2016 Pacific NW Prize List

Transcription

2016 Pacific NW Prize List
2016
Pacific Northwest
Hunter & Jumper Horse Show
May 18 - 22, 2016
USEF National Hunter Rated
WCHR Member Show
USHJA National Hunter Derby
USEF Jumper Rating 2
Pacific Northwest Children's/Adult Amateur
Jumper Team Championships
PACIFIC NORTHWEST HUNTER & JUMPER HORSE SHOW
SPONSORED BY THE EVERGREEN EQUESTRIAN PARK
STAFF AND OFFICIALS
HORSE SHOW MANAGER
Dianne Johnson..........................................................................................Kirkland, WA
(425) 823-2802
SHOW SECRETARY
Barbara Baierle......................................................................................Snohomish, WA
(360) 668-0518
ASSISTANT SHOW SECRETARY
Cassie Meacham........................................................................................Puyallup,WA
GROUNDS MANAGER
Hans Van Meenen............................................................................................Indio, CA
USEF Hunter & Hunter Seat Equitation Judges
Mary Babick............................................................................................... Freehold, NJ
Jeanne Marie Dunford.................................................................................Keswick, VA
William Sparks.............................................................................................Houston, TX
USEF JUMPER JUDGE
Peggy Fackrell....................................................................................... Carmichael, CA
USEF STEWARD
Phyllis Ryan..............................................................................................Tumwater, WA
USEF COURSE DESIGNER
Mike Gallaway............................................................................................. Eugene, OR
VETERINARIAN
Dr. Jennifer Sparks, DVM...................................................................... Mt. Vernon, WA
(425) 330-6057
FARRIER
Julie Johnson................................................................................................ Duvall, WA
ANNOUNCERS
Peggy Fackrell....................................................................................... Carmichael, CA
Wade Worley..............................................................................................Portland, OR
Caitlin Liebman..............................................................................................Sultan, WA
STARTER
Cindy Daniels............................................................................................Kingston, WA
Caitlin Liebman..............................................................................................Sultan, WA
Mary Von Zimmermann..................................................................... Lake Oswego, OR
ENTRIES CLOSE:
WEDNESDAY, APRIL 13, 2016
Approved By:
World Championship Hunter Rider
Washington State Hunter Jumper Association
Oregon Hunter Jumper Association
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GENERAL RULES AND INFORMATION 25.
CONDITIONS OF COMPETITION
1. CLOSING OF ENTRIES: Entries close Wednesday, April 13, 2016
2. ENTRY PROCEDURES: One check per owner. Exhibitors may pay either by check or credit card (Visa or Mastercard). Exhibitors may
enter on line by credit card only, at www.horseshowtime.com. Also services of Equestrian Connect. For more information go to their web
site: www.equestrianconnect.com
1. Exhibitors may choose to pre-pay all fees before the closing date of entries.
2. Exhibitors may pay the total of:
1.) A deposit fee of $50 per horse
2.) All stall and tack room fees
3. If the entry blanks are postmarked on or before the closing date of entries AND are properly filled out, the $50 entry deposit will be credited to the entries due. LATE AND/OR IMPROPER ENTRIES WILL FORFEIT THE ENTRY DEPOSIT FEE.
TO BE COMPLETE ENTRY FORMS MUST INCLUDE:
1.) HORSE'S NAME AND COMPLETE DESCRIPTIONS.
2.) ALL CLASSES OR SECTIONS ENTERED.
3.) ALL MANDATORY SIGNATURES
4.) ORGANIZATION MEMBERSHIP NUMBERS
4. Trainers and owners may leave a signed open check or credit card authorization for charges during show. All accounts to be closed by 5:00 Saturday.
5. ALL ENTRIES WHICH ARE LATE WILL BE ASSESSED A $50 LATE FEE. NO EXCEPTIONS
6. Exhibitors will receive their prize money within three weeks after the Horse Show.
3. CREDIT CARDS: Exhibitors wishing to pay by credit card will be charged a $35 Convenience Fee.
4. USHJA HORSE REGISTRATIONS: All horses competing in Federation non-breed restricted licensed competitions with hunter, hunter
breeding, jumper and hunter seat equitation classes (except those activities enumerated in GR901.9, items 1-11) must be properly identified
and must obtain a Registration Number from USHJA. A registration number for each horse must be entered on all entry forms for licensed
competitions.
5. CREDENTIALS: Exhibitors must present the following credentials to the horse show.
1.) USEF/USHJA membership card
2.) USEF/USHJA amateur certification
3.) USEF/USHJA Large, Small, Junior Hunter & Pony measurement card
4.) USEF/USHJA horse recording number
5.) EC membership card
WE STRONGLY RECOMMEND THAT PHOTO COPIES OF THE ABOVE CARDS BE SENT WITH ENTRIES.
6. CANADIAN EXHIBITORS: Entries must be paid by draft payable in US Funds or check on Canadian US Dollar account. Canadian
checks with US Funds written on the face of the check will not be accepted.
7. POST ENTRIES: Post entries accepted the day of the class will be charged $10/class
8. JUMPER NOMINATING FEE: Horses entered in any jumper classes must pay a $40 Jumper Fee. This fee allows jumpers to add /
scratch classes up to 5:00pm the day before
9. HUNTER / EQ FEE: Horses or ponies entered in any hunter or equitation classes at this show must pay a $40 Hunter / EQ Fee. This fee
allows hunters and equitation entries to add / scratch classes up to 5:00pm the day before.
10. SUBSTITUTIONS: With a vets certificate, a new horse may be substituted for a scratched horse. There will be a $50.00 office charge.
11. Cancellation of Entries and Refunds: Exhibitors cancelling entries after the closing date shall forfeit their entry fees, except
in the case of disability of a horse, when entries shall be refunded on presentation to the Show Secretary, a certificate of disability from a
qualified veterinarian PRIOR to the first class in which the horse is entered.
1) No refunds of entry fees shall be made after the first class in which the horse is entered unless the certificate of disability is issued
by the Official Show Veterinarian on duty.
2) A $50 or 15% of remaining entry fees (whichever is greater) office charge will be made on all cancellation of entries. No refund of
entry fees for classes already held prior to notification to the Horse Show Office.
3) No refund of stall fees unless requested directly to the show secretary before May 10, 2016.
4) Refunds will be mailed within three weeks after the Horse Show.
12. Returned Checks/Credit Cards: There will be a penalty of $50 per check/credit card returned by the bank for any reason. No
checks/credit cards will be processed through the bank a second time. To retain entries, the fees and penalty must be paid by Money Order,
Cashiers Check or Cash before 4 PM the day before the Horse Show starts. In the event a check/credit card is returned after the completion
of the show, it will be handled in accordance with USEF GR913. No personal checks will be cashed at the Show. Please plan accordingly.
13. OPPORTUNITY CLASSES: Opportunity classes are exempt from the USEF Federation Membership, USHJA Membership, Non-member
Fee, USHJA Support Fee and USEF Fee.
14. Mailing: Mail entries and fees to:
Barbara Baierle
(360) 668-0518
19716 82nd Avenue S.E.
Fax (360) 668-9179
Snohomish, WA 98296
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GENERAL RULES AND INFORMATION (continued)
15. USEF FEE: For every horse participating in any competition recognized by the USEF, a $16 USEF fee will be collected ($8 shall be a
Drugs & Medication fee to provide for research, inspection and enforcement of rules regarding use of medications and drugs; see GR407.1,
.2 and .3.
16. USHJA SUPPORT FEE: Every horse entered in any competition recognized by the USEF will be assessed a $7 USHJA Support Fee.
17. MEASUREMENT AND AMATEUR CERTIFICATION: All Small, Junior and Pony Hunters must possess and present a current
Measurement Card to the show secretary before numbers may be picked up. If the cards are not available, measurement will be
required.
18. MANAGEMENT: Management reserves the right to cancel or combine any classes that do not fill to their satisfaction. Equitation classes
not filling may be combined with the next age group. Notice will be given to exhibitors affected. Management reserves the right to start the
first class of any session 30 minutes earlier than the scheduled time if entries warrant. Management reserves the right to make changes of
arenas, judges, or class orders to facilitate time schedule and conditions.
19. COMBINED CLASSES & SECTIONS: Any class or section that does not have at least four entries will be combined. Junior, Amateur
Owner, Children's and Adult Amateur Sections will be combined with less than six entries
20. TROPHIES, RIBBONS, PRIZE MONEY: Trophy and ribbons will be awarded to eight places in all Hunter, Equitation and Junior classes.
Hunter prize money will be divided 30%, 25%, 20%, 15%, 10%, . Jumper prize money will be divided 25%, 23%, 20%, 17%, 15%. USHJA
National Hunter Derby prize money will be divided 30%, 22%, 13%, 8%, 6%, 5%, 4%, 3%, 3%, 2%, 2%, 2%.
21. HORSE SHOW OFFICE: Show office hours are:
Tuesday: 9:00 a.m. to 6:00 p.m.
Wednesday through Sunday: 7:00 a.m. to 1/2 hour after the end of show.
