
nclo
se e
-mai
l add
ress
for c
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mat
ion
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ICE
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LY
PLE
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E T
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T - O
NLY
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MP
LETE
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ies
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orse
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stra
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rs, c
opie
s of
Cog
gins
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chas
e co
ntra
ct (i
f app
licab
le),
US
AE/
CE
mem
bers
hip
card
s, a
mat
eur c
erti
ficat
e (if
app
licab
le).
18 a
nd o
ver A
mat
eurs
nee
d U
SEF
card
s.N
ame
of F
irst
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se
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. No.
D
OB
S
ex
Col
or
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ght
Sir
e D
am
MA
HB
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t#
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alls
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SEF
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se
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. No.
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OB
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am
MA
HB
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t#
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rd H
orse
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C#
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RE
THA
N T
WO
RID
ERS
WIT
H S
AM
E H
OR
SE,
US
E N
EX
T TA
BLE
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VIN
G H
OR
SE
DA
TA B
LAN
K
FOR
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RE
THA
N T
WO
RID
ERS
WIT
H S
AM
E H
OR
SE,
US
E N
EX
T TA
BLE
, LEA
VIN
G H
OR
SE
DA
TA B
LAN
K
FOR
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RE
THA
N T
HR
EE H
OR
SES
, REQ
UES
T A
DD
ITIO
NA
L FO
RM
S O
R M
AK
E P
HO
TOC
OP
IES
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ER (a
s ap
pear
s on
reg.
pap
ers
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ontr
act)
Nam
e __
____
____
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____
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Add
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___
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____
____
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City
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te, Z
ip _
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ec#
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BLE
WIT
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EC#
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e __
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EC#
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__ __
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____
____
____
____
____
___
$ $ $ $
Met
hod
of p
aym
ents
(U.S
. Fun
ds o
nly)
:
q C
heck
q
M
aste
rCar
d q
Visa
(mak
e ch
eck
paya
ble
to M
AHB
)
Am
ount
of C
harg
e $
__ _
___ _
___ _
__ __
__ __
_ _
Card
#_ _
___ _
____
____
____
___ _
___ _
__ _
___ _
_
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Dat
e _ _
___ _
__ __
__ __
__ __
__ __
_ ___
_ ___
_
Nam
e _ _
___ _
___ _
___ _
___ _
___ _
__ __
_ ___
_ ___
_
Sign
atur
e _ _
___ _
___ _
___ _
___ _
__ __
__ _
___ _
___
CO
GG
INS
FO
R A
LL H
OR
SES
MU
ST
BE
PR
ESEN
TED
IN
TH
ES
HO
W O
FFIC
E O
R C
OP
IES
SEN
T W
ITH
EN
TRIE
S.
MIN
NE
SOTA
AR
AB
IAN
HO
RSE
BR
EE
DE
RS
FAL
L FE
STIV
AL
Sep
tem
ber
26
-28
, 201
4A
LL
HO
RSE
S M
UST
BE
STA
LLE
D.
AN
YON
E W
ISH
ING
TO
STA
LL
TO
GE
TH
ER
PLE
ASE
MA
KE
NO
TE
ON
TH
IS F
OR
M.
Send
To:
M
ary
Tron
son
1541
6 N
ight
inga
le S
tree
t N
WA
ndov
er, M
N 5
5304
763-
755-
1698
co
mtr
on5@
aol.c
om
Each
per
son
sign
ing
this
ent
ry fo
rm a
ckno
wle
dges
that
he/
she
has
read
the
fron
t and
reve
rse
of th
is E
ntry
For
m a
nd a
gree
s to
the
appl
icab
le te
rms,
con
ditio
ns, w
aive
rs, r
elea
ses,
inde
mni
ficat
ion
and
cons
ent a
s se
t for
th h
erei
n. E
ach
pers
on a
gree
s th
atth
e in
form
atio
n is
acc
urat
e to
the
best
of h
is/h
er k
now
ledg
e. A
LL O
WN
ERS,
TRA
INER
S, R
IDER
S, D
RIVE
RS &
HA
NDL
ERS
MU
ST S
IGN
ON
THE
BA
CK. M
inor
ent
rant
s m
ust a
lso
have
par
ent/
guar
dian
sig
natu
re(s
) on
the
back
.
Pre
Entr
ies C
lose
Aug
. 31,
201
4Po
st E
ntri
es C
lose
Sep
t. 15
($50
0 pl
us c
lass
fees
)EC
WA
IVER
- I h
ereb
y ce
rtify
that
eve
ry h
orse
, rid
er a
nd/o
r driv
er is
elig
ible
as
ente
red
and
agre
e fo
r mys
elf a
nd m
yre
pres
enta
tives
to b
e bo
und
by th
e Co
nstit
utio
n an
d Ru
les
of th
e Eq
uine
Can
ada
at th
is c
ompe
titio
n. It
is h
ereb
y re
cogn
ized
that
all
eque
stria
n sp
orts
invo
lve
inhe
rent
risk
and
that
no
helm
et o
r pro
tect
ive
equi
pmen
t can
pro
tect
aga
inst
all
fore
seea
ble
inju
ry. I
her
eby
acce
pt th
is ri
sk a
nd h
old
harm
less
the
EC, t
he c
ompe
titio
n, th
eir o
ffici
als,
org
anize
rs, a
gent
s, e
mpl
oyee
s an
dth
eir r
epre
sent
ativ
es. (
EACH
OW
NER
, TRA
INER
, RID
ER, D
RIVE
R, H
AN
DLER
AN
D TH
EIR
PARE
NTS
/GUA
RDIA
NS
IF M
INOR
S M
UST
SIG
N O
N B
ACK
.)
