SPRING FLING DRESSAGE

CDS RatedCDS Pomona Chapter Sponsored Show

Maverick Ridge Riders Arena330 South Citrus Street

West Covina, CA

Judges: Carolyn Lindholm (R) & N. Brent Hicks (S)

Contact: Dhana Holck, (714) 993-7456

April 8, 2018Entries Must be RECEIVED by March 29, 2018

Featuring:Freestyle Test of Choice & Pas de Deux

Dressage Seat Equitation Classes2018 CDS-Pomona Chapter Year-End Awards Qualifier

O-A-Jr High Score AwardsMateriale Classes

Freestyle Test of Choice

Training - Fourth Level!

SPRING FLINGDRESSAGE SHOW

Sunday, April 8, 2018

Maverick Ridge Riders’ ArenaWest Covina, California

2018 CDS-Pomona Chapter Year-End Awards Qualifier

DRESSAGE SHOW JUDGES

Judges: Carolyn Lindholm .....(R) .................................................. California N. Brent Hicks ..........(S) .................................................. California

SHOW OFFICIALS

Show Manager: ......................Dhana Holck .................................. (714) 993-7456Show Secretary: .....................Diana Muravez .............................. (760) 728-6325Day of Show: .........................Diana Muravez .............................. (951) 201-0686

Show Approvals: CDS/DASC Rated Show

Volunteers: .............................Dhana Holck .................................. (714) 993-7456Video .....................................Kingdom Video ............................... (310) 541-2299Veterinarian (on call): .............Dr. Don Vrono, DVM ..................... (909) 592-0911EMT .......................................Amanda Waterfield-Gibson ............ (909) 702-6488

All entries close and must be RECEIVED byThursday, March 29, 2018

Entries received after this date will be subject to the $20.00 late fee.Entries changed after this date will be subject to the $35.00 change fee.

Mail entries to:Diana Muravez

2552 Los Cerritos LaneFallbrook, CA 92028

Make Checks Payable To: CDS-POMONA CHAPTER

RULES AND INFORMATION

All Pomona Chapter Dressage Shows and every class offered herein are covered by the rules and specifications of the current USEF Rule Book and will be conducted and judged in accordance therewith.

ENTRY PROCEDURE: Entries must be made on an official entry form and must be filled out completely, including all classes entered, all signatures, organization membership numbers and fees. Make copies of both sides if you need more than one entry form. Only one horse/rider combination per entry form. Please make checks payable to CDS-POMONA CHAPTER.

Please be sure to put correct class numbers on entry form. Any entry errors will not be changed after closing date. Please include a photocopy of current CDS membership card. Entries are accepted on a first-come, first-served basis until classes are filled. All entries received after the closing date will be accepted only if schedule permits. Each late entry shall be assessed a late fee of $20.00. Any entry changed after the closing date will be accommodated at Horse Show Management’s sole and absolute discretion and will incur a $35.00 change fee. Riders will ride with their classes, unless riding multiple horses, in accordance with Federation rules. Each competitor is responsible for supplying Horse Show Management with Rider’s full name, CDS number; Horse’s name; Owner’s full name, CDS number, Trainer’s full name; Coach’s full name & copies of each applicable membership card, BEFORE the day of competition. The scores of competitors who fail to supply correct numbers may not be counted toward year-end awards (see CDS Omnibus).

CONDITION OF ENTRY: Every horse entered for competition will be under the control of the Horse Show Management, but the Horse Show Management will, in no case, be responsible for any loss or damage that may occur, and it shall be a condition of entry that each exhibitor shall hold the Horse Show; its Directors and Employees, and CDS Pomona Chapter; its Directors and Employees, harmless for any loss or accident, to his horse, horses or equipment which may occur from accident, sickness, fire or otherwise.

CLOSING OF ENTRIES: Entries close and must be received by March 29, 2018, (the “Closing Date”). Entries are accepted on a first-come, first-served basis until classes are filled. All entries received after the closing date will be accepted only if schedule permits. Each late entry received after March 29, 2018 shall be assessed a late fee of $20.00.