Phone Number During Show Only: (360) 805-6711
22. STABLING: Permanent box stalls with doors provided. Shavings for the show will be provided. DUE TO THE EVERGREEN STATE
FAIRGROUNDS POLICY - STALLS WILL NOT BE AVAILABLE UNTIL 5:00 P.M. MONDAY, MAY 16, 2016 and must be vacated no later
than noon , Monday, May 23, 2016. Fee for box stalls for the entire show shall be $200. Please indicate arrival and departure date and
who you are to be stabled with on the entry blank. Exhibitors do their own stall cleaning. Preference on requests for stalls will be given to
exhibitors from out of the country, out of state, longest distance away and promptness of entry. No refund of stall fees unless requested
directly to the Show Secretary before May 10, 2016. Refunds after those dates will only be made is the stall is reissued to another entry.
Weekend stalls (Friday - Sunday) will be available for a fee of $145.
23. SHAVINGS & MANURE DISPOSAL FEE: There will be a $95 per horse shavings & manure disposal fee. The fee for week-end stalls
will be $65 per horse
24. SCHOOLING AND EXERCISE: Schooling areas will be available for use before, during and after the show. Schooling in the performance
rings will be allowed on Tuesday May 17, 2016, over a posted course in the Cascade Ring from 9:00 a.m. to 5:00 p.m. (fences at 3’6” from
10:00 to 12:00 p.m., 3’ from 12:00 p.m. to 4:00 p.m., 2’ from 4:00 p.m. to 5:00 p.m.) and in San Juan Ring from 9:00 a.m. to 4:00 p.m.
(fences at 2’6” from 9:00 a.m. to 1:00 p.m., 2’ from 1:00 p.m. to 4:00 p.m.). Jumper schooling will be 3’6” from 9:00 a.m. to 12:00 p.m., 3’
from 12:00 p.m. to 2:30 p.m., 2’6” from 12:00 p.m. to 4:00 p.m., A schooling fee of $30 will be charged all entries. Hard hats must be worn
while schooling
25. MOTORIZED VEHICLES: Minors who do not have a valid driver’s license which allows them to operate 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 SIGN 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 ACTION 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.
26. HelmetS: It is compulsory for all persons at Federation licensed hunter, jumper or hunter/jumper competitions when mounted
anywhere on the competition grounds, to wear properly fastened protective headgear which meets or exceeds ASTM (American
Society for Testing and Materials), SEI (Safety Equipment Institute) standards for equestrian use and carries the SEI tag. It must be
properly fitted with harness secured. It is compulsory for riders in Paso Fino classes, both open and breed restricted including Hunter
Hack, where jumping is required and when jumping anywhere on the competition grounds to wear properly fastened protective headgear
which meets or exceeds ASTM (American Society for Testing and Materials), SEI (Safety Equipment Institute) standards for equestrian use
and carries the SEI tag. It must be properly fitted with harness secured. A Show Committee must bar riders without protective headgear
from entering the ring for classes in which protective headgear is required and may bar entry or person from entering the ring if not suitably
presented to appear before an audience.
27. TRAILER OR CAMPER HOOK-UPS: Trailer and camper hook-ups are available at a cost of $170/week or $45/day per space. Hook-up
rates for the septic tank area will be $190/week on a first come basis. A card will be issued at the horse show office and must be displayed
in a window facing the parking area. Hook-ups will be patrolled and enforced. There will be a charge of $110/week or $30/day for trailers and
campers that park overnight but do not use hook-ups.
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GENERAL RULES AND INFORMATION (continued)
28. HAUL-INS: There will be a charge of $50 a day per horse for horses not stabled.
29. ARENAS & FOOTING: Cascade Ring is 248’ x 120’. San Juan Ring is 100’ x 245’. Rainier Ring is 128’ x 255’. The indoor schooling
arena is 100 x 200. The footing is sand on.
30. CONDITIONS OF COMPETITION
EVERY CLASS OFFERED HEREIN WHICH IS COVERED BY THE RULES AND SPECIFICATIONS OF THE CURRENT FEDERATION
RULE BOOK WILL BE CONDUCTED AND JUDGES IN ACCORDANCE THEREWITH
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 non-member 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 Show pass 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.
HORSES ENTERING THE GROUNDS FOR THE PACIFIC NORTHWEST H&J HORSE SHOW MUST BE ACCOMPANIED BY
DOCUMENTATION OF EQUINE INFLUENZA VIRUS(EIV) AND EQUINE HERPESVIRUS(EHV) VACCINATIONS WITHIN
SIX MONTHS PRIOR TO ENTERING THE SHOW GROUNDS
PACIFIC NORTHWEST HUNTER & JUMPER
CHAMPIONSHIPS WILL BE AWARDED IN THE FOLLOWING SECTIONS:
Amateur Owner Hunters, 18-35, Amateur Owner Hunters, 36 & Over, 3'6'
Amateur Owner Hunters, 18 -35, 3'3"
Amateur Owner Hunters, 36 & Over, 3'3"
Adult Amateur Hunters, 18-30
Adult Amateur Hunters, 31-39
Adult Amateur Hunters, 40-49
Adult Amateur Hunters, 50 & Over
Regular Conformation Hunters
High Performance Working Hunters
Performance Working Hunters, Fences 3'6"
First Year Green Working Hunters
Second Year Green Working Hunters
Green Conformation Hunters
Performance Working Hunters, Fences 3'3"
Pre-Green Hunters, Fences 3’
Pre-Green Hunters, Fences 3’3”
Baby Green Hunters
Thoroughbred Hunters
Wishful Hunters
Training Hunters
Schooling Hunters
Just A Working Hunter
Small Hunters
Large Hunters
Junior Hunters, Large, 15 & Under
Junior Hunters, Large, 16-17
Junior Hunters, Small, 15 & Under
Junior Hunters, Small, 16-17
Junior Hunters, 3'3"
Children’s Hunters, 12 & Under
Children’s Hunters, 13-14
Children’s Hunters, 15-17
Short Stirrup Hunters (Horses)
Short Stirrup Hunters (Ponies)
Long Stirrup Hunters
Pre-Children’s Hunters
Pre-Adult Hunters
Low Children’s Hunters
Low Adult Hunters
Small Pony Hunters
Medium Pony Hunters
Large Pony Hunters
Large Green Pony Hunters
Small/Medium Green Pony Hunters
Children’s Hunter Pony
Equitation, 16 - 17
Equitation, 14 - 15
Equitation, 12 - 13
Equitation, 11 & Under
Adult Amateur Equitation, 18 - 30
Adult Amateur Equitation, 31 - 39
Adult Amateur Equitation, 40 - 49
Adult Amateur Equitation, 50 & Over
Full points will be awarded in all sections; 1st -10, 2nd - 6, 3rd - 4, 4th - 2, 5th - 1, 6th - 1/2
Green Conformation Model Class will be awarded half points
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Amateur Equitation, Fences 3'3"
Pony Equitation
Short Stirrup Equitation (Horses)
Short Stirrup Equitation (Ponies)
Long Stirrup Equitation
Pre-Children’s Equitation
Pre-Adult Equitation
Low Children’s Equitation
Low Adult Equitation
Children’s Pony Equitation
Pony Jumpers
Adult Amateur Jumpers, 0.90m
Children’s Jumpers, 0.90m
Adult Amateur Jumpers,1.00m
Children’s Jumpers, 1.00m
Children’s Jumpers, 1.10m
Adult Amateur Jumpers, 1.10m
Modified Junior/Amateur Jumpers
Jumpers, 1.20m
Jumpers. 1.15m
Jumpers, 1.10m
Jumpers, 1.00m
Jumpers, 0.95m
Jumpers, 0.90m
Jumpers, 0.85m
Jumpers, 0.75m
Jumpers, 0.70m
Hopeful Jumpers
EXHIBITORS PLEASE BE REMINDED OF
EVERGREEN EQUESTRIAN PARK RULES
No dogs are allowed on the grounds of the Evergreen Equestrian Park
Painting/polishing of horses hoofs need to be done within the stall. No painting in the aisle way.
You are responsible for the cleaning of your tack & grooming stalls prior to
moving out. Manure left in the corner of stalls should be put in the manure bins.
Braiding yarn needs to be swept up and disposed of.
Syringes and needles must be put in the sharps containers.
Competition management may fine any individuals including trainers, owners, exhibitors, or their agents up to $100
for improper disposal of needles or other sharp disposable instruments.
When the Horse Show is charged for these violations, they will be passed on to the exhibitors.
Driving Directions to Evergreen Equestrian Park
at the Evergreen State Fairgrounds
From the North: Southbound on I-5, take exit 194 to Hwy 2. Continue East for
approximately 14 miles. The Evergreen Equestrian Park is located on the left side,
North of US Hwy 2, just prior to entering Monroe. Take left on 179th and watch for
parking signs.
From the South Via I-5: Northbound on I-5, take Exit to Hwy 2. Continue East for
approximately 14 miles. The Evergreen Equestrian Park is located on the left side,
North of US Hwy 2, just prior to entering Monroe. Take left on 179th and watch for
parking signs.
From the South Via I-405: Drive Northbound on I-405, take Exit 123 (Woodinville)
which connects to SR 522. Travel East on SR 522 until it ends at stoplight. Take
second right on 179th, and watch for parking signs.