Plea
se e
nclo
se e
-mai
l add
ress
for c
onfir
mat
ion
OFF
ICE
USE
ON
LY
PLE
AS
E T
YP
E O
R P
RIN
T - O
NLY
ON
E O
WN
ER P
ER E
NTR
Y FO
RM
. All
entr
ies
mus
t be
CO
MP
LETE
. Enc
lose
cor
rect
fees
, cop
ies
of h
orse
regi
stra
tion
pape
rs, c
opie
s of
Cog
gins
, pur
chas
e co
ntra
ct (i
f app
licab
le),
US
AE/
CE
mem
bers
hip
card
s, a
mat
eur c
erti
ficat
e (if
app
licab
le).
18 a
nd o
ver A
mat
eurs
nee
d U
SEF
card
s.N
ame
of F
irst
Hor
se
Reg
. No.
D
OB
S
ex
Col
or
Hei
ght
Sir
e D
am
MA
HB
Cer
t#
Rid
er/d
rive
r/ha
ndle
r C
lass
Num
bers
Rid
er/d
rive
r/ha
ndle
r C
lass
Num
bers
US
EF/E
C#
US
EF/E
C#
Entr
y Fe
es
Entr
y Fe
es
Entr
y Fe
es
TO
TAL
CLA
SS F
EES
$ __
____
___
____
____
_ O
ffice
Cha
rge
@ $
25 p
er h
orse
$ _
____
____
____
____
_ M
edal
lion
Stal
lion
Stal
ls
$ _
____
____
____
____
_ Bo
x St
alls
@ $
85
$ __
____
___
____
____
_ U
SEF
Dru
g Fe
es @
$16
per
hor
se
$ _
____
____
____
____
_ S
havi
ngs
@ $
7 p
er b
ag
$
___
____
__
____
____
_ O
ther
$ _
____
____
____
____
_ EN
CLO
SED
TO
TAL
FEES
$ __
____
___
Nam
e of
Sec
ond
Hor
se
Reg
. No.
D
OB
S
ex
Col
or
Hei
ght
Sir
e D
am
MA
HB
Cer
t#
Rid
er/d
rive
r/ha
ndle
r C
lass
Num
bers
Rid
er/d
rive
r/ha
ndle
r C
lass
Num
bers
US
EF/E
C#
US
EF/E
C#
Nam
e of
Thi
rd H
orse
R
eg. N
o.
DO
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Sex
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olor
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eigh
t
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$ $ $ $
Met
hod
of p
aym
ents
(U.S
. Fun
ds o
nly)
:
q C
heck
q
M
aste
rCar
d q
Visa
(mak
e ch
eck
paya
ble
to M
AHB
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ount
of C
harg
e $
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___ _
___ _
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__ __
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#_ _
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____
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Fill
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14
Federation Release, A
ssumption of R
isk, Waiver, and Indem
nificationTh
is document w
aives important legal rights. R
ead it carefully before signing.
I AG
REE in consideration for my participation in this C
ompetition M
AH
B Futurities to the following:
I A
GREE that “the Federation” and “C
ompetition” as used herein includes the Licensee and C
ompetition
Managem
ent, as well as all of their offi
cials, officers, directors, em
ployees, agents, personnel, volunteers andFederation affi
liates.
I AG
REE that I choose to participate voluntarily in the Com
petition with m
y horse, as a rider, driver, handler,vaulter, longeur, lessee, ow
ner, agent, coach, trainer, or as parent or guardian of a junior exhibitor. I am fully aw
are andacknow
ledge that horse sports and the Com
petition involve inherent dangerous risks of accident, loss, and serious bodilyinjury including broken bones, head injuries, traum
a, pain, suffering, or death. (“Harm
”).
I AG
REE to hold harmless and release the Federation and the C
ompetition from
all claims for m
oney damages or
otherwise for any H
arm to m
e or my horse and for any H
arm of any nature caused by m
e or my horse to others, even if the
Harm
arises or results resulted, directly, or indirectly, from the negligence of the Federation or the C
ompetition.
Federation Entry Agreem
ent Effective 12/1/09By entering a Federation-licensed C
ompetition and signing this entry blank as the O
wner, Lessee, Trainer, M
anager, Agent,
Coach, D
river, Rider, Handler, Vaulter or Longeur and on behalf of m
yself and my principals, representatives, em
ployeesand agents, I agree that I am
subject to the Bylaws and Rules of Th
e United States Equestrian Federation, Inc. (the
“Federation”) and the local rules of the Com
petition. I agree to be bound by the Bylaws and Rules of the Federation and of
the competition. I w
ill accept as final the decision of the Hearing C
omm
ittee on any question arising under the Rules, andagree to release and hold harm
less the Com
petition, the Federation, their officials, directors and em
ployees for an actiontaken 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 theC
ompetition m
ay use or assign photographs, videos, audios, cable-casts, broadcasts, internet, film, new
media or other
likenesses of me and m
y horse taken during the course of the Com
petition for the promotion, coverage or benefit of the
Com
petition, sport, or the Federation. Those likenesses shall not be used to advertise a product and they m
ay not be used insuch a w
ay as to jeopardize amateur status. I hereby expressly and irrevocably w
aive and release any rights in connectionw
ith such use, including any claim to com
pensation, invasion of privacy, right of publicity, or to misappropriation. Th
econstruction and application of Federation rules are governed by the law
s of the State of New
York, and any action institutedagainst the Federation m
ust be filed in New
York State. See GR908.4.
