Jump for the Children

Transcription

All stalls must be paid in full with entry or stabling order.
Closing Date for Entries is October 22nd
Thank you for showing at Jump for the Children!!
‘Jump for the Children’ Horse Show
...benefiting Duke Children’s Hospital
Triangle Farms, Inc.
PO Box 735
Rolesville NC 27571
www.trianglefarms.com
‘Jump for the Children’ Horse Show
. . . benefiting Duke Children’s Hospital
& Health Center
‘Jump for the Children’ benefiting Duke Children’s Hospital & Health Center . . . Welcome to the 30th
Anniversary of a great horse show of top AA Hunters and Grand Prix Jumpers and the 30th year of our commitment to making a difference in the lives of the children at Duke Children’s Hospital!! As the longest continuously running fundraiser for Duke Children’s, ‘Jump for the Children’ has raised over $1.6 million for Duke
Children’s Hospital & Health Center since the show’s beginning in 1984.
We have so many to thank for 30 years of a horse show that continues to believe in “Making Miracles Happen for the Children”!! We thank the founder of the show, Pat LaFevers Holsten, and our many sponsors,
friends and committee members, who have been with us through the years. The 2013 ‘Jump for the Children’
Horse Show will be a show that thanks and recognizes so many for their work and commitment!!
The 2013 ‘Jump for the Children’ Horse Show will be the best ever!! We are honored to host the $10,000
USHJA International Hunter Derby, sponsored by Dr. Betsee Parker & Huntland, as our Feature Class on
Friday, just following the Duke Stick Horse Race!! We welcome great hunters and their riders and owners as
they show in the inaugural USHJA International Hunter Derby at ‘Jump for the Children’. And, a big thanks to
Dr. Betsee Parker and Huntland for the sponsorship!!
We thank our hunter and jumper exhibitors and trainers who put the Duke show on their fall calendar each
year. As in the 2012 show, we will offer more prize money in the AA hunters and new for 2013 is the USHJA
Pre-Green Hunter Incentive Stake Classes!! And, more “Good News”!! The Welcome Jumper Stake, the
Feature Class on Thursday evening, will offer more prize money - $10,000!! And, not to be missed, is the
‘Jump for the Children’ Leadline Class highlighting our future equestrians, followed by the thrilling $30,000
Duke Children’s Grand Prix on Saturday evening!!
Thank you for your continued support of ‘Jump for the Children’ and Duke Children’s Hospital & Health
Center. Please take a few minutes to read Jack’s story on the inside front cover, “A Heart to Care – A Duke
Children’s Patient Story”. Stories like Jack’s are the driving force, the passion, behind our continued commitment to Duke Children’s. We truly know that ‘Jump for the Children’ is not just another horse show, but
a horse show that makes a difference!!
We look forward to seeing you at ‘Jump for the Children’, November 5-10!!
Joan MacNair Petty
‘Jump for the Children’ Chairman
Bridget Gibbons MacNair
‘Jump for the Children’ Co-Chairman
Join us & Celebrate . . . 2013 ‘Jump for the Children’
Date/Time
Featured Event
Tues - Sun 7-9am
Wed - Sat
Thurs, 5:30-7pm
Thurs, 6pm
Friday, 4-5pm
Friday, 5pm
Friday, 5-7pm
Friday, 6pm
Saturday, 6pm
Saturday, 7pm
Saturday, 7:30pm
Morning Hospitality
Duke Children’s Silent Auction
Wine & Cheese Celebration
$10,000 Welcome Jumper Stake
‘Jump for the Children’ KID FUN!!
Duke Children’s Stick Horse Race
Duke Exhibitor’s Party
$10,000 USHJA International Hunter Derby
Sponsored by Dr. Betsee Parker and Huntland
2013 Grand Prix Sponsor Club
‘Jump for the Children’ Leadline
$30,000 Duke Children’s Grand Prix
Where there is Duke . . . there is Hope!
‘Jump for the Children’
HORSE SHOW RATE
. . . Benefiting Duke Children’s Hospital
Recognized by
USEF ~ NCHJA ~ VHSA ~ SCHJA ~ NAL ~ WIHS
HORSE SHOW CHAIRMEN
Chairman: Joan MacNair Petty, Parker CO
Co-Chairman: Bridget Gibbons MacNair, Apex, NC
Hot Breakfast Included
Large Guest Rooms
Next to Crabtree Valley Mall
Pet Friendly
2201 Summit Park Lane
Raleigh, NC 27612
919.881.9800
Show Manager:
SHOW OFFICIALS
Ralph Alfano
Wellington, FL 561/601-1436
Techincal Coordinator:
Jonathan (Vinny) Card
Judges: Hunters
Hunters
Hunters
Hunters
Jumpers
Rob Bielefeld
Leo Conroy
USEF Stewards:
Dorothy Trapp
Wayne Eubank
Course Designer:
Hunters Alan Lohman
Poolesville, MD
Jumpers Bernardo Cabral Portugal
Announcers:
Oliver Kennedy
Charles Broadfoot
Gerry Briggs
Brooksville, MD
Fayetteville, NC
Smyrna, TN
Ringmaster:
John Franzreb, III
Staten Island, NY
Stable Manager:
Vinny Card
Manakin-Sabot, VA 845/249-1688
Hospitality:
Cindy Newcomb
Wake Forest, NC
Awards:
Michelle Ginsburg
Raleigh, NC
Secretaries:
Annette Longenecker
Michele Markward
Annville, PA
Woodbine, MD
Veterinarian:
3H Veterinary Services
New Hill, NC
919/363-1686
Farrier:
Jim Bob Merritt
Asheboro, NC
336/302-3327
Phtographer:
Entries/Information:
Anne Gittens
Wellington, FL 561/791-4886
Triangle Farms Inc. Management and Consulting
Glenn & Joan Petty, Parker, CO 919/556-7321
www.trianglefarms.com
Manakin-Sabot, VA
Wellington, FL
Wellington, FL
Jean Marie Dunsford-Miller Keswick, VA
Kim Dorfman
Aiken, SC
Phil DeVita
Apopka, FL
Topsail Beach, NC
Fredericksburg, VA
[email protected]
Efax: 866/337-4229
DIRECTIONS
GOVERNOR JAMES B HUNT, JR HORSE COMPLEX, 4601 Trinity Road, Raleigh, NC (919) 839-4702
From I-40 west of Raleigh, take Exit 289 (Wade Ave), go 0.2 miles to Edwards Mill Exit, turn right and go ¼ mile to Trinity Rd, turn left at the
stoplight onto Trinity Rd, Gate H-4/Stable Entrance is on the right.
From I-440 Beltline take Exit 4 onto Wade Ave, go about 1 mile to Edwards Mill Exit, turn left and go ¼ mile to Trinity Rd, turn left at the stoplight onto Trinity Rd, Gate H-4/Stable Entrance is on the right.
Exhibitor Information – Rules and Regulations
Entries: Show entries must be received by US Mail, Federal Express or UPS, checks
payable to ‘Jump for the Children’ and mailed to Triangle Farms Inc, PO Box 735,
Rolesville, NC 27571. Entries must be postmarked by the Closing Date of October
22nd. Entries postmarked after October 22nd will be accepted with a $50 post entry
fee if stalls are available. No Phone, Fax or Email entries will be accepted. Entries
must be accompanied by full payment for stabling and nomination fees, and must be
signed by Owner, Rider and Trainer or Authorized Agent. Stabling is assigned on a
first come first serve basis by Triangle Farms Inc. All horses, showing or non-showing,
must be entered on the proper entry blank and pay an office fee and non-showing horse
fee if applicable. Entries scratched before the closing date or with a veterinarian certificate will be refunded entry fees except the office fee and stall if applicable. Stalls are nonrefundable after October 22nd. Exhibitors shall be responsible for the entry and stall of all
horses entered by them or their agents. Refunds due will be mailed within 30 days after
the show. All pony and junior hunters must present a current USEF measurement card in
the Show Office before numbers can be picked up. Horses without cards will be measured
at the show. All individuals competing in Amateur classes must present a current USEF
Amateur certification before numbers can be picked up. All competing horses must be
registered with the USHJA. An open check is required for all entries before numbers can
be picked up.
237.
$30,000 DUKE CHILDREN’S HOSPITAL BENEFIT GRAND PRIX
ENTRY FEE: $475
SPONSORED BY THE 2013 ‘JUMP
DUKE CHILDREN’S HOSPITAL
FOR THE
CHILDREN’ GRAND PRIX SPONSORS
OF
Declarations: Horses must be entered and declared by 6:00 PM the day before the
Grand Prix. All Grand Prix horses must be on the show grounds 24 hours prior to the
class to comply with the 24 hour rule. Horses not on the grounds prior to that time
will not be able to compete. Horses must have entry number on after check in.
Order of Go: The starting order will be drawn by the USEF Steward.