From Hwy 2: The Evergreen Equestrian Park is 50 miles West of Stevens Pass.
Follow US Hwy 2 Westbound, past the Fred Meyer shopping center in Monroe.
Continue under the 522 overpass, and take right on 179th. Watch for parking signs.
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 of the competition. I will accept as final the decision of the Hearing Committee on any question arising under the Rules, and agree to release and hold harmless the Competition, the Federation, their officials, directors
and employees for any action taken under the Rules. I represent that I am eligible to enter and/or participate under
the Rules, and every horse I am entering is eligible as entered. I also agree that as a condition of and in consideration of acceptance of entry, the Federation and/or the Competition may use or assign photographs, videos, audios,
cable-casts, broadcasts, internet, film, new media or other likenesses of me and my horse taken during the course of
the Competition for the promotion, coverage or benefit of the Competition, sport, or the Federation. Those likenesses
shall not be used to advertise a product and they may not be used in such a way as to jeopardize amateur status.
I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim
to compensation, invasion of privacy, right of publicity, or to misappropriation. The construction and application of
Federation rules are governed by the laws of the State of New York, and any action instituted against the Federation
must be filed in New York State. See GR908.4.
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Pacific Northwest Hunter & Jumper
Horse Show #4243
Is operated in accordance with the current rules of
USEF, Inc.
of which body it is a REGULAR MEMBER SHOW and is Rated
“A” Amateur Owner Working Hunters, 3'6"
“A” Amateur Owner Working Hunters, 3'3"
“A” High Performance Working Hunters
“A” Performance Working Hunters, 3'6" - 3'9"
“A” Regular Conformation Hunters
“A” Green Working Hunter
“A” Green Conformation Hunters
“A” Performance Working Hunters, 3'3"
“A” Junior Working Hunters, 3'6"
"A" Junior Working Hunters, 3'3"
“A” Pony Hunters
“A” Green Pony Hunter
“C” Adult Amateur Working Hunters
“C” Children’s Working Hunters
“C” Children’s Pony Working Hunters
“C” Pre Green Working Hunters
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-8-
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HUNTERS
PACIFIC NORTHWEST HUNTER & JUMPER
ALL HUNTER CLASSES WILL BE JUDGED ON PERFORMANCE AND SOUNDNESS UNLESS OTHERWISE NOTED. THE
LAST CLASS IS UNDER SADDLE
DIVISION/CLASS
SECTION
CLASS
DIVISION FEE CLASS FEE
REGULAR CONFORMATION HUNTER SECTION - USEF “A” RATED
Regular Conformation Hunters, Fences 3'9"
A
*2, 10, 11, 83, 84, 19
PRIZE MONEY
PER CLASS
Class 84 is Handy
$250
$400
$100 US
* Model - Class 2 must be entered separately at a fee of $30. To be judged 70%
on performance and 30% conformation.
HIGH PERFORMANCE WORKING HUNTER SECTION - USEF “A” RATED
High Performance Working Hunters, Fences 4' - 4'6" B
12, 13, 85, 86, 20
$275
$75
Class 86 is Handy.
GREEN WORKING HUNTER SECTION - USEF “A” RATED
First Year Green Working Hunters
C
4, 5, 77, 78,16
$250
$400
$100 US
$400
$100 US
Class 78 is Handy
Second Year Green Working Hunters
D
8, 9, 81, 82,17
$250
Class 82 is Handy.
GREEN CONFORMATION HUNTER SECTION - USEF “A” RATED
Green Conformation Hunters
E
*1, 6, 7, 79, 80,18
$450
$100 US
$250
$400/$100 US
*Model - Class 1 must be entered separately at a fee of $30. To be judged 70%
performance and 30% on conformation. Class 80 is Handy.
PERFORMANCE WORKING HUNTER SECTION - USEF “A” RATED
Performance Working Hunters, Fences 3'6"
F
14, 15, 87, 88, 21
$175
$40
Class 88 is Handy.
PRE-GREEN WORKING HUNTER SECTION - USEF “C” RATED
Pre-Green Working Hunters, Fences 3’
G
24, 25, 91, 92, 28
Pre-Green Working Hunters, Fences 3’3”
H
29, 30, 93, 94, 33
NOT TO JOG
$175
$40
$175
$40
PERFORMANCE WORKING HUNTER SECTION - USEF “A” RATED
Performance Working Hunters, Fences 3'3"
I
31, 32, 96, 97, 34
$175
$150
$100 US
$100
$100
$40
$150
$100 US
USHJA PRE-GREEN CHALLENGE
95
$75
$750
Open to horses of any age in their first or second year of competition over fences set at 3' or 3' 3". Zone Bonus Points will
be awarded. Classes 92 & 94 will be the first round of the challenge.
Class 97 is Handy.
AMATEUR OWNER HUNTER SECTION, 3'6" - USEF “A” RATED
Amateur Owner Working Hunters, 18 - 35
J
292, 293, 391, 392, 382 $225
Amateur Owner Working Hunters, 36 & Over
K
294, 295, 393, 394, 383 $225
$250/$100 US
$250/$100 US
Classes 293 & 295 are Handy.
AMATEUR OWNER HUNTER SECTION, 3'3" - USEF “A” RATED
Amateur Owner Working Hunters, 18 - 35
L
288, 289, 387, 388, 384 $225
Amateur Owner Working Hunters, 36 & Over
M
290, 291, 389, 4390, 385 $225
$250/$100 US
$250/$100 US
Classes 289 & 291 are Handy.
ADULT AMATEUR HUNTER SECTION - USEF “C” RATED
Adult Amateur Working Hunters, 18 - 30
N
Adult Amateur Working Hunters, 31 - 39
O
Adult Amateur Working Hunters, 40 - 49
P
Adult Amateur Working Hunters, Over 50
Q
NOT TO JOG
155, 276, 415, 416, 411
158, 277, 417, 418, 412
161, 278, 420, 421, 413
164, 279, 422, 423, 414
MODIFIED ADULT AMATEUR HUNTER SECTION - NON RATED
Modified Adult Amateur Working Hunters,
R
165, 281, 152
Fences 3'3". Open to Adult Amateur and Amateur Owner Riders.
JUNIOR HUNTER SECTION, 3'6" - USEF “A” RATED
Junior Working Hunters, Large, 15 & Under
Junior Working Hunters, Small, 15 & Under
Junior Working Hunters, Large, 16 - 17
Junior Working Hunters, Small, 16 - 17
S
T
U
V
Class 296, 297, 298, 299 are Handy.
$40
$40
$40
$40
$100
$100
$100
$100
NOT TO JOG
$120
$40
178, 179, 297, 396, 302
182, 183, 299, 398, 304
176, 177, 296, 395, 301
180, 181, 298, 397, 303
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$175
$175
$175
$175
$225
$225
$225
$225
$250 $100 US
$250 $100 US
$250 $100 US
$250 $100 US
HUNTERS
PACIFIC NORTHWEST HUNTER & JUMPER
JUNIOR HUNTER SECTION, 3'3" - USEF “A” RATED
Junior Working Hunters
W
174, 175, 287, 386, 381
$225
$250
$100 US
Class 287 is Handy.
$3500 USHJA NATIONAL HUNTER DERBY
305
$200
$3500
Fences 3' with four option fences at 3'3". Open to all horses and ponies. Not to jog. To be eligible to compete a horse must compete in
two classes over fences at the Pacific Northwest. For further information go to USHJA.org. Riders must fill out declaration forms for
points to count. Awards will be given to the highest placing Junior and Amateur.
CHILDREN’S WORKING HUNTER SECTION - USEF “C” RATED
Children’s Working Hunters, 12 & Under
Children’s Working Hunters, 13 - 14
Children’s Working Hunters, 15 - 17
X
Y
Z
NOT TO JOG
171, 284, 408, 409, 403
169, 283, 406, 407, 402
167, 282, 404, 405, 401
MODIFIED JUNIOR / CHILDREN’S HUNTER SECTION - NON RATED
Modified Junior / Children’s Working Hunters,
Fences 3'3". Open to Junior and Children Riders.
AA
$175
$175
$175
$40
$40
$40
$100
$100
$100
NOT TO JOG
173, 286, 151
$120
$40
PONY HUNTER SECTION - USEF “A” RATED
Small Pony Hunters
Medium Pony Hunters
Large Pony Hunters
AB
AC
AD
186, 192, 269, 270, 431, 425
187, 193, 271, 272, 432, 426
189, 195, 274, 275, 434, 427
$225
$225
$225
$200
$200
$200
$100 US
Model classes 186, 187, 188 must be entered separately at a fee of $30
Conformation classes are: 192, 193, 195. Classes 270, 272, 275 are Handy.
