2017 schedules and forms · santa fe summer series 2017 5 2017 weeks 2-4 tentative schedule...

2017 SCHEDULES AND FORMS

2

EDITOR/PUBLISHEREMILY ESTERSON

505-553-2671

[email protected]

ACCOUNT EXECUTIVESANDRA MCGINNIS

505-515-8407 [email protected]

C O N T A C T U S T O D A Y !

W W W . H I P I C O S A N T A F E . C O M

P A Y M E N T D U E B Y M A Y 1 0 • A R T W O R K D U E B Y M A Y 2 0

W O U L D Y O U L I K E T O R E A C H S E V E R A L T H O U S A N D L O Y A L C O N S U M E R S I N S A N T A F E T H I S S U M M E R ?

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SANTA FE SUMMER SERIES 2017 3

2017 WEEK 1 TENTATIVE SCHEDULE WEDNESDAY

BMW/MINI Hunter Arena, 8:00am Hunter 2, 8:00am Jumper 2, 8:00am Grand Prix Field, 11:00am

121 Green Conformation Model 407 Low Hunter 601 .65 M Jumper IIBR/II.2d 625 1.10 M Jumper II.2b

127 High Performance Conformation Model 325,326,329 Green Hunter 3' & U/S 605 .75 M Jumper IIBR/II.2d 629 1.15 Meter Jumper II.2b

401 Open Hunter 330,331,334 Green Hunter 3'3" & U/S 610 .85 M Jumper IIBR/II.2d 645 YJC 5 Yr Olds, IIBR 1.15M

106,107,110 Perf Hunter 3’6” & U/S 340,341 Special Hunter Low 2'6" 615 .95 M Jumper IIBR/II.2d 648 YJC 6 Yr Olds, II.2b 1.25M

128,129,132 Green Working Hunter 3'6" & U/S 620 1.0 M Jumper IIBR/II.2d 633 1.20 M Jumper II.2b

133,134,137 Green Hunter 3'9" & U/S 636 1.25 M Jumper II.2b

116,117,120 Green Conf Hunter & U/S 639 1.30 M Jumper II.2b

122,123,126 High Performance Conf Hunter & U/S 651 YJC, 7 Yr, II.2b 1.35M

101,102,105 High Perf Hunter & U/S 642 1.40 M Jumper II.2b

111,112 Perf Hunter 3'3"

350,351,354 Santa Fe Hunter 3' & U/S

THURSDAY


402 Open Hunter 408 Low Hunter 602 .65 M Jumper IIBR/II.2d 626 1.10 M Jumper II.2b

108,109 Perf Hunter 3'6" & Handy 327,328 Green Hunter 3' O/F 606 .75 M Jumper IIBR/II.2d 630 1.15 M Jumper II.2b

130,131 Green Htr 3'6" & Handy 332,333 Green Hunter 3'3" O/F 611 .85 M Jumper IIBR/II.2d 646 YJC 5 Yr Olds, IIBR 1.15M

135,136 Green Htr 3'9" & Handy 409 Low Hunter 616 .95 M Jumper IIBR/II.2d 634 1.20M Jumper II.2b

118,119 Green Conf Htr & Handy 345,346 Special Hunter High 2'9" 621 1.0 M Jumper IIBR/II.2d 637 1.25 M Jumper II.2b

124,125 High Performance Conf Htr & Handy 342,343 Special Hunter Low 2'6" 673 Take 2 TB Jpr 1.0M, II.2b 649 YJC 6 Yr Olds, II.2b 1.25M

115 Perf Hunter 3'3" U/S 335,336,339 Baby Green Hunter & U/S 626 1.10 M Jumper II.2b 640 1.30M Jumper II.2b

113,114 Perf Hunter 3'3" & Handy 344 Special Hunter Low 2'6" U/S 652 YJC, 7 Yr, II.2b 1.35M

103,104 High Perf Hunter & Handy 410 Low Hunter 643 1.40M Jumper II.2b

355,356 Modified Jr/Am Hunter 3'3" 363,364,367 Modified Adult Hunter & U/S

357 Modified Jr/Am Hunter U/S 368,369,372 Modified Children's Hunter & U/S

518 NMHJA Jr/Am Medal 3'/3'3"

352,353 Santa Fe Hunter 3'

