rein_for_roses_2016_pl
Transcription
rein_for_roses_2016_pl
Ollie Galligan photo ©John O’Hara WCRHA Affiliate #2, Region Qualifying Show FEATURING THE MAY 7th Brookside Show Park, Elk Grove, CA S n o i t a c w ho WHERE YOU CAN STAY & PLAY Come Early, Leave Later. v. ay-shuh n] h -k h o h [s n o it Show-Cati tivities associated w un n ac okside. F 1. commo g at Bro in rs e w n o h in s g d horse e, amazin id e ls o in o w p d events ainment an s in rt te n e h it ringside w r the tree xing unde iends from la e R . g n tasti g fr and meetin the RV park r. near and fa SAN FRANCISCO, TAHOE AND BEAUTIFUL NAPA VALLEY ONLY 2 HOURS AWAY FROM OUR FACILITY! Rancho Cordova (916) 691-1900 (916) 478-9000 (916) 851-1550 (916) 631-7500 (916) 635-4040 SILVA’S SHELDON INN (916) 686-8330 (916) 686-8543 (916) 686-6622 (916) 681-6767 Call Brookside Show Park @ 916-682-1403 to setup your Showcation Reserve an RV to stay local and enjoy the evenings Reserve a golf cart for easy travel around the grounds Hookups for your own Living Quarters Trailer DERBY DAY Parade of Hats List of Officials NHRA JUDGES Leslie Temple, Texas Donnie Bricker, California DERBY AND MATURITY EQUIPMENT JUDGE Beverly Le Master, Sacramento STAFF Bill Madden • Facility Owner Lorraine Kemper • Show Manager Thad Carr • NRHA Show Representative Anna-Lise Kozlowski • Show Secretary Jaimin Kozlowski • Show Office Assistant Anne Elliott • Show Scribe Jeanne Akins • Announcer Joann Campas • Schooling Pen Manager/Announcer SHOW PHOTOGRAPHER John O’Hara Photography SHOW VIDEOGRAPHER Classic Video - Lavoy Shepard BROOKSIDE CONTACT INFORMATION (During Show) Brookside Facility Show Office (916) 682-1403 For Advance Reservations for Entries, RV, Stall, Shavings – Call Secretary at (209) 712-3836 THIS SHOW IS WCRHA AFFILIATE #2 AND IS A QUALIFYING SHOW FOR WESTERN REGIONAL AFFILIATE FINALS SHOW & CLASS INFORMATION GROUNDS STABLING - Stalls do not include bedding. We encourage you to order bedding IN ADVANCE. Call Brookside Equestrian Park at (916) 6821403. There are no outside orders for shavings accepted on the grounds. HAUL IN – Horses on grounds without a stall will be charged a $20 grounds fee per day. Haul ins may not park in the barn area, only in the designated areas. ANIMAL CONTROL – Dogs must be kept on leashes at all times. ENTRIES Mail your completed entry form with payment or open check payable to: Brookside Mail to: Anna-Lise Kozlowski - R4R, 25328 N. Cherokee Lane - Galt, CA Entries must include: a copy of your NRHA Membership Card a copy of the OWNER’s NRHA Membership Card(s) a copy of your WCRHA Membership Cards *membership required for Regional Qualifying and Year End Awards recognition a copy of your NRHA Competition License APHA Classes offered for Open, Youth and Amateur (Non Pro) Requires copies of APHA registration and membership. draws will be posted on www.brooksideshowpark.com and west coast designated site if available and time allows to do so. We appreciate your understanding. ENTRIES ALL NRHA CLASS DESIGNATIONS WILL BE MANAGED PER THE 2015 NRHA RULEBOOK. FOR NRHA and APHA approved CLASSES, IT IS THE RESPONSIBILITY OF THE OWNER, EXHIBITOR TO CONFIRM: • Class eligibility to ensure you are eligible to show in that class and or category. • Ownership restrictions associated with non pro, youth and rookie to ensure eligibility. FOR WEST COAST REINING HORSE ASSOCIATION CLUB LEVEL CLASSES Descriptions are posted on the website. http://www.wcrha.com FOR NRHA ANCILLARY AND ENTRY LEVEL CLASSES, DETAILS ARE POSTED ON THE NRHA WEBSITE http://www.nrha.com MEMBERSHIPS/LICENSES Associate Membership, WCRHA and NRHA membership/Comp