Poling: Absolutely no poling or offsets are allowed at any time on the show grounds.
Attire: Riders to be formally attired
Awards: Winners to ride for presentation of awards. Trophy and Ribbons 1-12.
Class Conditions: Table II2a National Standard
Prize Money Distribution: $9,000, $6,600, $3,900, $2,400, $1,800, $1,500, $1,200, $900,
$900, $600, $600, $600
FOXESRCOOL PERPETUAL TROPHY – GIVEN BY PAT LAFEVERS
Stabling: Stall reservations must be accompanied by full payment for all stalls at the
time the reservation is made, checks payable to ‘Jump for the Children’. Stall reservations will not be accepted without payment. Stalls available 8:00 AM Monday unless
special arrangements made in advance. 485 permanent stalls with doors plus 102 temporary stalls with doors under permanent roof. Non-stabled horses will be charged a
grounds fee. To assure accurate stabling and feed and bedding orders, trainers should
complete the stabling order form with all owners and exhibitors listed. Feed, hay, straw
and shavings can be pre-ordered and will be available on the show grounds for purchase.
All feed and bedding orders must be made in the horse show office by 4:00 PM daily. All
pick-up orders are subject to a $1.00 per item pick up charge. Local fire regulations prohibit the parking of vehicles in the fire lane adjacent to the stabling area. The fire marshal
enforces this regulation, and we ask your cooperation in abiding by this requirement. All
sharps must be disposed of in the proper containers.
Schooling: Show rings will be open for schooling on Monday with the indoor closing at
6:00 PM, the Covered at 7:00 PM, and Ring 3 at 5:00 PM. Ticketed Warm-ups, schooling
times, and flat work sessions will be posted and announced at the horse show. Schooling
jumps available in outdoor rings during show days.
Arenas: The main ring is 136 X 248 with sand, clay, sawdust mixture footing. All other
rings are 120 X 240 with rock dust screenings.
Non-Negotiable Checks: Checks returned for any reason will be assessed a penalty of
$50 or 5% of the check amount, whichever is greater. Upon notification of a returned
check, accounts will be given ten days to make full payment, including the penalty, which
must be paid in certified funds.
Prize Money: Prize money will be applied to shows bills with winnings in excess of the
bill being mailed within 30 days after the show. No checks will be issued during the
show. Prize money will not be awarded without name, address, and SS or Fed ID number
of prize money recipient on the entry blank.
Coggins Test: All exhibitors must DISPLAY a current negative coggins test taken within
one year of all horses to be admitted to and remain on the show grounds per State Law.
MAX BONHAM SPORTSMANSHIP TROPHY
GIVEN BY PINKY AND ED HIPP
In memory of Max Bonham and his unfailing sense of humor, love of the sport,
and support of the Duke Children’s Benefit Horse Show. To be awarded to a
nominated exhibitor, show official, or trainer who exemplifies the spirit of the
award. Nominations can be made in the horse show office by 3:00 PM Saturday.
FOUNDER’S JUNIOR SPORTSMANSHIP AWARD
GIVEN BY PAT LEFEVERS
Donated by Pat LeFevers, founder of the Duke Children’s Benefit Horse Show,
this award is presented to the nominated junior exhibitor who displays exceptional sportsmanship. Nominations can be made in the horse show office by 3:00
PM Saturday.
JUNIOR/AMATEUR-OWNER JUMPER SECTION
Dogs and Cats: No dogs or cats will be allowed in the Horse Show Arena, Show Office,
Open to horses ridden by an Amateur-Owner or an amateur member of the owner’s
family, or by a junior exhibitor. Entries competing in the Low Junior/Amateur-Owner
Jumper may move to up to compete in the High Junior/Amateur-Owner. Once an entry
has competed in the High Junior/Amateur-Owner Jumper that entry cannot compete in
the Low Junior/Amateur-Owner. To be eligible for the Low or High Junior/AmateurOwner Jumper Classic, a rider must have entered and shown in at least one other class of
the same division at the same show. Formal attire required for classic.
Campers: 60 complete camper hookups are available on the show grounds plus 200 addi-
$6,000 LOW JUNIOR/AMATEUR-OWNER JUMPER
tional spaces across the street. No reservations accepted. Security collects camper fees.
Helmets: ASTM/SEI approved helmets must be worn by all while jumping anywhere on the
show grounds and worn at all times while a junior is mounted. GR318.
Championship Awards: Will be made at announced times. Riders must be properly attired and
CHAMPIONSHIP COOLER SPONSORED BY LONG VIEW FARM
Championship Awarded. 1.30 Meter
Prize Money Distribution: $130, $100, $70, $60, $50, $30, $30, $30
227. $500 Low Junior/Amateur-Owner Jumper Table II.2b
228. $500 Low Junior/Amateur-Owner Jumper Table II.2b
Conference Room or Restaurant. All dogs and cats on the show grounds must be leashed
and under control of the owner or responsible person at all times. Violators will be fined
$100.
bring horse to ring in hand for the presentation of champion and reserve champion in each division. Photo
will be taken.
ENTRY FEE: $50
ENTRY FEE: $50
230.$5,000 LOW JUNIOR/AMATEUR-OWNER JUMPER CLASSIC
ENTRY FEE: $225
SPONSORED BY FOCUS CAROLINA OF ALLEN TATE REALTORS/MORGAN & KATIE WOMBLE
Table II.2a 1.30 Meter
Prize Money Distribution: $1,000, $800, $750, $650, $500, $350, $300, $250, $200, $200
Show Responsibility: Neither the show committee/staff, the show, the North Carolina
State Fairgrounds, Triangle Farms Management, nor Duke University will be responsible for
any accident, damage, loss or injury to mount, owner, rider or other persons on the show
grounds.
The Horse Show Advisory Board and Management reserves the right to reschedule, combine, close, add or delete any classes or change the announced officials as may be necessary
and in the best interest of the show.
Motorized Vehicles: Minors who do not have a valid driver's license which allows them to oper-
LOW JUNIOR/AMATEUR-OWNER JUMPER CHAMPION
LAURENCE F. KENT MEMORIAL TROPHY
GIVEN BY CAROL KENT
$9,500 HIGH JUNIOR/AMATEUR-OWNER JUMPER
SPONSORED BY FOX VIEW FARM/JOHN & SHIRLEY GAITHER
Championship Awarded. 1.40 Meter
231. $1,000 High Junior/Amateur-Owner Jumper Table II.2b
233. $1,000 High Junior/Amateur-Owner Jumper Table II.2b
ENTRY FEE: $80
ENTRY FEE: $80
234.$7,500 HIGH JUNIOR/AMATEUR-OWNER JUMPER CLASSIC
ENTRY FEE: $275
SPONSORED BY VISION QUEST WEALTH MANAGEMENT
Table II.2a 1.40 Meter
Prize Money Distribution: $2,250, $1,650, $975, $600, $450, $375, $325, $325, $275, $275
HIGH JUNIOR/AMATEUR-OWNER JUMPER CHAMPION
BENCHMARK CHALLENGE TROPHY – GIVEN BY MARY COKER
236. $10,000 WELCOME JUMPER STAKE
SPONSORED BY A FRIEND OF THE CHILDREN
ENTRY FEE: $300
Open to horses nominated for the jumper. Riders to be formally attired.
Table II2a 1.40 Meter
Prize Money Distribution: $3,000, $2,200, $1,500, $750, $550, $500, $450, $400, $350, $300
ate 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.
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 $30 nonmember registration 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 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.
EVERY CLASS OFFERED HEREIN WHICH IS COVERED BY THE RULES AND SPECIFICATIONS OF THE
CURRENT USEF RULEBOOK WILL BE CONDUCTED AND JUDGED IN ACCORDANCE THEREIN.
2012 ‘Jump for the Children’ Grand Prix Sponsor Club
. . . benefiting Duke Children’s Hospital
Grand Champion, Diamond & Platinum Sponsors
A Friend of the Children
Townsend Farm
Sara Making a Difference
Whispering Hope Stables/Amy Peters
A Friend of the Children
.