GREEN PONY HUNTER SECTION - USEF “A” RATED
Large Green Pony Hunters
Small/Medium Green Pony Hunters
AE
AF
188, 194, 273, 433, 428
185, 191, 268, 430, 429
$175
$175
$75
$75
Conformation classes are 191, 194. Model classes 185,188 must be entered
separately at a fee of $30
CHILDREN’S PONY HUNTER SECTION - USEF “C” RATED
Children’s Pony Working Hunters
AG
313, 314, 440, 441, 315
$160
$40
Braiding Optional
Not to Jog
SHORT AND LONG STIRRUP WORKING HUNTER SECTION
Short Stirrup Working Hunters, Horses, 17 & Under AH
317, 318, 443, 444, 307
$160
$40
Fences 2’3” Riders may not cross enter into any classes
except Short Stirrup Hunters, Ponies & Short Stirrup Equitation & Low Working Hunters
Short Stirrup Working Hunters, Ponies, 17 & Under AI
310, 311, 437, 438, 306
$160
$40
Fences 18” Riders may not cross enter into any classes
except Short Stirrup Hunters, Horses & Short Stirrup Equitation & Low Working Hunters
Long Stirrup Working Hunters, 18 & Over
AJ
320, 321, 446, 447, 308
$160
$40
Fences 2’3”Riders may not cross enter into any classes except Long Stirrup Equitation & Low Working Hunters
PRE-CHILDREN’S & ADULT WORKING HUNTER SECTION
Braiding Optional
Pre-Children’s Working Hunters
AK
326, 327, 452, 453, 335
Pre-Adult Working Hunters
AL
323, 324, 449, 450, 334
Fences 2’6”
Riders may not cross enter into rated sections and/or classes with fences 3’ or higher.
LOW CHILDREN’S & ADULT WORKING HUNTER SECTION
Braiding Optional
Low Children’s Working Hunters
AM
332, 333, 459, 460, 337
Low Adult Working Hunters
AN
329, 330, 456, 457, 336
Fences 2’9”
Riders may not cross enter into rated sections and/or classes
with fences 3’ or higher.
-11-
Not to Jog
$160
$160
$40
$40
Not to Jog
$160
$160
$40
$40 HUNTERS
PACIFIC NORTHWEST HUNTER & JUMPER
Braiding Optional
NON-RATED HUNTER SECTION
Small Working Hunters, Fences 3’
AO
22, 89, 27
Open to horses 16 hands and under.
Large Working Hunters, Fences 3’
AP
23, 90, 26
Open to horses over 16 hands
Thoroughbred Working Hunter, Fences 3'
AQ
53, 54, 116, 117, 55
Open to Thoroughbreds, according to USEF - HU106.8
Baby Green Working Hunters, Fences 2’6”
AR
47, 48, 112, 113, 51
Open to horses & ponies in their first year of showing
and horses & ponies 4 years of age and younger
(after October 1 of the previous year)
Just A Working Hunter, Fences 2’6”
AS
49, 50, 114, 115, 52
Open to horses and ponies.
Schooling Working Hunters, Fences 2’3”
AT
43, 44, 109, 110, 45
Open to horses and ponies.
Wishful Working Hunters, Fences 18"
AU
36, 37, 104, 105, 41
Open to horses and ponies. May be shown at either a trot or canter.
Training Working Hunters, Fences 2’
AV
38, 39, 106, 107, 40
Open to horses and ponies
LOW WORKING HUNTER SECTION Braiding Optional
Low Working Hunters, Fences 18"
Low Working Hunters, Fences 2'
Low Working Hunters, Fences 2’3”
Low Working Hunters, Fences 2’6”
Low Working Hunters, Fences 2’9"
Low Working Hunters, Fences 3’6”
Low Working Hunters, Children's Pony Hunter Heights
Low Working Hunters, Amateur to Ride Fences 2’
Not to Jog
$120
$40
$120
$40
$160
$40
$160
$40
$160
$40
$160
$40
$160
$40
$160
$40
Not to Jog
35, 103, 197, 309, 436
496, 497
42, 108, 203, 212, 316, 319, 442, 445
46, 111, 215, 218, 322, 325, 448, 451
221, 224, 328, 331, 455, 458
3, 76
200, 312, 439
118
$40
$40
$40
$40
$40
$40
$40
$40
MISCELLANEOUS CLASSES
EQUITATION
Opportunity Walk / Trot Obstacle Course
AW
264, 265, 377, 378, 492, 493 $125
$25
Riders may not cross enter with any other classes except Opportunity Walk/Trot Equitation and Opportunity Cross Rails.
EQUITATION SECTIONS
Riders must show in Sections that correspond with their Hunter Sections. Equitation, Not to Jump, is last class
Adult Equitation, 18 - 30
AX
153, 154, 143
$120
$40
Adult Equitation, 31 - 39
AY
156, 157, 144
$120
$40
Adult Equitation, 40 - 49
AZ
159, 160, 145
$120
$40
Adult Equitation, 50 & Over
BA
162, 163, 146
$120
$40
Equitation, 16 - 17
BB
98, 166, 147
$120
$40
Equitation, 14 - 15
BC
99, 168, 148
$120
$40
Equitation, 12 - 13
BD
100, 170, 149
$120
$40
Equitation, 11 & Under
BE
101, 172, 150
$120
$40
Pony Equitation
BF
102, 190, 196
$120
$40
Children’s Pony Equitation
BG
201, 202, 207
$120
$40
Short Stirrup (Horses) Equitation, Fences 2’3”
BH
204, 205, 208
$120
$40
Short Stirrup (Ponies) Equitation, Fences 18”
BI
198, 199, 206
$120
$40
Long Stirrup Equitation, Fences 2’3”
BJ
213, 214, 209
$120
$40
Pre-Children’s Equitation, Fences 2’6”
BK
219, 220, 211
$120
$40
Pre-Adult Equitation, Fences 2’6”
BL
216, 217, 210
$120
$40
Low Children’s Equitation, Fences 2’9”
BM
225, 226, 228
$120
$40
Low Adult Equitation, Fences 2’9”
BN
222, 223, 227
$120
$40
Opportunity Walk / Trot Equitation
BO
262, 263, 375, 376, 490, 491 $125
$25
Riders may not cross enter with any other classes except Opportunity Walk/Trot Obstacle Course and Opportunity Cross
Rails.
Opportunity Cross Rail Equitation
BP
266, 267, 379, 380, 494, 495 $125
$25
Riders may not cross enter with any other classes except Opportunity Walk/Trot Equitation and
Opportunity Walk / Trot Obstacle Course.
-12-
JUMPERS
EQUITATION
PACIFIC NORTHWEST HUNTER & JUMPER
CLASS
EQUITATION AND MEDAL CLASSES
CLASS FEE
Pessoa/U. S. National Hunter Seat Medal
184
$50
Presented By Randolph College
ASPCA Horsemanship Class
300$50
WSHJA Good Seat and Hands Class, Fences 3'6"
400$50
Open to Juniors & Amateurs. RIDERS AND TRAINERS
must be WSHJA members before the start of the class
Washington International Horse Show
399$50
Equitation Classic (HUNTER PHASE)
Washington International Horse Show
470$50
Equitation Classic (JUMPER PHASE)
WSHJA Good Seat and Hands Class, Fences 3'
285$50
Open to Children. RIDERS AND TRAINERS
must be WSHJA members before the start of the class
Taylor Harris Insurance Services
410$50
National Children's Medal
Marshall & Sterling/U. S. Pony Medal Class
435
$50
Johnny Johnson Amateur Medal Class, 18-39
419$50
Johnny Johnson Amateur Medal Class, 40 & Over
424
$50
ARIAT National Adult Medal
280$50
WSHJA Good Seat and Hands Class, Fences 2'6"'
454$50
Open to Children and Adults. RIDERS AND TRAINERS
must be WSHJA members before the start of the class
USHJA 3'3" Jumping Seat Medal
249
$50
JUMPER DIVISION
Ties for other than first place will be placed according to the time taken to complete the course. The jumping will be determined by drawing the horses names individually, starting with the first position and then working down. Championships
will be decided on points. Time allowed will be based on a minimum speed of 382 yards per minute.
All classes with prize money will have a $10 add back.