I AG
REE to expressly assum
e all risks of Harm
to me or m
y horse, including Harm
resulting from the negligence of the Federation or the C
ompetition.
I AG
REE to indem
nify (that is, to pay any losses, damages, or costs incurred by) the Federation and the C
ompetition and to hold them
harmless w
ith respect to claims for H
armto m
e or my horse, and for claim
s made by others for any H
arm caused by m
e or my horse at the C
ompetition. I have read the Federation Rules about protective equipm
ent,including G
R801 and EV114, and I understand that I am
entitled to wear protective equipm
ent without penalty, and I acknow
ledge that the Federation strongly encourages me to
do so while W
AR
NIN
G that no protective equipm
ent can guard against all injuries.If I am
a parent or guardian of a junior exhibitor, I consent to the child’s participation and AG
REE to assum
e all of the obligations of this Release on the child’s behalf.I A
GR
EE that “the Federation” and “Com
petition” as used above includes all of the officials, officers, directors, employees, agents, personnel, volunteers and affiliated
organizations.I A
GR
EE that if I am injured at this com
petition, the medical personnel treating m
y injuries may provide inform
ation on my injury and treatm
ent to the Federation of the official U
SEF accident/injury report form.
I represent that I have the requisite training, coaching and abilities to safely compete in this com
petition. B
Y SIG
NIN
G B
ELOW
, I AG
REE to be bound by all applicable Federation Rules and all term
s and provisions of this entry blank.
Rider/Driver/H
andler (Mandatory) (U
.S. Citizen q Yes q
No)
Ow
ner/Agent (M
andatory) Trainer (M
andatory)S
ignature: S
ignature: S
ignature:
Print N
ame:
Print N
ame:
Print N
ame:
Rider/Driver/H
andler (Mandatory) (U
.S. Citizen q Yes q
No)
If Rider/Driver/H
andler is a Minor (M
andatory) Coach (if applicable)
Signature:
Parent/G
uardian Signature:
Signature:
Print N
ame:
Print P
arent/Guardian N
ame:
Print N
ame:
Em
ergency Contact P
hone #
Rider/Driver/H
andler (Mandatory) (U
.S. Citizen q Yes q
No)
If Rider/Driver/H
andler is a Minor (M
andatory) Rider/D
river/Handler (M
andatory) (U.S. Citizen q
Yes q N
o)S
ignature: P
arent/Guardian S
ignature: S
ignature:
Print N
ame:
Print P
arent/Guardian N
ame:
Print N
ame:
Em
ergency Contact P
hone #
REQU
IRED IN
FORM
ATIO
N FO
R MIN
ORS SH
OW
ING
Nam
e of Minor ____________ _____________ __ _______________ _______________ _____________ D
OB ____________ _
Address ____________ __ _______________ _________________________ __ _______________ _________________________
Nam
e of Minor ____________ _____________ __ _______________ _______________ _____________ D
OB ____________ _
Address ____________ __ _______________ _________________________ __ _______________ _________________________
By entering a Federation-licensed Competition and signing this entry blank as the O
wner, Lessee, Trainer, M
anager, Agent, Coach, D
river, Rider, H
andler, Vaulter or Longeur and on behalf of m
yself and my principals, representatives, em
ployees and agents, I agree that I am subject to the Bylaw
s and Rules of The U
nited States Equestrian Federation, Inc. (the “Federation”) and the local rules of the Arabian H
orse Associaiton and this com
petition. I agree to be bound by the Bylaw
s and Rules of the Federation and of the competition. I w
ill accept as final the decision of the Hearing Com
mittee on any
question arising under the Rules, and agree to release and hold harmless the com
petition, 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 Com
petition may use or assign photographs, videos,
audios, cable - casts, broadcasts, internet, film, new
media or other likenesses of m
e and my horse taken during the course of the com
petition for the prom
otion, coverage or benefit of the competition, sport, or the Federation. Those likenesses shall not be used to advertise a product and they m
ay not be used in such a w
ay as to jeopardize amateur status. I hereby expressly and irrevocably w
aive and release any rights in connection with such use, including
any claim to com
pensation, 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 N
ew Y
ork, and any action instituted against the Federation must be filed in N
ew Y
ork State. See GR908.4.
I HA
VE C
AR
EFULLY
REA
D TH
IS DO
CU
MEN
T IN ITS EN
TIRETY
, UN
DER
STAN
D A
LL OF ITS TER
MS A
ND
CO
ND
ITION
S, AN
D
KN
OW
IT CO
NTA
INS A
N A
SSUM
PTION
OF R
ISK, R
ELEASE A
ND
WA
IVER
FRO
M LIA
BILITY, A
S WELL A
S A H
OLD
HA
RM
LESS A
ND
IND
EMN
IFICA
TION
OBLIG
ATIO
NS.