FRIDAY


505 Jr Equitation 15-17 Flat 411 Low Hunter 2'6" 607 .75 M Jumper IIBR/II.2d 657 High C/A JPR 1.10 M, II.2b

403 Open Hunter 337,338 Baby Green Hunter 2'6" 612 .85 M Jumper IIBR/II.2d 654 Low C/A JPR 1.0 M, II.2b

506 Jr Equitation 15-17 3'3" 412 Low Hunter 680.85m Non-Pro Jumper II.2b

660 Med Jr/Am JPR 1.20 M, II.2b

158,159,162 Sm Jr Hunter & U/S 15/U 347,348 Special Hunter High 2'9" 635 1.20m Jumper II.2b

163,164,167 Sm Jr Hunter & U/S 16-17 349 Special Hunter High 2'9" U/S 617 .95 M Jumper IIBR/II.2d 638 1.25m Jumper II.2b

168,169,172 Lrg Jr Hunter & U/S 15/U 365,366 Modified Adult Hunter 622 1.0 M Jumper IIBR/II.2d 641 1.30m Jumper II.2b

173,174,177 Lrg Jr Hunter & U/S 16/17 370,371 Modified Children's Hunter 627 1.10 M Jumper II.2b 647 YJC 5 Yr Olds, IIBR 1.15M

178,179,182 Junior Hunter 3'3" & U/S 507 Children's Equitation Flat 631 1.15 M Jumper II.2b 650 YJC 6 Yr Olds Stake, II.2b 1.25M

515 ASPCA Maclay 508 Children's Equitation 3' 520.2 WIHS Jumper Phase 653 YJC 7 Yr Olds Stake, II.2b 1.35M

811 $2,500 Nat Hunter Derby (week 1) 516 THIS Medal 517 USHJA 3'3" Jumping Seat Medal

711 $5,000 Welcome Stake (week 1)

501 Junior Equitation 11/U Flat 663 Low JR/AO JPR, 1.25-1.30 M, II.2b

502 Junior Equitation 11/U 2'3" 666 High JR/AO JPR, 1.35-1.40 M, II.2b

512 Pony Equitation O/F

420 Schooling Pony

514 Marshall Sterling/ U.S. Pony Medal

WWW. H I P I C O S A N TA F E . C OM

4

2017 WEEK 1 TENTATIVE SCHEDULE SATURDAY


513 Pessoa/US Htr Seat Medal 421 Schooling Pony 603 .65 M Jumper IIBR/II.2d 655 Low C/A JPR 1.0 M, II.2b

404 Open Hunter 183,184,187 Small Pony Hunter & U/S 608 .75 M Jumper IIBR/II.2d 658 High C/A JPR 1.10 M, II.2b

520.1 WIHS Hunter Phase 188,189,192 Medium Pony Hunter & U/S 613 .85 M Jumper IIBR/II.2d 661 Mod Jr/Am JPR 1.20 M, II.2b

160*,161 Sm Jr Hunter & Handy 15/U 511 Pony Equitation Flat 681 .85m Non-Pro Jumper II.2b 664 Low JR/AO JPR, 1.25-1.30 M, II.2b

165*,166 Sm Jr Hunter & Handy 16/17 193,194,197 Large Pony Hunter & U/S 618 .95 M Jumper IIBR/II.2d 667 High JR/AO JPR, 1.35-1.40 M, II.2b

170*,171 Lrg Jr Hunter & Handy 15/U 198,199,202 S/M Green Pony Hunter & U/S 623 1.0 M Jumper IIBR/II.2d 703 All in One Jackpot Grand Prix

175*176 Lrg Jr Hunter & Handy 16/17 203,204,207 Lrg Green Pony Hunter & U/S 669 Pony Jumper 1.05M, II.2b (all weeks)