Jumper Heights
0.70 m = Fences 2'3" in height
0.75 m = Fences 2'5" in height
0.80 m = Fences 2'7" in height
0.85 m = Fences 2'9" in height
0.90 m = Fences 2'11" in height
0.95 m = Fences 3'1" in height
1.00 m = Fences 3'3" in height
1.05 m = Fences 3'5" in height
1.10 m = Fences 3'7" in height
1.15 m = Fences 3'9" in height
CHILDREN’S / ADULT AMATEUR JUMPER SECTION
Adult Amateur Jumpers, 1.10m
BQ
Children’s Jumpers, 1.10m
BR
Adult Amateur/Children's Jumper Classic, 1.10m
Adult Amateur Jumpers, 1.00m
BS
Children’s Jumpers, 1.00m
BT
PACIFIC NORTHWEST CHILDREN'S/ADULT AMATEUR
TEAM JUMPER CHAMPIONSHIPS, INDIVIDUAL, 1.00m
PACIFIC NORTHWEST CHILDREN'S/ADULT AMATEUR
TEAM JUMPER CHAMPIONSHIPS, NATIONS CUP, 1.00m
Adult Amateur Jumpers, 0.90m
BU
Children’s Jumpers, 0.90m
BV
Adult Amateur/Children's Jumper Classic, 0.90m
PACIFIC NORTHWEST YOUNG JUMPERS
PNW Four Year Old Young Class, 1.00m
PNW Four Year Old Young Class, 1.00m
PNW Five Year Old Young Class, 1.10m
PNW Five Year Old Young Class, 1.10m
PNW Six Year Old Young Class, 1.15m
PNW Six Year Old Young Class, 1.15m
1.20 m = Fences 3'11" in height
1.25 m = Fences 4'1" in height
1.30 m = Fences 4'3" in height
1.35 m = Fences 4'5" in height
1.40 m = Fences 4'7" in height
1.45 m = Fences 4'9" in height
1.50 m = Fences 4'11" in height
1.55 m = Fences 5'1" in height
1.60 m = Fences 5'3" in height
252, 253, 360, 361, 467
254, 255, 362, 363, 468
469
133, 134, 245, 246, 355
135, 136, 247, 248, 356
$180
$180
357
$70
465
$105 PER TEAM
237, 238, 346, 347, 487
$180 $40
239, 240, 348, 349, 488
$180 $40
489
$60
352
462
365
471
370
476
-13-
$180
$180
$40
$40
$60
$40
$40
$40
$60
$40
$60
$40
$60
$250+$10
$500
$1500
$250+$10
$250+$10
$250+$10
$250+$10
YOUNG JUMPER CHAMPIONSHIPS 2016
For further information on the Young Jumper Championships go to youngjumpers.com
YJC Five Year Old Class, 1.15m
369
YJC Five Year Old Qualifying Class, 1.15m
475
YJC Six Year Old Class, 1.25m
373
YJC Six Year Old Qualifying Class, 1.25m
478
YJC Seven Year Old Class, 1.30m
374
$40
$70
$40
$70
$40
YJC Seven Year Old Qualifying Class, 1.30m
$70
JUMPER SECTIONS
Jumpers, 1.20m
Jumpers, 1.20m
Jumpers, 1.15m
Jumpers, 1.15m
Modified Junior/Amateur Jumpers, 1.15m
Modified Junior/Amateur Jumper Classic, 1.50m
Jumpers, 1.10m
Jumpers, 1.00m
Jumpers, 0.95m
Jumpers, 0.90m
Pony Jumpers, 1.00m
Jumpers, 0.85m
479
BW
BX
BY
BZ
CA
CB
CC
CD
CE
Jumpers, 0.75m
CF
Jumpers, 0.70m
Hopeful Jumpers, 2'
CG
CH
74, 75, 141, 142, 260, 261, 371, 372
477
72, 73, 139, 140, 256, 257, 364, 366
472
258, 259, 367, 368, 473
$185
474
70, 71, 137, 138, 250, 251, 358, 359, 466
68, 69, 131, 132, 241, 242, 350, 351, 461
66, 67, 129, 130
64, 65, 127, 128, 235, 236, 344, 345, 486
243, 244, 353, 354, 463, 464
$200
62, 63, 125, 126, 233, 234, 342, 343
484, 485
60, 61, 123, 124, 231, 232, 340, 341
482, 483
58, 59, 121, 122
56, 57, 119, 120, 229, 230, 338, 339, 480, 48
$500 + $10
$500 + $10
$500 + $10
$55
$70
$55
$70
$40
$70
$40
$40
$40
$40
$40
$40
$200 +$10
$500 +$10
$200 +$10
$500 +$10
$500+$10
$40
$40
$40
Pacific Northwest Children’s / Adult Amateur Team Jumper Championship
A team consists of three horse/rider combinations. No rider or horse/pony may compete on more
than one team.
Class 357.
$500
Pacific Northwest Children’s/Adult Amateur Individual Class. 1.00m, Table III, faults converted
into seconds.
Entry Fee -$70
Class 465.
$1500
Pacific Northwest Children’s/Adult Amateur Team Championship.
Two round nations cup, 1.00m, Table II
The Team Championship is open only to horse/pony/rider combinations that showed in class
357 - PNW Children’s/Adult Amateur Individual Class (whether eliminated or not). The winning
team will be the team with the lowest combined score from the two rounds. Any teams tied for
first shall jump off (table II, sec 2.) A rider who is eliminated or who retires from a round will
receive 20 faults.
Entry Fee - $105 per team
Pacific Northwest Young Jumpers
4 Year Olds
5 Year Olds
6 Year Olds
Horses must be registered with WSHJA. Horses that compete in at least one young jumper class at The Pacific Northwest
Hunter & Jumper Show will receive one complimentary stall.
There will be a PNW Young Jumpers Final (location to be determined) offering:
4 Year Olds - $1,000
5 Year Olds - $1,500
6 Year Olds - $2,500
-14-
SCHEDULE OF EVENTS
PACIFIC NORTHWEST HUNTER & JUMPER
WEDNESDAY, MAY 18, 2016
CASCADE RING
SAN JUAN RING
RAINIER RING
7:45 a.m.
1. Green Conformation Hunters, Model
2.
Regular Conformation Hunters, Model
3. Low Working Hunters, Fences 3’6”
4. 1st Year Green Working Hunters
5.
1st Year Green Working Hunters
6. Green Conformation Hunters
7. Green Conformation Hunters
8. 2nd Year Green Working Hunters
9. 2nd Year Green Working Hunters
10. Regular Conformation Hunters
11. Regular Conformation Hunters
12. High Performance Working Hunters
13. High Performance Working Hunters
14. Performance Working Hunters, 3'6"
15. Performance Working Hunters, 3'6"
16. First Yr Green Working Hunters US
17. Second Yr Green Working Hunters US
18. Green Conformation Hunters US
19. Regular Conformation Hunter US
20. High Performance Working Hunters US
21. Performance Working Hunters, 3'6" US
22. Small Working Hunters
23. Large Working Hunters
24 . Pre-Green Working Hunters, Fences 3’
25. Pre-Green Working Hunters, Fences 3’
26. Large Working Hunters US
27. Small Working Hunters US
28. Pre Green Working Hunters US
29. Pre-Green Working Hunters, 3’3”
30. Pre-Green Working Hunters, 3’3”
31. Performance Working Hunters, 3'3"
32. Performance Working Hunters, 3'3"
33. Pre Green Working Hunters US
34. Performance Working Hunters, 3'3" US
8:00 a.m.
Braiding is optional in the San Juan Ring
35. Low Working Hunters, Fences18"
36. Wishful Working Hunters
37. Wishful Working Hunters
496. Low Working Hunters, 2'
38. Training Working Hunters
39. Training Working Hunters
40. Training Working Hunters US
41. Wishful Working Hunters US
42. Low Working Hunters, Fences 2’3”
43. Schooling Working Hunters
44. Schooling Working Hunters
45. Schooling Working Hunters US
46. Low Working Hunters, Fences 2’6”
47. Baby Green Working Hunters
48. Baby Green Working Hunters
49. Just A Working Hunter
50. Just A Working Hunter
51. Baby Green Working Hunters US
52. Just A Working Hunter US
53. Thoroughbred Working Hunters
54. Thoroughbred Working Hunters
55. Thoroughbred Working Hunters US
8:00 a.m.
56. Hopeful Jumpers, Fences 2', V.2.b, Optimum Time
57. Hopeful Jumpers, Fences 2', ll.2.b
58. Jumpers, 0.70m, V.2.b, Optimum Time
59. Jumpers, 0.70m, V.2.b, ll.2.b
60. Jumpers, 0.75m, V.2.b, Optimum Time
61. Jumpers, 0.75m, V.2.b, ll.2.b
62. Jumpers, 0.85m, V.2.b, Optimum Time
63. Jumpers, 0.85m, V.2.b, ll.2.b
64. Jumpers, 0.90m, V.2.b, Optimum Time
65. Jumpers, 0.90m, V.2.b, ll.2.b
66. Jumpers, 0.95m, V.2.b, Optimum Time
67. Jumpers, 0.95m, V.2.b, ll.2.b
68. Jumpers, 1.00m ll.2.b.
69. Jumpers, 1.00m ll.2.b.
70. Jumpers, 1.10m, ll.2.b.
71. Jumpers, 1.10m, ll.2.b.
72. Jumpers, 1.15m, ll.2.b
73. Jumpers, 1.15m, ll.2.b
74. Jumpers, 1.20m, ll.2.b
75. Jumpers, 1.20m, ll.2.b
THURSDAY, MAY 19, 2016
CASCADE RING
SAN JUAN RING
RAINIER RING
8:00 a.m.
76. Low Working Hunter, 3'6"
77. First Year Green Working Hunters
78. First Year Green Working Hunters, Handy
79. Green Conformation Hunters
80. Green Conformation Hunters, Handy
81. Second Year Green Working Hunters
82. Second Year Green Working Hunters,
Handy
83. Regular Conformation Hunters
84. Regular Conformation Hunters, Handy
85. High Performance Working Hunters
86. High Performance Working Hunters,
Handy
87. Performance Working Hunters, 3'6"
88. Performance Working Hunters,3'6"Handy
89. Small Working Hunters
90. Large Working Hunters
91. Pre Green Working Hunters, Fences 3’
92. Pre Green Working Hunters, Fences 3’
93. Pre Green Working Hunters, Fences 3’3”.
94. Pre Green Working Hunters, Fences 3’3”
95. USHJA Pre Green Challenge
96. Performance Working Hunters, 3'3"
97. Performance Working Hunters,3'3"Handy
Braiding Not Required for the Following
Classes
98. Equitation Over Jumps, 16 - 17
99. Equitation Over Jumps, 14 - 15
100. Equitation Over Jumps, 12 - 13
101. Equitation Over Jumps, 11 & Under
102. Pony Equitation Over Jumps
8:00 a.m.