By signing below, I (as the participant or as the Parent/Legal G
uardian of the minor identified below
) hereby accept and agree to the terms and conditions
of this Agreem
ent in connection with m
y (or the minor’s) participation in any U
SEF Event. If, despite this Agreem
ent, I, or anyone on my behalf or the
minor’s behalf, m
akes a claim for Liability against any of the Released Parties, I w
ill indemnify, defend and hold harm
less each of the Released Parties from
any such Liabilities as the result of such claim.
BY SIG
NIN
G BELO
W, I A
GR
EE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank and all term
s and provisions of this Prize List. If I am
signing and submitting this A
greement electronically, I acknow
ledge that my electronic signature shall have the
same validity, force and effect as if I affixed m
y signature by my ow
n hand.
ABC
15
2021
MAH
B RV
Cam
ping
Req
uest
Pl
ease
incl
ude
the
follo
win
g fo
rm w
ith y
our s
how
ent
ries,
or s
ubm
it to
the
show
of
fice
upon
arr
ival
on
the
show
gro
unds
.
CAM
PIN
G IN
MAH
B DE
SIGN
ATED
LO
T O
NLY
! TH
OSE
CAM
PIN
G IN
A N
ON
DES
IGN
ATED
LO
T W
ILL
BE C
HARG
ED T
HE E
NTI
RE $
250/
DAY
CAM
PIN
G LO
T FE
E
MAH
B st
aff w
ill ro
utin
ely
chec
k ca
mpi
ng a
rea
for p
erm
its
Desi
gnat
ed c
ampi
ng lo
t and
a c
ampi
ng p
erm
it w
ill b
e pr
ovid
ed o
n ch
eck
in.
Cam
ping
per
mit
mus
t be
disp
laye
d in
the
cam
per w
indo
w.
Nam
e: _
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
_
Addr
ess:
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
_
Cell
Phon
e:__
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
_
Cam
per M
ake/
Mod
el__
____
____
____
____
____
____
____
____
____
____
____
____
____
___
Cam
per L
icen
se P
late
Num
ber_
____
____
____
____
____
____
____
____
____
____
____
____
Plac
e a
chec
k by
eac
h ni
ght y
ou p
lan
to c
amp
on th
e sh
ow g
roun
ds
W
edne
sday
Sep
tem
ber 2
9
Thur
sday
Sep
tem
ber 3
0
Frid
ay O
ctob
er 1
Satu
rday
Oct
ober
2
Sund
ay O
ctob
er 3
OFF
ICE
USE
ONL
Y
Date
Rec
eive
d:__
____
____
____
____
____
___
Paid
by:
Chec
k C
heck
#__
____
____
____
____
____
____
____
____
____
____
_
Adde
d to
Sho
w B
ill _
____
____
____
____
____
____
____
____
____
___
Cam
ping
Fee
s
#___
____
_ N
ight
s cam
ping
X $
35 /
Nig
ht
$___
____
_ To
tal E
nclo
sed
Cam
ping
Fee
16
YEARLING AUCTION FUTURITIES (CLASSES 01 AND 02)
Champion Colt/Gelding $10,000 • Trophy, Ribbon
Champion Filly $10,000 • Trophy, Ribbon
Reserve Champion Colt/Gelding $ 5,000 • Trophy, Ribbon
Reserve Champion Filly $ 5,000 • Trophy, Ribbon
3rd Place Colt/Gelding $ 3,000 • Ribbon
3rd Place Filly $ 3,000 • Ribbon
4th Place Colt/Gelding $ 2,000 • Ribbon
4th Place Filly $ 2,000 • Ribbon
5th Place Colt/Gelding $ 1,000 • Ribbon
5th Place Filly $ 1,000 • Ribbon
6th - 10th Place Colt/Gelding $ 500 • Ribbon
6th - 10th Place Filly $ 500 • Ribbon
021 YEARLING MEDALLION FUTURITIES (CLASSES 05 AND 06)
Champion Colt/Gelding $ 6,500 • Trophy, Ribbon
Champion Filly $ 6,500 • Trophy, Ribbon
Reserve Champion Colt/Gelding $ 3,000 • Trophy, Ribbon
Reserve Champion Filly $ 3,000 • Trophy, Ribbon
3rd - 5th Place Colt/Gelding $ 850 • Ribbon
3rd - 5th Place Filly $ 850 • Ribbon
6th - 10th Place Colt/Gelding Ribbon Only
6th - 10th Place Filly Ribbon Only
** 2021 TWO YEAR OLD MEDALLION FUTURITY (CLASSES 07 AND 08)
Champion Colt/Gelding $ 1,000 • Trophy, Ribbon
Champion Filly $ 1,000 • Trophy, Ribbon
Reserve Champion Colt/Gelding $ 500 • Trophy, Ribbon
Reserve Champion Filly $ 500 • Trophy, Ribbon
3rd - 5th Place Colt/Gelding $ 150 • Ribbon
3rd - 5th Place Filly $ 150 • Ribbon
6th - 10th Place Colt/Gelding Ribbon Only
6th - 10th Place Filly Ribbon Only
4 AND 5 YEAR OLD PERFORMANCE FUTURITIES
Champion $ 1,500 • Trophy, Ribbon
Reserve Champion $ 1,000 • Trophy, Ribbon
3rd - 5th Place $ 500 • Ribbon
2021 CLASSESPRIZES
17
