waha august show
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Wisconsin Arabian Horse Association
August AVS Show
Aug 6-8th, 2021
Performance/Halter/Western Dressage Judge: Dr. Karlan Downing
“R” Arabian, “R” Western Dressage
Dressage/Sport Horse Judge: Carol Bishop “R” Dressage
AHA Value Show A Region 10 Championship Qualifying Show
Pre-entries close July 21th, 2021
Jefferson County Fair Park Jefferson, Wisconsin
Performance, Dressage, Western Dressage, Sport Horse,
Ranch Horse, All Breed Opportunity Classes & much more!
WDAA Recognized Show #21-354
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Show Officials
Show Manager Nancy Miller (608) 825-9986 nmfr7@charter.net
Dressage Coordinator Nancy Miller (608) 825-9986 nmfr7@charter.net
Show Secretary Leesa Burhow 715-643-2494 lrberhowhss@gmail.com
N12861 190th Street, Boyceville, WI 54725
Barn Manager/Bedding Supplier Jamie Wright (630) 329-0172 waha.youthcoordinator@gmail.com
Ring Master TBA
Announcer TBA
Paddock Announcer TBA
Photographer Highland Photography (715) 533-3321 www.highlandphotos.net
Veterinarian ON CALL ONLY Wisconsin Equine Clinic & Hospital
39151 Delafield Rd Oconomowoc, WI 53066 (262) 569-1550
Show Committee Jessica DillinghamNancy Miller Nyssa Sheridan
Show Office Hours: Open Thursday at 12:00 p.m. to 8:00 p.m. Open one hour before the beginning of show each day and open at least one-half hour
after the end of evening/last session. Open all other times during all sessions. You may check out as soon as you have entered your last class, but make
sure it is your LAST class.
Jefferson Area Motels AmericInn 1456 S Ryan Ave., Jefferson (920) 674-4404 Days Inn, I94 &
Hwy 26, Johnson Creek (920) 699-8000
Hilltop Motel, 200 E. Truman St, Jefferson (920) 674-4610
Johnson Creek Comfort Suites, 725 Paradise Lane, Johnson Creek (920) 699-2800
Holiday Inn Express, 1880 Madison Ave., Fort Atkinson (920) 563-3030
Best Western, 1225 Janesville Ave., Fort Atkinson (920) 563-6444
Super 8, 1730 S. Church St., Watertown (920) 261-1188
Directions to Jefferson County Fair Park From Madison/Milwaukee: From Madison - Take I-94E towards Milwaukee; From Milwaukee - Take I-94W towards Madison; Take exit 267 towards Johnson Creek/Hwy 26; Stay straight to go onto the frontage road; Turn Right on Hwy 26 South heading toward Jefferson/Ft. Atkinson; Follow Hwy 26 South until you come to Hwy 26BR (Business Route); Merge onto Hwy 26BR heading South into Jefferson; Turn Right onto Puerner Street; Follow Puerner Street into the fairpark.
From Beloit: Take I-39N/I-90W towards Janesville/Madison; Take exit 171A towards Hwy 26N - Janesville/Milton/Ft. Atkinson;
Continue following Hwy 26 North; Merge onto US -18 East towards Jefferson; Turn Left onto N Jackson Street. Fairpark will be
located 1/2 mile on the left.
Opportunity classes are Open to ALL BREEDS
Arabian& Half Arabians may cross enter between Rated & Opportunity
classes with the exception of Western Dressage Opportunity Classes
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WAHA August Show Fees
REQUIRED FEES: Pre-Entry Post-Entry Office Fee $20 $25
AHA 9-90 Fee ($5 Resolution 9-90 & $5 Results Processing) $10 $10
Horse/Tack Stall (includes 2 bags of shavings) $85 $85
Other Fees:
Performance & Halter Class Fee $20 $25
Sport Horse Class Fee $25 $30
Dressage Class Fee $30 $35
Western Dressage Class Fee $30 $35
Walk-Trot Pleasure/Equitation/Showmanship Class Fee $20 $25
Opportunity Class Fee $20 $25
Stick Horse/Leadline Class Fee No Charge No Charge
Fun Class Fee (Ribbons only) $0 $0
No Show Fee (per class) $5 $5
Camping Fee Daily $35 $35
Option Class Add Fee (Includes class entry fee) $50 $50
Incomplete Entry Fee $25 $25
Class Sponsorships $25 $25
Shavings (per bag) $9 $9
Non-Member Fees
AHA Single Event Membership Fee (non-member) Exempt if only entering opportunity classes
$35
NSF Checks: There is a $50 penalty for all checks returned due to non-sufficient funds. Returned checks not paid within two weeks after being notified will be turned over to AHA for collection.
WAHA Prizes & Jackpot Program
Halter/Performance/Sport Horse/Dressage/Opportunity/Fun Classes - 6 ribbons.
Championship Classes - 2 ribbons & trophy.
Medal Classes - 8 ribbons & medal
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When making entries, be sure to include the items listed below. If entries are not complete, a $25 Incomplete Entry Fee will be applied.
Required Entry Information: 1. A copy of the Registration Papers showing proof of ownership and registration for each horse being entered. Any Farm or Entity
owning and showing a horse must be a member of AHA, and that membership number must be on the entry form.
2. Copies of AHA Competition membership cards of each owner, trainer, driver, rider, handler and agent or trainer or pay $35 per
person AHA Single Event Membership (SEM) fee. Walk Trot entries, Opportunity entries, and Leadline riders are exempt.
3. Western Dressage riders looking to submit WDAA results need to include membership information. Dressage riders:
Dressage/SHIH classes may not run in class number order or by day due to scheduling. Management has the right to limit
Dressage Rides and SHIH Go’s. Both are offered on a first come/first served basis.
4. Entry Form must be complete with Owner/Trainer/Rider information and must contain 3 signatures on the back. An adult
signature is required for all Youth exhibitors. Waiver & Release Liability Form MUST be signed and included.