180*181 Junior Hunter 3'3" & Handy 358,359,362 Children's Pony Hunter & U/S

801 Junior Hunter Classic 414 Low Hunter

138,139 A/O Hunter 3'6" 18-35 504 Junior Equitation 12-14 3'

143,144 A/O Hunter 3'6" 36/O 315,316 Children’s Hunter 14/u

148,149 A/O Hunter 3'3" 18-35 379,380,381 Short Stirrup Htr & U/S

153,154 A/O Hunter 3'3" 36/O 382,383,384 Long Stirrup Htr & U/S

413 Low Hunter 373,374,375 Beg Hunter & U/S

300,301 Adult Amateur Hunter 18-35 452 Opp W/T Horsemanship

305,306 Adult Amateur Hunter 36-49 450,451 Opp W/T Poles

310,311 Adult Amateur Hunter 50/O 455 Opp W/T/C Horsemanship

320,321 Children’s Hunter 15-17 453,454 Opp W/T/C Cross Rails

458 Opp W/T/C Horsemanship

456,457 Opp W/T/C 18 inches

SUNDAY


142 A/O Htr 3'6" U/S 18-35 422 Schooling Pony 609 .75M Jumper IIBR/II.2d 659 High C/A JPR Classic

405 Open Hunter 519 WIHS Pony Equitation 614 .85M Jumper IIBR/II.2d 1.15M, II.2a/b

140, 141 A/O Htr 3'6" & Handy 18/35 185, 186 Small Pony Hunter & Handy 682 .85 Non-Pro Jumper II.2b

145, 146 A/O Htr 3'6" & Handy 36/O 190, 191 Medium Pony Hunter & Handy 619 .95M Jumper IIBR/II.2d 656 Low C/A JPR Classic

147 A/O Htr 3'6" U/S 36/O 195, 196 Large Pony Hunter & Handy 624 1.0M Jumper IIBR/II.2d 1.05M, II.2a/b

152 A/O Htr 3'3" U/S 18-35 806 Pony Hunter Classic 662 Modified Jr/Am Classic 1.20 M, II.2a/b 150, 151 A/O Htr 3'3" & Handy 18-35 200, 201 S/M Green Pony Hunter 665

Low JR/AO JPR Classic

155, 156 A/O Htr 3'3" & Handy 36/O 205, 206 Lrg Green Pony Hunter 670 Pony Jpr 1.05M, II.2b 1.25-1.30 M, II.2a/b

157 A/O Htr 3'3" U/S 36/O 360, 361 Children's Pony Hunter 671 Pony Jpr 1.05M, II.2c

802 A/O Hunter Classic 503 Junior Equitation Flat 12-14 668High JR/AO JPR Classic

415 Low Hunter 319 Children’s Hunter U/S 14/U 1.35-1.40 M, II.2a/b

510 Adult Equitation O/F 417 Low Hunter

302, 303 Adult Am Hunter 18-35 317, 318 Children’s Hunter 14/U

304 Adult Am Hunter U/S 18-35 804 Children's Hunter Classic 14/U 751 $30,000 Santa Fe Welcome Week Variable Grand Prix (week 1)

