OFFICIAL PRIZE LIST Central Arizona Riding Academy CHAMPAGNE DRESSAGE SHOW

Horseshoe Park & Equestrian Centre, Queen Creek, AZ January 5-6, 2019

CARA CHAMPAGNE SHOW (Level 2) - USEF/USDF # 337548 Entries Open: November 10, 2018 Entries Close: Received or paid online by December 15, 2018 Location: Horseshoe Park & Equestrian Centre 20464 E Riggs Rd. Queen Creek, AZ 85142 Manager: Jay Chabucos - email: Jay.Chabucos@gmail.com; C: 623-221-0707

Secretary: Dian Seabury – email: dfseabury@gmail.com; C: 520-906-5545 2232 Cerrada Bala Tucson, AZ 85718

Co-Secretary: Paula Madden, Tucson, AZ Judges: Lilo Fore, ‘S’, Santa Rosa, CA; Hilda Gurney, 'S', Moorpark, CA Technical Delegate: Loree McGee, ‘r’, Mesa, AZ Veterinarian: On Call, contact info will be posted in show office Farrier: On Call, contact info will be posted in show office EMT: On Site, contact info will be posted in show office

Entry Procedures: An entry form must be completed for each horse/rider combination. Entries will be filled on a first come, first served basis based on RECEIPT. Entries must be Received or completed and paid online by midnight December 15, 2018. Do not send entries requiring a delivery signature or a post entry fee will be charged. Please use the entry form contained in this Prize List or from the CARA website at http://www.caradressage.com. Send the completed entry form, copies of all cards and registrations and all fees to the Show Secretary. Make checks payable to Central Arizona Riding Academy. Vaccination records must be available for examination per USEF GR845. Freestyle entries must include a copy of a qualifying test (N/A Junior or YR freestyle) and music on CD. Please also email an MP3 copy of the music to show secretary. Please note the qualifying score has been raised to 63%. An entry is incomplete without proof of memberships and horse registrations and will be charged internet search fees. Renew now!!!!

NEW USEF REQUIREMENT FOR 2019: All competitors must complete USEF Safe Sport certification before competing. Please attach a copy of your Safe Sport Trained certificate. The training can be found at https://www.usef.org/compete/resources-forms/rules-regulations/safe-sport THIS IS NOT OPTIONAL! No refunds will be given if competitor cannot provide proof of completion. USEF website takes up to 3 days to reflect completion so please bring printed certificate. FOOD, FUN and CHAMPAGNE

We have several events planned for entertainment and comradery. Please join us for a wine and cheese welcome party on Friday evening. We hope everyone will participate in the progressive barn party on Saturday. Please bring food and drink to share. We will cap the festivities with a catered Champagne Brunch ringside mid-day on Sunday. Enjoy the refreshments and watch some great riding at the same time. One ticket for the brunch will be included in each competitor packet. Additional tickets may be purchased. Please check the CARA website http://www.caradressage.com for more details.

ON-LINE ENTRIES AT WWW.EQUESTRIANENTRIES.COM

You can also use this system to fill out show entries and mail a check at no cost.

NOTES ABOUT ENTERING ONLINE 1. When entering a TOC class, please specify which test you want to ride in the box provided. 2. You need to upload your completed/signed Federation agreement signature page and attach documents to your

entry, including your Safe Sport Training completion certificate OR email copies to the show secretary prior to the closing date of the show to avoid incomplete entry fee.

Class Fees: Intro – Fourth – per test $65 FEI Level including Prix St James and all Freestyles - per test $75 Dressage Seat Equitation, USEA Eventing TOC $50 Leadline Exhibition – contact secretary for more information $30 GAIG/USDF Qualifying Class. Add $15 fee per class $15 Jackpot Fee for Coulter Baysa ProAm award (See Below for description) $25

Other Entry Fees:

Office Fee – Required for all entries $30 Late Fee - per entry accepted after closing date as space allows $30 Not Entered (Schooling) Horse (per show)—entry is required $30

USEF Fee (USEF $15 D&M $8) $23 USEF Show Pass (Non-Member) Fee $45 USDF Non-Member Fee $35 USDF Affidavit Fee $5 Class Change fee - if allowed $10 Change Fee for change of horse or rider (change of both is new entry) $30 Incorrect/Incomplete Entry/Internet search fee $15 Returned Checks $50 Additional Sunday Champagne Brunch ticket (each competitor receives 1 complimentary in packet) ticket in packet)

$25 Class sponsorship $50 See below for Stabling fees

Office Fee: Required for each show. Non-refundable.

Refunds: No refunds (including stabling) for any reason after the closing date, including cancellation of a class or classes, or all or part of the competition due to severe weather, accident or any other emergency. Before closing, all fees except office fee are refunded. Qualifying fees and USEF fee (if horse is not on show grounds) will be refunded.

STABLING Stabling in permanent barn is limited and will be awarded on a first come, first served basis. Horse stalls have priority; Tack stalls will be refunded if not available. w Stable Groups: If you want to be stabled with a group, please provide the Show Secretary with only ONE name

(either individual or Trainer barn) for entire group. Inform the show secretary of stabling requirements when submitting entries (i.e., stallions).

w Late Entries with stabling location requests will be honored, if possible. However, late entries may not be stabled with their requested group after barn charts have been finalized and submitted to the venue.

w Smoking is prohibited in stall areas. Use sharps containers provided in barns. Competition management may fine any individuals including trainers, owners, exhibitors, or their agents up to $100 for improper disposal of needles or other sharp disposable instruments. Bio-hazard medical waste containers will be provided in the stable area. All competitors and their agents are responsible for proper disposal of this waste.