5. A signed check made payable to WAHA covering all fees. No post dated checks & No BLANK CHECKS. Entries received without
full payment of all fees will be considered post-entries.
GENERAL INFORMATION
6. AHA MEMBERSHIP STATEMENT: EACH 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)
7. Physical Inspection: Any horse who exhibits questionable symptoms must be immediately removed from the show grounds. Examination or
treatment not requested by show officials shall be on a private practice basis.
8. Liability: All entries are accepted with the understanding that the Wisconsin Arabian Horse Association, Region 10, and/or the Jefferson
County Fair Park will not be held responsible for any loss, damage, or injury to any horse exhibited or any kind of article. All horses shall be
under the control and direction of the Show Committee but solely at the risk of the exhibitor, who will be responsible for any loss, damage, or
injury to any person, animal, or property occasioned by him, his agents or employees, or by any animal owned or exhibited by him, and shall
indemnify the WAHA Board against any and all loss, including damages and liability thus occasioned, including but not limited to any and all
legal costs, including attorney fees, which may be incurred as a result thereof. The submitting of an entry form to the Show Secretary shall
constitute an acceptance by each person signing same of the provisions herein set forth.
9. Attendants/Grooms/Headers: No person will be permitted to enter the ring except participants in the class, judges, their assistants, and show
officials. Attendants, grooms, and/or headers may enter the ring only when summoned by order of the judge. Headers will be permitted in all driving
classes.
10. Halter Classes: Horses in breeding and in-hand classes will use the In The Ring procedure. Products may not be applied to hoof or hide to
conceal a conformation defect. Clear or transparent products may be used on hooves for Breeding or In-Hand classes. Each horse must be present
at the in-gate and ready to enter the ring when its number is called. Any horse not present and ready to enter the ring will not be admitted
to the class.
11. Warm-Up Facilities & Competition Arenas: On Friday, Saturday, and Sunday the two indoor arenas will be available for warm up. Arenas: Indoor
80’ x 150’; North ring 115’ x 225’; West ring 150’ x 250’ with sand footing.
12. Stallions: PB and HA stallions may be shown by ladies or junior exhibitors in any class except Walk-Trot, Showmanship and Leadline classes.
Half-Arabian/Anglo-Arabian stallions two years or over may compete in performance classes.
13. Class Size: The show committee reserves the right to split or combine any class with duplicate awards presented.
14. Call for Classes: The two-minute rule will be strictly enforced. If time is needed for a tack change, the gate must be notified. All tack
changes must be made at the ring entrance.
15. PA System: Due to possible unforeseen problems with any mechanical device, the PA system and class calls over that system are considered
a courtesy. It is the exhibitor’s responsibility to have his horse at the gate at the prescribed time. While every effort will be made to maintain a
working PA system, no protest will be upheld nor will any section be changed on the basis of a PA system problem.
16. Pets: Pets will be allowed on the grounds but must be on a leash. Pet owners are required to supply an official rabies vaccination certificate
showing date of vaccination and serum used.
17. Overnight Camping: Overnight camping facilities are available with electric and water hookup priced per night depending on the service
required. Payment of the camping fee is made to WAHA at the time of check in, and the Fair Park office will issue a camping permit that must
be displayed in the window.
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18. Stalls: Permanent stalls with stall fronts will be available at the show. Tack stalls may be limited at the discretion of show management. Each horse
must be assigned a separate stall (except mares with suckling foals). Stalls will be available by noon on Thursday. Showing from a trailer is
not permitted. No smoking in the barns will be strictly enforced
19. Bedding and Hay: Bedding will be available for sale at the show for $9/bag. No grain, pellets, or hay will be for sale.
20. Stall Assignments: Stalls are limited. Therefore, stall assignments will be made on a first come, first served basis based on the following:
a) Members of the WAHA Show Committee.
b) Class sponsors paid/US government postmarked before entry closing date.
c) Stalls paid in order of US government postmark date. Paid stall orders with the same postmark date will be assigned in inverse order to the
number of PAID stalls per order whenever possible. Show Management may exercise discretion in regard to stabling placement. Metered
postmarks are not acceptable.
21. No Shows: There will be a $5 penalty assessed for “no shows.” If you have entered a class and are not going to show in that class, you must notify
the Show Office and gate before that class enters the ring or pay a $5 penalty/class. There will be NO REFUND for No Shows.
22. Open Checks: No “open” checks will be accepted for pre-entry fees or stall reservations. All pre-entries and stall reservations must be
accompanied by fully completed, negotiable checks dated on or before the close of entries date. Entries received without such checks will be
returned.
23. NSF Check Policy: There is a $50 penalty for each check returned due to non-sufficient funds. In addition, either of the following may result in
termination of personal and/or business check privileges in payment for any charges to WAHA shows or to WAHA for any other charges
(including but not limited to dues and/or fees for WAHA programs): 1. Failure to fully and promptly pay for entries, fees, stabling, and related
items (including but not limited to such things as hay, grain, camping, electrical hookups, services, dues, programs, or any other show expense)
or for any other WAHA expenses (such as dues and/or fees for WAHA programs; and/or 2. Presenting two NSF checks to WAHA in any one
calendar year.
24. Hoof Length, Shoes and Pads: Management reserves the right to request measurement of toe length, shoe dimensions, and remove shoes and/or
pads for hoof inspection of any and all horses in any class. Shoes may be pulled and inspected at random.
25. Printing Errors: The Show Committee is not responsible for errors in printing. Corrections of any error will be posted in the Show Office.
26. Refunds: Stall fees and office fees will not be refunded under any circumstance. Entry fees for entries cancelled before the official closing date
for pre-entries will be returned. Refunds of entry fees will be made after the closing date for pre-entries upon presentation of a Veterinarian’s
Certificate to the Show Secretary by the end of the last of the class of the show. No refunds will be made thereafter.