509 Adult Equitation Flat 385, 386 Short Stirrup EQ

307, 308 Adult Am Hunter 36-49 387 Short Stirrup EQ Flat

309 Adult Am Hunter U/S 36-49 388, 389 Long Stirrup EQ

312, 313 Adult Am Hunter 50/O 390 Long Stirrup EQ Flat

314 Adult Am Hunter U/S 50/O 376, 377 Beg Rider Equitation

803 Adult Am Hunter Classic 378 Beg Rider Equitation Flat

324 Children’s Hunter U/S 15-17 461 Opp W/T Equitation

416 Low Hunter 459, 460 Opp W/T Poles

322, 323 Children’s Hunter 15-17 464 Opp W/T/C Equitation

805 Children's Hunter Classic 15-17 462, 463 Opp W/T/C Cross Rails

467 Opp W/T/C Equitation

465, 466 Opp W/T/C 18 inches


2017 WEEKS 2-4 TENTATIVE SCHEDULE WEDNESDAY


121 Green Conformation Model 407 Low Hunter 601 .65 M Jumper IIBR/II.2d 625 1.10 M Jumper II.2b

127 High Performance Model 325,326,329 Green Hunter 3' & U/S 605 .75 M Jumper IIBR/II.2d 633 1.20 M Jumper II.2b

401 Open Hunter 391, 392, 393 Young Htr 3' 5 Yrs/under & U/S (wk 3) 610 .85 M Jumper IIBR/II.2d 636 1.25 M Jumper II.2b

106,107,110 Perf Hunter 3’6” & U/S 330,331,334 Green Hunter 3'3" & U/S 615 .95 M Jumper IIBR/II.2d 639 1.30 M Jumper II.2b

128,129,132 Green Working Hunter 3'6" & U/S 394,395,396 Young Htr 3'3" 6 Yrs/under & U/S (wk 3) 620 1.0 M Jumper IIBR/II.2d 642 1.40 M Jumper II.2b

397, 398, 399 Young Htr 3'6" 7 Yrs/under & U/S (wk 3) 340,341 Special Hunter Low 2'6" 625 1.10 M Jumper II.2b

133,134,137 Green Hunter 3'9" & U/S Derby Field, 8:00am

116,117,120 Green Conf Hunter & U/S 645 YJC 5 Yr Olds, IIBR 1.15M

122,123,126 High Performance Conf Hunter & U/S 648 YJC 6 Yr Olds, II.2b 1.25M

101,102,105 High Perf Hunter & U/S 651 YJC, 7 Yr, II.2b 1.35M

111,112 Perf Hunter 3'3" 629 1.15 Meter Jumper II.2b

THURSDAY


402 Open Hunter 408 Low Hunter 602 .65 M Jumper IIBR/II.2d 626 1.10 M Jumper II.2b

108,109 Perf Hunter 3'6" & Handy 327,328 Green Hunter 3' O/F 606 .75 M Jumper IIBR/II.2d 634 1.20M Jumpers II.2b

130,131 Green Htr 3'6" & Handy 332,333 Green Hunter 3'3" O/F 611 .85 M Jumper IIBR/II.2d 637 1.25 M Jumper II.2b

135,136 Green Htr 3'9" & Handy 800 $2,500 Texas Green Super Stake (weeks 2-4)

616 .95 M Jumper IIBR/II.2d 640 1.30M Jumper II.2b

621 1.0 M JumperIIBR/II.2d 643 1.40M Jumper II.2b

118,119 Green Conf Htr & Handy

124,125 High Performance Conf Htr & Handy 409 Low Hunter Derby Field, 8:00am

115 Perf Hunter 3'3" U/S 345,346 Special Hunter High 2'9" 630 1.15 M Jumper II.2b

113,114 Perf Hunter 3'3" & Handy 342,343 Special Hunter Low 2'6" 646 YJC 5 Yr Olds, IIBR 1.15M

103,104 High Perf Hunter & Handy 335,336,339 Baby Green Hunter & U/S 649 YJC 6 Yr Olds, II.2b 1.25M

355,356 Modified Jr/Am Hunter 3'3" 344 Special Hunter Low 2'6" U/S 652 YJC, 7 Yr, II.2b 1.35M

357 Modified Jr/Am Hunter U/S 410 Low Hunter 418 Low Hunter 3'/3.3"

518 NMHJA Jr/Am Medal 3'/3'3" 363,364,367 Modified Adult Hunter & U/S

352,353 Santa Fe Hunter 3' 368,369,372 Modified Children's Hunter & U/S

FRIDAY


505 Jr Equitation 15-17 Flat 411 Low Hunter 2'6" 607 .75 M Jumper IIBR/II.2d 657 High C/A JPR 1.10 M, II.2b

403 Open Hunter 337,338 Baby Green Hunter 2'6" 612 .85 M Jumper IIBR/II.2d 654 Low C/A JPR 1.0 M, II.2b

506 Jr Equitation 15-17 3'3" 412 Low Hunter 680 .85 M Non-Pro Jumper II.2b

660 Mod Jr/Am JPR 1.20 M, II.2b

158,159,162 Sm Jr Hunter & U/S 15/U 347,348 Special Hunter High 2'9" 635 1.20m Jumper II.2b