License will be available for purchase or renewal during the show IF YOU NEED ASSISTANCE WITH CLASS INFORMATION, PLEASE CALL THE SHOW SECRETARY – LORRAINE KEMPER (916)584-5407 or email: [email protected] SHOW FEES –All horses entered in the show will be charged for State of California Drug Fee. $5.00 Per Horse NO EMAIL and NO text entries accepted. POST-ENTRIES – All entries received after April 26,2016 will incur a $25 post entry fee per horse. Entries at the show will be charged a late entry fee of $25 per horse. * Derby. Maturity horses may enter at the show without penalty If an exhibitor enters a class that is designated concurrent, the exhibitor is only showing once to the judge and will only pay one judges fee. CONCURRENT CLASSES Please check class schedule for class closing times and show start times. If an exhibitor enters multiple categories for a concurrent set of classes, the rider is only showing once to the judge and will receive the same score in all class categories entered. RETURNED CHECKS – Checks returned by the bank for any reason will be charged $25 PLUS other fees incurred by the bank. It is the exhibitors responsibility to confirm entry in all appropriate categories on a concurrent class PRIOR to showing. REFUNDS – If you pre-entered and need to cancel, Cancellations made before the start of the1st day of the show will receive a refund of all payments except the office fee. Judges Fees: When you enter concurrent classes (such as Limited Open + Intermediate Open, Non Pro + Prime Time Non Pro) you only have to pay the judge’s fee once. VIDEOGRAPHER / PHOTOGRAPHER FEES – Due to the current cost of having a photographer and videographer at the show, the photo/video feel will be $8.00 per run. This will be calculated at the end of the show in the show office. (Example : If your horse shows 4 separate times at the show, your fee will be 4 x $8.00 = $32). *Concurrent classes are 1 run. To enter and show in prime time class category, the rider/exhibitor must meet eligibility requirements per NRHA rules. The exhibitor does NOT need to cross enter other categories to show prime time. CLASS INFORMATION SCRATCHES – For exhibitors that need to scratch a class, this needs to be done AT THE OFFICE PRIOR to the start of the class to receive a class / judge fee refund. Otherwise, NO REFUNDS! If the class has started and you scratch the class – NO Refunds. If a horse needs to scratch classes due to medical reasons, this must be addressed with the show manager for a full refund. There will not be a refund for stalls / bedding or office fees. ADDS –An exhibitor may add to any class. To be in the draw, you must enter prior to 5pm. If you add after the draw is posted, you will go first. An exhibitor adding classes on Sunday, will be added AT the end of the draw for that class. Posting of draws will be done at the back gate and at the show office. Every effort will be made to post the draw online no later than 8pm. The PRIME TIME CLASSES DERBY CLASSES A horse rider combination may enter all eligible categories and pay only 1 judge fee (highest), or Enter a single category and pay that entry and judge fee only. Please contact show secretary for more information. Entries will close on Thursday at 5pm. The draw will be done at the Draw Party on THURSDAY NIGHT. No LATE FEE will be assessed for Derby Horses MATURITY 7+ CLASSES Entries will close on Thursday at 5pm. The draw will be done at the Draw Party on THURSDAY NIGHT No LATE FEE will be assessed for Maturity horses THIS SHOW IS WCRHA AFFILIATE #2 AND IS A QUALIFYING SHOW FOR WESTERN REGIONAL AFFILIATE FINALS BROOKSIDE SPECIALTY