Prices apply to Horse or Tack Stall. All horses on site overnight must be stabled. Stalls will not be reserved until entries are received by the Show Secretary. Friday check in after noon through Sunday 6 pm.

. Permanent 12x12 matted stalls with 12 ft solid walls between stalls. No outside bedding permitted. Bedding required and 2 bags included.

$130 Friday check in after 9:00 am through Sunday 6:30 pm

Overflow stabling Temporary 10x10 stalls, no outside bedding permitted. Bedding required; 2 bags included.

$130 Friday check in after 9:00 am through Sunday 6:30 pm

Extended Package per Stall $165 Thursday check in after 12:00 noon through Sunday 6:30 pm Day Stall per day $65 7:00am-6:00 pm; includes one bag shavings Additional Nights $45 if allowed. Please contact Show Secretary Trailer-in per day $45 do not pay if paid for stabling or a day stall. Must be out by 6pm Shavings per bag $12

Bedding: Shavings may be ordered at $12 per bag and will be delivered to your assigned stall. Indicate the number of bags on entry form. Bedding will be available for purchase during the show. No outside bedding permitted. 2 bags of bedding will be included with overnight stabling including tack stall; 1 bag for day stall.

Class List: Use the Class List below.

Test of Choice classes: If competitor wishes to ride the same test twice in the same day, they may enter the regular class, for example Training 2 and Test of Choice --Training, test 2. Management reserves the right to move people in or out of these classes. Test of Choice will be pinned by division, not test. Freestyle will be pinned by test not division. Opportunity Classes: Will be offered at Training Level tests 1 and 2 and First Level tests 1 and 2. Opportunity classes are intended to introduce competitors to showing at USEF/USDF licensed shows without incurring additional membership fees. They are for entry level riders. Competitors showing only in opportunity classes are exempt from USDF and USEF membership, horse and drug fees. Classes are pinned Junior and All Other. These classes do not count toward high point, year-end, USEF or USDF awards.

Tests: https://www.usdf.org/downloads/forms/2019.asp Effective 12/1/2018. DR 129.9 has raised the qualifying score to ride a freestyle to 63%. Please include a qualifying scoresheet.

Scratches: Scratches before the closing date may be made for any reason and all fees will be refunded except the Office Fee. Competitors have the responsibility to inform the show office of their intention to scratch. Anyone who does not appear for their scheduled dressage test without informing the show office prior to the scratch will be considered a “no-show” and subsequent rides may be scratched and filled from the wait list.

Late/Post Entries: Accepted as space allows. Add $30 per entry. See Stabling section for late entry stabling information. After the competition is filled, a wait list will be established.

Changes in horse or rider: $30 per change, if allowed. Change in rider and horse is a new entry and all entry fees apply.

Not Competing (Schooling) Horses: Must pay a $30 schooling fee, office fee and fill out entry. Leadline only need entry and class fee only.

RV or LQ Trailer Hookups: Please contact facility at 480-356-3798 to reserve a space.

Parking: Trailers must be parked in designated areas.

Ride Times: Preliminary ride times and a show schedule will be available on the Fox Village Ride Times and Results website http://www.foxvillage.com/FVDShowResults/(u1sz3w55ecbbkm55ygfmk155)/Show.aspx

and CARA website, http://www.caradressage.com. Final ride times will be posted at the show by noon Friday. It is the exhibitor’s responsibility to verify final ride times at the show. Please notify the show secretary of any scheduling conflicts. Ride times will not be mailed.

Arenas: Covered competition arenas (laser leveled sand) and warm-up arena (sand mix). All tests are ridden in 20 x 60m arenas. Arenas will be open for schooling on Friday. During the show, competition arenas will be open for hand walking only outside the dressage court up to one half hour prior to the start of the first class, and mounted schooling after close of competition until show office closes. Arenas will be watered and worked throughout the show. USEA Eventing tests and Para Equestrian tests may be in either 20x40 or 20x60 depending on test level and number of entries.

Pets: All pets must be on a leash per USEF GR1301.6 or subject to fine. No pets inside arena fencing at any time. Loose dogs will be captured, and owner must pay $50 which will be donated to the Arizona Humane Society.

Concessions: Available on the grounds.

Numbers: Two numbers will be provided for each horse. All horses on the show grounds must have a number on when out of their stalls.

Awards: First place Prize and ribbon for Open, AA and Jr/YR divisions. Ribbons awarded through 6th place. Test of Choice class placing will be determined by division, by percentage ranking, regardless of which test is ridden within each class. Freestyle classes are pinned Open by level. Ties broken per USEF DR 123.3 and 123.8.

Breed Awards: Several breed organizations will be offering high point awards. Please include a copy of your breed papers with your entry. Check the CARA website for an updated list of breeds included.

High Point Awards: Scores from Freestyle, ParaEquestrian, Intro, Opportunity, Rider, Equitation, Eventing, Exhibition or pony classes do not count for High Point level awards. The high point trophies are awarded to the rider with the single highest score at the designated level. The following are perpetual trophies:

The Joachim Spindler Training Level Highpoint Trophy Lauren Messinger First Level Highpoint Trophy The Mary Bochmann Second Level Highpoint Trophy The Daniel Donati Third Level Highpoint Trophy The Sue Dupree Fourth Level Highpoint Trophy The Edgar Hotz Memorial Prix St. Georges Trophy The Major Hector Carmona Memorial Grand Prix Trophy The Titmouse Award 10 years and younger: Highest score individual test (not leadline) The Dorothy Vlatten Award adult amateur rider age 40 or over for a single score training level Jackpot class: Colter Baysa ProAm Award Jackpot Fee $25. Only 1 Jackpot entry fee per Pro-Am team needs to be paid. The same horse is ridden by a professional (open) in one test and by an amateur (adult, junior, or young rider) in another test. Tests are training-GP. Freestyles, intro, opportunity, eventing, para, DSE do not count. The tests can be ridden in any order or either day. The entry must indicate which classes count toward the award. A second entry is required for the second rider but USEF fees are not charged. The regular class fee applies to both rides. An additional $25 fee is charged for the jackpot fee. The fees will go to the prize money and the split is 1st-40%; 2nd-30%; 3rd- 20%; 4th-10% paid to horse owner. The class will be placed by adding together the percentage received on the two tests. The highest total wins. Special prize in addition to the jackpot for the winning team. The Prix St James Challenge -- Winner take all $500 prize money Riders must ride either 4-3 (class 143) or PSG (class 151) on Saturday and the PSJ (Prix St James-class 269) on Sunday on the same horse. 4-3 or PSG class may be ridden in either a snaffle or double bridle and the PSJ class must be ridden in a snaffle bridle with a legal dressage bit. The two scores will be combined. The prize money is $500 awarded to the winner with the highest percentage total. If score is tied, money will be split. Winner will receive a check within 30 days.

Exhibition Classes: Classes that are not USEF or FEI tests. Leadline and Prix St James are considered exhibition.

Arrival Day(s): All USEF and local rules are in effect upon entering show grounds including arrival day(s).

Lodging: Courtyard Phoenix Mesa Gateway Airport (16 minutes) 6907 East Ray Rd., Mesa, 480-351-7088 Best Western Gold Canyon Inn & Suites 8333 East Sunrise Sky Dr., Gold Canyon, 844-246-9816 Doubletree by Hilton Phoenix Gilbert 1800 South San Tan Village Pkwy., Gilbert, 844-387-0597 Hyatt Place Hotel Gilbert 3275 South Market Street, Gilbert, 844-414-0066

Directions: From Tucson: Take exit 211 from I-10 W; Take AZ-87 N, N Attaway Rd, N Hunt Hwy, N Gantzel Rd and W Empire Blvd to East Riggs Road. From Phoenix: US-60 E to Mesa. Use the right 2 lanes to take exit 190B for Arizona 202 S Take exit 34A for AZ-24 E Continue on S Ellsworth Rd. Drive to East Riggs Rd. The facility is located on the north side of Riggs Road between Hawes and Ellsworth roads.

Operation of Motorized Vehicles: USEF GR1301.7 applies. 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 Chapter 6. Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this rule.

Other: The show committee reserves the right to make changes including, but not limited to, cancel, split or combine classes, limit class size, change arenas, limit the number of rides and number of horses per rider and cancel, add or change judges. The show committee reserves the right to refuse any entry for cause. The show committee reserves the right to deny entry to any competitor if the competitor or owner has outstanding debt to CARA. EVERY CLASS OFFERED HEREIN WHICH IS COVERED BY THE RULES AND SPECIFICATIONS OF THE CURRENT USEF OR FEI RULES AND WILL BE CONDUCTED AND JUDGED IN ACCORDANCE THEREWITH. It is the responsibility of the competitor to be familiar with these rules. All questions not covered in these rules and regulations shall be decided by the show management whose decision shall be final. Every horse entered for competition will comply with the rules of the horse show management, but management will, in no case, be responsible for any loss or damage that may occur, and it shall be condition of entry that each exhibitor shall hold this horse show and the officials and employees of the show blameless for any loss or accident to his horse, employees, equipment, which may occur from sickness, fire or otherwise. The management reserves the right to refuse, accept conditionally, or to cancel any entries, disqualify any riders or exhibitors, prohibit entries and cancel award prizes without claims for damages; to cancel or combine unfilled classes, or to reschedule classes after due notice to exhibitors; to change rings or rotate judges. Exhibitors are notified that any act of discourtesy or disobedience to the judges or officials, on the part of the owner, manager, rider, or groom shall disqualify the horse, and the owner shall forfeit his entry fee and other fees. Show management reserves to itself the power to prohibit any person from attending or showing a horse in the ring and to remove any groom or horse from the show without being liable for compensation. In accordance with the 1989 Federal Waste Tracking Act, which restricts the disposal of medical waste, bio-hazardous medical waste containers will be provided in the stable area. All exhibitors and their agents are responsible for the proper disposal of this waste. No person will be allowed in the show ring during the time of judging except the exhibitor and those having official or requested duties to perform. It is the tradition of the show that riders be correctly attired for the class in question, that attendants be neatly dressed and the horses properly presented. Management may in its discretion bar any person from entering the ring if not suitable presented to appear before an audience.

USEF MEMBERSHIP STATEMENT: Life, senior active and junior active members shall be eligible to participate in all classes at Regular Competitions, Eventing Competitions at the Preliminary Level or above and Combined Driving Competitions at the Advanced Level, Dressage, Reining and Vaulting Competitions and Endurance Rides. A nonmember may participate as a handler, rider, driver, owner, lessee, agent, coach or trainer at Regular Competitions, Eventing Competitions, Dressage Competitions, Reining Competitions and Combined Driving Competitions upon payment of a $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.

CLASS LIST • Designate division: AA (Adult Amateur), YR (Young Rider), J (Junior), O (Open). Undesignated will be entered in Open.

Divisions will be pinned separately and may be scheduled separately at management discretion. Opportunity and Intro classes will be pinned Junior and all other.

• TOC is Test of Choice. Q = GAIG/USDF Qualifying. Add $15 to class fee.