REFUSAL OF ENTRIES: Horse Show Management reserves the right to refuse, accept conditionally, or cancel any entries of any exhibitors.

REFUNDS: A refund will be given for any reason until the Closing Date of the show. Absolutely no refunds after the Closing Date. Scratches or class changes accepted until closing date. Changes will incur a $35.00 change fee and will be made only in the sole and absolute discretion of Horse Show Management.

RETURNED CHECKS: Checks returned by the bank for any reason will be charged an additional 10% penalty ($25.00 minimum). Accounts will be given ten (10) calendar days to be paid in full with cash or cash equivalent or they will be turned into the Federation and/or CDS for further disciplinary action.

RESPONSIBILITY: All owners will be held responsible for any damage incurred by them, and their agents or employees, to buildings and other properties on the show grounds, and shall be handled accordingly.

DISCIPLINE: Exhibitors are warned that any act of discourtesy or disobedience to the officials of this show on part of the owner, exhibitor, agent, lessee, trainer, coach, groom, rider, handler or family of the above, will disqualify the horse from adjudication. The Horse Show Management reserves the right to remove a horse, owner, exhibitor, agent, lessee, trainer, coach, groom, rider or handler from the show without being liable for compensation or damages.

MANAGEMENT: The Horse Show Management reserves the right to interpret all questions and conditions in regard to or arising out of incident to the show without claims for damages or recourse of any kind. All questions not covered in these rules and regulations shall be decided by the Horse Show Management, with their decision to be final. The Horse Show Management reserves to itself the right to: refuse, accept conditionally or cancel any entries, disqualify riders or exhibitors, prohibit entries and cancel award prizes without claim for damages, cancel or combine any classes, reschedule classes and rotate judges in order to facilitate the time schedule.

CANCELLATION: In the event of rain or inclement weather prior to the show, it is the competitor’s responsibility to call the Horse Show Management to determine whether the show is canceled. Shows are not canceled due to rain unless footing is deemed unsafe. If this show is canceled for any reason, a $25.00 per day fee will be retained from each entry fee.

SHOW OFFICE: Exhibitors are encouraged to check-in promptly upon first arrival on the show grounds. The show office will be open approximately 1 hour before start of show and until approximately 1 hour after the last ride of the day. Horse Show Management can be reached at (714) 993-7456 or on day of show at (951) 201-0686.

RULES & INFORMATION (continued):

TESTS: Current USDF, USEF, and FEI tests will be used. FEI and Musical Freestyle are offered.

SCORED TESTS will only be distributed to riders, or their authorized representatives, after the results have been finalized and the awards presented.

READING TESTS: Reading tests is perfectly acceptable at our shows. However, we want to make sure everyone is safe and this includes our readers as well as our riders. After a few narrow misses with exuberant horses, we’ve decided that readers should be a MINIMUM of 6 feet away from any perimeter of the dressage court. Readers may stand near “E” or “B,” but if two courts are present then the reader should stand OUTSIDE the fence as to be at least 6 feet away from the perimeter of the court.

NUMBER OF TESTS: Horses may compete in no more than one Recognized Competition on the same day(s) and are limited to a maximum of three Dressage rides per day at Fourth Level and below or two Dressage rides per day above Fourth Level. Dressage Seat Equitation and Materiale classes are excluded from the maximum limit of rides per day and horses in these classes may compete at any level for which they are otherwise eligible during the same competition.

RIDING TIMES: Ride times will be available on the Chapter website www.cdspomonachapter.org by the Wedenesday of the week of the show. Please call Show Management for times if you are unable to access the website. Ride times will also be posted on the show grounds at the show office during the show. Be sure to check your times at the show office on the morning of the show to make sure nothing has changed.

RIBBONS & AWARDS: In each class, the first place winner will recieve an award. Ribbons are given to fifth place.

JUDGES: If for any reason a judge fails to attend the show or to perform his duties, the Horse Show Management reserves the right to substitute a judge for one who was officially designated in the Premium.