27. Discipline: Exhibitors are warned that 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 (GR 702). Any action(s) against a horse by an exhibitor which are
deemed excessive by a judge, federation steward, technical delegate or show veterinarian, in the competition ring or anywhere on the
competition grounds may be punished by official warning, elimination, or other sanctions which may be deemed appropriate by the Show
Committee. GR702 & GR703
28. Health Papers/Coggins Test: An official health certificate issued within 30 days of the show by a licensed veterinarian must accompany all horses
not residing in the State of Wisconsin. A negative Coggins certificate issued within the current calendar year must accompany all horses.
The health and original Coggins certificates must be available for inspection at the time of check in.
USEF GR845 Equine Vaccination Rule
1. At Federation licensed competitions, horses entering the grounds must be accompanied by documentation of Equine Influenza Virus and Equine
Herpes Virus (Rhinopneumonitis) vaccinations within six months prior to entering the stables. Horses not in compliance with this rule may be
required to leave the competition grounds upon request by Competition Management. Documentation should consist of one of the following
methods mentioned below. The frequency of vaccine administration should be per the vaccine manufacturers’ or veterinarian’s recommendations. It
is recommended that vaccines are administered by or under the direction of a veterinarian.
2. In the case of vaccines administered by a veterinarian, the exhibitor, upon request by Competition Management, must provide documentation from the
veterinarian on documenting that the horse in question received the vaccinations; name of the vaccines and date of vaccine administration.
3. In the case of vaccines administered by a person other than a veterinarian, the exhibitor, upon request by Competition Management, must provide a
receipt of the vaccine purchase which is signed by the owner, or agent with care, custody, and control of the horse; name, serial number and
expiration date of the vaccine; and date of vaccine administration.
4. In the case of a horse that is unable to receive either of the vaccinations due to a history of adverse reactions, the exhibitor, upon request by
Competition Management, must provide a letter from the veterinarian on official letterhead stating that the horse in question cannot be vaccinated
due to medical concerns and a log of temperatures taken twice daily for the seven days prior to entering the competition grounds. These horses
must also have their temperature taken and logged twice daily while on the competition grounds. The log of temperatures should be provided to the
Competition Management, steward, or technical delegate when requested.
5. Competition Management may not amend or enhance vaccination requirements without prior approval of the Veterinary Committee. BOD 1/17/15
Effective 12/1/15.
29. Opportunity Class Specifications: These classes are not rated and are open to ALL BREEDS. Show Clothes or Academy attire
are required. No Training Tack Allowed. Horses may cross enter into rated Division if Arabian or Half Arabian.
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FRIDAY SESSION I (Time TBA) 1 450 HA/AA Gelding 2 & Under
2 450 HA/AA Gelding In-Hand 3 & Over
3 451 HA/AA Gelding In-Hand Championship
4 456 HA/AA Gelding In-Hand AOTH
5 400 HA/AA Mare Breeding 2 & Under
6 400 HA/AA Mare Breeding 3 & Over
7 401 HA/AA Mare Breeding Championship
8 406 HA/AA Mare Breeding AOTH
9 1 Arabian Mare Breeding 2 Years & Under
10 1 Arabian Mare Breeding 3 Years & Over
11 2 Arabian Mare Breeding Championship
12 3 Arabian Mare Breeding AOTH
13 Opportunity Green As Grass Halter (Horse to have never won any halter class)
14 1156 HA/AA Performance Halter Mares 3 & Over
15 1446 HA/AA Performance Halter Geldings 3 & Over
16 1512 Arabian Performance Halter Mares 3 & Over
17 2078 Arabian Performance Halter Geldings 3 & Over
18 2018 Arabian Performance Halter Stallions 3 & Over
19 Opportunity Ranch Horse Conformation (open to all breeds)
20 3006 Arabian Ranch Horse Riding Open
21 3026 HA/AA Ranch Horse Riding Open
22 3008 Arabian Ranch Horse Riding ATR
23 3028 HA/AA Ranch Horse Riding ATR
Friday Session II (Not B/4 11 AM) 24 Opportunity Walk/Trot Pleasure Open
25 95 Arabian Country English Pleasure Ladies & Gentlemen To Ride
26 190 Arabian Western Pleasure Open
27 560 HA/AA Country English Pleasure AAOTR
28 925 Saddle Seat Equitation JTR
29 Opportunity Saddle Seat Pleasure W/T/C Open
30 733 HA/AA Hunter Pleasure Ladies & Gentlemen
31 192 Arabian Western Pleasure AOTS
32 754 HA/AA English Show Hack Open
33 951 Western Horsemanship JTR
34 299 Arabian Hunter Pleasure ATR
35 75 Arabian English Pleasure Ladies & Gentlemen
36 3136 HA/AA Western Pleasure ATR Select Rider
37 939 Hunter Seat Equitation Not To Jump JTR
38 1357 Western Horsemanship AATR
39 104 Arabian Country English Pleasure ATR
40 1337 HA/AA Western Pleasure JTR
41 752 HA/AA Hunter Pleasure AAOTR 40 & Over
42 931 AHA Reining Seat Medal JTR
43 Opportunity Walk/Trot Pleasure 10 & Under