Saturday Sunday Classes Divisions Notes 101 201 Training Level Test 1 O, AA, J/YR

102 202 Training Level Test 2 O, AA, J/YR

103 203 Training Level Test 3 O, AA, J/YR add Q

105 205 Training Level TOC O, AA, J/YR add Q (test 3 only)

106 206 Training Level Test 1 Opportunity Jr, All others

107 207 Training Level Test 2 Opportunity Jr, All others

111 211 First Level Test 1 O, AA, J/YR 112 212 First Level Test 2 O, AA, J/YR

113 213 First Level Test 3 O, AA, J/YR add Q

115 215 First Level, TOC, specify test O, AA, J/YR add Q (test 3 only)

116 216 First Level Test 1 Opportunity Jr, All others

117 217 First Level Test 2 Opportunity Jr, All others

121 221 Second Level Test 1 O, AA, J/YR

122 222 Second Level Test 2 O, AA, J/YR

123 223 Second Level Test 3 O, AA, J/YR add Q 125 225 Second Level TOC, specify test O, AA, J/YR add Q (test 3 only)

131 231 Third Level Test 1 O, AA, J/YR

132 232 Third Level Test 2 O, AA, J/YR

133 233 Third Level Test 3 O, AA, J/YR add Q 135 235 Third Level TOC, specify test O, AA, J/YR add Q (test 3 only)

141 241 Fourth Level Test 1 O, AA, J/YR

142 242 Fourth Level Test 2 O, AA, J/YR 143 243 Fourth Level Test 3 O, AA, J/YR add Q 125 245 Fourth Level TOC, specify test O, AA, J/YR add Q (test 3 only)

FEI Classes

151 251 Prix St. Georges O, AA, J/YR add Q

152 252 Intermediate I O, AA, J/YR add Q

155 255 Intermediate II O, AA, J/YR add Q

156 256 Grand Prix O, AA, J/YR add Q

158 258 FEI TOC, Specify Test O, AA, J, YR Includes above FEI classes and Intermediate A and B, FEI YR GP (16-25), Jr or YR Individual, GP Special (add Q)

160 260 FEI Junior Team Test J add Q

162 262 FEI Young Rider Team Test YR add Q

269 Prix St. James (Exhibition) Open PSG (class 151) or 4-3 (class 143) must also be ridden (any division). The combined scores will determine the winner of the cash prize.

Saturday Sunday Classes Divisions Notes

Freestyle Classes

170 270 USDF Freestyle (TOC) O by level add Q (no Q for Training level)

171 271 FEI Freestyle (TOC) O by level add Q as applicable (J, YR and Pony tests not Q)

173 273 FEI Para Dressage Freestyle (TOC) Other

191 291 Introductory Test A J, all other 192 292 Introductory Test B J, all other 193 293 Introductory Test C J, all other

196.1 296.1 Dressage Seat Equitation J 196.2 296.2 Dressage Seat Equitation AA 198 298 FEI Para Dressage TOC, Specify Test 199 299 USEA Eventing TOC **** 300 LEADLINE (Exhibition) 8 and under

ATTENTION COMPETITORS

Each competitor is responsible for supplying management with the following association numbers before the day(s) of the competition.

â United States Equestrian Federation (USEF) for horse, owner, rider, trainer and/or coach.

â United States Dressage Federation (USDF) for horse, owner and rider. The scores of competitors who fail to supply correct numbers may not be counted toward national awards.

Competition Name ______________________________________ Competition Date ______________________________________

Official Use Only Bridle No.

Name of Horse Previous Name of Horse (if any) Breed Registry Sex

Height Color Coggins Date Sire Dam

Dam’s Sire Country of Birth Year of Birth For Sale

Horse Rider / Handler Owner / Lessee Trainer* Coach USEF # USEF # USEF # USEF # USEF #

USDF # USDF # USDF #

Local # Local # Local # Please enclose copies of all membership cards, and registrations.

*Trainer: the person responsible for the horse during the show, must be 18 years of age or older and must be on the show grounds during the show.

Class No. Division Class Description Qualifying + $15 Fees

Owner / Lessee __________

Subtotal Class Fees

Address ___________________________________________________ USEF Horse Fees: ($15 USEF Fee + $8 D/M Fee) 23.00

City/State/Zip _______________________________________________ USEF Non-Member Fee - $45

Cell Phone __________________ Other Phone __________________ USDF Non-Member Fee - $35

Email _____________________________________________________ OFFICE FEE (See individual prize lists) Required

Stabling Fees: ________ Stalls @ $ _______ / Stall

Tack Stall: ________ Stalls @ $ _______ / Stall

Rider / Handler _____________________________________________ Day Stall: ________ Stalls @ $ _______ / Stall

Address ___________________________________________________ Trailer-In Fee: ________ Days @ $ _______ / Day

City/State/Zip _______________________________________________ LATE FEE

Cell Phone __________________ Other Phone __________________ Shavings: ______ @ $ Per Bag (See individual

prize list for information)

Email _____________________________________________________ MISCELLANEOUS FEES

Rider Citizenship (if not USA) _________________________________

Jr / Young Rider Birthday _____________________________________ TOTAL FEES

Division (check one) JR YR AA Open IF PAYING BY CREDIT CARD/PAYPAL, YOU MUST ENTER USING EQUESTRIAN ENTRIES

HTTP://EQUESTRIANENTRIES.COM/

Trainer ___________________________________________________

Address __________________________________________________

City/State/Zip _______________________________________________ OFFICIAL USE ONLY CHECK #

Cell Phone __________________ Other Phone __________________ BALANCE DUE

Email ____________________________________________________ PLEASE FILL OUT BOTH SIDES OF THIS FORM. See other side for stabling requests. AZDE033

Stabling Information & Special Requests: Please list only ONE name (either individual or barn) for entire group (so we can get everyone together).