JUNIORS: All minors/juniors must be supervised by their parent/guardian or authorized agent at all times while at or on the show grounds, whether riding or on foot. The parent/guardian or authorized agent shall assume all responsibility to protect juniors from any injury, damage, harm and/or loss and shall identify, defend and hold CDS, USDF, USEF and Horse Show Management harmless there from. All juniors must wear properly fitted protective headgear (ASTM/SEI) while riding anywhere on the grounds at any CDS, USDF, USEF recognized event. Harness must be secured and properly fitted. It is the responsibility of the rider, or the parent or guardian of the junior exhibitor to see to it that the headgear worn complies with appropriate safety standards for protective headgear intended for equestrian use and is properly fitted and in good condition.Horse Show Management and licensed officials are not responsible for checking headgear worn for such compliance. CDS, USDF, USEF makes no representation or warranty, express or implied, that any protective headgear and cautions riders that death or serious injury may result despite wearing such headgear as all equestrian sports involved inherent dangerous risk and as such no helmet can protect against all foreseeable injuries.

AMATEUR & JUNIOR CERTIFICATION: Every person who has reached his/her 18th birthday and competes in classes for amateurs under Federation rules must possess current amateur certification issued by the Federation. This certification must be available for inspection or the competitor must have lodged with the competition secretary, at least one hour prior to such class, an application for such certification provided by the Federation. Forms may be obtained from the Federation. Certification will be issued only on receipt of the application properly signed and is revocable at any time for cause. Any person who has not reached his/her 18th birthday is an amateur and does not require amateur certification. (See USEF GR1306 and GR1307) For purposes of competition in the Dressage Division: Individuals are eligible as Juniors until the end of the calendar year in which they reach the age of 18. Individuals are eligible as Young Riders from the beginning of the calendar year in which they reach the age of 22. Competitors shall compete as adults from the beginning of the calendar year in which they reach the age of 22. Individuals possessing current amateur certification are only eligible as Adult Amateurs from the beginning of the calendar year in which they reach the age of 22. (See USEF DR119.3) You must specify on the entry which section you are entered in A (Am) or J (Junior)/Young Rider (YR).

UNRATED CLASSES: CDS recognized shows may offer unrated classes including but not limited to USDF Intro tests,USEA eventing tests and Western Dressage tests. The mandatory helmet rule shall apply. Riders and horse owners in unrated classes at CDS recognized shows are exempt from the CDS non-member fee but must complete the CDS non-member information form.

DRESSAGE SEAT EQUITATION: Junior/Young Rider class open to those riders 21 years and under. Adult Amateur class open to adult amateur riders 22 years and older. This is a rail class. Multiple horses/riders will be in the ring together.

PAS de DEUX: Riders may compete in costume (boots and helmet still required) for this class only.

MATERIALE: The Materiale class is intended to give young horses and ponies an opportunity to be shown and judged under saddle and to evaluate their potential as a sport horse. Horses and ponies at least 36 months of age may be entered in the Materiale Class. Entrants will be evaluated according to the criteria listed on the “USDF Materiale Class Scoresheet,” which shall include the walk, trot and canter in both directions of the arena with no more than six to canter at the same time. 4 & 5

RULES & INFORMATION (continued):

year old horses and ponies may be asked to lengthen stride at the trot and at the canter, but not if 3 year olds are in the same class. If entries warrant, the class may be split into separate classes for 3 year olds and for 4 & 5 year olds. Rider’s dress must conform to USEF DR 120.

STABLE AVAILABILITY: No stabling is available at this show.

SHARPS CONTAINER LOCATION: The sharps container will be located in the show office.

ARENA DIMENSIONS AND FOOTING: Show arena is 20 m x 60 m. Warm-up arena is at least 150 ft x 80 ft. Footing consists of mainly sand, crumbled rubber, and DG in the show arena and in the warm-up arena. Only those horses entered in the show are permitted use of the show facilities, warm-up arena and show area. All horses in the warm-up arena must wear competition numbers. No lunging in the warm up arena.

DOGS: All dogs must be on a leash. No exceptions.