Greenleafe Inn
Triangle Farms, Inc./Glenn & Joan Petty
Farm Sponsors & Gold Sponsors
Ashley & Amanda Gasiorowski
I-Cubed
Barbara & Rob Bays
Long Creek Farms
Rob & Paige Miller
Cam Womble, LLC/Matrix Farm
Thomas Zahn Family Foundation
The Johnson Family
Jane McGuire
Cameron Family Foundation
Local Yogurt/Leah Bergman
Silver Sponsors
Cherokee Investment Partners
Dan & Anne McKay
Baxter Johnson Contracting
Dr. Lisa Tolnitch
The Cunningham Family
Bryan & Lucy Keith
Harmony Farm/Tami Jones
Heuckeroth Farm
Jane Murray
MacNair’s Country Acres
Crown BAS
Rufus & Linda Edmisten
Mardie Faucette
Fox View Farm/John & Shirley Gaither
Edgewood Properties
Hope Farm @ Cedar Creek Fork
The Midyette Family
Safari Club NC Triangle Chapter
Cab & Anna Barkley
Vision Quest Wealth Management
Randy & Susan Ward
Sedgefield Show Grounds
Buckhorn Farm/Colin & Bridget MacNair
Bronze Sponsors
Quiet Meadow Farm/Bob & Sandy Savage
Megan Cacchio/KMK Group
Brinley’s Grading
Juliana Zunde
Melea & Loren Kirk
Friendly City Civitan Club
NC Planning
Wayne & Billie Ann Peterson
J & J Pferde
Lillian & Gordon Richardson
Diane Wade
Kiddie Academy of Brier Creek
Focus Carolina/Morgan & Katie Womble
Championship Cooler, Equitation & Ribbon Sponsors
Raleigh Equine Lawyer/Dottie Burch
Ashley Hodges
Torihope Farm/Vicki Autry
Beth McClintic
Sea Breeze Farm/The Hoft Family
Carolyn Cheshire
Idlewild Farm/Kim Cummings
John & Teresa Sutter
Graham Place Show Horses
Darryl & Lynn Meeks
Reed & Alice Underhill
Cindy & Emily Roberts
Kim Kuepferle
Mike & Alicia Rosser
Sarah Nash
Robert & Jennifer Wine
Jane Fulton
Denis & Page Connaghan
Cloud’s Harbor/Pat Dodson & Keith Hastings
Holly Hach
Bob, Jan & Caroline Paul
Diana Harris
Emily Grace Swinson in memory of “Ruffles”
Amy Germuth/Eval Works LLC
Taylor Ellis & Peyton Womble
Dana & Wendy Jones/Matrix Farm
Ag Carolina Financial
A Friend of the Children Sponsors
Lynn Forgione
Kip Broadfoot
The Cain Family
Laurie Corr
Les & Suzanne Edwards
Ginny Reilly
Jim & Ruth Ann Duyer
Susan Gaines
Byway Farm/Merilee Ventura
Wayne Eubank
Amazing Grace Stables
Jackie Shapaker
Chevy Hogg
Cindy Newcomb
Sara Steady
Josh & Kimberly Hewitt
Robert & Christian Taylor
Carolina Cupcake/Katie Womble
Thanks to our 2013 ‘Jump for the Children’ Sponsors!!
With your help . . . we can “Make Miracles Happen for the Children at Duke Children’s Hospital”
$1500 1.25 METER JUMPER
ENTRY FEE: $35/CLASS
Championship awarded. Open to horses.
SPONSORED BY BAXTER JOHNSON CONTRACTING
209. $500 1.25 Meter Jumper, Table II
210. $500 1.25 Meter Jumper, Table II2b
$1500 1.30 METER JUMPER
SPONSORED BY SAFARI CLUB INTERNATIONAL NC TRIANGLE CHAPTER
Championship Awarded. Open to horses.
219. $500 1.30 Meter Jumper, Table II.1
$2,000 1.35 METER JUMPER
SPONSORED BY THE CUNNINGHAM FAMILY
Championship Awarded. Open to horses.
Prize Money Distribution: $500: $130, $100, $70, $60, $50, $30, $30, $30
$1,000: $275, $170, $125, $100, $90, $80, $80, $80
221.
$500 1.35 Meter Jumper, Table II2b
ENTRY FEE: $50
222.
$500 1.35 Meter Jumper, Table II.1
ENTRY FEE: $50
223.
$1,000 1.35 Meter Jumper, Table II2b
ENTRY FEE: $80
$2500 CHILDREN’S JUMPER
SPONSORED BY GREENLEAFE INN
Championship Awarded. Open to Juniors. Riders in this division are not eligible to
show in any other jumper classes where fence height exceeds 3’9” except equitation or
Pony Jumper classes. 1.10 Meter. Prize Money Distribution: $500: $150, $100, $75, $65,
$60, $50 $1,500: $325, $220, $180, $170, $155, $150, $150, $150
212. $500 Children’s Jumper, Table II2b
ENTRY FEE: $50
213. $500 Children’s Jumper, Table II.1
ENTRY FEE: $50
214. $1,500 NAL/WIHS CH Jumper Classic, II2a
ENTRY FEE: $150
$3500 ADULT AMATEUR JUMPER
SPONSORED BY BUCKHORN FARM/COLIN & BRIDGET MACNAIR
Championship Awarded. Open to Adult Amateurs. Riders in this division are not
eligible to show in any other jumper classes where fence height exceeds 3’9” except
equitation or Pony Jumper classes. 1.10 Meter. Prize Money Distribution: $500: $150,
$100, $75, $65, $60, $50
$2,500: $750, $450, $300, $250, $200, $200, $175, $175
215. $500 Adult Amateur Jumper, Table II2b
ENTRY FEE: $50
216. $500 Adult Amateur, Table II.1
ENTRY FEE: $50
217. $2,500 NAL/WIHS AA Jumper Classic, II2a
ENTRY FEE: $175
NAL/WIHS CHILDREN’S AND ADULT AMATEUR JUMPER CLASSICS
SPONSORED BY LOCAL YOGURT & LEAH BERGMAN
Class Conditions: To be eligible, a rider must have entered and shown in at least one
other class of the same division at the same show. Formal attire required. Winners to
ride for presentation of awards. Classics may be combined if there are less than 10
entries in either classic.
JUMPER DIVISION
NOMINATING FEE: To be eligible for the Junior/Amateur-Owner and classes Meter 1.25 and above, horses must be nominated
and the nomination fee of $150 be paid. Horses showing in jumper sections not requiring a nominating fee will pay the per
class fee and should enter their classes on the entry blank.
JUMP ORDER: Rotating jump orders will be established. Any entry declared after the jump order has been established will
be placed at the top of the order.
TIES: In all jumper classes horses tied for other than first place shall remain tied. Time taken to complete the first round
course will decide between horses with equal final faults.
0.85 METER JUMPER
No Championship. Open to horses or ponies.
550. 0.85 Meter Jumper, Table II
552. 0.85 Meter Jumper
0.95 METER JUMPER
1.00 METER JUMPER
SPONSORED BY NC PLANNING/THOMAS LENFESTEY
LOW CHILDREN ADULT JUMPER, 1.00 METER
SPONSORED BY BRINLEY’S GRADING
Championship awarded. Open to Children and Adult riders on horses or ponies who
are not entered into other jumper classes where heights exceed 1.00 meter.
556. 1.00 Low Children/Adult Jumper, Table II2b
1.05 METER JUMPER
SPONSORED BY BRIEGAN CONCRETE CONSTRUCTORS
No Championship. Open to horses.
1.10 METER JUMPER
301 1.10 Meter Jumper, Table II
1.15 METER JUMPER
SPONSORED BY AG CAROLINA FINANCIAL
206. 1.15 Meter Jumper, Table II.1
207. 1.15 Meter Jumper, Table II.1
208. 1.15 Meter Jumper, Table II2b
HUNTER DIVISIONS
$2010 HIGH PERFORMANCE WORKING HUNTER
ENTRY FEE: $250
SPONSORED BY TRIANGLE FARMS/ GLENN & JOAN PETTY
$75/CLASS
To be judged on performance, soundness, manners and way of going. Fences, 4’-4’6”
400. $402 High Performance Working Hunter O/F
401. $402 High Performance Working Hunter O/F Handy
404. $402 High Performance Working Hunter U/S
$1000 PERFORMANCE WORKING HUNTER 3’6” - 3’9” ENTRY FEE: $210
SPONSORED BY HARMONY FARM/TAMI JONES
$75/class
To be judged on performance, soundness, manners and way of going. Fences, 3’6”-3’9”
405. $200 Performance Working Hunter O/F
406. $200 Performance Working Hunter O/F Handy
409. $200 Performance Working Hunter U/S
$1000 PERFORMANCE WORKING HUNTER 3’3”
ENTRY FEE: $210
SPONSORED BY MARDIE FAUCETTE
$75/class
To be judged on performance, soundness, manners and way of going. Fences, 3’3”
411. $200 Performance Working Hunter O/F Handy
414. $200 Performance Working Hunter U/S
$2,000 FIRST YEAR GREEN WORKING HUNTER
SPONSORED BY ROB & PAIGE MILLER
ENTRY FEE: $250
To be judged on performance and soundness. First year horses to jump 3’6”, second year
horses to jumper 3’9”. The green working hunters will be split first and second year if
there are a total of 20 entries with at least 6 in each section. Individual classes may not
be entered. Prize Money Distribution: $120, $88, $60, $40, $32, $20, $20, $20
46. $400 1st Year Green Working Hunter O/F
47. $400 1st Year Green Working Hunter O/F - Handy
50. $400 1st Year Green Working Hunter U/S
-
$2,000 SECOND YEAR GREEN WORKING HUNTER
SPONSORED BY DR. LISA TOLNITCH
ENTRY FEE: $250
To be judged on performance and soundness. First year horses to jump 3’6”, second year
horses to jumper 3’9”. The green working hunters will be split first and second year if
there are a total of 20 entries with at least 6 in each section. Individual classes may not
be entered. Prize Money Distribution: $120, $88, $60, $40, $32, $20, $20, $20
51.