44 206 Arabian Western Pleasure AATR
45 590 HA/AA Mounted Native Costume Open
46 290 Arabian Hunter Pleasure Ladies & Gentlemen
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Friday Session III (Start Time TBA) 47 1329 Arabian Hunter Pleasure JTR
48 115 Arabian Country English Pleasure AAOTR
49 620 HA/AA Western Pleasure Open
50 890 A/HA/AA Western Pleasure Walk/Trot 10 & Under
51 Opportunity Western Pleasure W/T/C Open
52 290 Arabian Hunter Pleasure Novice Horse
53 1339 HA/AA Hunter Pleasure JTR
54 165 Arabian Ladies Side Saddle Open
55 540 HA/AA Country English Pleasure Ladies & Gentlemen To Ride
56 619 HA/AA Western Pleasure AATR
57 83 Arabian English Pleasure ATR
58 752 HA/AA Hunter Pleasure AAOTR 19-39
59 309 Arabian Hunter Pleasure AAOTR 40 & Over
60 Opportunity Walk/Trot Novice Rider
61 1327 Arabian Western Pleasure JTR
62 315 Arabian English Show Hack Open
63 515 HA/AA English Pleasure Ladies & Gentlemen
64 292 Arabian Hunter Pleasure AOTS
65 Opportunity Walk/Trot Rider Age 11-18
66 733 HA/AA Hunter Pleasure Limit Horse
67 1335 HA/AA Country English Pleasure JTR
68 1373 Saddle Seat Equitation AATR
69 Opportunity Hunter Seat Pleasure W/T/C Open
70 150 Arabian Mounted Native Costume Open
71 938 AHA Hunter Seat Not To Jump Medal JTR
Fun Classes! No Charge and Open to All. Stick around for socializing and ice cream at this time too! Enter at the gate
72 Horse Costume Class
73 Dog Costume
74 Dog Race
75 Ride a Buck Open
76 Bribe a Horse
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Saturday Session I (Start Time TBA) 77 26 Arabian Gelding In-Hand 2 & Under
78 26 Arabian Gelding In-Hand 3 & Over
79 27 Arabian Gelding In-Hand Championship
80 28 Arabian Gelding In-Hand AOTH
81 14 Arabian Stallion Breeding 2 & Under
82 14 Arabian Stallion Breeding 3 & Over
83 15 Arabian Stallion Breeding Championship
84 16 Arabian Stallion Breeding AOTH
85 Opportunity Showmanship
86 1371 Showmanship at Halter AATH
87 918 Showmanship at Halter JTH
88 Opportunity Walk/Trot Rider 18 & Over
89 622 HA/AA Western Pleasure AOTS
90 290 Arabian Hunter Pleasure Limit Horse
91 759 HA/AA English Show Hack ATR
92 1338 HA/AA Hunter Pleasure JOTR
93 950 AHA Western Horsemanship Medal JTR
94 204 Arabian Western Pleasure Junior Horse
95 735 HA/AA Hunter Pleasure AOTS
96 2242 Arabian Hunter Pleasure JTR Select Rider
97 2636 HA/AA Country English Pleasure ATR Select Rider
98 95 Arabian Country English Pleasure Open
99 640 HA/AA Western Pleasure AAOTR
100 1631 Arabian Hunter Pleasure AATR
101 907 Western Seat Equitation Walk/Trot 10 & Under
102 2946 HA/AA Hunter Pleasure ATR Select Rider
103 531 HA/AA English Pleasure Junior Horse
104 321 Arabian English Show Hack ATR
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Saturday Session II (Start Time TBA) 105 Lead Line Riders 2-6
106 305 Arabian Hunter Pleasure Junior Horse
107 605 HA/AA Ladies Side Saddle Open
108 890 A/HA/AA Hunter/Country English Pleasure Walk/Trot 10 & Under
109 208 Arabian Western Pleasure AAOTR
110 733 HA/AA Hunter Pleasure Open
111 1328 Arabian Hunter Pleasure JOTR
112 636 HA/AA Western Pleasure Junior Horse
113 396 Arabian English Pleasure JTR
114 1633 Arabian Country English Pleasure AATR
115 540 HA/AA Country English Pleasure Open
116 190 Arabian Western Pleasure Ladies & Gentlemen to Ride
117 524 HA/AA English Pleasure ATR
118 2952 HA/AA Hunter Pleasure JTR Select Rider
119 309 Arabian Hunter Pleasure AAOTR 19-39
120 1336 HA/AA Western Pleasure JOTR
121 1630 HA/AA Hunter Pleasure AATR
122 1325 Arabian Country English Pleasure JTR
123 290 Arabian Hunter Pleasure Open
124 Opportunity Walk/Trot Equitation 10 & Under
125 111 Arabian Country English Pleasure Junior Horse
126 1640 HA/AA Country English Pleasure AATR
127 156 Arabian Mounted Native Costume ATR
128 1326 Arabian Western Pleasure JOTR
129 1378 Hunter Seat Equitation AATR
130 594 HA/AA Mounted Native Costume ATR
Saturday Session III (Start Time TBA)
131 2514 Western Dressage Suitability
132 2417 Western Dressage Hack
133 549 HA/AA Country English Pleasure ATR
134 2236 Arabian Hunter Pleasure ATR Select Rider
135 1333 HA/AA English Pleasure JTR
136 90 Arabian English Pleasure Junior Horse
137 1836 Arabian Country English Pleasure ATR Select Rider
138 907 Hunt/Saddle Seat Equitation Walk Trot 10 & Under
139 748 HA/AA Hunter Pleasure Junior Horse
140 1936 Arabian Western Pleasure ATR Select Rider
141 620 HA/AA Western Pleasure Ladies & Gentlemen
142 556 HA/AA Country English Pleasure Junior Horse
143 924 AHA Saddle Seat Medal JTR
A-O 15 Option Classes
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Dressage/Western Dressage Arena
Class#
AHA#
Friday (Start Time TBA)
200 All Breed Western Dressage Intro Test 1
201 All Breed Western Dressage Basic Test 1
202 All Breed Western Dressage Level 1 Test 1
203 All Breed Western Dressage Level 2 Test 1
204 All Breed Western Dressage Level 3 TOC
205 2201 Western Dressage Intro Test 2
206 2301 Western Dressage Basic Test 1
207 2401 Western Dressage Level 1 Test 3
208 2501 Western Dressage Level 2 Test 1
209 1375 Introductory Dressage Walk/Trot ATR Test A
210 847 Training Level Test 1 Junior Horse
211 790 Training Level Test 1 Open
