Virginia Presidential PFHA

Transcription

Revision #3
19 Jul 2016
Virginia Presidential PFHA Event
USEF/PFHA Event Double Pointed Show
Paso Fino Horse Competition ♦ July 29 – 31, 2016 ♦ VHC Anderson Coliseum - Lexington, VA
Virginia Presidential PFHA
#1 in Exhibitor’s & Spectator’s Show Services with a Smile!!
EVERY CLASS OFFERED HEREIN WHICH IS COVERED BY THE RULES AND SPECIFICATIONS OF THE
CURRENT USEF RULEBOOK WILL BE CONDUCTED AND JUDGED IN ACCORDANCE THEREWITH.
Visit us online www.VAPPFHA.com * See Prize List & Auction Items List * Phone: (615) 522-8138
Silent Auction Tables ** White Elephant Table ** Exhibitor’s Dinner
VAPPFHA Membership Table--Be sure to stop by & bid !
Virginia Presidential PFHA Event | USEF/PFHA Double Pointed Show | Competition #326670
Paso Fino Horse Competition July 29 – 31, 2016 ♦ Virginia Horse Center/Anderson Coliseum in Lexington, VA
* This is an AP/USEF “C” Rated Show with Double Points & 4 Judges *
♦ Show Officials
Judges/1st Show ........................................................... Honorable Debbie Wolkowicz & Robbyn Young
Judges/2nd Show ........................................................... Honorable Jose Colon & German Higuera
USEF/PFHA Steward ..................................................... Andrea Lord
Gatekeeper ..................................................................... Dean Boese
Announcer ..................................................................... Paulette Denault-Bryce
Ring Master .................................................................... Angela Boese-Somma
Show Chair: Debbie Suder | Email: [email protected] | Phone: 804-517-5750
Ads/Sponsorship: Anni Howell at [email protected] or Erin Whalen at [email protected]
Barn Manager: Chuck Rechtenbach | Email: [email protected] | Phone: 540-280-0140
Farrier: Bill Hurd | Email: [email protected]
Safety Coordinator: Dean Boese | 6763 Oak Shade Rd, Harrisonburg, VA 22801 | Ph: 540-246-2502
………………………..Email: [email protected]
Virginia Regional PFHA Delegate: Virginia Foster | Email: [email protected]
Facility: The Virginia Horse Center is a world-class facility 150’ x 300’ arena with clay base & sand footing in the Anderson
Coliseum. Permanent stalls (12’ x 10’ with 7’ 10” walls) with doors (5’ x 8’) are provided. They do not allow arrivals between
midnight and 7:00am. Stall fees cover show date from 8 am/Thursday to 11:59 pm/Sunday. Layovers/Early arrivals are $40 per
night/per stall. For early arrivals, please make advance arrangements with the show secretary or with the VHC. Address: 487
Maury River Rd, Lexington, VA 24450-3374 | Web: www.horsecenter.org | PH: 540-464-2950.
Veterinarian/On Call: Mountain View Equine Hospital | Ph: 540-377-5700. Info will be posted in barns & show office.
Show Secretary: Pam McDermott | Address: 120 Harvey Wood Drive, Covington, GA 30016
Email: [email protected] | Cell: 770-490-5035 | Home Ph: 770-728-4383 | Fax: 1-770-787-5765
♦ Show Times & Fee Schedule
1st Show: Friday, July 29th - 9:00am & Saturday, July 30th – 9:00am
2nd Show: Saturday, July 30th - approx. 12:00pm & Sunday, July 31st – 9:00am
RIBBONS: 1st – 6th Place and Honorable Mention
Walk Corto Leadline Classes…………………………………………………………………..FREE
Youth Classes & All Championships………………………………………..……….Flat Fee | $35
Pre-Entry Amateur/Open by 07/22/16……..……….…………………..Per judge/per class | $30
Post-Entry Amateur/Open after 07/22/16…..................................Add per class entry fee | $10
Novice/Amateur Owned & Trained Classes......................................................... Flat Fee | $25
Stall/Tack Room (does NOT include shavings!) Thurs.8 am to Mon. 8 am ......................... $85
Office Fee .............................................................................................................................. $12
USEF Fees/per horse (drug & medications - $8 | USEF - $8) .............................................. $16
USEF Non-Member Fees...................................................................................................... $30
Except where noted, class fees are per judge/per class. Checks, cash, credit & debit cards accepted. Make
checks payable to: VAPPFHA.
Classes may be combined at the discretion of the show management. All classes are covered by and will be conducted and judged
in accordance with the current PFHA and USEF Rule Books. The show management also reserves the right to move classes to a
more advantageous time. Classes moved will be published in the show office the day prior. See these rules posted at the show
office. PLEASE NOTE: Trocha Championship & Trote y Galope Championship classes are NON-POINTED.
♦ Important Notes Regarding Pre-Entries – Entries MUST be accompanied by a copy (NOT a
picture/snapshot – entry will not be accepted) of the horse Registration Certificate, PFHA Cards for
EACH owner, all riders, trainer; USEF Cards for ONE owner, riders and trainer. Pre-entry prices won’t be
honored if all credentials aren’t included by the pre-entry deadline. DO NOT send entries requiring a
signature upon delivery. Email Entries are welcomed!