52.
53.
54.
55.
$400 2nd Year Green Working Hunter O/F
$400 2nd Year Green Working Hunter O/F - Handy
$400 2nd Year Green Working Hunter U/S
$2,000 REGULAR CONFORMATION HUNTER
ENTRY FEE: $250
SPONSORED BY CHEROKEE INVESTMENT PARTNERS
To be judged on conformation, performance and soundness. Conformation 25%, Performance 75%. All classes to be full points. Fences 3’9”’. Individual classes may not be
entered. No entry fee for Model. Prize Money Distribution: $120, $88, $60, $40, $32,
$20, $20, $20
180. Regular Conformation Hunter Model – no prize money
181. $400 Regular Conformation Hunter O/F
182. $400 Regular Conformation Hunter O/F - Handy
185. $400 Regular Conformation Hunter U/S
$2,000 GREEN CONFORMATION HUNTER
ENTRY FEE: $250
SPONSORED BY BARBARA & ROB BAYS
To be judged 50% to 60% on performance and soundness; 40% to 50% on conformation, except where otherwise noted. Model to count half points. Horses to jump 3’6.
Individual classes may not be entered. No entry fee for Model. Prize Money Distribution: $120, $88, $60, $40, $32, $20, $20, $20
186. Green Conformation Hunter Model – no prize money
187. $400 Green Conformation Hunter O/F
188. $400 Green Conformation Hunter O/F - Handy
191. $400 Green Conformation Hunter U/S
GRAND CHAMPION HUNTER
FAIRCROFT PERPETUAL TROPHY – GIVEN BY RON DANTA
To be awarded to the horse accumulating the most cumulative points in the Green, Regular, Junior, and
Amateur-Owner Hunter Divisions.
(Model points not to count and ties to be broken by over fences points)
$2,000 SMALL JUNIOR HUNTER 15 & UNDER
SPONSORED BY DAN & ANNE MCKAY
ENTRY FEE: $250
Open to horses under 16 hands ridden by a junior. Judged on performance, manners,
way of going, and soundness. Manners shall be emphasized in all classes, and excessive
speed shall be penalized. Fences 3’6”. Sections may be combined if there are less than 10
entries in any one section. Individual classes may not be entered. Prize Money Distribution: $120, $88, $60, $40, $32, $20, $20, $20
61. $400 Small Junior Hunter 15 & Under O/F
62. $400 Small Junior Hunter 15 & Under O/F - Handy
65. $400 Small Junior Hunter 15 & Under U/S
JUMPER TABLE – METERS TO FEET AND INCHES
0.85 Meter = 2’9”
0.95 METER = 3’1”
1.00 METER = 3’3”
1.05 METER = 3’5”
1.10 METER = 3’7”
1.15 METER = 3’9”
1.20 METER = 3’11”
1.25 METER = 4’1”
1.30 METER = 4’3”
1.35 METER = 4’5”
1.40 METER = 4’7”
1.45 METER = 4’9
1.50 METER = 4’11”
156. E.J. HAUN MEMORIAL MEDAL
SPONSORED BY REYNARD’S RIDGE/MIKE & ALICIA ROSSER
Open to junior members of the NCHJA. Four competitors to fill a class and 3 must complete
the course. Minimum of 3, or 25% of the class, shall be required to show both ways of the
ring. Judge may ask USEF tests 1-19. Flat phase counts 50%. Fences 3’6”.
155. BRYAN JONES MEMORIAL ADULT MEDAL
SPONSORED BY HOLLY HACH
Open to amateur Senior members of the NCHJA. Four competitors to fill a class and 3 must
complete the course. Minimum of 3, or 25% of the class, shall be required to show both ways
of the ring. Judge may ask USEF tests 1-19. Flat phase counts 50%. Fences 3’
154. NCHJA EQUITATION ON PONIES
SPONSORED BY CLOUDS HARBOR/PAT DODSON & KEITH HASTINGS
Open to junior members of the NCHJA. Four competitors to fill the class, 3 must complete
the course. The judge must select as many riders as he wishes to show both ways of the ring.
Flat phase to count 50%. Ponies not exceeding 12.2 hands to jump 2’3”, ponies over 12.2 and
not exceeding 13.2 to jump 2’6”, and ponies over 13.2 not exceeding 14.2 to jump 3’.
167. NCHJA CHILDREN’S MEDAL
SPONSORED BY DANA & WENDY JONES/MATRIX FARM
Open to amateur Junior members of the NCHJA. Four competitors to fill a class and 3 must
complete the course. Minimum of 3, or 25% of the class, shall be required to show both ways
of the ring. Judge may ask USEF tests 1-19. Flat phase counts 50%. Fences 3’.
159.SCHJA GOVERNOR’S CUP
SPONSORED BY TAYLOR ELLIS & PEYTON WOMBLE
Open to horses and ponies ridden by Junior members of SCHJA. Five competitors to fill a
class. Four or more riders must return for additional testing as determined by the judge(s).
The additional testing will count 25%. Fences 3’.
WIHS EQUITATION
SPONSORED BY DAVID & BONNIE BASS
Open to juniors on horses. Riders may only compete in one WIHS equitation class at a show.
To fill a class, three riders must complete the course. Conventional tack per USEF JP110.
Only running martingales used in the conventional manner are permitted in the Jumper
Phase. Boots and conservative colored bandages are permitted in both phases. First round
scores from each phase will be added together to determine the overall winner.
165. WIHS HUNTER PHASE
ENTRY FEE: $45
166. WIHS JUMPER PHASE
ENTRY FEE: $45
600. PRE-CHILDREN’S EQUITATION ON THE FLAT
ENTRY FEE: $40
601. PRE-CHILDREN’S EQUITATION OVER FENCES
ENTRY FEE: $40
151. SHORT STIRRUP EQUITATION ON THE FLAT
ENTRY FEE: $40
152. SHORT STIRRUP EQUITATION OVER FENCES
ENTRY FEE: $40
153. CHILDREN’S PONY EQUITATION ON THE FLAT
ENTRY FEE: $40
192. CHILDREN’S PONY EQUITATION OVER FENCES
ENTRY FEE: $40
168. 11 & UNDER EQUITATION OVER FENCES (2’3”’6”) ENTRY FEE: $40
169.11 & UNDER EQUITATION ON THE FLAT
ENTRY FEE: $40
SPONSORED BY EMILY GRACE SWINSON IN MEMORY OF “RUFFLES”
147. 12-14 EQUITATION OVER FENCES (2’9”’)
ENTRY FEE: $40
148. 12-14 EQUITATION ON THE FLAT
ENTRY FEE: $40
149. 15-17 EQUITATION OVER FENCES (3’3”’6”)
ENTRY FEE: $40
$2,000 SMALL JUNIOR HUNTER 16-17
SPONSORED BY CAM WOMBLE, LLC & MATRIX FARM
ENTRY FEE: $250
Open to horses under 16 hands ridden by a junior. To be judged on performance, manners, way of going, and soundness. Manners shall be emphasized in all classes, and
excessive speed shall be penalized. Fences 3’6”. Sections may be combined if there are
less than 10 entries in any one section. Individual classes may not be entered. Prize
Money Distribution: $120, $88, $60, $40, $32, $20, $20, $20
361. $400 Small Junior Hunter 16-17 O/F
362. $400 Small Junior Hunter 16-17 O/F - Handy
365. $400 Small Junior Hunter 16-17 U/S
GRAND CHAMPION SMALL JUNIOR HUNTER
CLOUD NINE PERPETUAL TROPHY – GIVEN BY ELIZABETH COZART
$2,000 LARGE JUNIOR HUNTER 15 & UNDER
SPONSORED BY WHISPERING HOPE STABLES/AMY PETERS
ENTRY FEE: $250
$2,000 LARGE JUNIOR HUNTER 16-17
SPONSORED BY JAYNE MCGUIRE, MD
ENTRY FEE: $250
Open to horses 16 hands and over ridden by a junior. To be judged on performance,
manners, way of going, and soundness. Manners shall be emphasized in all classes, and
less than 10 entries in any one section. Individual classes may not be entered.
366. $400 Large Junior Hunter 15 & Under O/F
367. $400 Large Junior Hunter 15 & Under O/F- Handy
370. $400 Large Junior Hunter 15 & Under U/S
Open to horses 16 hands and over ridden by a junior. To be judged on performance,
manners, way of going, and soundness. Manners shall be emphasized in all classes, and
less than 10 entries in any one section. Individual classes may not be entered.