CLASSES & AWARDS TRIPLE CROWN Brookside is offering a special award for high scoring exhibitors To qualify the exhibitor MUST show at all 3 reining shows held at Brookside - Rein for the Roses, WCRHA affiliate #6 (WCRHA #5 does not count), and the Summer Rein. The award will be based on total score from all 3 shows and will be presented at the Summer Rein show in August. DAILY DOUBLE Brookside is offering a special award for high scoring exhibitors. To qualify the exhibitor MUST meet eligibility HOSTED by Brookside - Rein for the Roses and Summer Rein. The award will be based on the total score from both shows and will be presented at the Summer Rein show in August. BROOKSIDE GREEN AS GRASS HORSE This is an open class for 5&U horses in their first year showing. Any horse in their 1st calendar year (defined as January 1-December 31) of showing in reining. Non Pro riders are restricted to the rules of ownership as stated in the NRHA Non Pro Conditions. See NRHA rulebook for reference. Horses to be shown in any age appropriate NRHA approved bit. Horses shown in the bridle must be shown one handed or 2 handed in snaffle bit or hackamore. No jackpot. If you enter the show pen to school, please let the announcer know. If schooling becomes excessive you will be excused. THIS SHOW IS WCRHA AFFILIATE #2 AND IS A QUALIFYING SHOW FOR WESTERN REGIONAL AFFILIATE FINALS. BROOKSIDE SHOW PARK USES THE KISER DRAG ON ALL SHOW ARENAS The Kiser DragMaster™ is the most respected arena drag in the world. Used and recommended by the AQHA, NRHA, NCHA, NRCHA, APHA and many of the industry’s top horsemen SILKY’S BACK GATE PUB INVITES YOU TO JOIN US AT 3:15 FOR THE 142ND RUNNING OF THE KENTUCKY DERBY PARADE OF HATS CONTEST $500 PRIZE MONEY TO BE GIVEN AWAY NON PRO 7+ MATURITY AND OPEN DERBY EACH ENTRANT IN THE DERBY WILL RECEIVE 2 FREE DINNER COUPONS. WEAR YOUR HAT AT DINNER FOR THE PARADE OF HATS. SHOW SCHEDULE ***** Schooling signup closes at 5pm Tuesday ****** ARENA #1 WEDNESDAY MAY 4 2016 ∙ START TIME 7:30 AM large pen PWWED PAID WARM UPS Arena # 1 Pre-sign up required. - $25 5minutes ******* ENTRIES CLOSE at 5pm Wednesday FOR CLASSES on Thursday ARENA #1 THURSDAY MAY 5 2016 ∙ SHOW START TIME 7:30 AM ∙ large pen PWTH PAID WARM UPS Arena # 2 CLASS PATTERN $25 5minutes Start time 7:15am ENTRY FEE JUDGES FEE classes start 7:30 am 1 MARES ONLY 13 $20 $20 No Video or Photo Fee 2 3 4 5 6 NRHA $500 Added Open NRHA $400 Added Intermediate Open NRHA $300 Added Limited Open NRHA Rookie Professional jackpot NRHA Prime Time Open jackpot (50+) 6 6 6 6 6 $50 $40 $30 $25 $25 $25 $25 $25 $25 $2 2-6 run concurrent * Qualifies for Triple Crown 7 8 NRHA $500 Add Novice Horse Non Pro L1 NRHA $500 Add Novice Horse Non Pro L2 8 8 $50 $50 $25 $25 9 WCRHA Green as Grass – 1 Year Only (2 hands okay) Brookside Green as Grass st (1 year only, 2 hands okay) 2 $20 $20 2 $20 $20 10 st 7,8 run concurrent * Qualifies for Daily Double ***** ENTRIES CLOSE at 5pm Thursday FOR ALL CLASSES on Friday ******* ENTRIES FOR MATURITY & FOR DERBY Close at 5pm. Must be entered to be included in draw party ARENA #1 FRIDAY MAY 6 2016 SHOW START TIME 7:30 AM ∙ large pen PWF PAID WARM UPS Arena # 2 CLASS 11 GELDINGS ONLY PATTERN 11 Start time 7:15 am $25 5minutes ENTRY FEE $20 JUDGES classes start 7:30 am FEE $20 No Video or Photo Fee 12 13 NRHA Snaffle / Hack 5&U Open jackpot NRHA Snaffle Bit / Hackamore 5&U Non Pro 5 5 $25 $25 $25 $25 12-13 run concurrent 14 15 NRHA $500 Add Novice Horse Open L1 NRHA $500 Add Novice Horse Open L2 2 2 $50 $50 $25 $25 14-15 run concurrent START TIME TO BE PUBLISHED and POSTED AT ENTRY GATE Open Arena For 7+ Maturity & Derby Horses Only START TIME OF MATURITY & DERBY TO BE DETERMINED & POSTED AT ENTRY GATE AGED EVENT 7+ MATURITY (bridle, 1hand only) 101 NRHA Lvl 4 Open $1000 Added 10 $100 $50 NON PRO DERBY 102 NRHA LVL 4 Non Pro 103 NRHA LVL 1 Non Pro 7 7 $250 $150 $50 $50 $2500 Added $1500 Added Page -1- 102,103 concurrent SHOW SCHEDULE ARENA #1 ∙ SATURDAY, MAY 7 2016 SHOW START TIME 7:30 AM PWS PAID WARM UPS Arena # 2 PATTERN CLASS 16 17 18 PWS 19 - $25 5minutes Start time 7:15 am ENTRY FEE JUDGES FEE classes start 7:30 am NRHA Rookie L1 Jackpot 4 ARENA #1 ∙ SATURDAY, MAY 7 2016$20 SHOW START TIME$20 7:30 AM 16 – 19 run NRHA Rookie L2 Jackpot 4 $20 $20 NRHA Prime Time Rookie Jackpot (50+) 4 $20 $20 PAID WARM UPS Arena # 2 $25 5minutesconcurrent Start time 7:15 am WCRHA Green Reiner (1hand only) jackpot 4 $20 $20 CLASS 20 NRHA 10 & Under Short Stirrup PATTERN 14 JUDGES FEE $0 $20 $20 $20 $20 $20 $20 $20 $20 $20 $20 16 21 17 18 19 NRHA Rookie L1 Jackpot Brookside Green as Grass Horse NRHA Rookie L2 st Jackpot (Horses 5&u, 1 year showing) NRHA Prime Time Rookie Jackpot (50+) WCRHA Green Reiner (1hand only) jackpot 20 START TIME TO BE PUBLISHED and POSTED AT ENTRY GATE Open Arena For 7+ Maturity & Derby Horses Only NRHA 10 & Under Short Stirrup 14 $10 $0 NON PRO MATURITY (bridle, 1hand only) 21 Brookside Green as Grass Horse 104 NRHA Lvl 4 Non $1000 Added st Pro (Horses 5&u, 1 year showing) Break $20 $100 16 – 19 run concurrent $20 $50 START TIME TO BE PUBLISHED and POSTED AT ENTRY GATE Open Arena For 7+ Maturity & Derby Horses Only 105 NRHA LVL 4 Open $3500 Added 106 NRHA LVL 1 Open NON PRO MATURITY (bridle,$1500 1handAdded only) Break 5 10 classes start 7:30 am RUNNING OF THE KENTUCKY DERBY on TV at Silky’s Back Gate Pub & Wine Down Bar OPEN DERBY 104 4 5 4 4 4 ENTRY FEE $10 NRHA Lvl 4 Non Pro 7 7 $350 $150 $50 $50 105,106 concurrent $1000 Added 10 $100 $50 ***** ENTRIES CLOSE FOR CLASSES ON SUNDAY at 5 pm***** RUNNING OF THE KENTUCKY DERBY on TV at Silky’s Back Gate Pub & Wine Down Bar ARENA # 1 ∙ SUNDAY, MAY 8 2016 ∙ SHOW START TIME: 7:30 AM ∙ large pen OPEN DERBY PWS PAID WARM UPS Arena # 2 $25 5 minutes Start time 7:15am 105,106 105 NRHA LVL 4 Open $3500 Added 7 $350 $50 ENTRY JUDGES classes start 7:30 am concurrent 106 NRHA LVL 1 Open $1500 Added 7 $150 $50 CLASS PATTERN FEE FEE 22 NRHA $500 Added Non ***** Pro ENTRIES CLOSE FOR 2 CLASSES $50 ON SUNDAY at 5 pm***** $25 22– 26 run 23 NRHA $400 Added Intermediate Non Pro 2 $40 $25 24 NRHA $200 Added Limited Pro 2 ∙ SHOW$20 $20 ARENA # 1 Non ∙ SUNDAY, MAY 8 2016 START TIME: 7:30 AM ∙ largeconcurrent pen 25 NRHA Prime Time Non Pro Jackpot (50+) 2 $25 $25 26 NRHAWARM Masters NonArena Pro Jackpot (60+) $25 $25 PWS PAID UPS #2 -2 $25 5 minutes Start time 7:15am 7 27 NRHA Green Reiner Level 1 (2 hands okay) 28 NRHA Green Reiner Level 2 (2 hands okay) 7 PATTERN CLASS 22 NRHA $500 Added Non Pro 2 29 NRHA Youth 13 & Under 3 23 NRHA $400 Added Intermediate Non Pro 2 30 NRHA Youth 14-18 3 24 NRHA $200 Added Limited Non Pro 2 31 NRHA Youth Rookie 3 25 NRHA Prime Time Non Pro Jackpot (50+) 2 32 NRHA Unrestricted Youth 3 26 NRHA Masters Non Pro Jackpot (60+) 2 $20 ENTRY $20 FEE $50 $10 $40 $10 $20 $10 $25 $10 $25 $0 27,28 run JUDGES classes start 7:30 am $0 concurrent FEE $25 $0 22– 26 run $25 $0 concurrent $20 29-32 run $0 $25 concurrent $0 $25 27 28 NRHA Green Reiner Level 1 (2 hands okay) NRHA Green Reiner Level 2 (2 hands okay) 7 7 $20 $20 $0 $0 27,28 run concurrent 29 30 31 32 NRHA Youth 13 & Under NRHA Youth 14-18 NRHA Youth Rookie NRHA Unrestricted Youth 3 3 3 3 $10 $10 $10 $10 $0 $0 $0 $0 29-32 run concurrent END OF THE SHOW – THANK