Entry - New York/Upper Connecticut Region, USPC

New York/Upper Connecticut Region
USPC Regional Quiz 2015
Sunday, April 12, 2015
BRIEFING at 8AM
Quiz will be held at Post University, 800 Country Club Road, Waterbury, CT 06723
There is no snow date so let's hope for good weather!
OPENING DATE: Feb. 4th
CLOSING DATE: March 24th
Note: Entries must be received by the Closing Date
Incomplete entries will be billed at $10 per incomplete competitor or missing form.
Please include ALL forms listed below to avoid penalty
REQUIRED FORMS: The following forms are required in order to have a complete
entry package:
1. NYUC 2015 Regional Quiz Entry Form (one per team or partial team)
2. NYUC 2015 Quiz Volunteer Form
3. USPC Uniform Chaperone Rules/Duties Form
4. NYUC Deposit Form and Photocopied Club Check
5. **USPC Activity & Rally Release Form (nonmembers must sign the release)
Note: Each competitor MUST wear an armband containing a copy of his/her
Medical Form.
ORGANIZERS:
Ridge Riders Pony Club – Chris Herbert, DC
Running Fox Pony Club - Alicia Noonan, DC and Beth Vaculik Jt-DC
Contact Information & Send Entries to:
Chris Herbert
116 Dickerson Ave.
Montgomery, NY 12549
(or [email protected])
ENTRY FEE: $30 per competitor payable by Club check or money order to NY/UC
Region. No personal checks. Refunds are $15 with medical excuse. Entries are limited
and will be filled on a first come first serve basis in order of date received. Priority will
be given to Pony Clubbers with National Intent in Quiz.
RULES: The Quiz will be conducted in accordance with the 2015 USPC Handbook and
Rules for Quiz Competition. The Quiz will consist of classroom, barn, stations,
Mega-Room and a written test. (Paddock boots and helmets are not required).
DIVISIONS: Pony Clubbers will compete in divisions according to age (as of January 1,
2015) and rating, in teams of three or four.
Junior D/Unrated - 12 years of age or less Senior D/Unrated - 13 years of age and up
Junior C - 14 years of age or less
Senior C - 15 years of age and up
Regional competitors under the age of 10 may be submitted, at the discretion of the DC.
C level competition may be opened to college level teams, Horsemaster’s and guests. Details
TBD.
Each team must designate one member as a Captain. The organizer will select a Captain for any
scramble teams. Nationals Intent Competitors are required to be at least 10 years old as of
January 1, 2015.
STARTING TIME: Registration starts at 7:00 AM. Volunteer briefing is at 7:30
AM. Competitor briefing is at 8:00 AM. Please arrive and register promptly. No study
materials will be allowed into the competition areas. Please leave study material in your car.
FOOD: Please bring a bag lunch, snacks will be available. Fast food and delis are located
nearby. Please bring a snack to share.
CHAPERONES: A chaperone is needed for every team or for every four scramble
competitors. Chaperones must be nonmembers, 21 years of age or older and have read, signed
and submitted a Uniform Chaperone Rules/Duties Form. The chaperone must be available if
needed for their team and therefore should not be counted towards the clubs volunteer obligation;
however, some jobs such as room steward may be performed by chaperones.
VOLUNTEERS: We cannot run this event without the help of volunteers. We need a
MINIMUM of two volunteers per team or four scramble competitors. Extra volunteers are
welcome. Room size is limited; volunteers get a great view of the proceedings! Include Volunteer
Form with entry.
AWARDS: Ribbons for teams to 8th place in each division. There are perpetual trophies
for the team high score in each division.
CHAMPIONSHIPS: National competitors must be 10 years old or older as of January 1, 2015 and
be rated D2 or above by March 24, 2015 (the closing date of the regional qualifying rally). Any
D2 or D3 Pony Clubber wishing to try out for Championships in Lexington, VA must send in the
National Intent Form and attachments signed by the applicant, parent/guardian and the DC to
VRS Martha Ruff, 8 Spingvale Rd., Croton On Hudson, NY 10520 ([email protected]).