Tue Wed Thu Fri Sat Sun Mon

Special Request: _____________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

I hereby agree to release, indemnify and hold harmless USDF, its instructors, officers, directors, agents, and volunteers from and against any and all loss, liability

or damage arising from or because of, or in connection with, participation in this competition or related activities. I also hereby agree to release, indemnify and hold

harmless the competition licensee, show management, show staff, show committee and members, officers, directors, agents, and volunteers from and against any and

all loss, liability or damage arising from or because of, or in connection with, participation in this competition or related activities.

FEDERATION ENTRY AGREEMENT. By entering a Federation-licensed Competition and signing this entry blank as the Owner, Lessee, Trainer, Manager, Agent, Coach, Driver, Rider, Handler, Vaulter or Longeur and on behalf of myself and my principals, representatives, employees and agents, I agree that I am subject to the Bylaws and Rules of The United States Equestrian Federation, Inc. (the “Federation”) and the local rules of the Competition. I agree to be bound by the Bylaws and Rules of the Federation and of the competition. I will accept as final the decision of the Hearing Committee on any question arising under the Rules, and agree to release and hold harmless the competition, the Federation, their officials, directors and employees for any action taken under the Rules. I represent that I am eligible to enter and/or participate under the Rules, and every horse I am entering is eligible as entered. I also agree that as a condition of and in consideration of acceptance of entry, the Federation and/or the Competition may use or assign photographs, videos, audios, cable - casts, broadcasts, internet, film, new media or other likenesses of me and my horse taken during the course of the competition for the promotion, coverage or benefit of the competition, sport, or the Federation. Those likenesses shall not be used to advertise a product and they may not be used in such a way as to jeopardize amateur status. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation. The construction and application of Federation rules are governed by the laws of the State of New York, and any action instituted against the Federation must be filed in New York State. See GR908.4

Federation Release, Assumption of Risk, Waiver and Indemnification. This document waives important legal rights. Read it carefully before signing.

I AGREE in consideration for my participation in this Competition to the following: I AGREE that “the Federation” and “Competition” as used herein includes the Licensee and Competition Management, as well as all of their officials, officers, directors, employees, agents, personnel, volunteers and Federation affiliates. I AGREE that I choose to participate voluntarily in the Competition with my horse, as a rider, driver, handler, vaulter, longeur, lessee, owner, agent, coach, trainer, or as parent or guardian of a junior exhibitor. I am fully aware and acknowledge that horse sports and the Competition involve inherent dangerous risks of accident, loss, and serious bodily injury including broken bones, head injuries, trauma, pain, suffering, or death. (“Harm”). I AGREE to hold harmless and release the Federation and the Competition from all claims for money damages or otherwise for any Harm to me or my horse and for any Harm of any nature caused by me or my horse to others, even if the Harm arises or results, directly or indirectly, from the negligence of the Federation or the Competition. I AGREE to expressly assume all risks of Harm to me or my horse, including Harm resulting from the negligence of the Federation or the Competition. I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) the Federation and the Competition and to hold them harmless with respect to claims for Harm to me or my horse, and for claims made by others for any Harm caused by me or my horse while at the Competition. I have read the Federation Rules about protective equipment, including GR801 and if applicable, EV114, and I understand that I am entitled to wear protective equipment without penalty, and I acknowledge that the Federation strongly encourages me to do so while WARNING that no protective equipment can guard against all injuries. If I am a parent or guardian of a junior exhibitor, I consent to the child’s participation and AGREE to all of the above provisions and AGREE to assume all of the obligations of this Release on the child’s behalf. I represent that I have the requisite training, coaching and abilities to safely compete in this competition. I AGREE that if I am injured at this competition, the medical personnel treating my injuries may provide information on my injury and treatment to the Federation on the official USEF accident/injury report form. BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank and all terms and provisions of this Prize List. If I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force and effect as if I affixed my signature by my own hand. BOD 1/23/11 Effective 12/1/11.

Trainer Signature is Mandatory as are signatures of Rider and Owner/Lessee. Trainer is the person responsible for the horse during the show, must be 18 years of age or older and must be on the show grounds during the show.

This may or may not be the professional who you pay to train you or your horse. Most Adult Amateurs also sign as Trainer.

Rider / Driver / Handler / Exhibitor / Vaulter / Longeur Signature

(Mandatory)

Trainer Signature (Mandatory)

Owner / Lessee / Agent Signature (Mandatory)

Coach Signature (If Applicable)

Print Name Print Name Print Name Print Name

Parent / Guardian Signature Required if Rider / Driver / Handler / Vaulter / Longeur is a minor) Print Parent / Guardian Name

Rider / Driver / Handler / Longeur / Emergency Contact Information. Enter name of contact and relationship: Phone Numbers (with Area Code)

Emergency Contact Information for Stable Watch. Enter name of contact and relationship: Phone Numbers (with Area Code)

AZDE033

PRIX ST. JAMES Competitor # ___________

Page 1 of 3 PSJ1990

EVENT: COMPETITOR NAME: JUDGE: HORSE: DATE:

TEST DIRECTIVE IDEAS POIN

TS

COEF

FICIEN

T

TOTA

L

REMARKS1 A ENTER WORKING TROT STRAIGHTNESS ON CENTERLINE

X HALT, SALUTE QUALITY OF HALTPROCEED WORKING TROT TRANSITION INTO TROT

C TRACK RIGHT2 MFK WORKING TROT IMPULSION, ELASTICITY, QUALITY

OF TROT

3 KXM MEDIUM TROT, RISING QUALITY OF TROT IN TRANSITIONSM WORKING TROT

4 H MEDIUM TROT QUALITY OF TROTE CIRCLE LEFT, 20 M, ONCE BEND, BALANCE

5 K WORKING TROT QUALITY OF HALT, REINBACKA HALT, 5 SECONDS, IMMOBILITY TRANSITIONS

REINBACK , 4 STEPSPROCEED WORKING TROT

6 FXH MEDIUM TROT IMPULSION, ELASTICITYH WORKING TROT BALANCE, TRANSITION

7 B CIRCLE RIGHT 20 M, ONCE QUALITY OF TROT AND BEND 2MAKE THE HORSE CHEW THE BIT HORSE REACHING FORWARD-OUT OF THE HAND DOWNWARDS REMAINING IN LIGHT

CONTACT WITH THE RIDER'S HAND

8 BF TAKE UP THE REINS ACCEPTANCE OF THE BIT

9 F COLLECTED TROTA DOWN CENTERLINE TRANSITION INTO SHOULDER-INDX SHOULDER-IN RIGHT QUALITY OF SHOULDER-IN

10 X CIRCLE RIGHT 8 M TRANSITION INTO CIRCLEX CIRCLE LEFT 8 M REGULARITY, BEND AND BALANCE

11 XG SHOULDER-IN LEFT TRANSITION INTO SHOULDER-INC TRACK LEFT QUALITY OF SHOULDER-IN

12 S WORKING CANTER QUALITY OF CANTERE CIRCLE LEFT, 20 M, ONCE RIDER MUST RELEASE (AT LEAST

GIVE AND TAKE THE REINS 4 INCHES) AND RETAKE CONTACT IN A WHILE CROSSING CENTERLINE CONTINUOUS MOVEMENT, HORSE PROCEED WORKING CANTER REMAINING IN SELF CARRIAGE

PRIX ST. JAMES Competitor # ___________

Page 2 of 3 PSJ1990

TEST DIRECTIVE IDEAS POIN

TS

COEF

FICIEN

T

TOTA

L

REMARKS13 A DOWN CENTERLINE STRAIGHTNESS, LIGHTNESS OF 2

X SIMPLE CHANGE OF LEAD SIMPLE CHANGE (2 OR 3 CORRECT C TRACK RIGHT, PROCEED WALK STEPS)

WORKING CANTER

14 B CIRCLE RIGHT 20 M, ONCE QUALITY OF CANTERGIVE AND TAKE THE REINS RIDER MUST RELEASE (AT LEAST WHILE CROSSING CENTERLINE 4 INCHES) AND RETAKE CONTACT IN A PROCEED WORKING CANTER CONTINUOUS MOVEMENT, HORSE

REMAINING IN SELF CARRIAGE15 KXM MEDIUM CANTER IMPULSION, ELASTICITY

16 M COLLECTED CANTER BALANCE, TRANSITIONMS COLLECTED COUNTER CANTER STRAIGHTNESS, REGULARITY

17 S SIMPLE CHANGE OF LEAD QUALITY OF MOVEMENTPROCEED COLLECTED CANTER (2 OR 3 CORRECT WALK STEPS)

18 FXH MEDIUM CANTER IMPULSION, ELASTICITY

19 H COLLECTED CANTER BALANCE, TRANSITIONHR COLLECTED COUNTER CANTER STRAIGHTNESS, REGULARITY

20 RA WORKING TROT SMOOTHNESS OF TRANSITION

21 A MEDIUM WALK QUALITY OF WALK 2KXM FREE WALK ON A LOOSE REIN

22 M TAKE UP THE REINS ACCEPTANCE OF THE BIT 2C COLLECTED TROT REGULARITY

23 HK MEDIUM TROT QUALITY OF TROTK COLLECTED TROT TRANSITIONS

24 A DOWN CENTERLINE STRAIGHTNESSX MEDIUM WALK

25 G HALT, SALUTE QUALITY OF HALT

LEAVE ARENA AT A FREE WALK ON A LONG REIN AT A

PRIX ST. JAMES Competitor # ___________

Page 3 of 3 PSJ1990

POIN

TS

COEF

FICIEN

T

TOTA

L

2

IMPULSION (FORWARD MOVEMENT, SUPPLENESS OF BACK, ENGAGEMENT &STRAIGHTNESS) 2

SUBMISSION (LIGHTNESS AND EASE OF MOVEMENT, EQUILIBRIUM ANDACCEPTANCE OF THE BIT) 2

HARMONY (BETWEEN RIDER AND HORSE, POSITION AND SKILL OF THE RIDER'SAIDS, CONFIDENCE AND ATTENTION OF THE HORSE) 2

MAXIMUM POSSIBLE POINTS 370

SUBTOTAL

ERRORS (-)

TOTAL POINTS

TOTAL SCORE IN %

Judge Signature

PURPOSE: The higher level horse should be able to perform basic movements at any time.The rider should return to lower-level movements as soon as he feels any tension orirregularity beginning. In all movements regularity of gait, suppleness of back, acceptance of the bit and lateral flexibility are of first priority. Once these basic elementsare re-established in calmness and harmony, the rider again might ask the horse for higher-level movements.

Conditions: standard arena, average time 7 minutes. A plain snaffle bridle with noseband. Short coat should be worn.All trot work is sitting, unless specified otherwise.

PACES (FREE, ELASTIC, REGULAR, FLOATING)COLLECTIVE REMARKS

USEF Competition Name: USEF#:Competition Division(s) and Rating(s):

Starting January 1, 2019, if you are a USEF Competing Member 18 years of age or older you are required to complete the core Safe Sport Training within 30 days of activating your membership.