66. $400 Large Junior Hunter 16-17 O/F
67. $400 Large Junior Hunter 16-17 O/F - Handy
70. $400 Large Junior Hunter 16-17 U/S
GRAND CHAMPION LARGE JUNIOR HUNTER
TRIM LEAWARD PERPETUAL TROPHY
GIVEN BY TRIANGLE FARMS, GEORGE WALLACE, & CAM WOMBLE
GRAND CHAMPION JUNIOR HUNTER
KATHRYN G. CLARK PERPETUAL TROPHY – GIVEN BY CAROLINE CLARK
$2,000 AMATEUR-OWNER HUNTER 18-35
SPONSORED BY I-CUBED
CHAMPIONSHIP COOLER SPONSORED BY DIANA HARRIS
ENTRY FEE: $250
Open to horses ridden by an Amateur Owner or an amateur member of the owner’s family. Leased horses are not eligible and multiple ownership is not permitted unless all
owners are members of the same family. To be judged on performance and soundness.
Fences 3’6”. Sections may be combined if there are less than 8 entries in any one section.
Individual classes may not be entered. Prize Money Distribution: $120, $88, $60, $40,
$32, $20, $20, $20
71. $400 Amateur-Owner Hunter 18-35 O/F
74. $400 Amateur-Owner Hunter 18-35 O/F - Handy
75. $400 Amateur-Owner Hunter 18-35 U/S
$2,000 AMATEUR-OWNER HUNTER 36 & OVER
SPONSORED BY A FRIEND OF THE CHILDREN
CHAMPIONSHIP COOLER SPONSORED BY VICKI AUTRY
ENTRY FEE: $250
$32, $20, $20, $20
76. $400 Amateur-Owner Hunter 36&Over O/F
79. $400 Amateur-Owner Hunter 36&Over O/F - Handy
80. $400 Amateur-Owner Hunter 36&Over U/S
GRAND CHAMPION AMATEUR-OWNER HUNTER
MARIE REYNOLDS MEMORIAL TROPHY
GIVEN BY DONALD E. STEWART, JR.
$2,000 AMATEUR-OWNER HUNTER 3’3”
ENTRY FEE: $250
SPONSORED BY TOWNSEND FARM
CHAMPIONSHIP COOLER SPONSORED BY CAROLYN CHESHIRE
$32, $20, $20, $20
350. $400 Amateur-Owner Hunter O/F
353. $400 Amateur-Owner Hunter O/F - Handy
354. $400 Amateur-Owner Hunter U/S
MEDAL CLASSES
ENTRY FEE: $45
158. USEF PESSOA HUNT SEAT MEDAL
SPONSORED BY YUMEEWARRA FARM/DENIS & PAGE CONNAGHAN
Open to Junior Active Members of USEF who have not reached their 18th birthday. To fill
a class, six competitors must complete the course. Two or more test of the top four competitors are required. Test 1-19. Fences 3’6”.
160. PLATINUM PERFORMANCE/USEF SHOW JUMPING TALENT SEARCH
SPONSORED BY CINDY & EMILY ROBERTS
Open to Junior/Young Riders who are members of the federation, who have not reached their 21 st
birthday under Federation rules. To fill a class, six competitors must complete the course. All riders must ride in the first phase offered. At least 20 riders, if available, or 50% of the entries, if that is
a greater number, must be called back for the second phase. Fences 3’6” to 3’9”.
164. ASPCA HORSEMANSHIP CLASS
SPONSORED BY SARAH NASH
Open to junior riders who have not reached their 18th birthday. Rider & trainer must be current
members of the ASPCA. To fill a class, 6 competitors must complete the course. A minimum of 12
riders, if available, are required to show at a walk, trot, and canter. USEF tests 1-19. Fences 3’6”.
157. EQUISPORT/USEF PONY MEDAL
SPONSORED BY DARRYL & LYNNE MEEKS
Open to Junior Active members of the Federation who have not yet reached their 18 th birthday, on
ponies 14.2 hands and under. Riders entered in this class cannot cross enter into a USEF Medal
Class at the same competition. To fill a class, six competitors must complete the course. Ponies not
exceeding 12.2 hands to jump 2’3”, Ponies over 12.2 but not exceeding 13.2 hand to jump 2’6”, Ponies
over 13.2 hands and not exceeding 14.2 hands to jump 3’.
161. WIHS PONY MEDAL
SPONSORED BY CAROLINA CUPCAKE/KATIE WOMBLE
Open to juniors on ponies 14.2 hands and under. Riders may only compete in one WIHS equitation
class at a show. To fill a class, three rides must complete the course. A maximum of 20 riders may
be asked to return to show at a walk, trot, and canter and to perform any additional tests at the
judges’ discretion. Ponies not exceeding 12.2 hands to jump 2’3”, Ponies over 12.2 but not exceeding
13.2 hand to jump 2’6”, Ponies over 13.2 hands and not exceeding 14.2 hands to jump 3’.
162.ARIAT ADULT MEDAL
SPONSORED BY ROBERT & JENNIFER WINE
Open to all Amateur members of USEF or Equine Canada who are eligible to compete in the Adult
Amateur Hunter Section at this show. A rider may not compete at the same show in any hunter or
equitation class in which jumps exceed 3’3”. There is no minimum requirement to fill the class. The
top four riders are required to perform at least 2 individual tests from USEF Test 1-19. Fences 3’.
163. TAYLOR HARRIS INSURANCE SERVICES NATIONAL CHILDREN’S MEDAL
SPONSORED BY RANDY & SUSAN WARD
Open to all Junior members of USEF or Equine Canada who have never competed in a National
Equitation Final with fences at 3’6”. There is no minimum requirement to fill the class. The top
four riders are required to perform at least two individual tests from USEF Test 1-19. Fences 3’.
A BIG THANKS from the
2013 ‘Jump for the Children’ Horse Show
. . .benefiting Duke Children’s Hospital
2013 ‘Jump for the Children’ Committee
Joan MacNair Petty, Show Chairman
Bridget Gibbons MacNair, Show Co-Chairman
Ron Wood, Duke Children’s Hospital
Josh Hewitt, Duke Children’s Hospital
Pamela Baldwin
Barbara Bays
Leah Bergman
Connie Coble
Stephanie Foley
Laura Gaither
Brady Johnson
Julie Keelan
Rosie Midyette
Cindy Newcomb
Cyndi Peterson
Traci Rice
Phyllis Stephens Youhas
Cindy Toma
Cam Womble
Morgan Womble
Junior Reps:
Anna Barkley
Sheri Bridges
Rachel Bergman
Laurie Corr
Susan Gaines
Pat LaFevers Holsten
Kate Johnson
Colin MacNair
Jane Murray
Amy Peters
Glenn Petty
Jackie Shapaker
Liz Tarumianz
Tamara Weaver
Katie Womble
Mary Zahn
Emily Grace Swinson & Taylor Ellis
2013 ‘Jump for the Children’ In-Kind Sponsors
Angus Barn
Backyard Bistro
Theresa Brown & Steve Filarsky Bruegger’s Bagels
Byron Unger Golf Carts
Campbell Road Nursery
City of Raleigh Mounted Police
Johnson Lexus of Durham
Empress Room & C. Grace
Second Empire
Local Yogurt
Wine 101
Zebra Print Solutions
Thinline
Sedgefield Show Grounds
Steve’s Tees
Stampede of Love
TK Tripp’s
Best Western Plus Cary
Holiday Inn Cary
Ramada Inn
Fairfield Crabtree
Anne Gittins Photography
White Tiger Studio/Pam Baldwin
Luihn Food/KFC Taco Bell & Hurricane Grill & Wings
Making Miracles Happen for the Children at
Duke Children’s Hospital!
PONY HUNTER DIVISIONS
JUMP FOR THE CHILDREN STABLING ORDER FORM
In all classes, manners and suitability of a pony for the rider are to be emphasized. Extreme speed is penalized. Suitability of a pony for a rider is determined by height and
weight of the rider as related to the size of the pony. Judges must penalize but not necessarily eliminate an entry not having such manners and suitability. Ponies not exceeding
12.2 hands will jump 2’3”; ponies over 12.2 hands not exceeding 13.2 will jump 2’6”; ponies
over 13.2 hands but not exceeding 14.2 hands will jump 3’. (2’9” for Large Green)
Notice to Trainers: Stabling order form must be received in writing by October 22nd. Stall reservations must be accompanied by full payment, check made to Jump for the Children, for all stalls at
the time the reservation is made. Stall reservations will not be accepted without payment. Please list
all individual owners/exhibitors who will be stabled with you. Individual requests to be stabled with
a specific trainer cannot be honored once stalls have been assigned. Once feed or bedding has been
ordered it is the responsibility of the person ordering. Any orders to be picked up are subject to a $1
per bag pick up fee. This applies to phone in and written orders. Stalls available 8:00AM Monday
unless special arrangements made in advance. NOTE: Closing Date is October 22nd. Post Entry
Fee of $50 after October 22nd if stalls available.