These forms must be received by March 24, 2015 (the closing date of the regional qualifying
rally). Please also make note of your national intent on your entry form. Parent or legal guardian
must be present at the National Candidates Team Meeting to organize the team(s) and
chaperone(s) going to Championships and to plan for practices, pay entry fees, and fill out
paperwork. The date for this organizational meeting is TBD.
ACCOMMODATIONS: Google Post Univ. or the Waterbury, CT area.
Directions to Post University
From I-84 EAST: (Going East toward Hartford/Boston) Exit 17 to Route 63 South. Left on
Country Club Road. From I-84 WEST: (Going West toward Danbury/New York) Exit 17 to
traffic light. Left on Route 63. Left on Country Club Road.
Proceed up the hill, past the library parking. A large parking lot will be on your left, just at
the end of campus.
2015 NYUC Regional Quiz Entry Form (one form per team)
Name of Pony Club: ______________________________________Region:_______
Division: (Circle one) Jr. D
Sr. D
Jr. C
Sr. C
HS/College/ Open Division
Name* __________________________Age___Rating_______ National Intent: Yes No
Name ___________________________Age ___Rating_______ National Intent: Yes No
Name ___________________________Age ___Rating_______ National Intent: Yes No
Name ___________________________Age ___Rating_______ National Intent: Yes No
Captain = * Ratings are as of March 24, 2015 (the closing date of the Quiz Rally)
National Intent: Pony Clubbers interested in qualifying for Quiz Championships in 2015
must send their fully completed national intent form to VRS Martha Ruff by March 24,
2015 (the closing date of rally).
Are there any special needs that we should be aware of for this team? (e.g., a reader for
the written, special accommodations etc.)
_______________________________________________________________________
As District Commissioner of the ___________________ Pony Club, I declare that the
above named Pony Clubbers are members of the USPC with all National and Regional
dues paid as of this date and are in good standing and the above information is valid.
DC Signature _________________________DC Name (printed)___________________
Chaperone (name, address, and phone)________________________________________
Volunteer (name, address, and phone) _________________________________________
Volunteer (name, address, and phone) _________________________________________
Checklist:
______ 2015 NYUC Regional Quiz Entry Form, one for each team (full or partial)
______ 2015 NYUC Quiz Volunteer Form for each volunteer
______ USPC Uniform Chaperone Rules/Duties Form for each chaperone
______ Club check or money order made payable to NY/UC Region
______ 2015 USPC Activity & Rally Release, per nonmember entry
______ NYUC Deposit Form and Photocopied Club Check (**NEW)
2015 NYUC Quiz Volunteer Form
Name _____________________________________Club________________________
Address_______________________________________________________________
Phone______________________________ E-mail______________________________
Note: All Quiz Volunteers for the below jobs should review the Quiz rulebook for their
job description in advance, and bring the Rulebook with them if they have it. The Quiz
Rulebook is available on the national web page (under rulebooks) for downloading in full
or part. Official volunteers must be adults but some C3 and up Pony Clubbers who want
to help may help with Organizer’s approval and a USPC Medical Release Form and a
chaperone designated for them. We encourage ALL Pony Clubbers to participate in the
competition.
I can help with:
_____ Quiz Timer (uses stopwatch to record time)
_____Quiz Scorekeeper (records items on Scoreboard/score sheet)
_____Room Steward/Hall Monitor/Runner
_____ Station, Mega-Room or Barn Table Monitor
Other, please describe _____________________________________________________
Qualifications/Experience:__________________________________________________
_______________________________________________________________________
Please submit one form per volunteer
New York Upper Connecticut
Pony Club
Deposit Form for NYUC Quiz Rally
*Please include a photocopy of the check if you are submitting the entry by e-mail
Check
number
Example:
1234
Amount of
Check
$120.00
Description of the Deposit (example:
4 – Quiz Rally Entries
TOTAL
Name of Person Submitting Request:________________________________________
Date of Submission: _________________________
Please list the name of all club members whose entries are covered by this (these) check(s):
1.
11.
2.
12.
3.
13.
4.
14.
5.
15.
6.
16.
7.
17.
8.
18.
9.
19.
10
20.