163,164,167 Sm Jr Hunter & U/S 16-17 349 Special Hunter High 2'9" U/S 617 .95 M Jumper IIBR/II.2d 638 1.25m Jumper II.2b

168,169,172 Lrg Jr Hunter & U/S 15/U 365,366 Modified Adult Hunter 622 1.0 M Jumper IIBR/II.2d 641 1.30m Jumper II.2b

173,174,177 Lrg Jr Hunter & U/S 16/17 370,371 Modified Children's Hunter 627 1.10 M Jumper II.2b 647 YJC 5 Yr Olds, IIBR 1.15M

178,179,182 Junior Hunter 3'3" & U/S 507 Children's Equitation Flat 631 1.15 M Jumper II.2b 650 YJC 6 Yr Olds Stake, II.2b 1.25M

515 ASPCA Maclay 508 Children's Equitation 3' 520.2 WIHS Jumper Phase 653 YJC 7 Yr Olds Stake, II.2b 1.35M

516 THIS Medal 517 USHJA 3'3" Jumping 711 $7500 Santa Fe Welcome Stake 1.40M (weeks 2-4)501 Junior Equitation 11/U Flat Seat Medal

502 Junior Equitation 11/U 2'3" 663 Low JR/AO JPR, 1.25-1.30 M, II.2b

512 Pony Equitation O/F 666 High JR/AO JPR, 1.35-1.40 M, II.2b

420 Schooling Pony

514 Marshall Sterling/ U.S. Pony Medal

Derby Field, 8:00am

813 $2,500 Nat Hunter Derby (wk2)812 $10,000 USHJA International

Hunter Derby (week 3)807 $1,000 Pro/Am Team Hunter (wk3)

814 $2,500 Nat Hunter Derby(wk4)

6

2017 WEEKS 2-4 TENTATIVE SCHEDULE SATURDAY

BMW/MINI Hunter Arena, 8:00am Hunter 2, 8:00am Jumper 2, 8:00am Grand Prix Arena, 9:00am

413 Low Hunter 421 Schooling Pony 603 .65 M Jumper IIBR/II.2d 655 Low C/A JPR 1.0 M, II.2b

320,321 Children’s Hunter 15-17 183,184,187 Small Pony Hunter & U/S 608 .75 M Jumper IIBR/II.2d 658 High C/A JPR 1.10 M, II.2b

513 Pessoa/US Htr Seat Medal 188,189,192 Medium Pony Hunter & U/S 613 .85 M Jumper IIBR/II.2d 661 Mod Jr/Am JPR 1.20 M, II.2b

300,301 Adult Amateur Hunter 18-35 511 Pony Equitation Flat 681 .85m Non-Pro Jumper II.2b 664 Low JR/AO JPR, 1.25-1.30 M, II.2b

305,306 Adult Amateur Hunter 36-49 193,194,197 Large Pony Hunter & U/S 618 .95 M Jumper IIBR/II.2d 667 High JR/AO JPR, 1.35-1.40 M, II.2b

310,311 Adult Amateur Hunter 50/O 198,199,202 S/M Green Pony Hunter & U/S 623 1.0 M Jumper IIBR/II.2d

404 Open Hunter 203,204,207 Lrg Green Pony Hunter & U/S 669 Pony Jumper 1.05M, II.2b 702 $5,000 Sandia BMW/MINI Cooper Ride & Drive Challenge (week 3)

520.1 WIHS Hunter Phase 358,359,362 Children's Pony Hunter & U/S

160*,161 Sm Jr Hunter & Handy 15/U 414 Low Hunter

165*,166 Sm Jr Hunter & Handy 16/17 504 Junior Equitation 12-14 3' 703 All in One Jackpot Grand Prix (all weeks)