2021 COVID AUCTION FUTURITIES (CLASSES 03 AND 04)
(Open to 2 year olds that were eligible for the 2020 Yearling Auction Futurities)
Champion Colt/Gelding $10,000 • Trophy, Ribbon
Champion Filly $10,000 • Trophy, Ribbon
Reserve Champion Colt/Gelding $ 5,000 • Trophy, Ribbon
Reserve Champion Filly $ 5,000 • Trophy, Ribbon
3rd Place Colt/Gelding $ 3,000 • Ribbon
3rd Place Filly $ 3,000 • Ribbon
4th Place Colt/Gelding $ 2,000 • Ribbon
4th Place Filly $ 2,000 • Ribbon
5th Place Colt/Gelding $ 1,000 • Ribbon
5th Place Filly $ 1,000 • Ribbon
6th - 10th Place Colt/Gelding $ 500 • Ribbon
6th - 10th Place Filly $ 500 • Ribbon
** 2021 COVID MEDALLION FUTURITIES (CLASSES 07 AND 08)
(Open to 2 year olds that were eligible for the 2020 Yearling Medallion Futurities)
Champion Colt/Gelding $ 6,500 • Trophy, Ribbon
Champion Filly $ 6,500 • Trophy, Ribbon
Reserve Champion Colt/Gelding $ 3,000 • Trophy, Ribbon
Reserve Champion Filly $ 3,000 • Trophy, Ribbon
3rd - 5th Place Colt/Gelding $ 850 • Ribbon
3rd - 5th Place Filly $ 850 • Ribbon
6th - 10th Place Colt/Gelding Ribbon Only
6th - 10th Place Filly Ribbon Only
3 YEAR OLD COVID MEDALLION FUTURITY (CLASSES 09 AND 10)
(Open to 3 year olds that were eligible to show in the 2020 Two Year old Medallion Futurity)
Champion Colt/Gelding $ 1,000 • Trophy, Ribbon
Champion Filly $ 1,000 • Trophy, Ribbon
Reserve Champion Colt/Gelding $ 500 • Trophy, Ribbon
Reserve Champion Filly $ 500 • Trophy, Ribbon
3rd - 5th Place Colt/Gelding $ 150 • Ribbon
3rd - 5th Place Filly $ 150 • Ribbon
** This will be a combined class
--Prize money is subject to change at the discretion of the MAHB Board--
COVID CLASSES
18
2021 CLASS LISTINGS
MAHB Halter
MAHB CLASSESChampion & Reserve Rose Garlands for All MAHB Auction and Medallion Classes,
Neck Ribboons for ALL Jackpot Classes.
AHA ClassesAwards are 1st - 6th place ribbons, no Prize money
01 MAHB Auction Yearling Colts/GeldingsATH02 MAHB Auction Yearling Fillies ATH03 *1 - MAHB COVID Auction 2-Year-Old Colts/Geldings ATH04 *1- MAHB COVID Auction 2-Year-Old Fillies ATH 05 MAHB Yearling Medallion Colts/Geldings ATH06 MAHB Yearling Medallion Fillies ATH 07 MAHB 2-Year-Old Colts/Geldings ATH
08 MAHB 2-Year-Old Fillies ATH 09 *3 - MAHB Medallion 3-Year-Old Fillies ATH10 *3 - MAHB Medallion 3-Year-Old Colts/Geldings ATH 11 MAHB 4 & Over Mares Jackpot ATH12 MAHB 4 & Over Geldings Jackpot ATH 13 MAHB Halter Jackpot AOTS (all ages, all genders)
MAHB Western Pleasure
MAHB Hunter Pleasure
MAHB Saddle Seat
14 *2 - MAHB Auction Western Pleasure 4-Year-Olds 15 *2 - MAHB Auction Western Pleasure 5-Year-Olds16 MAHB Western Pleasure 18 & Under JTR17 MAHB Western Pleasure 19-39 AATR18 MAHB Western Pleasure 40 & 0ver AATR19 MAHB Western Pleasure Junior Horse ATR20 MAHB Western Pleasure Novice Horse ATR
21 MAHB Western Pleasure AOTR22 MAHB Western Pleasure Jackpot 15-18 JTR23 MAHB Western Pleasure Jackpot 14 & Under JTR 24 MAHB Western Pleasure Jackpot ATR (Open to all, including previous winners) 25 MAHB Western Pleasure Jackpot AOTS
26 *2 - MAHB Auction Hunter Pleasure 4-Year-Olds27 *2 - MAHB Auction Hunter Pleasure 5-Year-Olds28 MAHB Hunter Pleasure 18 & under JTR29 MAHB Hunter Pleasure 19-39 AATR30 MAHB Hunter Pleasure 40 & Over AATR31 MAHB Hunter Pleasure Junior Horse ATR32 MAHB Hunter Pleasure Novice Horse ATR
33 MAHB Hunter Pleasure AOTR34 MAHB Hunter Pleasure Jackpot 15-18 JTR35 MAHB Hunter Pleasure Jackpot 14 & Under JTR36 MAHB Hunter Pleasure Jackpot ATR (Open to all, including previous winners)
37 MAHB Hunter Pleasure Jackpot AOTS
38 *2 - MAHB Auction Saddle Seat 4-Year-Olds39 *2 - MAHB Auction Saddle Seat 5-Year-Olds40 MAHB Saddle Seat Pleasure 18 & Under JTR41 MAHB Saddle Seat Pleasure 19 & Over AATR42 MAHB Saddle Seat Pleasure Junior Horse ATR
43 MAHB Saddle Seat Pleasure Novice Horse ATR44 MAHB Saddle Seat Pleasure AOTR45 MAHB Country Pleasure Jackpot ATR46 MAHB Saddle Seat Jackpot ATR (Open to all, including previous winners)