YOU FOR COMING ENTRY FORM CHECKLIST FOR A COMPLETE NRHA ENTRY, THE FOLLOWING PAPERWORK MUST BE PROVIDED [ ] Complete ALL information on entry form [ ] Enclose copy of Rider & Owner’s 2015 WCRHA membership card [ ] Enclose photocopy of Rider & Owner’s 2015 NRHA cards [ ] Enclose photocopy of Horse’s NRHA competition license [ ] Verify your eligibility with NRHA before the show [ ] Verify your eligibility with APHA before the show Fax entries (must be confirmed with show secretary PRIOR to sending) and if received after April 22, 2015 except for *Derby only entries, will be considered late and late fee applied. NO Text Entries accepted. SHOW PLANNING: STALLS [ ] How many stalls___________________ [ ] Stall with _________________________________________ [ ] How many tack rooms? ______________ Café can be paid with a separate check or Cash. We do not accept credit cards. This is a BROOKSIDE Show. For Reservations for RV, Golf Cart, Stalls, feed / shavings - contact Brookside (916) 682-1403 or the show secretary PRE-ENTRIES Pre entries are due by April 26, 2016 LATE FEE applies for entries POSTMARKED after April 26, 2016. PAYMENTS Show Entries and all Brookside services, except CAFÉ can be paid on one check or with cash at the show office. Please make check payable to Brookside Show Park. We do not accept Credit Cards. For Mailed in Entries, if provide an OPEN check, please make the check payable to Brookside Show Park IF You do NOT send a check – checks are required at time of CHECK IN otherwise no number issued. Mail entries to: Lorraine Kemper 11120 Bradley Ranch Rd Elk Grove CA 95624 GENERAL SHOW RULES This is a WCRHA Affiliate show #2 and will follow WCRHA general show guidelines. This is a designated NRHA approved show, and current NRHA rules shall prevail in all matters including, but not limited to: eligibility of horse and rider, breaking of ties, use of illegal equipment, abuse or mistreatment of any horse, unsportsmanlike conduct, and failure to pay. PRIZE MONEY: Prize money will be paid per the NRHA Payback percentages as noted in the NRHA 2016 Handbook once the show is validated by NRHA. Prize monies will be mailed to owner of the horse at the address received on the entry form. PLEASE BE SURE IT IS CORRECT. Ensure that the correct SSN or TAX ID is provided. SCHEDULE & CLASSES: Classes will be run according to the rules and specifications listed in the NRHA 2016 Handbook. MEMBERSHIPS: Membership in WCRHA is not required to participate at the show; however to receive points to be applied to Year End awards membership(s) is required and/or to qualify for the NRHA Western Region Affiliate Finals. NRHA membership is required for all classes designated NRHA. present a current card OR purchase membership at the show. MUST WCRHA Green as Grass class is not jackpotted (no winnings paid out); also, NRHA Youth classes are not jackpotted (no winnings paid out – NRHA Youth points awarded) PAID WARMUPS: Timeslots will be assigned on a First-Come, First Served basis per postmark on entries received. Each time slot is 5 minutes: 30 seconds to enter the pen, 4 minutes riding time, 30 seconds to exit. Please be courteous to the next rider and exit promptly when time is called. Additional times may be added at the gate with announcer/time keeper. Horses entered in the show will have priority. Non- showing horses, Rider must prepay or have open check on file with show secretary and sign a waiver of liability SHOW DAY WARMUPS The 2nd ring will be available for PAID Warmups. If a horse is schooling in the pen, there is a 5minute time allotted. THE 1ST 5 time SLOTS ARE ALLOCATED TO THE 1ST 