Braiding is optional in the San Juan Ring
103. Low Working Hunters, Fences 18"
104. Wishful Working Hunters
105. Wishful Working Hunters
497. Low Working Hunters, 2'
106. Training Working Hunters
107. Training Working Hunters
108. Low Working Hunter,s Fences 2’3”
109. Schooling Working Hunters
110. Schooling Working Hunters
111. Low Working Hunters, Fences 2’6”
112. Baby Green Working Hunters
113. Baby Green Working Hunters
114. Just A Working Hunter
115. Just A Working Hunter
116. Thoroughbred Working Hunters
117. Thoroughbred Working Hunters
118. Low Working Hunters, Amateur to Ride,Fences 2'
8:00 a.m.
119. Hopeful Jumpers, V,2.b, Optimum Time
120. Hopeful Jumpers, V.2.b, ll.2.b
121. Jumpers, 0.70m, V.2.b, Optimum Time
122. Jumpers, 0.70m, V.2.b, ll.2.b
123. Jumpers, 0.75m, V.2.b, Optimum Time
124. Jumpers, 0.75m, V.2.b, ll.2.b
125. Jumpers, 0.85m, V.2,b, Optimum Time
126. Jumpers, 0.85m, V.2.b, ll.2.b
127. Jumpers, 0.90m, V.2.b, Optimum Time
128. Jumpers, 0.90m, V.2.b, ll.2.b
129. Jumpers, 0.95m, V.2.b, Optimum Time
130. Jumpers, 0.95m, V.2.b, ll.2.b
131. Jumpers, 1.00m, ll.2.c.
132. Jumpers, 1.00m, ll.2.b.
133. Adult Amateur Jumpers, 1.00m, II.2.c.
134. Adult Amateur Jumpers, 1.00m, II.2.b.
135. Children’s Jumpers, 1.00m, ll.2.c.
136. Children’s Jumpers, 1.00m, II.2.b.
137. Jumpers, 1.10m, ll.2.c.
138. Jumpers, 1.10m, ll.2.b.
139. Jumpers, 1.15m, ll.2.c
140. Jumpers, 1.15m, ll.2.b
141. Jumpers, 1.20m, ll.2.c
142. Jumpers, 1.20m, ll.2.b
-15-
SCHEDULE OF EVENTS
PACIFIC NORTHWEST HUNTER & JUMPER
FRIDAY, MAY 20, 2016
CASCADE RING
SAN JUAN RING
RAINIER RING
8:00 a.m.
143. Adult Equitation, Not to Jump, 18-30
144. Adult Equitation, Not to Jump, 31-39
145. Adult Equitation, Not to Jump, 40-49
146. Adult Equitation, Not to Jump, 50 & Over
147. Equitation, Not to Jump, 16-17
148. Equitation, Not to Jump, 14-15
149. Equitation, Not to Jump, 12-13
150. Equitation, Not to Jump, 11 & Under
151. Modified Junior/Children's Working Hunters US
152. Modified Adult Amateur Working Hunters US
153. Adult Equitation Over Jumps, 18-30
154. Adult Equitation Over Jumps, 18-30
155. Adult Amateur Working Hunters,18-30
156. Adult Equitation Over Jumps, 31-39
157. Adult Equitation Over Jumps, 31-39
158. Adult Amateur Working Hunters, 31-39
159. Adult Equitation Over Jumps, 40-49
160. Adult Equitation Over Jumps, 40-49
161. Adult Amateur Working Hunters, 40-49
162. Adult Equitation Over Jumps, 50 & Over
163. Adult Equitation Over Jumper, 50 & Over
164. Adult Amateur Working Hunters, 50 & Over
165. Modified Adult Amateur Working Hunters
166. Equitation Over Jumps, 16-17
167. Children's Working Hunters, 15-17
168. Equitation Over Jumps, 14-15
169. Children's Working Hunters, 13-14
170. Equitation Over Jumps, 12-13
171. Children's Working Hunters, 12 & Under
172. Equitation Over Jumps, 11 & Under
173. Modified Junior/Children's Working Hunters
174. Junior Working Hunters, 3'3"
175. Junior Working Hunters, 3'3'
176. Junior Working Hunters Large, 16-17
177. Junior Working Hunters Large, 16-17
178. Junior Working Hunters Large, 15 & Under
179. Junior Working Hunters Large, 15 & Under
180. Junior Working Hunters Small, 16-17
181. Junior Working Hunters Small, 16-17
182. Junior Working Hunters Small, 15 & Under
183. Junior Working Hunters Small, 15 & Under
184. Pessoa/U.S. Hunter Seat Medal
Presented by Randolph College
185. Green Medium/Small Pony Model Hunter
186. Small Pony Model Hunters
187. Medium Pony Model Hunters
188. Green Large Pony Model Hunters
189. Large Pony Model Hunters
190. Pony Equitation Over Jumps
191. Green Medium/Small Pony Conformation
Hunter
192. Small Pony Conformation Hunters
193. Medium Pony Confirmation Hunters
194. Green Large Pony Conformation Hunters
195. Large Pony Conformation Hunters
196. Pony Equitation, Not to Jump
8:00 a.m.
Braiding is optional in the San Juan Ring
197. Low Working Hunters, Fences 18"
198. Short Stirrup Equitation Over Jumps (Ponies)
199. Short Stirrup Equitation Over Jumps (Ponies)
200. Low Working Hunters (Children's Pony Heights)
201. Children's Pony Equitation Over Jumps
202. Children's Pony Equitation Over Jumps
203. Low Working Hunters Fences 2'3"
204. Short Stirrup Equitation Over Jumps (Horses)
205. Short Stirrup Equitation Over Jumps (Horses)
206. Short Stirrup Equitation, Not to Jump (Ponies)
207. Children's Pony Equitation, Not to Jump
208. Short Stirrup Equitation, Not to Jump (Horses)
209. Long Stirrup Equitation, Not to Jump
210. Pre Adult Equitation Not to Jump
211. Pre Children's Equitation Not to Jump
212. Low Working Hunters, Fences 2'3"
213. Long Stirrup Equitation Over Jumps
214. Long Stirrup Equitation Over Jumps
215. Low Working Hunters, Fences 2'6"
216. Pre Adult Equitation Over Jumps
217. Pre Adult Equitation Over Jumps
218. Low Working Hunters, Fences 2'6"
219. Pre Children's Equitation Over Jumps
220. Pre Children's Equitation Over Jumps
221. Low Working Hunters, Fences 2'9"
222. Low Adult Equitation Over Jumps
223. Low Adult Equitation Over Jumps
224. Low Working Hunters, Fences 2'9"
225. Low Children's Equitation Over Jumps
226. Low Children's Equitation Over Jumps
227. Low Adult Equitation Not to Jump
228. Low Chidren's Equitation Not to Jump
8:00 a.m.
229. Hopeful Jumpers, 2', V,2.b, ll.2.b
230. Hopeful Jumpers, 2', V.2.b, ll.2.b
231. Jumpers, 0.75m, V.2b, ll.2.b
232. Jumpers, 0.75m, V.2.b., ll.2.b
233. Jumpers, 0.85m, V.2.b., ll.2.b
234. Jumpers, 0.85m, V2.b, ll.2.b
235. Jumpers, 0.90m, II.2.c
236. Jumpers, 0.90m, II.2.b
237. Adult Amateur Jumpers, 0.90m, II.2.c.
238. Adult Amateur Jumpers, 0.90m, II.2.b.
239. Children’s Jumpers, 0.90m, ll.2.c.
240. Children’s Jumpers, 0.90m, ll.2.b
241. Jumpers, 1.00m, ll.2.c.
242. Jumpers, 1.00m, ll.2.b
243. Pony Jumpers, 1.00m, ll.2.c
244. Pony Jumpers, 1.00m, II.2.b..
245. Adult Amateur Jumpers, 1.00m, II.2.c.
246. Adult Amateur Jumpers, 1.00m, II.2.b.
247. Children’s Jumpers, 1.00m, ll.2.c.
248. Children’s Jumpers, 1.00m, II.2.b.
249. USHJA 3'3" Jumping Seat Medal
250. Jumpers, 1.10m, ll.2.c.
251. Jumpers, 1.10m, ll.2.b.
252. Adult Amateur Jumpers, 1.10m, ll.2.c.
253. Adult Amateur Jumpers, 1.10m, ll.2.b.
254. Children’s Jumpers, 1.10m, ll.2.c
255. Children’s Jumpers, 1.10m, II.2.b.
256. Jumpers, 1.15m, ll.2.c
257. Jumpers, 1.15m, ll.2.b.
258. Modified Junior/Amateur Jumpers, 1.15m, ll.2.c
259. Modified Junior/Amateur Jumpers, 1.15m, ll.2.b
260. Jumpers, 1.20m, ll.2.c
261. Jumpers, 1.20m, ll.2.b.
262. Opportunity Walk / Trot Equitation
263. Opportunity Walk / Trot Equitation
264. Opportunity Walk / Trot Obstacle Course
265. Opportunity Walk / Trot Obstacle Course
266. Opportunity Cross Rail Equitation
267. Opportunity Cross Rail Equitation
-16-
SCHEDULE OF EVENTS
PACIFIC NORTHWEST HUNTER & JUMPER
SATURDAY, MAY 21, 2016
CASCADE RING
8:00 a.m.