47 MAHB Liberty Jackpot ATH 48 MAHB Native Costume ATR
MAHB Specialty
100 190 AHA Arabian Western Pleasure Ladies & Gentlemen101 192 AHA Arabian Western Pleasure AOTR102 290 AHA Arabian Hunter Pleasure Ladies & Gentlemen103 292 AHA Arabian Hunter Pleasure AOTR104 95 AHA Arabian Country Pleasure Ladies & Gentlemen105 97 AHA Arabian Country Pleasure AOTR106 75 AHA Arabian English Pleasure Ladies & Gentlemen107 225 AHA Arabian Reining108 - AHA Arabian Performance Halter - Mares109 - AHA Arabian Performance Halter - Geldings
AHA Arabian AHA Half-Arabian 110 620 AHA Half-Arabian Western Pleasure Ladies & Gentlemen111 622 AHA Half-Arabian Western Pleasure AOTR112 733 AHA Half-Arabian Hunter Pleasure Ladies & Gentlemen113 735 AHA Half-Arabian Hunter Pleasure AOTR114 540 AHA Half-Arabian Country Pleasure Ladies & Gentlemen115 542 AHA Half-Arabian Country Pleasure AOTR116 515 AHA Half-Arabian English Pleasure Ladies & Gentlemen117 660 AHA Half-Arabian Reining
**** SPECIAL ANNOUNCEMENTS*****1 - COVID Auction & Medallion classes are open to two-year-olds that would have been eligible to show in the 2020 Yearling Auction & Medallion Classes.*2 - MAHB reserves the right to combine the 2021 4 & 5-Year-Old Auction Performance classes if entries are 5 or less.*3 - Open only to 3-Year-Olds that would have shown in the 2020 2-Year-Old classes.
19
Method of payments (U.S. Funds only):�Check (make check payable to MAHB) � Mastercard � Visa
DETACH HERE AND RETURN WITH $500 TO:MAHB c/o Deb Treadwell
4368 37th St. NW, Maple Lake, MN 55358
Name:_______________________________ __ Phone: _______________________________________
Farm Name: ____________________________ E-mail: _______________________________________
Address: _____________________________________________________
City: __________________________________ State: ________________ Zip: ___________________
# of Patron Packages _____ @ $400 each = $ _________
Would you like to receive breakfast? (Circle One) YES NO If yes, what is the name of the farm you would like food delivered to? _______________________
CCard # _______________________________ Exp . date: __________Card Security Code: _______
Name: _________________________________ Signature: ____________________________________
❖ A Friday evening “Welcome Basket” at your table in the Coliseum.
❖ Breakfast delivered to your stalls on Saturday & Sunday mornings
❖ Preferred Seating for all classes in the Coliseum
❖ Preferred Seating during the Stallion Auction
❖ Name Recognition throughout the Show and on our Website
❖ FREE Banner with your name in the barn aisle and Coliseum
For questions, please contact Debbie at 612-590-8606 or e-mail: debbietreadwell@mcnamaracompany .comBanner signage is not guaranteed for forms received after 8-31-21 .
Patron PackagePatron Package
If using a credit card please note that MAHB is adding a 3% convenience fee to all credit card charges.
Includes entry into
a drawing for two
exceptional bottles
of wine valued at
$500.00
Patronship Includes:
Patronship Fee: $400
20
Form
W-9
(Rev
. Oct
ober
201
8)D
epar
tmen
t of t
he T
reas
ury
In
tern
al R
even
ue S
ervi
ce
Req
uest
for
Tax
paye
r Id
enti
ficat
ion
Num
ber
and
Cer
tific
atio
n▶
Go
to
ww
w.ir
s.g
ov/F
orm
W9
for
inst
ruct
ions
and
the
late
st in
form
atio
n.
Giv
e Fo
rm t
o t
he
req
uest
er. D
o n
ot
send
to
the
IRS
.
Print or type. See Specific Instructions on page 3.
1 N
ame
(as
show
n on
you
r in
com
e ta
x re
turn
). N
ame
is r
equi
red
on
this
line
; do
not
leav
e th
is li
ne b
lank
.
2 B
usin
ess
nam
e/d
isre
gard
ed e
ntity
nam
e, if
diff
eren
t fr
om a
bov
e
3 C
heck
ap
pro
pria
te b
ox fo
r fe
der
al t
ax c
lass
ifica
tion
of t
he p
erso
n w
hose
nam
e is
ent
ered
on
line
1. C
heck
onl
y o
ne o
f the
fo
llow
ing
seve
n b
oxes
.