170*,171 Lrg Jr Hunter & Handy 15/U 315,316 Children’s Hunter 14/u

175*176 Lrg Jr Hunter & Handy 16/17 379,380,381 Short Stirrup Htr & U/S

180*181 Junior Hunter 3'3" & Handy 382,383,384 Long Stirrup Htr & U/S

801 Junior Hunter Classic 373,374,375 Beg Hunter & U/S

138,139 A/O Hunter 3'6" 18-35 452 Opp W/T Horsemanship

143,144 A/O Hunter 3'6" 36/O 450,451 Opp W/T Poles

148,149 A/O Hunter 3'3" 18-35 455 Opp W/T/C Horsemanship

153,154 A/O Hunter 3'3" 36/O 453,454 Opp W/T/C Cross Rails

458 Opp W/T/C Horsemanship

456,457 Opp W/T/C 18 inches

SUNDAY


142 A/O Htr 3'6" U/S 18-35 422 Schooling Pony 609 .75M Jumper IIBR/II.2d 659 High C/A JPR Classic 1.15M, II.2a/b 405 Open Hunter 519 WIHS Pony Equitation 614 .85M Jumper IIBR/II2.d

140, 141 A/O Htr 3'6" & Handy 18/35 185, 186 Small Pony Hunter & Handy 682 .85 Non-Pro Jumper II.2b 656 Low C/A JPR Classic 1.05M, II.2a/b 145, 146 A/O Htr 3'6" & Handy 36/O 190, 191 Medium Pony Hunter & Handy 619 .95M Jumper IIBR/II.2d

147 A/O Htr 3'6" U/S 36/O 195, 196 Large Pony Hunter & Handy 624 1.0M Jumper IIBR/II.2d 665 Low JR/AO JPR Classic, 1.25-1.30 M, II.2a/b

152 A/O Htr 3'3" U/S 18-35 806 Pony Hunter Classic 662 Modified Jr/Am Classic 1.20 M, II.2a/b 150, 151 A/O Htr 3'3" & Handy 18-35 200, 201 S/M Green Pony Hunter 668

High JR/AO JPR Classic, 1.35-1.40 M, II.2a/b

155, 156 A/O Htr 3'3" & Handy 36/O 205, 206 Lrg Green Pony Hunter 670 Pony Jpr 1.05M, II.2b

157 A/O Htr 3'3" U/S 36/O 360, 361 Children's Pony Hunter 671 Pony Jpr 1.05M, II.2c 752 $30,000 Sparrowhawk Sonrisa Week Grand Prix (week 2)

802 A/O Hunter Classic 503 Junior Equitation Flat 12-14

415 Low Hunter 319 Children’s Hunter U/S 14/U 753 $30,000 City of Santa Fe Santa Fe Fiesta Grand Prix (week 3)

510 Adult Equitation O/F 417 Low Hunter

302, 303* Adult Am Hunter 18-35 317, 318 Children’s Hunter 14/U 754 $40,000 Grand Prix de Santa Fe (week 4)

304 Adult Am Hunter U/S 18-35 804 Children's Hunter Classic 14/U509 Adult Equitation Flat 385, 386 Short Stirrup EQ

307, 308 Adult Am Hunter 36-49 387 Short Stirrup EQ Flat

309 Adult Am Hunter U/S 36-49 388, 389 Long Stirrup EQ

312, 313 Adult Am Hunter 50/O 390 Long Stirrup EQ Flat

314 Adult Am Hunter U/S 50/O 376, 377 Beg Rider Equitation

803 Adult Am Hunter Classic 378 Beg Rider Equitation Flat

324 Children’s Hunter U/S 15-17 461 Opp W/T Equitation

416 Low Hunter 459, 460 Opp W/T Poles

322, 323 Children’s Hunter 15-17 464 Opp W/T/C Equitation

805 Children's Hunter Classic 15-17 462, 463 Opp W/T/C Cross Rails

467 Opp W/T/C Equitation

465, 466 Opp W/T/C 18 inches


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2nd Rider

United States E

questrian Federation, Inc. Entry A

greement

I have read the United States Equestrian Federation, Inc. (the "Federation") Entry A

greement (G

R906.4) as printed in the Prize List for W

elcome W

eek, and agree to all of its provisions. I understand and agree that by entering this C

ompetition, I am

subject to Federation Rules, the Prize List, and local rules of the com

petition. I agree to waive the right to the use of m

y photos at the competition, and agree

that any actions against the Federation must be brought in N

ew Y

ork State.R

elease, Assum

ption of Risk, W

aiver, and Indemnification

.