PARKING: Please note that only vehicles with horse trailers are allowed to park inside of the gates. All “solo” vehicles (that is, not hitched to a horse trailer) are asked to park outside of the gates nearest the show arena. There is a limited amount of available horse trailer space and we want our show to be safe and competitor friendly. In addition, we must have clear access for emergency vehicles. There is a limited amount of parking near the show office for those with special needs. Prior arrangements must be made with the Horse Show Management by calling (714) 993-7456. Thank you in advance for your cooperation in making this a safe and competitor friendly show.

PROTECTIVE HEADGEAR: (Effective April 1, 2013) From the time horses are officially admitted to the competition grounds by competition management, anyone mounted on a horse at any time on the competition grounds, including non-competing riders, riders on non-competing horses, and those competing in all classes and tests, including Para-Equestrian tests, must wear protective headgear as defined by this rule and otherwise in compliance with GR801. Any rider violating this rule at any time must immediately be prohibited from further riding until such headgear is properly in place. Protective headgear is defined as a riding helmet which meets or exceeds ASTM (American Society for Testing and Materials)/SEI (Safety Equipment Institute) standards for equestrian use and carries the SEI tag. The harness must be secured and properly fitted.

SHOW FEE SCHEDULE

USDF Introductory Level .................................................... each $35.00

Training Level through Fourth Level ....................................each $40.00

FEI, Freestyle, Pas de Deux ................................................. each $50.00

Dressage Seat Equitation .................................................... each $25.00

Western Dressage (Test of Choice) .............................................. $40.00

Materiale .................................................................................... $25.00

Office Fee (per entry) ................................................................. $25.00

Grounds Fee (per horse) ............................................................. $20.00

CDFA Drug Fee (mandatory per horse) ...................................... $ 5.00

CDS Travel Grant (mandatory per horse) ..................................... $ 3.00

Carol Plough Scholarship ........................................................Donation

Sharon Carpenter Scholarship .................................................Donation

Non-Competing Horse Fee (per horse)**.................................... $20.00

Late Fee (per entry) .................................................................... $20.00

Change Fee (any change) ............................................................ $35.00

Returned Check Fee (10% of Check) .................................... $25.00 min

Non-Member Fees (per entry):

CDS Non-Member Fee $15.00* (for each different rider & owner)

*For CDS recognized shows in CA, NV, OR & AZ, CDS agrees to a reciprocal non-member system where CDS will waive the CDS nonmember fee IF the competitor and/or owner is a member of another USDF GMO & in return Horse Show Management will not charge CDS members a non-member fee for any other GMO. Please send a copy of your current USDF GMO membership card with entry.

**Non-competing horses must pay the $20 Non-Competing horse fee, the Office Fee ($25), the Grounds Fee ($20), and the CDFA Drug Fee ($5).

If not specified as Open (O), Adult Amateur (AA) or Junior/Young Rider (JR/YR) on the entry form, you will be entered in the OPEN division.

VOLUNTEERS NEEDED!Volunteers are what make our shows run so well. We are always in need of helpful people to do various jobs at our shows. Examples of positions are: scribe, runner, warm up arena steward, show arena steward, set up, and tear down of the courts. Remember that Pomona Chapter members, and non-members who have paid the nominating fee, need to have volunteered for 4 hours per horse/rider combination this show season in order to be eligible for Year End Awards. If you would like to

volunteer to help at this show, please contact Dhana Holck (714) 993-7456.

2018 YEAR-END AWARDS QUALIFICATIONS:

Pomona Chapter Members,

Please be aware of the following changes to qualify for 2018 Year End Awards.

To be eligible for any Pomona Chapter Year End Awards, the rider must comply with the following:

• Be a Pomona Chapter active member in good standing at the time the scores are earned OR pay a nominating fee of $35 to the Pomona Chapter. The nominating fee allows non Pomona Chapter members to be eligible for year end awards. The fee must be paid on or before August 31st of the competition year.

• Donate four hours of volunteer service for each horse/rider combination ie) a rider showing 3 horses must have a total of 12 volunteer hours to be eligible for CDS Pomona Chapter Year End Awards. Hours can only be donated to a rider by an immediate family member or the owner of the horse that is being ridden.