Ind
ivid
ual/s
ole
pro
prie
tor
or
sing
le-m
emb
er L
LC C
Cor
por
atio
nS
Cor
por
atio
nP
artn
ersh
ipTr
ust/
esta
te
Lim
ited
liab
ility
com
pan
y. E
nter
the
tax
cla
ssifi
catio
n (C
=C
cor
por
atio
n, S
=S
cor
por
atio
n, P
=P
artn
ersh
ip) ▶
No
te: C
heck
the
ap
pro
pria
te b
ox in
the
line
ab
ove
for
the
tax
clas
sific
atio
n of
the
sin
gle-
mem
ber
ow
ner.
Do
not
chec
k LL
C if
the
LLC
is c
lass
ified
as
a si
ngle
-mem
ber
LLC
tha
t is
dis
rega
rded
from
the
ow
ner
unle
ss t
he o
wne
r of
the
LLC
is
anot
her
LLC
tha
t is
no
t d
isre
gard
ed fr
om t
he o
wne
r fo
r U
.S. f
eder
al t
ax p
urp
oses
. Oth
erw
ise,
a s
ingl
e-m
emb
er L
LC t
hat
is d
isre
gard
ed fr
om t
he o
wne
r sh
ould
che
ck t
he a
pp
rop
riate
box
for
the
tax
clas
sific
atio
n of
its
owne
r.
Oth
er (s
ee in
stru
ctio
ns) ▶
4 E
xem
ptio
ns (c
odes
ap
ply
onl
y to
ce
rtai
n en
titie
s, n
ot in
div
idua
ls; s
ee
inst
ruct
ions
on
pag
e 3)
:
Exe
mpt
pay
ee c
ode
(if a
ny)
Exe
mp
tion
from
FA
TCA
rep
ortin
g
cod
e (if
any
)
(Ap
plie
s to
acc
ount
s m
aint
aine
d o
utsi
de
the
U.S
.)
5 A
dd
ress
(num
ber
, str
eet,
and
ap
t. o
r su
ite n
o.) S
ee in
stru
ctio
ns.
6 C
ity, s
tate
, and
ZIP
cod
e
Req
uest
er’s
nam
e an
d a
dd
ress
(op
tiona
l)
7 L
ist
acco
unt
num
ber
(s) h
ere
(op
tiona
l)
Par
t I
Tax
pay
er Id
enti
ficat
ion
Num
ber
(TIN
)E
nter
you
r TI
N in
the
ap
pro
pria
te b
ox. T
he T
IN p
rovi
ded
mus
t m
atch
the
nam
e gi
ven
on li
ne 1
to
avoi
d
bac
kup
with
hold
ing.
For
ind
ivid
uals
, thi
s is
gen
eral
ly y
our
soci
al s
ecur
ity n
umb
er (S
SN
). H
owev
er, f
or a
re
sid
ent
alie
n, s
ole
pro
prie
tor,
or
dis
rega
rded
ent
ity, s
ee t
he in
stru
ctio
ns fo
r P
art
I, la
ter.
For
oth
er
entit
ies,
it is
you
r em
plo
yer
iden
tific
atio
n nu
mb
er (E
IN).
If yo
u d
o no
t ha
ve a
num
ber
, see
How
to
get
a TI
N, l
ater
.
No
te: I
f the
acc
ount
is in
mor
e th
an o
ne n
ame,
see
the
inst
ruct
ions
for
line
1. A
lso
see
Wha
t N
ame
and
N
umb
er T
o G
ive
the
Req
uest
er fo
r gu
idel
ines
on
who
se n
umb
er t
o en
ter.
So
cial
sec
urit
y nu
mb
er
––
or Em
plo
yer
iden
tific
atio
n nu
mb
er
–
Par
t II
Cer
tific
atio
nU
nder
pen
altie
s of
per
jury
, I c
ertif
y th
at:
1. T
he n
umb
er s
how
n on
thi
s fo
rm is
my
corr
ect
taxp
ayer
iden
tific
atio
n nu
mb
er (o
r I a
m w
aitin
g fo
r a
num
ber
to
be
issu
ed t
o m
e); a
nd2.
I am
not
sub
ject
to
bac
kup
with
hold
ing
bec
ause
: (a)
I am
exe
mp
t fr
om b
acku
p w
ithho
ldin
g, o
r (b
) I h
ave
not
bee
n no
tifie
d b
y th
e In
tern
al R
even
ue
Ser
vice
(IR
S) t
hat
I am
sub
ject
to
bac
kup
with
hold
ing
as a
res
ult
of a
failu
re t
o re
por
t al
l int
eres
t or
div
iden
ds,
or
(c) t
he IR
S h
as n
otifi
ed m
e th
at I
am
no lo
nger
sub
ject
to
bac
kup
with
hold
ing;
and
3. I
am a
U.S
. citi
zen
or o
ther
U.S
. per
son
(def
ined
bel
ow);
and
4. T
he F
ATC
A c
ode(
s) e
nter
ed o
n th
is fo
rm (i
f any
) ind
icat
ing
that
I am
exe
mp
t fr
om F
ATC
A r
epor
ting
is c
orre
ct.