212 792 Training Level, Test 2 ATR
213 792 Training Level, Test 3 ATR
214 797 First Level, Test 2
215 801 First Level, Test 3 ATR
216 1807 Second Level, Test 1
217 1807 Second Level, Test 2
218 1810 Second Level, Test 2 ATR
219 818 Third Level, Test 1 ATR
220 815 Third Level, Test 2
221 823 Fourth Level Test 1
222 823 Fourth Level Test 2
214
2201
Saturday (8:00 AM) Western Dressage Intro Test 1
218 2201 Western Dressage Intro Test 2
216 2301 Western Dressage Basic Test 2
217 2401 Western Dressage Level 1 Test 1
218 2501 Western Dressage Level 2 Test 3
219 2301 Western Dressage Basic Test 3
220 2401 Western Dressage Level 1 Test 2
All Breed Western Dressage Intro Test 4
All Breed Western Dressage Basic Test 2
All Breed Western Dressage Level 1 Test 3
All Breed Western Dressage Level 2 Test 4
All Breed Western Dressage Level 4 TOC
221 1375 Introductory Dressage Walk/Trot ATR Test B
222 792 Training Level, Test 1 ATR
223 790 Training Level, Test 2 Open
224 790 Training Level, Test 3 Open
225 797 First Level, Test 1 Open
226 801 First Level, Test 2 ATR
227 797 First Level, Test 3 Open
228 1810 Second Level, Test 1 ATR
229 1807 Second Level, Test 3 Open
230 1810 Second Level, Test 3 ATR
231 815 Third Level, Test 1 Open
232 815 Third Level, Test 3 Open
233 823 Fourth Level, Test 3 Open
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Sunday (8:00 AM) (Dressage Arena)
234 2201 Western Dressage Intro Test 3
235 2301 Western Dressage Basic Test 4
236 2401 Western Dressage Level 1 Test 4
237 2501 Western Dressage Level 2 Test 4
238 2601 Western Dressage Level 3 Test 4
239 2701 Western Dressage Level 4 Test 4
240 All Breed Western Dressage Intro Test 3
241 All Breed Western Dressage Basic Test 4
242 All Breed Western Dressage Level 1 Test 4
243 All Breed Western Dressage Level 2 Test 2
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Sport Horse Classes
Friday Morning 08:00 AM Main Arena (Run concurrently while Dressage Ring is running Western Dressage)
SPORT HORSE IN HAND
CLASSES
(Classes may not run in order)
Class#
300
AHA #
39
SHIH – Arabian Mares 2 & Over
301 43 SHIH – Arabian Mares 2 & over ATH
302 39 SHIH -- Arabian Yearling Fillies
303 1695 Sport Horse Showmanship
Saturday Morning 08:00 AM Main Arena (Run concurrently while Dressage Ring is running Western Dressage)
304 53 SHIH – Arabian Geldings 2 & Over
305 57 SHIH – Arabian Geldings 2 & over ATH
306 53 SHIH – Arabian Yearling Colts/Geldings
307 46 SHIH – Arabian Stallions 2 & Over
308 50 SHIH -- Arabian Stallions ATH
Sunday Morning 08:00 Main Arena 309 475 SHIH – HA/AA Mares 2 & Over
310 479 SHIH -- HA/AA Mares 2 & over ATH
311 475 SHIH -- HA/AA Yearling Fillies
312 494 SHIH – HA/AA Geldings 2 & Over
313 498 SHIH -- HA/AA Geldings 2 & over ATH
314 494 SHIH -- HA/AA Yearling Colts/Geldings
315 484 SHIH- HA/AA Stallions 2 & Over
NQ Opportunity Sport Horse in Hand Open
NQ Opportunity Sport Horse in Hand ATH
SPORT HORSE UNDER SADDLE CLASSES (Start Time 30 minutes after last In Hand Go)
316 429 Dressage Seat Equitation ATR
317 347 Arabian Sport Horse Show Hack
318 434 AHA Dressage Seat Medal JTR
319 773 HA/AA Sport Horse Under Saddle Open
320 339 Arabian Sport Horse Under Saddle ATR
321 779 HA/AA Sport Horse Under Saddle Junior Horse
322 335 Arabian Sport Horse Under Saddle Open
323 777 HA/AA Sport Horse Under Saddle ATR
324 341 Arabian Sport Horse Under Saddle Junior Horse
325 1050 HA/AA Sport Horse Show Hack
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CLASSES BY DIVISION
HUNTER PLEASURE DIVISION
ARABIAN HUNTER PLEASURE OPEN CLASSES
Arabian Hunter Pleasure – Ladies & Gentlemen
Arabian Hunter Pleasure – Novice Horse
Arabian Hunter Pleasure – Limit Horse
Arabian Hunter Pleasure – Junior Horse
Arabian Hunter Pleasure – Open
ARABIAN HUNTER PLEASURE ATR/JTR CLASSES
HA/AA HUNTER PLEASURE OPEN CLASSES
HA/AA Hunter Pleasure – Ladies & Gentlemen
HA/AA Hunter Pleasure – Limit Horse
HA/AA Hunter Pleasure – Open
HA/AA Hunter Pleasure – Junior Horse
HA/AA HUNTER PLEASURE ATR/JTR CLASSES
Arabian Hunter Pleasure – ATR HA/AA Hunter Pleasure – AAOTR 40 & Over
Arabian Hunter Pleasure – AAOTR 40 & Over HA/AA Hunter Pleasure – AAOTR 19-39
Arabian Hunter Pleasure – AATR HA/AA Hunter Pleasure – ATR Select Rider
Arabian Hunter Pleasure – AAOTR 19-39 HA/AA Hunter Pleasure – AATR
Arabian Hunter Pleasure – ATR Select Rider HA/AA Hunter Pleasure – JTR
Arabian Hunter Pleasure – JTR HA/AA Hunter Pleasure – JOTR
Arabian Hunter Pleasure – JTR Select Rider HA/AA Hunter Pleasure – JTR Select Rider
Arabian Hunter Pleasure- AOTS HA/AA Hunter Pleasure- AOTS
Arabian Hunter Pleasure – JOTR
ENGLISH PLEASURE DIVISION
ARABIAN ENGLISH PLEASURE CLASSES HA/AA ENGLISH PLEASURE CLASSES
Arabian English Pleasure -- Ladies & Gentlemen
Arabian English Pleasure -- Junior Horse
Arabian English Pleasure -- ATR
Arabian English Pleasure -- JTR
HA/AA English Pleasure -- Ladies & Gentlemen
HA/AA English Pleasure -- Junior Horse
HA/AA English Pleasure—ATR
HA/AA English Pleasure -- JTR
COUNTRY ENGLISH PLEASURE DIVISION
ARABIAN COUNTRY ENGLISH PLEASURE OPEN CLASSES
Arabian Country English Pleasure -- Ladies & Gents
Arabian Country English Pleasure – Open
Arabian Country English Pleasure – Junior Horse