If you do not complete the training, you are ineligible to participate in all USEF activities including competitions.

TAKE the SAFE SPORT TRAINING at USEF.org by logging into your member dashboard.

USEF SAFE SPORT TRAINING REQUIRMENT

CARA Champagne Dressage 337548

Dressage Level 2

01/18

USDF Membership Benefits: USDF is dedicated to education, the recognition of achievement, and promotion of dressage. For details on member benefits, including educational programs, awards, and other opportunities, refer to the USDF Member Guide or the USDF website at www.usdf.org.

Membership Requirements for USEF-licensed/USDF-recognized Competitions: Owners and riders, including foreign riders and owners who are not residents of the US, wishing to participate in a USEF-licensed/USDF-recognized competition as a rider or owner/lessee, must have either a USDF Group Membership (GM), Participating Membership (PM), or have a USDF Non-Member (NM) identification number and pay the USDF Non-Member (NM) fee. (Note: USDF Business Members can own horses but cannot compete as riders with their USDF Business Membership.) Individuals cannot compete at a USEF-licensed/USDF-recognized competition with a USDF Education Membership.

Horses competing at USEF-licensed/USDF-recognized competitions must have either a USDF Horse Identification (HID) number or a USDF Lifetime Horse Registration (LHR). Proper credentials or verification certificates must be presented to the competition secretary.

Riders and owners wishing to participate in a USEF-licensed/USDF-recognized competition, and not able to present the competition secretary with verification of a USDF membership or NM identification, and USDF LHR or USDF HID, must complete a USDF Competition Affidavit Form and pay the $5 affidavit filing fee. A copy of a completed affidavit form from another competition may also be used for verification purposes for up to 60 days. (Exception: Affidavits cannot be used at Great American Insurance Group/USDF Regional Dressage Championships.) Exceptions:

Horses competing only in Individual Breed Classes (IBCs) at DSHB competitions, sires and dams of horses in DSHB group classes, where those sires or dams are not actually competing in the same competition, horses competing only in breed restricted dressage or DSHB classes at Regular Competitions (e.g. all Arabian, all Friesian, or all Morgan classes), or in USDF Introductory Level tests, pas de deux or quadrille, are exempt from this requirement. Also exempt are horses ridden in leadline, exhibitions, games and races, classes for 4-H members, walk-trot, academy, and opportunity classes.

Riders and owners/lessees competing only in classes which are exempt from the USDF HID requirements are also exempt from the USDF NM identification number and NM fee requirements. Also exempt are handlers of horses competing in DSHB In-Hand or Group classes.

Memberships Defined Participating Membership (PM): A membership issued to an individual directly by USDF. The membership year is December 1 through November 30. PMs are available for 1-year ($90), 5-years ($360), or life ($1,800). A USDF Youth Participating Membership (YPM) is available for individuals who have not reached their 21st birthday by December 1 of the current membership year ($72). A PM allows the member to compete at USEF-licensed/USDF-recognized competitions and to participate as a rider and/or owner/lessee for all Adequan®/USDF Year-End Awards, USDF Breeders Championship Series Finals, the Great American Insurance Group/USDF Regional Dressage Championship program and the USDF Adult Amateur Equitation Regional program. Group Membership (GM): A membership issued to an individual by USDF when the member name and dues are submitted to USDF through an affiliate Group Member Organization (GMO). The GM year begins December 1 and ends November 30. A GM allows the member to compete at USEF-licensed/USDF-recognized competitions and participate in the USDF Rider Awards program. Business Membership (BM): A membership that runs December 1 through November 30 and is issued to a business or organization directly by USDF. The USDF BM ($240) offers a wider variety of advertising benefits. BMs satisfy requirements of horse ownership only. Education Membership (EM): A membership issued to an individual directly by USDF. This online education only membership expires 12 months after the date joined. This membership type does NOT allow an individual to compete at a USEF-licensed/USDF-recognized competition. Non-Member (NM) Identification Number: For each USDF NM owner/lessee and USDF NM rider there will be a USDF NM fee of $35 per competition that must be collected by the show secretary and submitted to USDF, along with the USDF Report of Fees document and the $5 affidavit fee and Competition Affidavit Form if the person cannot provide a copy of their USDF NM card. Owners/lessees or riders exempt from the NM number requirements are also exempt from paying the USDF NM fee. If there are multiple owners of a horse and all are NMs, only one of the owners must pay the NM fee. If the horse has at least one owner who is a current USDF PM, GM, or BM there is no NM fee assessed. Competition management will be invoiced for all applicable USDF NM fees not received with the USDF post-competition paperwork, along with a report listing all USDF NMs. Competition management is then required to submit the NM fees within 30 days to the USDF. An individual with a USDF NM identification number is not eligible for any USDF membership benefits. Once a USDF NM number has been assigned, a USDF NM card can be obtained from the USDF website. Horse Identification (HID) Number: A one-time tracking number for horses ($35). Scores earned by a horse with an HID number will be recorded, but will NOT be counted towards Adequan®/USDF Year-End Awards. A horse with an HID number is not eligible to compete in Great American Insurance Group/USDF Regional qualifying or championship classes or USDF Breeders Championship Series Finals. An HID number can be upgraded to a Lifetime Horse Registration (LHR) for a fee of $80. If a horse has a USDF LHR it does not need an HID number. An HID number is a one-time fee that does not need to be renewed. Lifetime Horse Registration (LHR): A horse with an LHR ($115) is eligible for Adequan®/USDF Year-End Awards, to compete at USDF Breeders Championship Series Finals, the Great American Insurance Group/USDF Regional qualifying and championship classes, and the USDF Adult Amateur Equitation Regional program, assuming requirements for the owner and rider are met. If a horse has an LHR it does not need an HID number. An LHR does not need to be renewed.