* T

his Docum

ent waives im

portant legal rights. Read it carefully before signing.

I AG

RE

E in consideration for m

y participation in Welcom

e Week, to the follow

ing:I A

GR

EE

that the "Federation" and "Com

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E that I choose to participate voluntarily in the C

ompetition w

ith my horse, as a rider, driver, handler, vaulter, longeur, lessee, ow

ner, agent, coach, trainer, or as parent or guardian of a junior exhibitor. I am

fully aware and acknow

ledge that horse sports and the Com

petition involve inherent dangerous risks of accident, loss, and serious bodily injury including broken bones, head injuries, trauma,

pain, suffering, or death. (“Harm

”).I A

GR

EE

to hold harmless and release the Federation and the C

ompetition from

all claims for m

oney damages or otherw

ise for any Harm

to me or m

y horse and for any Harm

of any nature caused by me or m

y horse to others, even if the H

arm arises or results, directly or indirectly, from

the negligence of the Federation or the Com

petition.I A

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arm to m

e or my horse, including H

arm resulting from

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to indemnify (that is, to pay any losses, dam

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less with respect to claim

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arm caused by m

e or my horse w

hile at the Com

petition. I have read the Federation Rules about protective equipm

ent, including GR

801 and, if applicable, EV114, and I understand that I

am entitled to w

ear protective equipment w

ithout penalty, and I acknowledge that the Federation strongly encourages m

e to do so while W

AR

NIN

G that no protective equipm

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edical personnel treating my injuries m

ay provide information on m

y injury and treatment to the Federation on the official U

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.B

Y SIG

NIN

G B

EL

OW

, I AG

RE

E to be bound by all applicable Federation R

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s and provisions of this Prize List. If I am signing and

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Nominating Fee $175USEF Non-‐Member Show Pass $30

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GROUNDS FEE $551 Paddock @

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COMPLETED

!

Taxpayer Name (M

ust coincide with SS# or EIN#)

Social Security # or Federal ID #

Prize Money Payee Address

In Case of Emergency during

the show contact #

$16$7$75

FOR

VIP TA

BLE RESERVA

TIO

NS, SEE PA

GE 15

FOR

RV R

ESERVAT

ION

S, SEE PAG

E 14

8

Entry

#

Sonr

isa

Wee

k 2

Make Ch

ecks Payable to Grand Prix de Santa Fe

HIPICO Santa Fe

Mail E

ntrie

s or E

nter

Onl

ine a

t equ

estri

anco

nnec

t.com

Ju

ly 2

6-3

0,

20

17

▪ E

ntr

y D

eadlin

e: Ju

ne 3

0, 2

017

Mai

l Ent

ries

to:

Gra

nd P

rix d

e S

anta

Fe

P.O

. Box

535

3 S

anta

Fe,

NM

875

02 !

505-

474-

0999

NAM

E OF HORSE

USEF/USH

JA #

BREED

COLO

R

SEX

HEIGH

T

AGE

CRED

IT C

ARD

INFO

RMAT

ION

MUST HAV

E CR

EDIT CAR

D PRE

SENT AT

CHECK OUT

□Vi

sa □

Mas

terCa

rd □

Amer

ican E

xpre

ss □

Disc

over

Car

d #

-‐

-‐

-‐ Ex

pira

tion D

ate:

___

/

CVV

Code

:

Card

Hold

er's

Nam

e:

Sign

atur

e:

_____

______

______

______

______

______

______

_

A

ddre

ss:

____

______

______

______

______

______

______

______

___

City

/Sta

te/Z

ip:

____

______

______

______

______

______

______

__

NAM

E OF RIDER

AG

E

SECT

IONS/CLASSES ENTER

ED

USEF/USH

JA #

ASPC

A #

1st R

ider

2nd

Ride

r

Uni

ted

Stat

es E

ques

tria

n Fe

dera

tion,

Inc

. Ent

ry A

gree

men

t I h

ave

read

the

Uni

ted

Stat

es E

ques

trian

Fed

erat

ion,

Inc.