ARABIAN COUNTRY ENGLISH ATR/JTR CLASSES
Arabian Country English Pleasure – ATR
Arabian Country English Pleasure – AAOTR
Arabian Country English Pleasure -- AATR
Arabian Country English Pleasure – ATR Select Rider
Arabian Country English Pleasure – JTR
HA/AA COUNTRY ENGLISH PLEASURE OPEN CLASSES
HA/AA Country English Pleasure – Ladies & Gents
HA/AA Country English Pleasure – Open
HA/AA Country English Pleasure – Junior Horse
HA/AA COUNTRY ENGLISH ATR/JTR CLASSES
HA/AA Country English Pleasure – AAOTR
HA/AA Country English Pleasure – ATR Select Rider
HA/AA Country English Pleasure – AATR
HA/AA Country English Pleasure -- ATR
HA/AA Country English Pleasure – JTR
WESTERN PLEASURE DIVISION
ARABIAN WESTERN PLEASURE OPEN CLASSES
Arabian Western Pleasure – Open
Arabian Western Pleasure – Junior Horse
Arabian Western Pleasure – Ladies & Gentlemen ARABIAN WESTERN PLEASURE ATR/JTR CLASSES
Arabian Western Pleasure – AATR
Arabian Western Pleasure – AAOTR
Arabian Western Pleasure – ATR Select Rider
Arabian Western Pleasure- AOTS
Arabian Western Pleasure – JTR
Arabian Western Pleasure – JOTR
HA/AA WESTERN PLEASURE OPEN CLASSES
HA/AA Western Pleasure – Open
HA/AA Western Pleasure – Junior Horse
HA/AA Western Pleasure – Ladies & Gentlemen HA/AA WESTERN PLEASURE ATR/JTR CLASSES
HA/AA Western Pleasure – ATR Select Rider
HA/AA Western Pleasure – AATR
HA/AA Western Pleasure – AAOTR
HA/AA Western Pleasure-AOTS
HA/AA Western Pleasure – JTR
HA/AA Western Pleasure – JOTR
14
A/HA/AA EQUITATION, WALK-TROT & SHOWMANSHIP DIVISIONS
Saddle Seat Equitation—JTR 18 & Under A/HA/AA Western Pleasure Walk/Trot 10 & Under
Saddle Seat Equitation—AATR Western Seat Equitation Walk/Trot 10 & Under
AHA Saddle Seat Medal JTR Hunter/Country English Pleasure Walk/Trot 10 & Under
Hunter Seat Equitation, Not to Jump—JTR 18 & Under Hunt/Saddle Seat Equitation Walk/Trot 10 & Under
Hunter Seat Equitation, Not to Jump—AATR Showmanship at Halter – AATH
AHA Hunter Seat Not To Jump Medal JTR Showmanship at Halter – JTH
Western Horsemanship—JTR 18 & Under AHA Reining Seat Medal JTR
Western Horsemanship—AATR
AHA Western Horsemanship Medal JTR
MISCELLANEOUS CLASSES
Arabian Mounted Native Costume - Open Arabian Ranch Horse Riding Open
Arabian Mounted Native Costume – ATR Arabian Ranch Horse Riding ATR
HA/AA Mounted Native Costume – Open HA/AA Ranch Horse Riding Open
HA/AA Mounted Native Costume – ATR HA/AA Ranch Horse Riding ATR
Arabian Show Hack Open Opportunity Walk Trot Pleasure Open
Arabian Show Hack ATR Opportunity Walk Trot Pleasure 10 & Under
HA/AA Show Hack Open Opportunity Walk Trot Equitation 10 & Under
HA/AA Show Hack ATR Opportunity Hunter Pleasure W/T/C Open
Arabian Ladies Side Saddle Open Opportunity Western Pleasure W/T/C Open
HA/AA Ladies Side Saddle Open Opportunity Saddle Seat Pleasure W/T/C Open
Lead Line Riders 2-6 Years Old Opportunity Walk-Trot Novice Rider
Opportunity Green as Grass Halter (Horse never to have won a halter class)
Opportunity Walk-Trot 19 & Over
Opportunity Showmanship Opportunity Walk-Trot 11-18
HALTER DIVISION
ARABIAN HALTER
Arabian Mare Breeding 2 & Under
Arabian Mare Breeding 3 & Over
Arabian Mare Breeding Championship
Arabian Mare Breeding AOTH
Arabian Stallion Breeding 2 & Under
Arabian Stallion 3 Years & Over
Arabian Stallion Breeding Championship
Arabian Stallion Breeding AOTH
Arabian Gelding In Hand 2 & Under
Arabian Gelding In Hand 3 Years & Over
Arabian Gelding In Hand Championship
Arabian Gelding In Hand AOTH
Arabian Performance Halter Mares 3 & Over
Arabian Performance Halter Geldings 3 & Over
Arabian Performance Halter Stallions 3 & Over
HALF ARABIAN HALTER
HA/AA Geldings Type 2 & Under
HA/AA Gelding 3 & Over
HA/AA Geldings In Hand Championship
HA/AA Gelding In Hand AOTH
HA/AA Mare Breeding Stock/Hunter Type 2 & Under
HA/AA Mare Breeding Saddle Pl. Type 2 & Under
HA/AA Mare Breeding Jr. Championship
HA/AA Mare Breeding Saddle Pl Type 3 & Over
HA/AA Mare Breeding Stock/Hunter 3 & Over
HA/AA Mare Breeding Championship
HA/AA Mare Breeding AOTH $$$$
HA/AA Performance Halter Mares 3 & Over HA/AA Performance Halter Geldings 3 & Over
15
WAHA August Show AVS Stall Reservation Form All stalls include 2 bags of shavings
Name: _______________________________________________________________________________ Address: _____________________________________________________________________________ City, St. & Zip: _________________________________________________________________________ Phone: _________________________________Email:_________________________________________ Please Stable With: ____________________________________________________________________ Trainer’s Name (if applicable): ________________________________________________________ Trainer’s Phone Number: _______________________________________________ Total Number of Stalls @ $85/Stall: _____________________________________ Special Requests: ____________________________________________ Total Number of Bags of Shavings @ $9/bag: __________ If you are reserving stalls for clients, please indicate the number (all horses require a stall) of stalls reserved and the name of the clients. Stalls reserved for clients may not be resold.