• The Champion horse/rider combination at any given level may NOT be won in two (2) consecutive years. The Reserve Champion horse/rider combination at any given level is eligible to compete for Championship at the same level in consecutive years.

• For Introductory through Fourth Level, the horse/rider combination must compete at a MINIMUM of two Chapter recognized shows and obtain a MINIMUM of three scores at the same level/division. For Prix St. Georges through Grand Prix, the horse/rider combination must compete in a MINIMUM of two Chapter recognized shows and obtain a MINIMUM of two scores at the same level/division. The scores will be averaged and the highest percentage will be Champion, the second highest percentage will be Reserve Champion in each division, as described above.

• Dressage Seat Equitation Awards are available as Adult Amateur and Junior/Young Rider and based on RIDER ONLY. The rider must compete at a MINIMUM of two Chapter recognized shows and obtain a MINIMUM of two scores in the Dressage Seat Equitation classes offered at any Pomona Chapter recognized show. The scores will be averaged and the highest percentage will be Champion and the second highest percentage will be Reserve Champion.

• Prior year Pomona Chapter Champion and Reserve Champion at a given level may win a Season High Score Award at the same level in successive years.

• Horse/rider combinations are only eligible for awards in consecutive levels (i.e. Training and First, but not Training and Second)

The complete set of Standing Rules can be found on our website www.cdspomonachpater.org.

It takes a lot of time and energy to run our horse shows and keep our Chapter humming! These changes will increase membership involvement in the day-to-day running of the Chapter and give each competitor a fair opportunity for an award. Thank you for your support and good luck in 2018!!

SHARON CARPENTER-POMONA CHAPTER SCHOLARSHIP FUND:

The Sharon Carpenter-Pomona Chapter Scholarship was started to honor the life of Sharon Carpenter after her death in September 2006 following her long battle with cancer. Sharon’s fierce determination to live became evident to all who knew her. As well as her determination to defy the cancer at every turn, Sharon never lost her dedication to her horses or her ability to see the possibilities of overcoming challenges. The phrase “I can’t” was never an option for her. As a CDS Pomona Chapter member, Sharon celebrated the successes of her Dutch Warmblood, Salute, during his first show season. Sharon took every opportunity to ride Salute and enjoy all of the pleasures of being near her horses. Sharon was also an amazing volunteer for Children’s Hospital of Orange County and several other charities. The criteria for receiving the scholarship are based upon Sharon’s goals and commitments of loving and learning with her horses while also giving back to people through volunteer work at multiple charities.

The Sharon Carpenter-Pomona Chapter scholarship is intended for Pomona Chapter members, over the age of 21, who have shown training level or above within the last three years and also contributed to the chapter as a volunteer within the last three years.

Each year, the interest from the scholarship fund will be given out in increments of $500. If the amount of interest allows, more than one scholarship will be awarded. Chapter members have to send in their applications to the scholarship committee by April of each year. When CDS updates their website you can apply for the scholarship in 2018 by downloading the form from http://www.california-dressage.org/PDF_files/SCHOLforms12.pdf.

Maverick Ridge Riders’ Arena is located in the City of West Covina at 330 South Citrus St. near the 10 FWY.

DIRECTIONS:From the 10 Fwy West: Take the Citrus Street Exit. Go South on Citrus Street (Left turn back under/over freeway). Turn left into Maverick Baseball Field and Ridge Riders’ Arena driveway. Follow road back passed baseball field. Trailer parking lot is on left side before chain link gate.

From the 10 Fwy East: Take the Citrus Street Exit. Go South on Citrus Street. Turn left into Maverick Base-ball Field and Ridge Riders’ Arena driveway. Follow road back passed baseball field. Trailer parking lot is on left side before chain link gate.