Thank you for your support, sponsorship, & attendance! A Special “Thank You” to our volunteers!
Silent Auction Tables ** White Elephant Table ** Exhibitor’s Dinner
VAPPFHA Membership Table--Be sure to stop by & bid !
Virginia Presidential PFHA Event | USEF/PFHA Double Pointed Show | Competition #326670
Paso Fino Horse Competition July 29 – 31, 2016 ♦ Virginia Horse Center/Anderson Coliseum in Lexington, VA
♦ Show Requirements & Show Secretary Info - Negative Coggins Test paper less than 12 months old is
required. For out-of-state horses, health certificate less than 30 days old is required. Additional requirements: Current PFHA Cards
(Amateur Owner, if applicable); Current USEF Membership Cards; Entry Forms (BOTH SIDES) completed and signed by all
necessary persons (Exhibitors, Trainers, Owners) Copy of PFHA horse registration of horse to be exhibited. Forms (BOTH SIDES)
completed and signed by all necessary persons (Exhibitors, Trainers, Owners). Copy of PFHA horse registration of horse to be
exhibited. Pre-entry & discounted price applies only to COMPLETE entries! EFFECTIVE Dec. 1, 2015, USEF Rule GR845
states that all horses entering the grounds of a Federation-licensed competition must be accompanied by documentation of Equine
Influenza Virus and Equine Herpes Virus vaccinations within six months prior to entering the stables. Rule GR845 and USEF
Vaccination Form are contained in this Prize Book.
Pre-Entry and discounted prices apply only to COMPLETE entries!
♦ Sponsorship & Promotional Opportunities
Be a Part of the Event – Be Seen: Take advantage of our sponsorship and promotional opportunities:
Class Sponsorships: Non-VAPPFHA Members $12 ea. | Class Package: 15 Classes $150
VAPPFHA Members $10 ea. | Class Package: 15 Classes $120
Banner Display in Arena: One Show Display $100 | 2 Consecutive Shows $150
Figure 8 Barrel Wrap Banners/55 gallon (with your name): 2 Consecutive Shows $200
For more information on Sponsorship & Banners, please contact: Ann Howell at 615-522-8138
Email: [email protected] or Erin Whalen | Email: [email protected]
♦ Activities
Join us for the many fun-filled activities we have planned during our show:
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Flag Ceremony (Coordinated by Michele Klawitter)
Paso Fino Fun Cla$$e$ - Cash prizes! Games/fun classes will be held immediately following the end of
Saturday evening classes. (Coordinated by Michelle Klawitter
Silent Auction Table – 100% of the proceeds go to VAPPFHA.
White Elephant Sale Table – 40% proceeds to VAPPFHA | 60% proceeds to Donors. For more info and
to donate items, please contact Co-Chair Virginia Foster at [email protected] .
♦ Logistics
Golf cart rentals are available from the Virginia Horse Center stable office. To reserve a cart, please
email: [email protected]. For camping facility information, call 540-464-2966.
The Virginia Horse Center is located at 487 Maury River Rd, on the NW side of Lexington, VA. From the
East – Take 1-81 North or South to 164 West. Exit on 191. Proceed to 164 West to Exit 55. Turn right on
Rt 11 North. Go 1/10th mile to Route 39 West to the Horse Center (approx. 1 mile).
Host Hotel: Howard Johnson's $75.95 +Tax
Address: 2836 North Lee Hwy, Lexington VA 24450 | Phone: 540-463-9181
We suggest that you make your reservation soon. Mention “Paso Fino” to receive a discounted rate.
For Other Hotels, check USEF Members Discount List or www.horsecenter.org or email [email protected]
Thank you for supporting our event! Hope to see you at our 2017 shows!
´
487 Maury River Rd, Lexington VA 24450
540-464-2950 • www.horsecenter.org
DIRECTIONS
The Virginia Horse Center is located on the
northwest side of Lexington, Virginia.
From the North or South: I-81 to Exit 191.
Proceed on I-64 West 1/2 mile to Exit 55. Turn right
on Route 11 North, and immediately left on Route 39
West. The Virginia Horse Center is one mile ahead
on the left.
From the East: I-64 West to I-81 South. I-81 South
to Exit 191. Proceed on I-64 West 1/2 mile to Exit
55. Turn right on Route 11 North, and immediately
left on Route 39 West. The Virginia Horse Center is
one mile ahead on the left.
From the West: I-64 East to Exit 55. Turn left on
Route 11 North, and proceed 1/4 mile to stoplight.
Turn left on Route 39 West. The Virginia Horse
Center is one mile ahead on the left.
Virginia Horse Center Policies
Please review the Foundation’s policies to ensure a safe and enjoyable experience. As a result of our
multi-purpose facility, being open to the community and public, and by virtue of the innate risk of large
animal sport, we ask that you adhere to the Foundation's policies while visiting.