Please mail form and stall payments to:
Triangle Farms Inc.
PO Box 735
Rolesville NC 27571
$1500 SMALL PONY HUNTER
ENTRY FEE: $230
SPONSORED BY SARA MAKING A DIFFERENCE
CHAMPIONSHIP COOLER SPONSORED BY IDLEWILD FARM
Open to ponies not exceeding 12.2 hands. Fences 2’3”. Individual classes may not be entered. Prize Money Distribution: $90, $66, $45, $30, $24, $15, $15, $15
1. $300 Small Pony Conformation Hunter O/F
2. $300 Small Pony Hunter O/F—Handy
3. $300 Small Pony Hunter O/F
4. $300 Small Pony Hunter O/F
5. $300 Small Pony Hunter U/S
TRAINER NAME:_______________________________________________________________________
(NOT FARM NAME)
CELL PHONE:__________________________ EMAIL:_____________________________________________
COMMENTS:_________________________________________________________________________________
SMALL PONY CHAMPION
GIGGLES PERPETUAL TROPHY—GIVEN BY AARIS PETTY
$1500 MEDIUM PONY HUNTER
SPONSORED BY THE JOHNSON FAMILY
CHAMPIONSHIP COOLER SPONSORED BY ASHLEY HODGES
ENTRY FEE: $230
Open to ponies over 12.2 hands and not exceeding 13.2 hands. Fences 2’6”. Individual
classes may not be entered. Prize Money Distribution: $90, $66, $45, $30, $24, $15, $15,
$15
6. $300 Medium Pony Conformation Hunter O/F
7. $300 Medium Pony Hunter O/F—Handy
8. $300 Medium Pony Hunter O/F
9. $300 Medium Pony Hunter O/F
MEDIUM PONY CHAMPION
ROUND ROBIN EASTER BONNET PERPETUAL TROPHY
GIVEN BY KATHY AND CHAPMAN HOPKINS
10. $300 Medium Pony Hunter U/S
$1500 LARGE PONY HUNTER
ENTRY FEE: $230
SPONSORED BY ASHLEY & AMANDA GASIOROWSKI
CHAMPIONSHIP COOLER SPONSORED BY AMY GERMUTH/EVAL WORKS LLC
Open to ponies over 13.2 hands and not exceeding 14.2 hands. Fences 3’. Individual classes
may not be entered. Prize Money Distribution: $90, $66, $45, $30, $24, $15, $15, $15
11. $300 Large Pony Conformation Hunter O/F
12. $300 Large Pony Hunter O/F—Handy
13. $300 Large Pony Hunter O/F
Owner Name
Horse Name
# Stalls
Shavings
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Tack/Feed Stalls
Totals
ARRIVAL DATE:_________________________________TIME:____________________________________
DUKE SPECIAL HUNTER
SPONSORED BY TRAKAI FARM/JULIANNA ZUNDE
ENTRY FEE: $150
LARGE PONY CHAMPION
SHENANDOAH WATERFORD PERPETUAL TROPHY
GIVEN BY CARROLL HILL CHOPPING
Open to horses only. Fences 2’6” & 2’9”. Individual classes, $50 per class.
141. Duke Special Hunter O/F
145. Duke Special Hunter U/S
SHORT STIRRUP HUNTER
ENTRY FEE: $150
SPONSORED BY RALEIGH EQUINE LAWYER/DOTTIE BURCH
Open to riders 12 years old and under mounted on horses or ponies. Riders are not eligible to compete for more than 2 years. Rider is eligible for short stirrup equitation, age
group equitation, maiden and novice equitation, any unrecognized division with fences
not exceeding 2’6” and no combinations. Suitability as a Short Stirrup mount to be
stressed. Fences 2’. Individual classes, $50 per class.
32.
33.
34.
35.
36.
Short Stirrup Hunter O/F
Short Stirrup Hunter U/S
ENTRY FEE: $150
Open to children, no cross entering into Children’s Hunter . Fences 2’6”. Individual
classes, $50 per class.
175. Pre-Children’s Hunter O/F
179. Pre-Children’s Hunter U/S
PRE-ADULT HUNTER
SPONSORED BY HOPE FARM AT CEDAR FORK CREEK
ENTRY FEE: $150
Pre-Adult Hunter O/F
Pre-Adult Hunter U/S
Open to ponies of any age that have not been shown over fences the regulation height or
higher for its respective section prior to December 1st of the current competition year at
a Regular Competition of the Federation or Equine Canada or any other national or international competition. Smalls to jump 2’3”, Mediums 2’6”, and Larges 2’9”. Individual
classes may not be entered. Prize Money Distribution: $60, $44, $30, $20, $16, $10, $10, $10
16.
17.
18.
19.
20.
$200 Small/Medium Green Pony Conformation Hunter O/F
$200 Small/Medium Green Pony Hunter O/F
$200 Small/Medium Green Pony Hunter U/S
CHAMPIONSHIP COOLER SPONSORED BY BETH MCCLINTIC
21.
22.
23.
24.
25.
$200 Large Green Pony Conformation Hunter O/F
$200 Large Green Pony Hunter O/F
$200 Large Green Pony Hunter U/S
$1,000 CHILDREN’S PONY HUNTER
ENTRY FEE: $190
Open to ponies not showing in a rated division, ridden by a rider not showing over
fences exceeding 3’ at that show. To be judged on performance and soundness. Small
and Medium ponies to jump 2’; Large ponies to jump 2’6”. Individual classes may be
entered for $50 per class. Prize Money Distribution: $30, $22, $15, $10, $8, $5, $5, $5
CHAMPIONSHIP COOLERS SPONSORED BY REED & ALICE UNDERHILL
26.
27.
28.
29.
30.
$100 Small/Medium Children’s Pony Hunter O/F
$100 Small/Medium Children’s Pony Hunter U/S
CHAMPIONSHIP COOLERS SPONSORED BY SEA BREEZE FARMSTHE HOFT FAMILY
DUKE SPECIAL HUNTER CHAMPION
LAURA “SISSY” CUBB BARNES MEMORIAL TROPHY
GIVEN BY JASON AND SUSAN LEWIS
DUKE SPECIAL PONY HUNTER
SPONSORED BY MEGAN CACCHIO/MKM GROUP
ENTRY FEE: $210
SPONSORED BY SEDGEFIELD SHOW GROUNDS
Open to amateur adults, no cross entering into Adult Hunter. Fences 2’6”. Individual
classes, $50 per class.
510.
511.
512.
513.
514.
$2,000 GREEN PONY HUNTER
SPONSORED BY THE THOMAS ZAHN FAMILY FOUNDATION
CHAMPIONSHIP COOLER SPONSORED BY GRAHAM PLACE SHOW HORSES
SHORT STIRRUP HUNTER CHAMPION
LEE RAY BERGMAN MEMORIAL PERPETUAL TROPHY
GIVEN BY BERGMAN FAMILY
PRE-CHILDREN’S HUNTER
SPONSORED BY KIRK EQUESTRIAN/LOREN & MELEA KIRK
GRAND CHAMPION HUNTER PONY
BILLY ENGLAND MEMORIAL TROPHY
GIVEN BY CARROLL HILL CHOPPING
ENTRY FEE: $100
Open to ponies ridden by juniors only. Fences 2’ & 2’6”. Individual classes, $50 per class.
170.
Duke Special Pony Hunter O/F
171.
Duke Special Pony Hunter O/F
172.
Duke Special Pony Hunter U/S
326. $100 Large Children’s Pony Hunter O/F
330. $100 Large Children’s Pony Hunter U/S
900. ‘JUMP FOR THE CHILDREN’ LEADLINE CLASSIC
ENTRY FEE: $0
SPONSORED BY THE 2013 ‘JUMP FOR THE CHILDREN’ HORSE SHOW COMMITTEE
Open to lead line riders on horses or ponies. Class to be held Saturday evening, immediately preceding $30,000 Duke Children’s Hospital Grand Prix.
$3,000 PRE-GREEN HUNTER
ENTRY FEE: $190
Open to horses in his 1st or 2nd year of showing over fences 3’ or higher at Regular Member Competitions or Combined Training Events. A 1st year horse must jump 3’ and a 2nd year horse must jump
3’3”. Individual classes, $50 per class.
SPONSORED BY CAMERON FAMILY FOUNDATION
86. $100 Pre-Green Hunter 3’ O/F
90. $100 Pre-Green Hunter 3’ U/S
442 $1000 USHJA Pre-Green Incentive Stake 3’
ENTRY FEE: $100
SPONSORED BY BARBARA & ROB BAYS
386.
387.
388.
389.
390.