268. Small/Medium Green Pony Working Hunters
269. Small Pony Working Hunters
270. Small Pony Working Hunters, Handy
271. Medium Pony Working Hunters
272. Medium Pony Working Hunters, Handy
273. Large Green Pony Working Hunter
274. Large Pony Working Hunters
275. Large Pony Working Hunters, Handy
276. Adult Amateur Working Hunters, 18 - 30
277. Adult Amateur Working Hunters, 31 - 39
278. Adult Amateur Working Hunters, 40 - 49
279. Adult Amateur Working Hunters, 50 & Over
280. Ariat National Adult Medal
281. Modified Adult Amateur Working Hunters
282. Children’s Working Hunters, 15 - 17
283. Children’s Working Hunters, 13 - 14
284. Children’s Working Hunters, 12 & Under
285. WSHJA Good Seat & Hands Class, 3'
286. Modified Junior/Children's Working Hunters
287. Junior Working Hunters, Handy, 3'3"
288. Amateur Owner Working Hunters, 18-35,3'3"
289. Amateur Owner Working Hunters, 18-35,3'3",
Handy
290. Amateur Owner Working Hunters, 36 & Over,
3'3"
291. Amateur Owner Working Hunters, 36 & Over,
3'3", Handy
292. Amateur Owner Working Hunters, 18-35
293. Amateur Owner Working Hunters, 18-35, Handy
294. Amateur Owner Working Hunters, 36 & Over
295. Amateur Owner Working Hunters, 36 &
Over,Handy
296. Junior Working Hunters, Large, 16 -17, Handy
297. Junior Working Hunters, Large, 15 & Under
Handy
298. Junior Working Hunters, Small, 16 - 17, Handy
299. Junior Working Hunters, Small,15 & Under,
Handy
300. ASPCA Horsemanship Class
301. Junior Working Hunters Large,16 -17, US
302. Junior Working Hunters Large,15 & Under US
303. Junior Working Hunters Small, 16 - 17, US
304. Junior Working Hunters,Small, 15 & Under, US
SAN JUAN RING
8:00 a.m.
Braiding is optional in San Juan Ring
306. Short Stirrup Working Hunters, Ponies, US
307. Short Stirrup Working Hunters, Horses, US
308. Long Stirrup Working Hunters US
309. Low Working Hunters, Fences 18”
310. Short Stirrup Working Hunters, Ponies
311. Short Stirrup Working Hunters, Ponies
312. Low Working Hunter(Children's Pony Heights)
313. Children’s Pony Working Hunters
314. Children’s Pony Working Hunters
315. Children’s Pony Working Hunters US
316. Low Working Hunters, Fences 2'3"
317. Short Stirrup Working Hunters, Horses
318. Short Stirrup Working Hunters, Horses
319. Low Working Hunters, Fences 2'3"
320. Long Stirrup Working Hunters
321. Long Stirrup Working Hunters
322. Low Working Hunters, Fences 2'6"
323. Pre Adult Working Hunters
324. Pre Adult Working Hunters
325. Low Working Hunters, Fences 2'6"
326. Pre Children’s Working Hunters
327. Pre Children’s Working Hunters
328. Low Working Hunters, Fences 2'9"
329. Low Adult Working Hunters
330. Low Adult Working Hunters
331. Low Working Hunters, Fences 2'9"
332. Low Children’s Working Hunters
333. Low Children’s Working Hunters
334. Pre Adult Working Hunters US
335. Pre Children’s Working Hunters US
336. Low Adult Working Hunters US
337. Low Children’s Working Hunters US
305. $3500 USHJA NATIONAL HUNTER DERBY
-17-
RAINIER RING
8:00 a.m.
338. Hopeful Jumpers, 2', ll.2.b
339. Hopeful Jumpers, 2', ll.2.b
340. Jumpers, 0.75m, ll.2.b.
341. Jumpers, 0.75m, ll.2.b.
342. Jumpers. 0.85m, ll.2.b.
343. Jumpers, 0.85m, ll.2.b.
344. Jumpers, 0.90m, II.1
345. Jumpers, 0.90m, II.2.b
346. Adult Amateur Jumpers, 0.90m, II.1
347. Adult Amateur Jumpers, 0.90m, II.2.b
348. Children’s Jumpers, 0.90m, II.I
349. Children’s Jumpers, 0.90m, II.2.b
350. Jumpers, 1.00m, II.1
351. Jumpers, 1.00m, II.2.b
352. PNW Four Year Old Young Jumpers,
1.00m, II.1
353. Pony Jumpers, 1.00m, II.1
354. Pony Jumpers, 1.00m, II.2.b
355. Adult Amateur Jumpers, 1.00m, II.1
356. Children’s Jumpers, 1.00m, II.1
357. Pacific Northwest Children's/Adult Amateur
Team Jumper Championship, Individual
Class, 1.00m,Table III, faults converted into
seconds
358. Jumpers, 1.10m, ll.1.
359. Jumpers, 1.10m, ll.2.b.
360. Adult Amateur Jumpers, 1.10m, ll.I
361. Adult Amateur Jumpers, 1.10m, ll.2.b
362. Children’s Jumpers, 1.10m, II.I
363. Children’s Jumpers, 1.10m, II.2.b.
364. Jumpers, 1.15m, ll.1
365. PNW Five Year Old Young Jumpers,
1.10m, ll.1
366. Jumpers, 1.15m, ll.2.b
367. Modified Junior/Amateur Jumpers, 1.15m, ll.1
368. Modified Junior/Amateur Jumpers, 1.15m, ll.2.b
369. YJC Five Year Old Class, 1.15m, V.2.b
370. PNW Six Year Old Young Jumpers 1.15m, ll.1
371. Jumpers 1.20m, ll.1
372. Jumpers, 1.20m, ll.2.b
373. YJC Six Year Old Class, 1.20m/1.25m, ll.2.b
374. YJC Seven Year Old Class, 1.30m ll.2.b
375. Opportunity Walk / Trot Equitation
376. Opportunity Walk / Trot Equitation
377. Opportunity Walk / Trot Obstacle Course
378. Opportunity Walk / Trot Obstacle Course
379. Opportunity Cross Rail Equitation
380. Opportunity Cross Rail Equitation
SCHEDULE OF EVENTS
PACIFIC NORTHWEST HUNTER & JUMPER
SUNDAY, MAY 20, 2016
CASCADE RING
SAN JUAN RING
RAINIER RING
8:00 a.m.
381. Junior Working Hunters, 3'3", US
382. Amateur Owner Working Hunters US,18-35
383. Amateur Owner Working Hunters US,
36 & Over
384. Amateur Owner Working Hunters US,18-35,
3'3"
385. Amateur Owner Working Hunters US,36 &
Over, 3'3"
386. Junior Working Hunters, 3'3"
387. Amateur Owner Working Hunters, 18 -35,3'3"
388. Amateur Owner Working Hunters, 18-35,3'3"
389. Amateur Owner Working Hunters, 36 & Over,
3'3"
390. Amateur Owner Working Hunters, 36 & Over,
3'3"
391. Amateur Owner Working Hunters, 18-35
392. Amateur Owner Working Hunters, 18-35
393. Amateur Owner Working Hunters, 36 & Over
394. Amateur Owner Working Hunters, 36 & Over
395. Junior Working Hunters Large,16 -17
396. Junior Working Hunters Large,15 & Under
397. Junior Working Hunters Small, 16 - 17
398. Junior Working Hunters,Small, 15 & Under
399. Washington International Horse Show
Equitation Class
400. WSHJA Good Seat & Hands Class, 3'6"
401. Children’s Working Hunters, US, 15-17
402. Children’s Working Hunters, US, 13-14
403. Children’s Working Hunters, US, 12 & Under
404. Children’s Working Hunters, 15 - 17
405. Children’s Working Hunters, 15 - 17
406. Children’s Working Hunters, 13 - 14
407. Children’s Working Hunters, 13 - 14
408. Children’s Working Hunters, 12 & Under
409. Children’s Working Hunters, 12 & Under
410. Taylor Harris Insurance Services National
Children's Medal
411. Adult Amateur Working Hunters US, 18-30
412. Adult Amateur Working Hunters US, 31-39
413. Adult Amateur Working Hunters US 40 - 49
414. Adult Amateur Working Hunters US,
50 & Over
415. Adult Amateur Working Hunters, 18 - 30
416. Adult Amateur Working Hunters, 18 - 30
417. Adult Amateur Working Hunters, 31 - 39
418. Adult Amateur Working Hunters, 31 - 39
419. Johnny Johnson Amateur Medal Class
18 & 39
420. Adult Amateur Working Hunters, 40 - 49
421. Adult Amateur Working Hunters, 40 - 49
422. Adult Amateur Working Hunters, 50 & Over
423. Adult Amateur Working Hunters, 50 & Over
424. Johnny Johnson Amateur Medal Class, 40
& Over
425. Small Pony Working Hunters US
426. Medium Pony Working Hunters US
427. Large Pony Working Hunters US
428. Large Green Pony Working Hunters US
429. Small/Medium Green Pony Working Hunter
US
430. Small/Medium Green Pony Working Hunters
431. Small Pony Working Hunters
432. Medium Pony Working Hunters
433. Large Green Pony Working Hunters
434. Large Pony Working Hunters
435. Marshall & Sterling/U. S. Pony Medal
8:00 a.m.