5 horses in the 1st class IF THEY DO NOT USE the TIME SLOTS – the ring is available. Priority will be given to horses entered in the show. Horses that are NOT entered in the show will be charged the warm up fee PLUS the office ADMIN fee. “Walk-ups” will be taken when time slots are available. You must have an open check in the office, or prepay, to get a walk-up schooling run. Paid warm-ups are scheduled in 5-minute increments unless otherwise posted. This includes your time to enter and exit the pen (30 seconds in, 5 minutes riding, 30 seconds out). Please be courteous to the next rider and exit promptly when your time is up. NON SHOWING HORSES: Horses not entered in any class are allowed on the show grounds under the following conditions: (1) brought with trainer – AND are charged for stalls, schooling runs. 2) non-showing haul-in riders must check in at the horse show office and sign a waiver and pay the day fee of $20.00 and park in designated areas. Thank you for Coming to the Show! BACK # as it appears on NRHA competition license $________ Rider DOB_________NRHA # _________Exp. Date______ WCRHA # __________Exp Date______ [ ] Thurs [ ] Fri [ ] Sat [ ] Sun 2[ ] 3[ ] 4[ ] 5[ ] 6[ ] 7[ ] 8[ ] 9[ ] 10[ ] 11 [ ] 12[ ] 13[ ] 14[ ] 15[ ] 24 [ ] 25 [ ] 26[ ] 27[ ] 28[ OPEN DERBY (Age 4,5,6) : [ ] 105 [ ] 107 NON PRO DERBY (Age 4,5,6) : [ ] 102 [ ] 103 23[ ] ] 29[ ] 30[ ] 31[ ] 32[ ] [ ] 101 NON PRO DERBY 7+ [ ] 104 OPEN DERBY 7+ 8[ ] 9[ ] 27[ ] 28[ ] 29[ ] 30[ ] 31[ ] 32[ ] 10[ ] 11 [ ] 12[ ] 13[ ] 14[ ] 15[ ] OPEN DERBY (Age 4,5,6) : Open CHECK #__________________ or Pay Café and Show fees Separately * Pay at Show on One Check for All Services (916) 682-1403 * Pre Order R.V. spaces & Shaving [ ] 105 [ ] 106 NON PRO DERBY (Age 4,5,6) : [ ] 102 [ ] 103 25 [ ] 26[ ] 5[ ] 6[ ] 7[ ] For questions—Phone: (209)712-3836 or email: [email protected] Mail to: Anna-Lise Kozlowski— DERBY 25352 N Cherokee Lane Galt CA 95632 Make checks payable to: BROOKSIDE Saturday: Friday: 19[ ] ] 4[ ] 20[ ] 21[ ] 22[ ] 23[ ] 24 [ ] 18 [ ] 3[ 16 [ ] 17[ ] ] 2[ ANCILLARY CLASSES: 1[ ] [ ] Open [ ] Non Pro [ ] Youth Rider DOB_________NRHA # _________Exp. Date______ WCRHA # _________ Exp Date______ EXHIBITOR #2 Name _____________________________________________ Relationship to owner ___________________ ] 101 NON PRO DERBY 7+ [ ] 104 [ 20[ ] 21[ ] 22[ ] Saturday: 19[ ] OPEN DERBY 7+ 18 [ ] Friday: 16 [ ] 17[ ] ANCILLARY CLASSES: 1[ ] [ ] Open [ ] Non Pro [ ] Youth $_______ TOTAL DUE $8/PER RUN PHOTO/VIDEO $25 horse Late Entry Fee $________ $________ $________ Office Fee per entry $_25.00__ per day per horse Haul In @ $20.00 Drug Fee $5 / horse $__5.00__ $_______ _______ # Tack @$100 ea Total _______ # Stalls @ $120 ea $________ $________ Warmup: [ ] Wed EXHIBITOR #1 Name _____________________________________________ Relationship to owner ___________________ $________ FEES AND CHARGES: Phone # ( ___) _______ Email:_________________________ Class/judge Total Address:_____________________________________________________________ City, State, Zip______________________________________________________ Co Owner _________________________________________ NRHA # ___________ Exp Date________ Owner____________________________________________ NRHA # __________ Exp Date________ Phone # ( ___) _______ Email:_________________________ OWNER INFORMATION Breed_____________________ Registration #________________ TRAINER:_____________________________________Stable With:________________________ Horse Age:_____ Horse Sex: M G S (*If horse has been gelded—please be sure license is up to date) Registered Name _______________________________________ NRHA License #____________________ Foal Year: _______ HORSE INFORMATION as it appears on NRHA competition license/Registration Papers 2016 REIN FOR THE ROSES SHOW (Affiliate #2, Derby, Maturity) 5/5—5/8 BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all items and provisions of this entry blank 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. Owner Print Name: _________________________________ Owner signature (MUST BE 18 or OVER TO SIGN) X:______________________________________ Parent/Guardian Signature: _________________________ Rider B Print Name: ___________________________________ Rider B signature (MUST BE 18 or OVER TO SIGN) X:______________________________________ Parent/Guardian Signature: _________________________ Rider A Print Name:___________________________________ Rider A signature (MUST BE 18 or OVER TO SIGN) X:______________________________________ Phone: ____________________________________________ City/State/Zip: ______________________________________ Street: ____________________________________________ WCRHA #:________ NRHA_________ Coach Print Name: _________________________________ Coach signature (MUST BE 18 or OVER TO SIGN) X:______________________________________ Please send copies of WCRHA and NRHA memberships _____________________________________ ___________________________________ ______________________________ check box if payee is different than owner ___________________________ ________________________________ Social Security: Phone #: State/Zip:_________________________ City: Street: Print name: Prize money checks payable to: PARENT/GUARDIAN MUST SIGN FOR A MINOR. SIGNATURES REQUIRED FOR OWNER AND RIDER. BY SIGNING BELOW, I further AGREE to be bound by all applicable WCRHA, ORHA & NRHA Rules and all terms and provisions of this entry blank. I AGREE in consideration for my participation in this Competition REIN FOR THE ROSES/DERBY ON THE DERBY to the following: I AGREE that “the Federation” and “Competition” as used herein includes the Licensee and Competition Management, as well as all of their officials, officers, directors, employees, agents, personnel, volunteers and Federation affiliates. I AGREE that I choose to participate voluntarily in the Competition with my horse, as a rider, driver, handler, vaulter, longeur, lessee, owner, agent, coach, trainer, or as parent or guardian of a junior exhibitor. I am fully aware and acknowledge that horse sports and the Competition involve inherent dangerous risks of accident, loss, and serious bodily injury including broken bones, head injuries, trauma, pain, suffering, or death. (“Harm”). I AGREE to hold harmless and release Brookside Horse Park, Silky’s Pub, and WCRHA 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 This document waives important legal rights. Read it carefully before signing. RELEASE, ASSUMPTION OF RISK, WAIVER and INDEMNIFICATION Open Derby 2015- Ollie Galligan 2010: Scott Nicolaides 2011: Buffy Trinchero 2012: Joey Pacini 2013: Cam Essick 2014: Stacy Hamilton photos ©John O’Hara Non Pro Derby 2015- Jim Grech & Cam Essick 2010: David Hanson 2011: Shawn Church 2012: John Irish, Ricky Nicolazzi 2013: Tracer Gilson 2014: Mike Boyle You need it? Brookside's GOT IT! RV RESERVATIONS Please call ahead for availability and reservations (916)682-1403 BROOKSIDE SHOW PARK FEED AND BEDDING CALL AHEAD AND PLACE YOUR ORDER FACILITY OFFICE (916) 682-1403 SHELDON FEED & SUPPLY (916) 686-6400 8928 Grant Line Rd 11120 Bradley Ranch Road Elk Grove, CA 95624 Relive the Show Experience Who says serious competition can’t be fun? www.BrooksideShowPark.com photos by John O’Hara