How to Join USDF Applications for USDF Participating Membership (PM), Business Membership (BM), Horse Identification (HID) number, and Lifetime Horse Registration (LHR) may be found in the following locations:

On the USDF website: www.usdf.org. You can submit the application online or download the form and fax or mail it to the USDF office.

In the show office at USEF-licensed/USDF-recognized competitions classified by USEF as Dressage Competitions, and Regular Competitions which are open to all breeds.

By calling or writing the USDF office at (859) 971-2277, 4051 Iron Works Parkway, Lexington, KY 40511 The effective date of membership is the date the form and correct fees are received in the USDF office or, if applying at a competition, the date accepted by the competition secretary, provided the application is signed and dated by the competition secretary, member, and/or horse owner on that same day.

This

competition

is recognized

by USDF

for 2019

Rev 8/17/2018

2019 Great American Insurance Group/USDF Regional Dressage Championships

A single Regional Dressage Championship program organized by the United States Dressage Federation (USDF), and recognized by the United States Equestrian Federation, Inc. (USEF), will be held in each of the nine USDF regions. In addition, Alaska and Hawaii may each hold state championships if an official request from a Group Member Organization (GMO) is received by April 1 of the prior year. The Regional Championship Program Rules can be found on the USDF website at www.usdf.org. Please refer to the 2019 USDF Member Guide for the comprehensive list of rules and requirements for this program.

Membership/Registration Requirements for Qualifying and Championships All memberships and registrations/recordings must be correct and current at the time qualifying scores are earned and at the time of the championships. Rider:

Must have a USDF Participating* Membership (PM).

Must have a USEF membership (Junior Active, Senior Active, or Life). Horse:

Must have a USDF Lifetime Horse Registration (LHR).

Must have a USEF (Annual or Lifetime) Horse recording.

USDF horse registration and USEF horse recording must be in the name(s) of the current owner(s) or lessee(s) of record. A horse is not required to have breed registry papers.

Owner:

Must have a USDF Participating or Business Membership and a USEF membership (Junior Active, Senior Active, Life, or Recorded Farm (with Active Farm Owner)). If the horse has more than one owner, at least one owner must have both active USEF membership and active USDF Participating or Business Membership and must be the owner of record with USEF and USDF. For a business or farm to be the valid owner under this requirement, it must be listed as an owner of the horse with both USEF and USDF.

* PMs are USDF members who join USDF directly. USDF Group Members (GM) are ineligible.

Minimum Qualifying Scores: One set of nationally-standardized qualifying scores has been established for all USEF/USDF Regional Championships, for Training Level through Grand Prix, in three divisions: open, adult amateur and junior/young rider. FEI Junior and FEI Young Rider classes have only one respective division. Freestyles have only open divisions.

The minimum percentages are as follows: OPEN AA JR/YR Training Level (Test 3) 68% 63% 63% First Level (Test 3) 66% 62% 62% Second Level (Test 3) 64% 61% 61% Third Level (Test 3) 62% 60% 60% Fourth Level (Test 3) 62% 60% 60% FEI Junior (Team Test) — — 60% FEI Young Rider (Team Test) — — 60% Prix St. Georges 62% 60% 60% Intermediate I 62% 60% 60% Intermediate II 62% 60% 60% Grand Prix 60% 60% 60% FREESTYLE OPEN AA JR/YR First Level 65% — — Second Level 65% — — Third Level 65% — — Fourth Level 65% — — Intermediate I 65% — — Grand Prix 65% __ __

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Regional Adult Amateur Equitation Program

The USDF Regional Adult Amateur Equitation Program recognizes adult amateurs competing in equitation and promotes correct seat, position, and use of the aids in dressage. An Adult Amateur Equitation Regional Final class will be held in

conjunction with each of the nine USDF Regional Dressage Championship competitions, providing adult amateurs with additional opportunity for recognition.

Adult amateurs wishing to qualify to compete in an Adult Amateur Equitation Regional Final may do so by meeting the following requirements.

Qualifying Requirements To be eligible for the USDF Adult Amateur Equitation Regional Final class, rider must have

a) Earned a score of 70% or higher in any dressage seat equitation class (except walk/trot) at a USEF-licensed/USDF-recognized Dressage competition within the qualifying period of the applicable regional championship.

or b) Qualified to compete in any regional dressage championship class

(excluding freestyles).

Membership Requirements

Rider must have a USDF Participating Membership at the time the qualifying score is earned, and at the time of the Regional Final class.

Rider must be an adult amateur, in accordance with GR1306 of the USEF rules, and be designated with USEF as an adult amateur when the score is earned, and at the time of the Regional Final class.

Owner must have a USDF Participating or Business Membership when the qualifying score is earned, and at the time of the Regional Final class.

Horse must have a USDF Lifetime Horse Registration when the qualifying score is earned, and at the time of the Regional Final class.

The USDF Regional Adult Amateur Equitation Program rules and information can be found on the USDF website.

Freestyle Competitor Reminders

•SubmittwoCDsofyourmusicclearlylabeledwithyourname,horse’sname,bridlenumber,andfreestylelevel.•Bepresentforyoursoundcheck.•Knowtherulesforthelevelyouareriding.Thisincludesforbiddenandallowedmovementsforyourlevel.

4051 Iron Works ParkWay, LexIngton, ky 40511 Phone (859) 971-2277 • Fax (859) 971-7722

Questions?Contact freestyle@usdf.org

AT T E N T I O N F R E E S T Y L E CO M P E T I TO R S