VHCF Visitor Policies
1. Upon arrival at the Virginia Horse Center, all trailers must check in at the Stable Office/Welcome
Center.
2. A negative Coggins must be provided for every horse brought onto the grounds and turned into the
Stable Office (state law). Horses coming from out of state are required to have a health certificate
(federal law).
3. No smoking in Coliseum or Barns. This is the law.
4. Vehicles: Drive Carefully. Obey All Traffic Signs. Speed limits are strictly enforced. Every vehicle
operator must have a valid driver’s license and proof of insurance. The use of vehicles in the camping
areas is restricted to regular roadways for entering and exiting only. Vehicles are permitted only if
operated in a safe manner (this is a Virginia state law), but may not be used in the Coliseum or in the
interior of any of the barns. Four wheelers and ATV’s are not permitted on the VHC grounds. Nonpowered scooters, bicycles, skateboards, in-line skates, heelers (skates in shoes) are not permitted in
the Coliseum or the interior of any of the barns. The VHC reserves the right to prohibit the operation of
any vehicle.
5. Dogs/Pets: All dogs/pets must have current inoculations for rabies as prescribed by state of
residency. No loose dogs/pets are allowed anywhere on the premises. All dogs/pets that are not crated
must be on a hand-held or tied leash. Loose dogs/pets will incur a $100 fine. You must clean up after
your dog/pet. No dogs/pets allowed in the Coliseum unless they are crated or are Service Dogs. No
dogs/pets in the Mezzanine (2nd floor of the Coliseum) under any circumstances with the exception of
Service Dogs. We ask that your Service Dog have his or her vest on.
Grounds/Parking Areas/Barns/East Complex: All dogs/pets must be on a hand-held or tied leash.
6. No trash or sharps in the manure pits. Sharps should be placed in red boxes in barns.
7. All stalls must have at least one bale of shavings or straw. Sawdust is prohibited. Shavings may be
purchased at the Welcome Center (Stable Office).
8. No lunging in Wiley, Northern, B Ring, the Coliseum and the East Complex.
9. No overnight horses may be stabled in trailers or tied out.
10. Horses are not allowed to be ponied behind any moving vehicles.
11. No vehicles allowed in the barns.
12. Campers must register at Stable Office/Welcome Center.
13. Check-In time and Check-Out time subject to show date.
14. No gray water is to be dumped on the ground. Sewage arrangements are made through the Stable
Office/Welcome Center.
15. Campfires are not permitted.
16. Campers must keep their sites clean and dispose of refuse in the receptacles provided. All campers
will be responsible for leaving the campsite as they found it. Any damage or repairs resulting from
negligence shall be the responsibility of the camper.
17. All central service buildings and other facilities in the campground are for campers’ and exhibitors’
use only.
18. Firearms and fireworks are not permitted.
19. No tent, camper, RV or camping equipment shall be left unattended longer than 24 hours without
written permission from campground management.
20. Any loss, theft, accident or disturbance should be reported to the Virginia Horse Center Security.
Lost and Found is located in the Security Office.
21. Virginia Horse Center management reserves the right to remove from the premises any camper or
visitor who is in violation of these rules and regulations.
22. The Virginia Horse Center shall be held harmless against all claims, costs, losses or liability of every
nature and kind asserted against or incurred by camper arising or resulting in any respect from camper’s
occupancy and use of premises, and/or visitor and visitor’s use of premises.
Class Schedule for Virginia Presidential PFHA Event
Classes might be combined and/or eliminated.