443
$100 Pre-Green Hunter 3’3” O/F
$100 Pre-Green Hunter 3’3” U/S
$1000 USHJA Pre-Green Incentive Stake 3’3”
$500 SMALL HUNTER
ENTRY FEE: $100
ENTRY FEE: $190
SPONSORED BY MACNAIR’S COUNTRY ACRES
$100 Children’s Hunter 14 & Under O/F
$100 Children’s Hunter 14 & Under U/S
CHAMPION CHILDREN’S HUNTER 14 & UNDER
REX EATMAN PERPETUAL TROPHY - GIVEN BY DR. AND MRS. REX EATMAN
SPONSORED BY CAB & ANNA BARKLEY
CHAMPIONSHIP COOLER SPONSORED BY JANE FULTON
134.
135.
136.
137.
138.
ENTRY FEE: $150
SCHOOLING HUNTER
SPONSORED BY FRIENDLY CITY CIVITAN CLUB
ENTRY FEE: $100
‘JUMP FOR THE CHILDREN’ HUNTER
SPONSORED BY WAYNE & BILLIE ANN PETERSON
ENTRY FEE: $100
CAROLINA HUNTER
SPONSORED BY DIANE WADE
ENTRY FEE: $150
BABY GREEN HUNTER
ENTRY FEE: $150
Open to horses and ponies. To be judged on performance and soundness. Fences 2’6”.
Individual classes,$50 per class.
104. Hopeful Hunter O/F
108. Hopeful Hunter U/S
Open to horses only. To be judged on performance and soundness. Fences 2’9”. Individual classes,$50 per class.
81. Schooling Hunter O/F
82. Schooling Hunter O/F
83. Schooling Hunter U/S
Open to all riders and horses 15.2 1/2 hands and under. Fences 3’. Individual Class, $50. Prize
Money Distribution: $30, $22, $15, $10, $8, $5, $5, $5
700. $100 Small Hunter O/F 3’
701. $100 Small Hunter O/F
704. $100 Small Hunter U/S
$1,000 CHILDREN’S HUNTER
ENTRY FEE: $190
Open to horses only. To be shown by junior exhibitors. A rider in the children’s hunter division is
not eligible to compete in classes where fences exceed 3’3”, except age group Equitation, Medal
classes, Children’s/Adult Jumper and Pony Jumper Classes. To be judged on performance, manners, way of going, and soundness. Suitability as a Children’s Hunter to be stressed. Fences 3’.
Individual classes,$50 per class. Prize Money Distributions: $30, $22, $15, $10, $8, $5, $5, $5
129.
130.
131.
132.
133.
HOPEFUL HUNTER
SPONSORED BY J & J PFERDE
$100 Children’s Hunter 15-17 O/F
$100 Children’s Hunter 15-17 U/S
CHAMPION CHILDREN’S HUNTER 15-17
RIP VAN WINKLE MEMORIAL TROPHY - GIVEN BY THE BERGMAN FAMILY
Open to horses. To be judged on performance and soundness. Fences 3’ and 3’3”. Individual classes, $50 per class.
96. Jump for the Children Hunter O/F
97. Jump for the Children Hunter O/F
98. Jump for the Children Hunter U/S
Open to horses and ponies. To be judged on performance and soundness. Fences 2’6”.
Individual classes may be entered for $50 per class.
124. Carolina Hunter O/F
128. Carolina Hunter U/S
SPONSORED BY QUIET MEADOW FARM/BOB & SANDY SAVAGE
Open to horses who have not shown over 3’ at an NCHJA or USEF recognized horse show. To be
judged on performance and soundness. Fences 2’6”. Individual classes, $50 per class.
91. Baby Green Hunter O/F
95. Baby Green Hunter U/S
WARM-UP CLASSES (TIME PERMITTING)
500.
501.
502.
503.
Warm Up Open
Warm Up 3’ & 3’3”
Warm Up 2’6”
Warm Up 2’6” & 2’9”
504.
505.
506.
ENTRY FEE: $40
Warm Up 3’ & 3’3”
Warm Up 2’6” & 3’
Warm Up 2’6” & 3’
GRAND CHAMPION CHILDREN’S HUNTER
JOAN MACNAIR MEMORIAL TROPHY
GIVEN BY JOAN AND GLENN PETTY
$1,500 ADULT-AMATEUR HUNTER
ENTRY FEE: $190
To be ridden by an Amateur in possession of a valid Amateur Card. A rider in the Adult
Amateur Division is not eligible to compete in any class where fence heights exceed 3’3”.
To be judged on performance, manners, way of going, and soundness. Suitability as an
Adult Hunter to be stressed. Fences 3’. Individual classes may be entered for $50 per
class. Prize Money Distribution: $30, $22,$15, $10, $8, $5, $5, $5
SPONSORED BY JANE, COLEMAN & CAROLINE MURRAY
109. $100 Adult-Amateur Hunter 18-35 O/F
113. $100 Adult-Amateur Hunter 18-35 U/S
SPONSORED BY BRIAN AND LUCY KEITH
CHAMPIONSHIP COOLER SPONSORED BY KIM KUEPFERLE
114.
115.
116.
117.
118.
$100 Adult-Amateur Hunter 36-45 O/F
$100 Adult-Amateur Hunter 36-45 U/S
SPONSORED BY THE MIDYETTE FAMILY
119. $100 Adult-Amateur Hunter 46 & Over O/F
123. $100 Adult-Amateur Hunter 46 & Over U/S
GRAND CHAMPION ADULT AMATEUR HUNTER
BRONZE FOX PERPETUAL TROPHY
GIVEN BY DONNA PURVIS
2500 Campbell Road
Raleigh NC 27606
919-854-9892
Herbs
Annuals
Shrubs
[email protected]
Perennials
Container Gardens
Proud Sponsor of the Jump For The Children Horse Show
benefiting Duke Children’s Hospital
Squires Equestrian
Need a golf cart for the
Show??
Contact Unger Golf Cart
Rentals
Byron Unger (919) 337-7456
Specializing in Hunters, Jumpers and Equitation and Squires Equestrian offers a compassionate and professional environment for
horses and riders to pursue their individual
goals, beginner to advanced, local to National
competition. Squires Equestrian is located in
Browns Summit, NC.
(518) 275-8607
www.heathersquires.org
Maplegate Farm
Rob and Cathy Dow
Charlotte, N.C.
(704) 589-6253
3H Veterinary
Services
“Your horse’s life is our
life’s work”
We Specialize in Lameness Solutions
From Diagnostics to Rehabilitation
Serving the equine community in
Central North Carolina from
Greensboro to Wilmington.
Dr. Fernando Cardenas
Dr. Erin Slaughter
Dr. Elaine Means
Dr. Tracy Tinsley
Dr. Shanna Baker
Dr. Lynn Gomes
Dr. Kate Echevaria
3H Office 919-363-1686
Emergency Pager 919-982-3769
2013 ‘Jump for the Children’ Feature Class
Friday, November 8th at 6:00pm
New for 2013
Sponsored by Dr. Betsee Parker & Huntland
Obstacles must simulate those reminiscent of the hunt field, must offer a variety of Derby jumps with different
appearances. Fences to be set at 3’6” to 4’. Course must include 4 higher option fences set at minimum of
4’3” in height. Two round format: First round is Classic Hunter Style Round, second round is Handy Hunter
Round. Twelve horses, after all ties are broken, are eligible to return for the second round. Each team of
judges to provide one score, the 2 scores to be combined for overall total. A jog using FEI format to be held
before the beginning of Round 1, judge and vet must be present. Formal Attire Required. Minimum of 12
entries required. Information/Specs: www.ushja.org - USHJA International Hunter Derby, 2013-14 Class
Specifications.
Prize Money: $4500, $3300, $1950, $1200, $900, $750, $600, $450, $450, $300, $300, $300
Entry Fee: $350
Class 444
Sponsored by Dr. Betsee Parker & Huntland
New for 2013
USHJA Pre-Green Hunter Incentive Stake Classes
Sponsored by Crown BAS
Open to horses of any age that are eligible to compete as a Pre-Green Hunter under Federation rules. Horses
must be enrolled in the USHJA Pre-Green Incentive Program and pay the annual enrollment fee prior to
showing in the Stake Class. Information www.ushja.org/programs/pregreen
Prize Money: $260, $200, $140, $100, $70, $50, $40, $40, $30, $30, $20, $20
Entry Fee: $100 + $20 USHJA Fee
Ribbons Sponsored By John & Teresa Sutter
Class 442
$1000 USHJA Pre-Green Hunter Incentive Stake Class 3’
Class 443
$1000 USHJA Pre-Green Hunter Incentive Stake Class 3’3”
‘Jump for the Children’ Hunter Classics
Open to entries showing in their respective divisions at the 2013 ‘Jump for the Children’ Horse Show. To be
judged on performance, soundness, suitability and manners, scored under open numerical judging system.
First round score is from designated class in respective division, must be entered in Classic to be scored.
Twelve entries with the highest scores from first round return to jump a second round over a different course.
Each of the two rounds count 50%. Minimum of 10 entries to fill.