Name of Client Number of Horse Stalls
Gender of Horse (if applicable)
Number of Tack Stall Who is submitting payment for stalls? (circle option)
Client/Trainer
Client/Trainer
Client/Trainer
Client/Trainer
Client/Trainer
Client/Trainer
Please continue list of clients on additional sheet of paper if necessary. Make checks payable to WAHA. Please include this form with your entries. Mail stall request with entry form. The show management reserves the right to reassign tack stalls for needed horse stalls. Reselling of stalls is not allowed. Only show management may sell stalls. Permanent stalls with stall fronts will be available Thursday, 08/05/2021 at noon. Bedding is available on a cash basis from the bedding supplier during the show. No grain will be for sale. Please contact barn manager, Jamie Wright, with questions or specific concerns at waha.youthcoordinator@gmail.com or (630) 329-0172
16
17
OPTION CLASSES
Please include this page with entries.
Choose from any Purebred or Half-Arabian class in the AHA Standard Class List except those in the following divisions: Cutting,
Working Cow, Reined Cow, Team Penning, Ranch Sorting, Carriage Pleasure Driving, Working Hunter, Jumper, Eventing,
Combined Driving, Dressage or Driven Dressage.
There will be a total of 20 Option Classes named (A-T) available and will run anytime during the show at your request. (For
example, if you choose to add a class and want it to run after Class 100, specify 100 below. Your class will be now named Class
100A).
Please fill out this form and mail with entries. The cost to add a class is $50 which includes the regular class entry fee. Option
Classes will be accepted on a first come-first served basis and are not guaranteed. We recommend that you send your Option
Request in prior to the entry closing date. There will be no post entry fees for those entering in Option Classes.
Class To Be Added
Class # To Be Held After: (First Choice) Class # To Be Held After: (Second Choice)
Class To Be Added
Class # To Be Held After: (First Choice) Class # To Be Held After: (Second Choice)
18
Mail to: Leesa Berhow WAHA August Show
N12561 190th Street
Boyceville, WI 54725
lrberhowhss@gmail.com Aug 6-8th, 2021 ENTRIES CLOSE JULY 21TH, 2020
PLEASE TYPE OR PRINT - ONLY ONE OWNER PER ENTRY FORM. All entries must be complete. Enclose correct fees, copies of horse registration papers,
purchse contract (if applicable), amateur certification (if applicable), WDAA cards (if applicable), AHA membership cards for each rider, driver, handler, and owner.
Name of First Horse Reg. No DOB Sex Color Height
Entry Fees
Sire Dam Horse USEF #
Rider/driver/handler (Walk Trot riders include DOB) AHA# & Exp date Class #s
$
Amateur relationship to Horse Owner:
Rider/driver/handler (Walk Trot riders include DOB) AHA# & Exp date Class #s
$
Amateur Relationship to Horse Owner:
For more than two riders with same horse, use next table, leaving horse data blank
Name of Second Horse Reg. No DOB Sex Color Height
Entry Fees
Sire Dam Horse USEF # Horse USDF #
Rider/driver/handler (Walk Trot riders include DOB) AHA# & Exp date Class #s
$
Amateur relationship to Horse Owner:
Rider/driver/handler (Walk Trot riders include DOB) AHA# & Exp date Class #s
$
Amateur relationship to Horse Owner:
***PHOTO COPIES REQUIRED of all Reg Papers and AHA cards
Horses entered only in opportunity classes do not need AHA membership cards, or the AHA fee. They will pay stall fee, class fees, & office fees only.
OWNER
Name
(as appears on reg papers or contract) (May attach mailing label)
AHA# &
Exp date
Address
USEF#
City, State
Zip
Email Phone #
TRAINER (Mandatory) AHA# & Exp date
Address
USEF#
City, State
Zip
Email Phone #
Each person signing this entry form acknowledges that he/she has read the front and reverse of this Entry Form and agrees to the applicable terms,
condition, waivers, releases, indemnification and consent as set forth herein. Each person agrees that the information is accurate to the best of his/her
knowledge. All owner, trainers, riders, drivers & handlers must sign on the back. Minor entrants must also have parent/guardian signature(s) on back.
Total Class Fees $
Required Fees per Horse:
Horse/Tack Stalls $85
$
AHA Fee $10/horse $
(Res 9-90 $5 / Recogn $5)
Office Fee $20/horse $
Office Fee $25/horse $ (after 7/21)
Make Checks Payable to: WAHA
AHA / Reg Papers / Signatures Coggins / Health
Ck# Amt Rec'd $ Credit / Balance Due $
Stable with: (Send entries together)
AHA SEM $35/person $
WDAA # if applicable:
Early Arrival $20/horse $
Credit Card Fee $15/horse $
Class Sponsor $25/Class $
Option Class Fee $50 $
Camping Fee $35/night $
Incomplete Entry $25 $
Total Due $
19
AHA ENTRY AGREEMENT I have read the rules concerning competitions as printed in the Arabian Horse Association (AHA) Handbook / Directory and Competition Prize List and agree to be bound by and subject to those Rules.