Fri. July 29, 2016/9:00am – Start Show #1
1. Trail
2. Versatility
3. Bella Forma Fillies, 1 yr
4. Bella Forma Fillies, 2 yrs
6. Bella Forma Mares
7. Bella Forma Champ. (Mares & Fillies)
8. Bella Forma Geldings, 1 yr
9. Bella Forma Geldings, 2 yrs
11. Bella Forma Geldings
12. Bella Forma Champ. (All Geldings)
13. Bella Forma Colts, 1 yr
14. Bella Forma Colts, 2 yrs
16. Bella Forma Stallions
17. Bella Forma Champ. (All Colts/Stallions)
18. Amateur Pleas. Fillies, 3 yrs
20. Amateur Pleas. Mares, 5-6 yrs
21. Amateur Pleas. Mares, 7 yrs & Older
22. Amateur Pleas. Champ., Fillies/Mares
23. Amateur Pleas. Colts & Geldings, 3 yrs
25. Amateur Pleas. Geldings, 5-6 yrs
26. Amateur Pleas. Geldings, 7 yrs & older
27. Amateur Pleas. Champ., Geldings
28. Amateur Pleas. Stallions, 5-6 yrs
29. Amateur Pleas. Stallions, 7 yrs & older
30. Amateur Pleas. Champ., Colts/Stallions
31. Amateur Owned & Trained/Pleasure|All Sexes|NP
32. Trocha
33. Amateur Perf. Fillies, 3 yrs
35. Amateur Perf. Mares, 5-6 yrs
36. Amateur Perf. Mares, 7 yrs & older
37. Amateur Perf. Champ., Fillies/Mares
38. Amateur Perf. Colts & Geldings, 3 yrs
40. Amateur Perf. Geldings, 5-6 yrs
40a. Amateur Perf. Geldings, 7 yrs & older
41. Amateur Perf. Champ., Geldings
42. Amateur Perf. Stallions, 5-6 yrs
43. Amateur Perf. Stallions, 7 yrs & older
44. Amateur Perf. Champ., Colts/Stallions
45. Amateur Owned & Trained/Perf.|All Sexes|NP
46. Trote y Galope
47. Amateur Classic Fino Fillies, 3 yrs
49. Amateur Classic Fino Mares, 5-6 yrs
50. Amateur Classic Fino Mares, 7 yrs & older
51. Amateur Classic Fino Colts & Geldings, 3 yrs
53. Amateur Classic Fino Geldings, 5-6 yrs
53a. Amateur Classic Fino Geldings, 7 yrs & older
54. Amateur Classic Fino Stallions, 5-6 yrs
55. Amateur Classic Fino Stallions, 7 yrs & older
56. Fino Sub Junior Youth (7-9)
58. Fino Junior Youth (13-15)
59. Fino Junior (16-17)
60. Fino Sub Junior/Junior Champ.
61. Amateur Classic Fino Champ., Fillies/Mares
62. Amateur Classic Fino Champ., Geldings
63. Amateur Classic Fino Champ., Colts/Stallions
64. Amateur Owned & Trained/Fino| All Sexes|NP
65. Driving
66. Sub Junior Horsemanship (7-9)
68. Junior Horsemanship (13-15)
70. Pleasure Fillies, 3 yrs
72. Pleasure Mares, 5-6 yrs
73. Pleasure Mares, 7 yrs & Older
74. Pleasure Champ., Fillies/Mares
75. Country Pleasure
76. Country Pleasure Novice Adult Rider | NP
77. Pleasure Colts & Geldings, 3 yrs
79. Pleasure Geldings, 5-6 yrs
79a. Pleasure Geldings, 7 yrs & older
80. Pleasure Champ., Geldings
81. Pleasure Stallions, 5-6 yrs
82. Pleasure Stallions, 7 yrs & older
83. Pleasure Champ., Colts/Stallions
84. Pleasure Novice Adult Rider | NP
85. Costume (will be held AFTER Class #133)
86. Pleasure Sub Junior Youth (7-9)
88. Pleasure Junior Youth (13-15)
89. Pleasure Junior (16-17)
90. Pleasure Sub Junior/Junior Champ.
91. Walk/Corto Leadline
92. Silver Medal Equitation (7-17)
Every Class offered herein which is covered by the rules and specifications of the current USEF Rule Book will be conducted and judged
in accordance therewith.