Prize Money: $250, $200, $150, $100, $100, $100, $50, $50
Entry Fee: $100
Ribbons Sponsored By Jan, Bob & Caroline Paul
Class 146
$1000 Duke Pony Hunter Classic
Sponsored by Kiddie Academy of Brier Creek
Class 440
$1000 Duke Junior Hunter Classic
Sponsored By Lilliam & Gordon Richardson
Class 441
$1000 Duke Amateur Owner Classic
Sponsored by Heuckeroth Farm
NAL/WIHS Children’s & Adult Amateur Hunter Classics
Sponsored by Rufus & Linda Edmisten
Horses must have entered, shown, judged in at least two over fence classes in the division. To be judged on
performance and soundness, suitability and manners. Twelve horses with highest scores from the first round
return to jump a second round over a different course. Each round to count 50%. In the event of equality
affecting the selection of the top twelve, all those equal will qualify. Scores from first and second rounds to
be added for total score. Horses tied for first place only will jump a third round over a shortened course. To be
shown over a course of approximately 10 jumps not to exceed 3’ in height, spreads to 3’. Minimum of 10
entries to fill.
Prize Money: $250, $200, $150, $100, $100, $100, $50, $50
Entry Fee: $100
Class 139
Class 140
$1000 NAL/WIHS Children’s Hunter Classic
$1000 NAL/WIHS Adult Amateur Hunter Classic
Oriana stables is a full service Hunter/Jumper Show facility offering excellent care, top-quality training, knowledgeable 24
hour care, and a friendly atmosphere located in Cary NC. We offer full board and personalized training to fit each horse
and rider's needs. We are a show barn and regularly attend shows on the C-AA circuit. Along with Hunter Jumper training
we also offer dressage training by a highly qualified trainer and fill that this compliments many of our hunter riders with
their equitation. Our goal is for serious riders to reach their horseback riding dreams in a fun and educational environment. Oriana offers a Pony Club for our young riders and clinics by professionals. Please visit our web site for more
detailed information. WWW.Orianastables.com
North Carolina Hunter Jumper Association
PO Box 2874, Huntersville NC 28070
I hereby apply for membership for the year 20____ and enclose payment of $_____
$30 Junior
$40 Seniors
$50 Farm
$300 Life
Juniors—give date and year of birth _____________________________________
NAME____________________________________________________________
ADDRESS_________________________________________________________
Check One: Professional ______ Amateur ______ Phone:__________________
South Carolina Hunter Jumper Association
1357 Turnersburg Hwy., Statesville NC 28625
I hereby apply for membership for te year 20____ and enclose payment of $______
(Membership expires November 30)
NAME______________________________ BIRTH DATE __________________
ADDRESS _________________________________________________________
PHONE:_____________________ Juniors $25 Seniors $35 Farm $50 Life $300
Virginia Horse Shows Association
32 Ashby St., Ste 204, Warrenton VA 20186 540-349-0910
Membership year 20_____ (Membership expires November 30)
*Junior $30 ____ Senior $40 ____ Life $400 _____
*Members who have not reached their 18th birthday
NAME _________________________________ BIRTH DATE _______________
ADDRESS _________________________________________________________
PHONE ___________________________________________________________
To qualify for high score awards, horse/pony and owner must be registered with VHSA
Washington International Horse Show
c/o Ryegate, 1298 Royal Rd., Annville PA 17003
717-867-5643 www.ryegate.com
Membership Fee: $35
Child ___________
Adult ________ Professional __________
RIDER ________________________ BIRTH DATE ___________________
ADDRESS ______________________________________________________
PHONE ____________________ USEF #_______________SS #_______________
EMAIL_____________________________________________________________
North American League
c/o Ryegate, 1298 Royal Rd., Annville PA 17003
717-867-5643 www.ryegate.com
Membership Fee: $35
Child ___________
Adult ________ Professional __________
RIDER ________________________ BIRTH DATE ___________________
ADDRESS ______________________________________________________
PHONE ____________________ USEF #_______________SS #_______________
EMAIL_____________________________________________________________
MAKE CHECKS PAYABLE TO: ‘Jump for the Children’
AND MAIL TO:
Triangle Farms Inc.
PO Box 735, Rolesville, NC 27571
NO FAXED, PHONE, OR E-MAIL ENTRIES
Closing Date ~ October 22nd
$50 Post Entry Fee after October 22nd
Sex
Color
Foal
date
Height
Meas
Card
Benefiting Duke Children’s Hospital
November 5-10, 2013
USEF #
Rider 1 Name
USEF #
NCHJA #
ASPCA #
Division
Individual Classes
Horse NCHJA #
Rider 2 Name
USEF #
NCHJA #
ASPCA #
Division
Individual Classes
Horse Name
Green
PLEASE enclose copies of negative Coggins Test for all horses entered.
New State Law requires EVERY HORSE ON THE GROUNDS
(SHOWING OR NOT SHOWING) TO SHOW A CURRENT NEG.
TEST IN ORDER TO REMAIN ON THE GROUNDS.
HORSE MUST BE OFFICIALLY ENTERED ON ENTRY FORM.
1 2
I AGREE NEITHER DUKE CHILDREN’S HOSPITAL AND HEALTH CENTER,THE NORTH CAROLINA STATE FAIRGROUNDS, TRIANGLE FARMS, INC., GLENN
AND JOAN PETTY, NOR THE SHOW COMMITTEE, NOR THE OFFICIALS AND/OR STAFF OF THE SHOW WILL BE RESPONSIBLE FOR ANY ACCIDENT,
DAMAGE, LOSS OR INJURY TO MOUNT, OWNER, RIDER OR OTHER PERSONS OR PROPERTY. IT WILL BE THE CONDITION OF ENTRY THAT EACH
EXHIBITOR SHALL HOLD THE HORSE SHOW AND ITS MANAGEMENT BLAMELESS FOR ANY LOSS OR ACCIDENT TO ANY ANIMAL, PERSON OR PROPERTY
THAT MAY OCCUR FROM SICKNESS, FIRE AND OTHERWISE AT THIS SHOW. UNDER NORTH CAROLINA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE
PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING EXCLUSIVELY FROM THE
INHERENT RISKS OF EQUINE ACTIVITIES. CHAPTER 99E OF THE NORTH CAROLINA GENERAL STATUTES.
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 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 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 I choose to participate voluntarily in the Competition to the following: I AGREE that the Federation and Competition as used above includes all of the 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. Parent/Guardian Signature: (Required if
Rider/Driver/Handler/Vaulter/Longeur is a minor)_________________________________________ Print Parent/Guardian Name:_______________________________________ Emergency
Contact Phone No.___________________________Is Rider/Driver/Vaulter a U.S. Citizen: _____Yes _____No
Alternate Payee: ______________________________SS #:____________________ Phone:_______________
Address__________________________________________________________________________________
Name_________________________________
USEF #_______________________________
Street_________________________________
City/ST/Zip__________________________
Cell Phone____________________________
E-mail________________________________
SS #__________________________________
Stalls @ $225 Each
ARRIVAL
DATE:_________________TIME:_________________
Jumper Nomination @ $150
FEED/BEDDING ORDER:
SHAVINGS:___________________
HAY:_________________________
IN CASE OF EMERGENCY:
Drug & USEF Fee $16
(D&M $8, USEF $8)
$16
USHJA Zone Support Fee @ $2
$2
Service Fee @ $35
$35
NAME:___________________________________________
USEF NM Fee @ $30
CELL PHONE:____________________________________
USHJA NM Fee @$ 30
HOTEL ______________________________________________
Non-Stable/Ground Fee @ $50
UNGER GOLF CART RENTALS 919-337-7456
Non-Showing Fee @ $100
Post Entry Fee @ $50
(After Oct. 22nd
X_______________________ x________________________ USEF #_______________
Coach Name
Coach Signature
X _______________________________________ X _________________________________________ X _________________________________________
Owner Signature (Parent /Guardian/Trainer if under 18)
Total Entry Fees
STABLE
WITH:_________________________________________
(TRAINER NAME NOT FARM NAME)
X ________________________________________
Trainer Signature (Parent /Guardian/Trainer if under 18)
Rider 1 Signature (Parent /Guardian/Trainer if under 18)
Rider 2 Signature (Parent /Guardian/Trainer if under 18)
Name____________________________________
USEF #__________________________________
Street____________________________________
City/ST/Zip_____________________________
Cell Phone_______________________________
E-mail___________________________________
SS #______________________________________
Name____________________________________
USEF #__________________________________
Street____________________________________
City/ST/Zip_____________________________
Cell Phone_______________________________
E-mail___________________________________
SS #_____________________________________
Name_____________________________________
USEF #__________________________________
Street____________________________________
City/ST/Zip_____________________________
Cell Phone______________________________
E-mail___________________________________
SS #______________________________________

Jump for the Children

Transcription

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