436. Low Working Hunters, Fences 18”
437. Short Stirrup Working Hunters, Ponies
438. Short Stirrup Working Hunters, Ponies
439. Low Working Hunters, (Children's Pony Heights
440. Children's Pony Working Hunters
441. Children's Pony Working Hunters
442. Low Working Hunters, Fences 2'3"
443. Short Stirrup Working Hunters, Horses
444. Short Stirrup Working Hunters, Horses
445. Low Working Hunters, Fences 2'3"
446. Long Stirrup Working Hunters
447. Long Stirrup Working Hunters
448. Low Working Hunters, Fences 2'6"
449. Pre Adult Working Hunters
450. Pre Adult Working Hunters
451. Low Working Hunters, Fences 2'6"
452. Pre Children’s Working Hunters
453. Pre Children’s Working Hunters
454. WSHJA Good Seat and Hands Class, 2'6"
455. Low Working Hunters, Fences 2'9"
456. Low Adult Working Hunters
457. Low Adult Working Hunters
458. Low Working Hunters, Fences 2'9"
459. Low Children’s Working Hunters
460. Low Children’s Working Hunters
8:00 a.m.
461. Jumpers, 1.00m, ll.2.b
462. PNW Four Year Old Young Jumpers,
1.00m, ll.2.b
463. Pony Jumpers, 1.00m, II.2.b
464. Pony Jumpers, 1.00m, ll.2.b
465. Pacific Northwest Children's/Adult Amateur
Team Jumper Championship, Nations Cup,1.00m
466. Jumpers, 1.10m, ll. 2.b.
467. Adult Amateur Jumpers, 1.10m , ll.2.b
468. Children’s Jumpers, 1.10m, ll. 2.b.
469. Children's/Adult Amateur Jumper Classic,
1.10m, ll.2.a/b
470. Washington International Horse Show EquitationClass
471. PNW Five Year Old Young Jumpers,
1.10m, ll.2.b
472. $500 Jumpers, 1.15m, ll. 2.b
473. Modified Junior/Amateur Jumpers, 1.15m, ll. 2.b
474. Modified Junior/Amateur Jumper Classic,
1.15m, ll.2a.b.
475. YJC Five Year Old Class, 1.15m, ll. V.2.b
476. PNW Six Year Old Young Jumpers, 1.15m, ll.2.b
477. $500 Jumpers 1.20m, ll.2.b
478. YJC Six Year Old Class, 1.20m, ll.2.b
479. YJC Seven Year Old Class, 1.30m, ll. 2..b
480. Hopeful Jumpers, 2', ll.2.b
481. Hopeful Jumpers, 2', ll.2.b
482. Jumpers, 0.75m, ll.2.b.
483. Jumpers, 0.75m, ll.2.b.
484. Jumpers. 0.85m, ll.2.b.
485. Jumpers, 0.85m, ll.2.b.
486. Jumpers, 0.90m, II.2.b
487. Adult Amateur Jumpers, 0.90m, II.2.b
488. Children's Jumpers, 0.90m, ll.2.b
489. Children's/Adult Amateur Jumper Classic
0.90m, ll.2.a/b
490. Opportunity Walk / Trot Equitation
491. Opportunity Walk / Trot Equitation
492. Opportunity Walk / Trot Obstacle Course
493. Opportunity Walk / Trot Obstacle Course
494. Opportunity Cross Rail Equitation
495. Opportunity -Cross Rail Equitation
-18-
Exhibitors may enter on line by going to www.horseshowtime.com - This can be done with credit card only.
-19-
State
EC
ZIP
NAME OF HORSE
1st Yr
AGE
SEX
WSHJA
2nd Yr
WSHJA
Md
Print Name:
Yes
(if applicable)
Emergency Contact Phone No. SIGNATURE:
No
Is Rider/Handler a U.S. Citizen (please circle):
CHECKS PAYABLE TO: Pacific Northwest (US Funds)
MAIL TO:
Barbara Baierle Tel. (360) 668-0518 or Fax (360) 668-9179
19716 82nd Ave. S.E. Snohomish, WA 98296
Payment #_______________________________Total Enclosed
Print Name:
Is Rider/Driver/Vaulter a U.S. Citizen:
Print Parent//Guardian
Parent/Guardian
Sig.: Name:
Print Name:
Signature:
Parent/Guardian Signature: (Required if Rider/Driver/Handler/Vaulter/Longeur is a minor)
Name:
PrintPrint
Name:
Signature:
coacH
RIDER/HANDLER
­SIGNATURE:
Signature:
Is Rider/Handler a U.S. Citizen (please circle):
Print Name:
Print Name:
Print Name:
(mandatory)
Signature:
(mandatory)
Vaulter/Longeur (mandatory)
­SIGNATURE:
trainer
rider/driver/Handler/
OWNER/AGENToWner/agent
Credit Card Convenience Fee, $35
USEF Fee, $16 per horse (Drugs and Meds $8 USEF $8)
USEF Show Pass Fee, $30
USHJA Show Pass Fee, $30
USHJA Support Fee $7
TOTAL AMOUNT OWED:
Print Name:
SIGNATURE:
Print Name:
­SIGNATURE:
Weekend Shavings & Manure Disposal Fee, $65 per horse
TRAINER
Schooling Fee, $30 per horse
Shavings & Manure Disposal Fee, $95 per horse
Haul-In Fee, $50/day per horse
Camper/Trailer parking (No Hook-ups) @ $110/week, $30/day
Camper/Trailer parking Hook-ups (Septic Tank) @ $190/week
Camper/Trailer parking Hook-ups @ $170/week, $45/day
______Stalls for entire show @ $200
TOTAL ENTRY FEES FROM ABOVE:
DIVISIONS / CLASSES
CREDIT CARD PAYMENT
­
Cell Phone
State
Weekend Stalls (Friday - Sunday) $145
RIDER
Print Name
Signature
Exp. Date
VISA/MC #
USEF/USHJA#
Barn Phone
E-Mail
WSHJA
Phone
City
#
ASPCA#
Date of Birth
ASPCA#
Date of Birth
ZIP
Address
TRAINER
Trainer Name
Entries Close April 13, 2016
Emergency Contact Phone Number:_____________________________________
Arrival Date:_______________________________________________________
Stable With:_______________________________________________________
YES
YES
BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank and all terms and provisions of this Prize
List. If I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force and effect as if I affixed my
signature by my own hand. BOD 1/23/11 Effective 12/1/11
I AGREE in consideration for my participation in this Competition to the following:
I AGREE that the “Federation” and “Competition” as used above includes all of their officials, officers, directors, employees, agents, personnel, volunteers and
affiliated organizations.
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.
release, assumption of risk, Waiver and indemnification
this document waives important legal rights. read it carefully before signing.
Lg
HEIGHT
Age as of 12/1/2015
I have read the United States Equestrian Federation, Inc. (the “Federation”) Entry Agreement (GR906.4) as printed in the Prize List for this Competition and agree to all
of its provisions. I understand and agree that by entering this Competition, I am subject to Federation Rules, the Prize List, and local rules of the competition. I agree to
waive the right to the use of my photos at the competition, and agree that any actions against the Federation must be brought in New York State.
Sm
E-Mail
State
Age as of 12/1/2015
Please Circle below if applicable
COLOR
RIDER
USEF Release, Assumption of Risk, Waiver and Indemnification
United StateS eqUeStrian Federation, inc. entry agreement
USHJA#
­
Social Security # or TIN #
EC
USEF/USHJA#
ZIP
City
State
Address
Address
­Rider Name
Prize money paid to if other than owner
­
­Name
EC
USEF/USHJA#
E-Mail
WSHJA
Phone
USEF/USHJA#
Phone
Social Security # or TIN #
City
City
RIDER
­ ider Name
R
Address
OWNER
PACIFIC NORTHWEST HUNTER & JUMPER HORSE SHOW May,18 - 22, 2016
Address
­
­Owner Name
MANDATORY
State
EC
ZIP
ZIP
DIANNE JOHNSON
9717 JUANITA DRIVE NE, #401
KIRKLAND, WA 98034
DATED MATERIAL
PRSRT STD
US POSTAGE
PAID
SEATTLE, WA
PERMIT NO 963