Cer
tific
atio
n in
stru
ctio
ns. Y
ou m
ust c
ross
out
item
2 a
bove
if y
ou h
ave
been
not
ified
by
the
IRS
that
you
are
cur
rent
ly s
ubje
ct to
bac
kup
with
hold
ing
beca
use
you
have
faile
d to
repo
rt a
ll in
tere
st a
nd d
ivid
ends
on
your
tax
retu
rn. F
or re
al e
stat
e tr
ansa
ctio
ns, i
tem
2 d
oes
not a
pply
. For
mor
tgag
e in
tere
st p
aid,
ac
quis
ition
or a
band
onm
ent o
f sec
ured
pro
pert
y, c
ance
llatio
n of
deb
t, co
ntrib
utio
ns to
an
indi
vidu
al re
tirem
ent a
rran
gem
ent (
IRA
), an
d ge
nera
lly, p
aym
ents
ot
her t
han
inte
rest
and
div
iden
ds, y
ou a
re n
ot re
quire
d to
sig
n th
e ce
rtifi
catio
n, b
ut y
ou m
ust p
rovi
de y
our c
orre
ct T
IN. S
ee th
e in
stru
ctio
ns fo
r Par
t II,
late
r.
Sig
n H
ere
Sig
natu
re o
f U
.S. p
erso
n ▶
Dat
e ▶
Gen
eral
Inst
ruct
ions
Sec
tion
refe
renc
es a
re t
o th
e In
tern
al R
even
ue C
ode
unle
ss o
ther
wis
e no
ted
.
Futu
re d
evel
op
men
ts. F
or t
he la
test
info
rmat
ion
abou
t d
evel
opm
ents
re
late
d t
o Fo
rm W
-9 a
nd it
s in
stru
ctio
ns, s
uch
as le
gisl
atio
n en
acte
d
afte
r th
ey w
ere
pub
lishe
d, g
o to
ww
w.ir
s.go
v/Fo
rmW
9.
Pur
po
se o
f Fo
rmA
n in
div
idua
l or
entit
y (F
orm
W-9
req
uest
er) w
ho is
req
uire
d t
o fil
e an
in
form
atio
n re
turn
with
the
IRS
mus
t ob
tain
you
r co
rrec
t ta
xpay
er
iden
tific
atio
n nu
mb
er (T
IN) w
hich
may
be
your
soc
ial s
ecur
ity n
umb
er
(SS
N),
ind
ivid
ual t
axp
ayer
iden
tific
atio
n nu
mb
er (I
TIN
), ad
optio
n ta
xpay
er id
entif
icat
ion
num
ber
(ATI
N),
or e
mp
loye
r id
entif
icat
ion
num
ber
(E
IN),
to r
epor
t on
an
info
rmat
ion
retu
rn t
he a
mou
nt p
aid
to
you,
or
othe
r am
ount
rep
orta
ble
on
an in
form
atio
n re
turn
. Exa
mp
les
of in
form
atio
n re
turn
s in
clud
e, b
ut a
re n
ot li
mite
d t
o, t
he fo
llow
ing.
• Fo
rm 1
099-
INT
(inte
rest
ear
ned
or
pai
d)
• Fo
rm 1
099-
DIV
(div
iden
ds,
incl
udin
g th
ose
from
sto
cks
or m
utua
l fu
nds)
• Fo
rm 1
099-
MIS
C (v
ario
us t
ypes
of i
ncom
e, p
rizes
, aw
ard
s, o
r gr
oss
pro
ceed
s)
• Fo
rm 1
099-
B (s
tock
or
mut
ual f
und
sal
es a
nd c
erta
in o
ther
tr
ansa
ctio
ns b
y b
roke
rs)
• Fo
rm 1
099-
S (p
roce
eds
from
rea
l est
ate
tran
sact
ions
)
• Fo
rm 1
099-
K (m
erch
ant
card
and
thi
rd p
arty
net
wor
k tr
ansa
ctio
ns)
• Fo
rm 1
098
(hom
e m
ortg
age
inte
rest
), 10
98-E
(stu
den
t lo
an in
tere
st),
1098
-T (t
uitio
n)
• Fo
rm 1
099-
C (c
ance
led
deb
t)
• Fo
rm 1
099-
A (a
cqui
sitio
n or
aba
ndon
men
t of s
ecur
ed p
rope
rty)
Use
For
m W
-9 o
nly
if yo
u ar
e a
U.S
. per
son
(incl
udin
g a
resi
den
t al
ien)
, to
pro
vid
e yo
ur c
orre
ct T
IN.
If yo
u d
o no
t re
turn
For
m W
-9 t
o th
e re
que
ster
with
a T
IN, y
ou m
ight
b
e su
bje
ct t
o b
acku
p w
ithho
ldin
g. S
ee W
hat
is b
acku
p w
ithho
ldin
g,
late
r.
Cat
. No.
102
31X
Form
W-9
(Rev
. 10-
2018
)
As prize money is paid to the owner of the horse, each owner must have a W-9 filled out.
No Prize Money will be sent out to anyone who has not properly filled out and submitted a W-9 form. If you have previously submitted a W-9 and you haven’t
changed your name or mailing address, you do not need to submit a new form (All W-9’s are filed).
21
Service Service AuctionAuction
Beginning with the 2014 Medallion Stallion Auction, all eligible foals will be able to participate in the Yearling Halter Futurity and will also be able to participate in our new Performance Futurity for four-year-olds.
Auction Performance competition will take place in the Hunter, Western, and Saddle Seat disciplines. Don’t miss the opportunity to be a part of
two Futurities for the price of one Auction breeding.
22
23
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Notes
25
USEF Competition Name: USEF#:Competition Division(s) and Rating
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