AHA ASSUMPTION OF RISK, RELEASE AND INDEMNIFICATION This document waives very important legal rights. Read it carefully before signing. In consideration for AHA permitting me to participate in this Competition, and by signing the entry blank, I agree as follows: I AGREE that I choose to participate voluntarily in this Competition, as a rider, driver, handler, lessee, owner, agent, coach, trainer, junior exhibitor, or as a parent or guardian of a junior exhibitor. I AM FULLY AWARE AND ACKNOWLEDGE THAT HORSE SPORTS AND PARTICIPATION IN THIS COMPETITION INVOLVE SERIOUS RISK OF HARM INCLUDING, BUT NOT LIMITED TO, RISKS OF ACCIDENT, SERIOUS BODILY INJURY, INCLUDING DEATH, BROKEN BONES, HEAD INJURIES, TRAUMA, PAIN, AND SUFFERING, AND PROPERTY DAMAGE. I ASSUME ALL RISKS OF HARM TO ME, MY HORSE OR MY PROPERTY. I AGREE as a Horse Show Participant (or Parent/Guardian of Participant if a minor) to waive all claims which may otherwise arise from, including but not limited to infectious bacteria, viruses, fungi/mold, parasites or other agents which may be present at the Horse Show (and most other outdoor locations) and can cause infection in humans, as well as in animals. I AGREE for myself, my heirs, executors, administrators, successors and assigns to release AHA, the Competition, the facilities leased by the Competition and the owner(s) of the facilities, and all of their respective officers, officials, directors, employees, agents, personnel, volunteers, affiliated organizations and insurers (collectively, the "Released Parties") from any and all claims for damage, loss, or injury to myself, other persons, horses or other property belonging to me to the fullest extent permitted by law that arises out of or relates in any way to the Competition and my participation in the Competition INCLUDING, BUT NOT LIMITED TO, DAMAGES, LOSS, OR INJURY RESULTING FROM ANY ACTS, FAILURE TO ACT, NEGLIGENCE OR NEGLECT OF OTHER ENTRANTS, THE RELEASED PARTIES, THEIR CONTRACTORS OR INVITEES, as well as for theft, vandalism, fire, other casualty damage, or damage arising out of any defects in the premises. I AGREE to indemnify and hold harmless (that is pay all losses, damages, attorneys fees and costs of) the Released Parties from and against any and all claims, demands, penalties, actions, losses, costs, damages, injuries, liabilities and obligations (including attorneys fees) of whatsoever kind and nature, which may be asserted against or incurred by any of them as a result of (1) my participation in the Competition or (2) any act, failure to act, or neglect (a) by me, my agents, employees, riders, handlers, trainers, coaches, drivers, contractors or invitees, or (b) by any animal owned or exhibited by me or in my custody or control. I AGREE and represent that I am qualified and eligible to enter and/or participate in the Competition, and every horse I am entering is qualified and eligible as entered. I AGREE to accept AS FINAL any decision of AHA, the Show Commission or Show Officials concerning my qualification or the qualification of my horse to enter the Competition or any results of the Competition, except to the extent that the Rules of AHA, the Competition, EC or USEF Equestrian permit a protest or hearing of such decisions. Should a hearing be requested, I agree to accept AS FINAL the decision of the particular hearing body. I agree to release, hold harmless and not to sue AHA, the Competition Sponsor, their officers, directors, employees, volunteers or members concerning any decision of AHA, the Competition, its Show Commission, Show Officials or any hearing body that relates to my qualifications or my horse(s)’ qualifications to enter the Competition or any results of the Competition. I AGREE that AHA has the sole right to control, sell, supervise or give away (or assign to others the right to do so) the exclusive rights to broadcast, televise, reproduce, transmit and disseminate all or part of this event, and I agree that AHA may use or assign, in any way AHA sees fit, photographs, films, videos, audios, cablecasts, or other likenesses of me and my horse taken during the course of the Competition for the promotion, coverage or benefit of the Competition or AHA. Those likenesses shall not be used to advertise a product and they may not be used in such a way which implies endorsement of any company, product, product category or service. 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. By signing below as a parent or guardian of a junior exhibitor, I consent to the child’s participation and agree to all of the above provisions, and further agree to assume all of the obligations of this AHA Assumption of Risk, Release and Indemnification personally and on behalf of the child. This AHA Assumption of Risk, Release and Indemnification is governed by the Laws of the State of Colorado and is intended to be interpreted as broadly as possible. I agree that exclusive jurisdiction and venue (place) for any legal action against AHA, its officers, directors, employees, volunteers or agents shall be in the local district courts or the federal court of the State of Colorado. If any part of this agreement is determined to be unenforceable, all other parts shall remain effect.
USEF 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 Arabian Horse Association and this 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. I HAVE CAREFULLY READ THIS DOCUMENT IN ITS ENTIRETY, UNDERSTAND ALL OF ITS TERMS AND CONDITIONS, AND KNOW IT CONTAINS AN ASSUMPTION OF RISK, RELEASE AND WAIVER FROM LIABILITY, AS WELL AS A HOLD HARMLESS AND INDEMNIFICATION 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 terms and conditions of this Agreement in connection with my (or the minor’s) participation in any USEF Event. If, despite this Agreement, I, or anyone on my behalf or the minor’s behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold harmless each of the Released Parties from any such Liabilities as the result of such claim.
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.
Owner ** Mandatory Must be Adult Print
Name
**Adult
Signature
Trainer or Custodian of horse @ show
** Mandatory Must be Adult
Name
**Adult
Signature
Rider 1 ** Mandatory Must be Adult Print
Name
**Adult
Signature
Rider 2 ** Mandatory Must be Adult Print
Name
**Adult
Signature
Coach – (if applicable) USEF # Print
Name
**Adult
Signature
Print Minor
Name Here
Print Parent/Guardian
Name Here
**Adult
Signature
Print Minor
Name Here
Print Parent/Guardian
Name Here
**Adult
Signature
****** EMERGENCY PHONE NUMBER FOR EXHIBITOR
MUST BE SIGNED IN AT LEAST 3 PLACES BY ADULTS ONLY
AHA or USEF/EC Membership is not required for Parents/Guardians signing for minors.
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