Sat. July 30, 2016/9:00am – Show #1/Continued
93. Pleasure Color | All Ages | All Sexes
94. Sales/Showcase Class/Entry: $20 per horse
95. Western Pleasure
96. Perf. Fillies, 3 yrs
98. Perf. Mares, 5-6 yrs
99. Perf. Mares, 7 yrs & older
100. Perf. Champ., Fillies/Mares
101. Perf. Colts & Geldings, 3 yrs
103. Perf. Geldings, 5-6 yrs
103a. Perf. Geldings, 7 yrs & older
104. Perf. Champ., Geldings
105. Perf. Stallions, 5-6 yrs
106. Perf. Stallions, 7 yrs & older
107. Perf. Champ., Colts/Stallions
108. Perf. Novice Adult Rider | NP
109. Perf. Sub Junior (7-9)
111. Perf. Junior Youth (13-15)
112. Perf. Junior (16-17)
113. Perf. Sub Junior/Junior Champ.
114. Classic Fino Fillies, 3 yrs
116. Classic Fino Mares, 5-6 yrs
117. Classic Fino Mares, 7 yrs & older
118. Classic Fino Colts & Geldings, 3 yrs
120. Classic Fino Geldings, 5-6 yrs
120a. Classic Fino Geldings, 7 yrs & older
121. Classic Fino Stallions, 5-6 yrs
122. Classic Fino Stallions, 7 yrs & older
123. Classic Fino Novice Adult Rider | NP
124. Classic Fino Champ., Fillies/Mares
125. Classic Fino Champ., Geldings
126. Classic Fino Champ., Colts/Stallions
127. Equitation Sub Junior Level 1 (7-9)
129. Equitation Junior Youth (13-15)
130. Equitation Junior (16-17)
131. Equitation Sub Junior/Junior Champ.
132. Adult Amateur Equitation (18/Older)
133. Adult Amateur Horsemanship
END SHOW #1
Sat. July 30, 2016/Start Show #2 (Approx. 12:00)
201. Trail
202.Versatility
203. Bella Forma Fillies, 1 yr
206. Bella Forma Mares
207. Bella Forma Champ. (Mares & Fillies)
208. Bella Forma Geldings, 1 yr
211. Bella Forma Geldings
212. Bella Forma Champ. (All Geldings)
213. Bella Forma Colts, 1 yr
216. Bella Forma Stallions
217. Bella Forma Champ. (All Colts/Stallions)
220. Amateur Pleas. Mares, 5-6 yrs
221. Amateur Pleas. Mares, 7 yrs & older
222. Amateur Pleas. Champ., Fillies/Mares
225. Amateur Pleas. Geldings, 5-6 yrs
226. Amateur Pleas. Geldings, 7 yrs & older
227. Amateur Pleas. Champ., Geldings
228. Amateur Pleas. Stallions, 5-6 yrs
229. Amateur Pleas. Stallions, 7 yrs & older
230. Amateur Pleas. Champ., Colts/Stallions
231. Amateur Owned & Trained/ Pleasure |All Sexes |NP
232. Trocha
235. Amateur Perf. Mares, 5-6 yrs
236. Amateur Perf. Mares, 7 yrs & older
237. Amateur Perf. Champ., Fillies/Mares
240. Amateur Perf. Geldings, 5-6 yrs
240a. Amateur Perf. Geldings, 7 yrs & older
241. Amateur Perf. Champ., Geldings
242. Amateur Perf. Stallions, 5-6 yrs
243. Amateur Perf. Stallions, 7 yrs & older
244. Amateur Perf. Champ., Colts/Stallions
245. Amateur Owned & Trained/ Perf. | All Sexes | NP
Sun. July 31, 2016/9:00am - Show #2/Continued
246. Trote y Galope
249. Amateur Classic Fino Mares, 5-6 yrs
250. Amateur Classic Fino Mares, 7 yrs & older
253. Amateur Classic Fino Geldings, 5-6 yrs
253a. Amateur Classic Fino Geldings, 7 yrs & older
254. Amateur Classic Fino Stallions, 5-6 yrs
255. Amateur Classic Fino Stallions, 7 yrs & older
258. Fino Junior Youth (13-15)
259. Fino Junior (16-17)
260. Fino Sub Junior/Junior Champ.
261. Amateur Classic Fino Champ., Fillies/Mares
262. Amateur Classic Fino Champ., Geldings
263. Amateur Classic Fino Champ., Colts/Stallions
264. Amateur Owned & Trained/ Fino | All Sexes | NP
265. Driving
272. Pleasure Mares, 5-6 yrs
273. Pleasure Mares, 7 yrs & Older
274. Pleasure Champ., Fillies/Mares
275. Country Pleasure
276. Country Pleasure Novice Adult Rider | NP
279. Pleasure Geldings, 5-6 yrs
279a. Pleasure Geldings, 7 yrs & older
280. Pleasure Champ., Geldings
281. Pleasure Stallions, 5-6 yrs
282. Pleasure Stallions, 7 yrs & older
283. Pleasure Champ., Colts/Stallions
284. Pleasure Novice Adult Rider | NP
285. Costume (will be held AFTER Class #333)
288. Pleasure Junior Youth (13-15)
289. Pleasure Junior (16-17)
290. Pleasure Sub Junior/Junior Champ.
291. Walk/Corto Leadline
292. Silver Medal Equitation (7-17)
293. Pleasure Color, All Ages - All Sex
294. Sales/Showcase Class/Entry: $20 per horse
295. Western Pleasure
298. Perf. Mares, 5-6 yrs
299. Perf. Mares, 7 yrs & older
300. Perf. Champ., Fillies/Mares
303. Perf. Geldings, 5-6 yrs
303a. Perf. Geldings, 7 yrs & older
304. Perf. Champ., Geldings
305. Perf. Stallions, 5-6 yrs
306. Perf. Stallions, 7 yrs & older
307. Perf. Champ., Colts/Stallions
308. Perf. Novice Adult Rider | NP
311. Perf. Junior Youth (13-15)
312. Perf. Junior (16-17)
313. Perf. Sub Junior/Junior Champ.
316. Classic Fino Mares, 5-6 yrs
317. Classic Fino Mares, 7 yrs & older
320. Classic Fino Geldings, 5-6 yrs
320a. Classic Fino Geldings, 7 yrs & older
321. Classic Fino Stallions, 5-6 yrs
322. Classic Fino Stallions, 7 yrs & older
323. Classic Fino Novice Adult Rider | NP
324. Classic Fino Champ., Fillies/Mares
325. Classic Fino Champ., Geldings
326. Classic Fino Champ., Colts/Stallions
329. Equitation Junior Youth (13-15)
330. Equitation Junior (16-17)
331. Equitation Sub Junior/Junior Champ.
332. Adult Amateur Equitation (18/Older)
333. Adult Amateur Horsemanship
END SHOW #2
ENTRY COVER SHEET
FOR
FAXED ENTRIES
Show Secretary: PAM McDERMOTT
Email: [email protected]
(note the "V")
FAX #: 1-770-787-5765 (must include the number "1")
- This form is required with ALL Faxed entries
- Do NOT re-send entries unless your fax is confirmed lost by Show Secretary
- Do not fax and then mail your entries (no duplicates)
- All deadlines will be strictly adhered to
IMPORTANT: To verify that all faxed pages were received, please number each
of your pages in the upper right hand corner and draw a circle around the
number. I will be able to see which pages are missing and you will only have to
re-fax the missing pages instead of the entire package.