Nearby Restaurants/Fast Food:Subway Sandwiches & Salads Starbucks2848 E. Workman Avenue #135 2820 E. Workman Ave #1West Covina West Covina

IHOP Del Taco702 S. Citrus Avenue, Covina 459 S Citrus Ave, Covina

McDonald’s In-N-Out3030 E. Garvey Ave South 2940 E. Garvey Ave

SPRING FLING DRESSAGECLASS LIST

Sunday, April 8, 2018

EVERY CLASS OFFERED HEREIN WHICH IS COVERED BY THE RULES AND SPECIFICATIONS OF THE CURRENT FEDERATION RULEBOOK WILL BE CONDUCTED AND JUDGED IN ACCORDANCE THERE WITH.

INTRODUCTORY LEVEL – all classes $35.00Class# Class Name Section Fee100 USDF Introductory Level Test A A-J $35.00101 USDF Introductory Level Test B A-J $35.00102 USDF Introductory Level Test C A-J $35.00

TRAINING LEVEL- FOURTH LEVEL – all classes $40.00Class# Class Name Section Fee110 Training Level Test 1 O-A-J $40.00111 Training Level Test 2 O-A-J $40.00112 Training Level Test 3 O-A-J $40.00113 First Level Test 1 O-A-J $40.00114 First Level Test 2 O-A-J $40.00115 First Level Test 3 O-A-J $40.00116 Second Level Test 1 O-A-J $40.00117 Second Level Test 2 O-A-J $40.00118 Second Level Test 3 O-A-J $40.00119 Third Level Test 1 O-A-J $40.00120 Third Level Test 2 O-A-J $40.00121 Third Level Test 3 O-A-J $40.00122 Fourth Level Test 1 O-A-J $40.00123 Fourth Level Test 2 O-A-J $40.00124 Fourth Level Test 3 O-A-J $40.00

FEI DIVISION - all classes $50.00 Class# Class Name Section Fee130 Prix St. Georges O-A-J $50.00131 Intermediate A O-A-J $50.00132 Intermediate I O-A-J $50.00133 Intermediate B O-A-J $50.00134 Intermediate II O-A-J $50.00135 Grand Prix O-A-J $50.00136 Grand Prix Special O-A-J $50.00

MISCELLANEOUS CLASSES Class# Class Name Section Fee140 Dressage Seat Equitation JR/YR $25.00141 Dressage Seat Equitation A/A $25.00142 USDF Freestyle Test of Choice (Training - Fourth Level) O-A- J $50.00 143 FEI Freestyle Test of Choice O-A-J $50.00 144 USDF Pas de Deux Freestyle O-A-J $50.00 145 Materiale - Fillies and Mares O-A-J $25.00146 Materiale - Colts, Geldings, & Stallions O-A-J $25.00

SPRING FLING WESTERN DRESSAGE CLASS LIST

Sunday, April 8, 2018

EVERY CLASS OFFERED HEREIN WHICH IS COVERED BY THE RULES AND SPECIFICATIONS OF THE CURRENT FEDERATION RULEBOOK WILL BE CONDUCTED AND JUDGED IN ACCORDANCE THERE WITH.

WESTERN DRESSAGE – all classes $40.00

Class# Class Name Section Fee150 Western Dressage Intro Level Test 1 O-A-J $40.00151 Western Dressage Intro Level Test 2 O-A-J $40.00152 Western Dressage Intro Level Test 3 O-A-J $40.00153 Western Dressage Intro Level Test 4 O-A-J $40.00

154 Western Dressage Basic Level Test 1 O-A-J $40.00155 Western Dressage Basic Level Test 2 O-A-J $40.00156 Western Dressage Basic Level Test 3 O-A-J $40.00157 Western Dressage Basic Level Test 4 O-A-J $40.00

158 Western Dressage Level 1 Test 1 O-A-J $40.00159 Western Dressage Level 1 Test 2 O-A-J $40.00160 Western Dressage Level 1 Test 3 O-A-J $40.00161 Western Dressage Level 1 Test 4 O-A-J $40.00

162 Western Dressage Level 2 Test 1 O-A-J $40.00163 Western Dressage Level 2 Test 2 O-A-J $40.00164 Western Dressage Level 2 Test 3 O-A-J $40.00165 Western Dressage Level 2 Test 4 O-A-J $40.00