FROM: _______________________________________________________________________
DATE: _______________________________________________________________________
EMAIL: _______________________________________________________________________
Note: CONFIRMATION OF RECEIPT OF YOUR ENTRY IS VIA EMAIL ONLY. Please print your
email address CLEARLY. I will not phone you regarding your entry.
Your Fax Number: _____________________________________________________________
# Pages Faxed (including this cover sheet): __________________________________________
PLEASE READ THE PRIZE LIST AND SCHEDULE. NO PRE-ENTRY PRICES WILL BE GRANTED FOR
INCOMPLETE ENTRIES. I RECEIVE ENTRIES FOR NUMEROUS BREEDS AND SHOWS SO PLEASE BE SURE
TO PUT THE NAME AND DATE OF THE SHOW ON THE ENTRY FORM.
I REQUIRE THE NUMBER OF STALLS ON THE ENTRY FORM FOR BILLING PURPOSES ONLY - YOU MUST
MAKE THE STALL_RESERVATION THROUGH THE BARN MANAGER FOR EACH SHOW. ALL STALL, RV,
SHAVINGS INFO IS CONTAINED IN THE PRIZE LIST.
LOOKING FORWARD TO SEEING YOU AT THE 2016 SHOWS!
TRAVEL SAFELY
PASO FINO HORSE SHOW ENTRY FORM
ENTRY NUMBER
Entries must be accompanied by copy of horse certificate of registration, PFHA cards for each
owner, all riders, trainer; USEF cards (if required) for one owner, riders and trainer. Pre-entry
prices will not be honored if all credentials are not included by pre-entry deadline.
REQUIRED SIGNATURES ON REVERSE!!!
NAME OF SHOW OR
SPONSORING REGION ______________________________________ LOCATION ______________________________________________ SHOW DATES ___________________________________
PFHA REG #
USEF REG #
COMPLETE REGISTERED NAME OF HORSE (ONE HORSE PER ENTRY BLANK)
HORSE SEX
FOALING DATE
COGGINS-DATE OUT
COGGINS-ACCESSION NUMBER
PERSON RESPONSIBLE FOR PAYING BILL
NAME _______________________________________________________________________ ADDRESS ______________________________________________________________________________
CITY________________________________________ ST__________ ZIP________________ EMAIL___________________________________________PH____________________________________
OWNER ONE INFORMATION
OWNER TWO INFORMATION
PFHA #________________________________ AM_________ EXP DATE _____________________ PFHA #________________________________ AM_________ EXP DATE _____________________
USEF #________________________________ AM_____ JAS_____ EXP DATE________________ USEF #________________________________ AM_____ JAS_____ EXP DATE________________
NAME ____________________________________________________________________________ NAME ____________________________________________________________________________
ADDRESS _________________________________________________________________________ ADDRESS _________________________________________________________________________
CITY/STATE/ZIP____________________________________________________________________ CITY/STATE/ZIP____________________________________________________________________
PHONE ___________________________________________________________________________ PHONE ___________________________________________________________________________
EMAIL____________________________________________________________________________ EMAIL____________________________________________________________________________
RIDER ONE INFORMATION
PFHA: ____CARD ____AM ____JAS
USEF: ____CARD ____AM ____JAS ____NM
PFHA #________________________________ AM_________ EXP DATE _____________________ USEF #________________________________ AM_____ JAS_____ EXP DATE________________
NAME ____________________________________________________________________________ ADDRESS ________________________________________________________________________
PHONE ___________________________________________________________________________ CITY/STATE/ZIP____________________________________________________________________
EMAIL____________________________________________________________________________ JUNIOR DATE OF BIRTH ____________________________________________________________
RIDER ONE CLASSES
RIDER TWO INFORMATION
PFHA #________________________________ AM_________ EXP DATE _____________________ USEF #________________________________ AM_____ JAS_____ EXP DATE_________________
NAME ____________________________________________________________________________ ADDRESS ________________________________________________________________________
RIDER TWO CLASSES
RIDER THREE INFORMATION
PFHA #________________________________ AM_________ EXP DATE _____________________ USEF #________________________________ AM_____ JAS_____ EXP DATE_________________
NAME ____________________________________________________________________________ ADDRESS ________________________________________________________________________
RIDER THREE CLASSES
TRAINER INFORMATION
SHOW FEES (For Office Use)
PFHA #______________________________________________ EXP DATE __________________
QUANTITY
USEF #________________________________ AM_____ JAS_____ EXP DATE_______________
__________
NAME __________________________________________________________________________
__________
ADDRESS _______________________________________________________________________
CITY/STATE/ZIP__________________________________________________________________
PHONE _________________________________________________________________________
EMAIL__________________________________________________________________________
SERVICE
RATE
TOTAL
ENTRY FEES
$______________
$________________
USEF Drug Fee
$______________
$________________
__________
Stall Fees
$______________
$________________
__________
Tack Rooms
$______________
$________________
__________
Shavings
$______________
$________________
__________
RV Fees
$______________
$________________
__________
PFHA Membership Fees
$______________
$________________
__________
Other
$______________
$________________
Revised 6.2015
UNITED STATES EQUESTRIAN FEDERATION, INC. ENTRY AGREEMENT
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.
Release, Assumption of R isk, Waiver and Indemnification
This document waives impor t ant legal rights. Read it carefully before signing.
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.
BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank and all terms and provisions of this Prize
List. If I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force and effect as if I affixed my
signature by my own hand.
OWNER (Mandatory – Name &
Signature required)
Print
Name
Signature
X
OWNER (Mandatory – Name &
Signature required)
Print
Name
Signature
X
TRAINER (Mandatory – Name &
Signature required)
Print
Name
Signature
X
#1 RIDER/DRIVER/HANDLER
(Mandatory)
Print
Name
Signature
X
#1 Parental / Guardian Consent if a
Minor
#2 RIDER/DRIVER HANDLER
(Mandatory)
Print Name
of Parent/Guardian
Signature
X
Print
Name
Signature
X
#2 Parental/Guardian Consent if a
Minor
#3 RIDER/DRIVER HANDLER
(Mandatory)
Print Name
of Parent/Guardian
Signature
X
Print
Name
Signature
X
#3 Parental/Guardian Consent if a
Minor
Print Name
of Parent/Guardian
Signature
X
EMERGENCY PHONE NUMBER DURING SHOW__________________________________________
Is Rider/Driver/Vaulter a US citizen:
Yes _______ No ______
Yes _______ No ______
Yes _______ No ______
Hrs #
EB #
Paso Fino Horse Show Official Entry Form
Only One Horse per Entry Form
◄ ◄ ◄ USE THIS FORM FOR NONPOINTED CLASSES ONLY ► ► ►
Horse’s Complete Registered Name_____________________________________________________________________
Sire_____________________________________________ Dam_______________________________________________
PFHA Horse Reg #________________________ or PFHA Show Validation Certificate #__________________________
Horse Sex__________
Date of Foaling___________________________
Check class(es) to Enter
Rider Full Name
Horse Color__________________________
Junior
Date of Birth
PFHA #
□
□
□
BILL TO _______________________________________________________
PAYBACKS TO ________________________________________________
(If not designated, they will be sent to the first owner listed below)
Total from Above
PFHA Affidavit Fees ______ People x $15
______ Horse Stalls x $______ ea.
OWNER_______________________________________________________
______ Tack Rooms x $______ ea.
PFHA Mem #_______________________
______ Visiting Horse Fee x $_______
OWNER_______________________________________________________
______ Shavings x $______ ea.
PFHA Mem #_______________________
OWNER_______________________________________________________
PFHA Mem #_______________________
ADDRESS_____________________________________________________
CITY ___________________________________STATE_____ZIP_________
PHONE________________________________________________________
E-MAIL________________________________________________________
TRAINER______________________________________________________
PFHA MEM #_______________________
►REQUIRED SIGNATURES NEEDED ON REVERSE◄
TOTAL FEES – Checks Payable to
________________________________________
ENTRY
FEE
NONPOINTED CLASSES ONLY
Release, Assumption of Risk, Waiver and Indemnification
This document waives important legal rights. Read it carefully before signing.
SIGNATURES BELOW INDICATE THAT YOU HAVE READ AND UNDERSTAND THE ABOVE.
SIGNATURES REQUIRED IN THREE (3) PLACES BELOW
UNSIGNED ENTRIES WILL NOT BE ACCEPTED. CAREFULLY READ THIS AGREEMENT BEFORE SIGNING.
Every entry made on this entry blank shall constitute an agreement and affirmation that all participants (which shall
include, without limitation, the owner, lessee, trainer, manager, agent, coach, driver, rider, handler and the horse) for
themselves, their principals, representatives, employees and agents: (1) shall be subject to the rules of the Paso Fino
Horse Association, including those posted in this Prize List, on the PFHA website, and in Paso Fino Horse World
magazine; (2) represent that every horse, rider, driver and handler is eligible as entered; (3) agree to be bound by the
rules of the Paso Fino Horse Association, and will accept as final the decision of the hearing committee on any question
arising under said rules, and agree to hold the Paso Fino Horse Association, its officers, directors and employees
harmless for any action taken; and (4) agree that they participate voluntarily in the competition fully aware that horse
sports and the competition involve inherent dangerous risk of serious injury or death and by participating they expressly
assume any and all risks of injury or loss, and they agree to indemnify and hold the Paso Fino Horse Association and their
officers, directors, employees and agents harmless from and against all claims including for any injury or loss suffered
during, or in connection with the competition, whether or not such claim, injury or loss resulted, directly or indirectly, from
the negligent acts or omissions of said officers, directors, employees or agents of the Paso Fino Horse Association.