166 Western Dressage Level 3 Test 1 O-A-J $40.00167 Western Dressage Level 3 Test 2 O-A-J $40.00168 Western Dressage Level 3 Test 3 O-A-J $40.00169 Western Dressage Level 3 Test 4 O-A-J $40.00

170 Western Dressage Freestyle Basic Level O-A-J $40.00171 Western Dressage Freestyle Level 1 O-A-J $40.00172 Western Dressage Freestyle Level 2 O-A-J $40.00173 Western Dressage Freestyle Level 3 O-A-J $40.00

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CLASS # / FEE:

TOTAL CLASS FEES:

MISCELLANEOUS ORGANIZATION FEES:

CDFA Drug Fee (Mandatory) @ $5 $5

CDS Travel Grant (Mandatory) @ $3 $3

CDS Non-Member Fee @ $15(applies to each different Rider, Owner)

Grounds, Haul-in or Day Use Fee (per horse) $20

CDS Junior Donation

Region VII YR Donation

Carol Plough Donation

Sharon Carpenter Scholarship Donation

Advertising or Sponsorship

Non-competing (schooling) horse ($20)

Change Fee ($35)

Late Fee ($20)

Office Fee (per entry) $25

CAWDA High Point Fee (WD participants only, per entry) $3

GRAND TOTAL FEES:

CHECK PAYABLE TO: CDS Pomona Chapter

HORSE INFORMATION

Name:

Breed/Breed Registry Initials:

Sex: Height: Color:

Sire:

Dam:

Damsire:

Country of Birth: Year Born:

Breeder:

Passport No.:

RIDER INFORMATION

Name:

Address:

City: State: Zip:

Phone:

Fax:

EMAIL:

Rider Status (check one): OPEN ADULT AMATEUR JR/YR

Adult Amateur - USEF Amateur card is MANDATORY

JR/YR Date of Birth:

Rider CDS #:

CDS Pomona Chapter Entry Form - CDS RATED SHOWCOMPLETE BOTH PAGES - ENCLOSE COPIES OF ALL CARDS - SIGN! - Entrant/Signer is responsible for knowledge of all Show Rules and of all applicable rules from recognizing authorities.

Mail to: Diana Muravez SHOW: Spring Fling Dressage Show SHOW DATE: April 8, 2018 ENTRIES CLOSE: March 29, 2018 2552 Los Cerritos Lane Fallbrook, CA 92028

OWNER INFORMATION

Name:

Address:

City: State: Zip:

Phone:

Fax:

EMAIL:

Owner CDS #:

TRAINER INFORMATION

Name:

Address:

City: State: Zip:

Phone:

Fax:

EMAIL:

Trainer CDS #:

Entry AgreementBy entering this 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 Rules of USEF , California Dressage Society and the local rules of the Competition. I agree to release and hold harmless the competition, CDS, 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, USEF 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.

Release, Assumption of Risk, Waiver, and IndemnificationThis 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 USEF, CDS and the “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, lessee, owner, agent, trainer, or as parent or guardian of a junior exhibitor. I am fully aware and acknowl-edge 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.

I AGREE to hold harmless and release USEF, CDS 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 equip-ment 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 on the official USEF accident/injury report form.

BY SIGNING BELOW, I AGREE to be bound by all applicable 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.

SIGN ALL THREE LINES, EVEN IF SAME PERSON - MANDATORY

RIDER / DRIVER / HANDLER

1. Signature ________________________________________________

Print Name ________________________________________________

OWNER / AGENT

2. Signature ________________________________________________

Print Name ________________________________________________

TRAINER: Adult on grounds with responsibility for the horse

3. Signature ________________________________________________

Print Name ________________________________________________

EMERGENCY CONTACT PHONE

NUMBER

MANDATORY

___________________________

SIGN IF APPLICABLE

COACH Signature __________________________________________

Print Name ________________________________________________

PARENT / GUARDIAN

Signature __________________________________________________

Required if Rider/Handler is a minor

Print Name ________________________________________________

CDS Pomona Spring Fling Dressage Show