I also agree that as condition of and in consideration of acceptance of entry, the competition may use or assign
photographs, videos, audios, cablecast, or other likenesses of me and my horse taken during the course of the
competition for the promotion coverage or benefit of the competition. 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.
BY SIGNING BELOW, I AGREE to be bound by all applicable Paso Fino Horse Association Rules and all terms and
provisions of this entry blank.
MINORS CANNOT SIGN THE ENTRY FORM ON ANY LINE
OWNER (Mandatory – Name & Signature required))
Print
Name
Signature
X
TRAINER (Mandatory – Name & Signature required))
Print
Name
Signature
X
#1. RIDER (Mandatory)
Print
Name
Signature
X
Signature
X
Signature
X
Signature
X
#1. Parental / Guardian Consent if a Minor
#1 RIDER ADDRESS / CITY / ZIP
#2. RIDER (Mandatory)
Print
Name
#2 Parental / Guardian Consent if a Minor
#2 RIDER ADDRESS / CITY / ZIP
EMERGENCY CONTACT PHONE NUMBER DURING SHOW: _____________________________________________
BEFORE MAILING BE SURE YOU HAVE: Enclosed the PFHA Show Validation Certificate, PFHA membership cards for
each owner, rider and trainer, Negative Coggins dated within 12 months of the show date and Total Fees for this Entry. All
out of state horses must present upon arrival at the show a Vet Cert dated within 30 days of the show.
1
GR8
CONDUCT OF
LICENSED
COMPETITIONS
GR845 Equine Vaccination Rule
1. At Federation licensed competitions, horses entering the grounds must be accompanied by documentation of Equine Influenza Virus and Equine Herpes Virus (Rhinopneumonitis) vaccinations within six months prior to entering the stables. Horses not
in compliance with this rule may be required to leave the competition grounds upon
request by Competition Management. Documentation should consist of one of the following methods mentioned below. The frequency of vaccine administration should be
per the vaccine manufacturers’ or veterinarian’s recommendations. It is recommended
that vaccines are administered by or under the direction of a veterinarian.
2. In the case of vaccines administered by a veterinarian, the exhibitor, upon request
by Competition Management, must provide documentation from the veterinarian on
documenting that the horse in question received the vaccinations; name of the vaccines and date of vaccine administration.
3. In the case of vaccines administered by a person other than a veterinarian, the exhibitor, upon request by Competition Management, must provide a receipt of the vaccine purchase which is signed by the owner, or agent with care, custody, and control of
the horse; name, serial number and expiration date of the vaccine; and date of vaccine
administration.
4. In the case of a horse that is unable to receive either of the vaccinations due to a
history of adverse reactions, the exhibitor, upon request by Competition Management,
must provide a letter from the veterinarian on official letterhead stating that the horse
in question cannot be vaccinated due to medical concerns and a log of temperatures
taken twice daily for the seven days prior to entering the competition grounds. These
horses must also have their temperature taken and logged twice daily while on the
competition grounds. The log of temperatures should be provided to the Competition
Management, steward, or technical delegate when requested.
5. Competition Management may not amend or enhance vaccination requirements
without prior approval of the Veterinary Committee. BOD 1/17/15 Effective 12/1/15.
VACCINATION RECORD: EQUINE INFLUENZA AND EQUINE HERPES
UNITED STATES EQUESTRIAN FEDERATION
Owner Name:______________________________________________________________________________________________
Horse Name:_______________________________________________________________________________________________
This form may be used to for documenting Equine Influenza and Equine Herpes Virus (Rhinopneumonitis) vaccinations as defined in USEF GR845.
Date
(Day/Month/Year)
Vaccine
Place and Country
Name
Batch #
Route
Mode
Name, Signature, and/or Stamp of Veterinarian
© 2015 by United States Equestrian Federation® All rights reserved. Reproduction without permission is strictly prohibited.
UNITED STATES EQUESTRIAN FEDERATION : 4047 IRON WORKS PARKWAY : LEXINGTON, KY 40511 : 859.258.2472 : FAX 859.258.9792 : USEF.ORG
Membership Statement
Life, senior active and junior active members shall be eligible to participate in all classes at
Regular Competitions, Eventing Competitions at the Preliminary Level or above and
Combined Driving Competitions at the Advanced Level, Dressage, Reining and Vaulting
Competitions and Endurance Rides. A nonmember may participate as a handler, rider,
driver, owner, lessee, agent, coach or trainer at Regular Competitions, Eventing
Competitions, Dressage Competitions, Reining Competitions and Combined Driving
Competitions upon payment of a $30 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.
Motorized Vehicles
Virginia Presidential PFHA Event
USEF Competition Name:
Competition Division(s) and Rating(s): AP (All Paso Fino) "C" Rating
USEF#:
326670
TRACK POINTS,
CLIMB THE STANDINGS,
AND EARN YEAR-END AWARDS!
Make your results count toward the USEF Horse of the Year Awards
Program with an annual or lifetime horse recording. Call or email today
to speak with a customer care representative about how to get started.
859 258 2472 // [email protected]

Virginia Presidential PFHA

Transcription

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