(th

e "F

eder

atio

n") E

ntry

Agr

eem

ent

(GR

906.

4) a

s pr

inte

d in

the

Priz

e Li

st f

or S

anta

Fe

Fies

ta W

eek,

and

agr

ee t

o al

l of i

ts p

rovi

sion

s. I

und

erst

and

and

agre

e th

at b

y en

terin

g th

is C

ompe

titio

n, I

am

sub

ject

to

Fede

ratio

n R

ules

, th

e Pr

ize

List

, and

loca

l rul

es o

f the

com

petit

ion.

I ag

ree

to w

aive

the

rig

ht t

o th

e us

e of

my

phot

os a

t the

com

petit

ion,

and

ag

ree

that

any

act

ions

aga

inst

the

Fed

erat

ion

mus

t be

bro

ught

in

New

Yor

k St

ate.

Rel

ease

, Ass

umpt

ion

of R

isk,

Wai

ver,

and

Ind

emni

ficat

ion.

* T

his

Doc

umen

t w

aive

s im

port

ant

lega

l rig

hts.

Rea

d it

care

fully

bef

ore

sign

ing.

I AG

RE

E i

n co

nsid

erat

ion

for

my

part

icip

atio

n in

San

ta F

e Fi

esta

Wee

k, to

the

follo

win

g:I A

GR

EE

tha

t the

"Fe

dera

tion"

and

"C

ompe

titio

n" a

s us

ed a

bove

inc

lude

s al

l of t

heir

offic

ials

, of

ficer

s, d

irect

ors,

em

ploy

ees,

age

nts,

per

sonn

el,

volu

ntee

rs a

nd a

ffili

ated

org

aniz

atio

ns.

I AG

RE

E t

hat I

cho

ose

to p

artic

ipat

e vo

lunt

arily

in

the

Com

petit

ion

with

my

hors

e, a

s a

rider

, driv

er,

hand

ler,

vaul

ter,

long

eur,

less

ee,

owne

r, ag

ent,

coac

h, t

rain

er,

or a

s pa

rent

or g

uard

ian

of a

juni

or

exhi

bito

r. I a

m fu

lly a

war

e an

d ac

know

ledg

e th

at h

orse

spo

rts a

nd th

e C

ompe

titio

n in

volv

e in

here

nt d

ange

rous

risk

s of

acc

iden

t, lo

ss, a

nd s

erio

us b

odily

inj

ury

incl

udin

g br

oken

bon

es,

head

inj

urie

s, tr

aum

a,

pain

, suf

ferin

g, o

r de

ath.

(“H

arm

”).

I AG

RE

E t

o ho

ld h

arm

less

and

rel

ease

the

Fed

erat

ion

and

the

Com

petit

ion

from

all

clai

ms

for

mon

ey d

amag

es o

r oth

erw

ise

for

any

Har

m t

o m

e or

my

hors

e an

d fo

r an

y H

arm

of a

ny n

atur

e ca

used

by

me

or m

y ho

rse

to o

ther

s, e

ven

if th

e H

arm

aris

es o

r res

ults

, di

rect

ly o

r ind

irect

ly,

from

the

negl

igen

ce o

f the

Fed

erat

ion

or th

e C

ompe

titio

n.I A

GR

EE

to

expr

essl

y as

sum

e al

l ris

ks o

f Har

m t

o m

e or

my

hors

e, i

nclu

ding

Har

m r

esul

ting

from

the

negl

igen

ce o

f the

Fed

erat

ion

or th

e C

ompe

titio

n.I A

GR

EE

to

inde

mni

fy (

that

is,

to p

ay a

ny lo

sses

, da

mag

es,

or c

osts

inc

urre

d by

) th

e Fe

dera

tion

and

the

Com

petit

ion

and

to h

old

them

har

mle

ss w

ith re

spec

t to

cla

ims

for

Har

m t

o m

e or

my

hors

e, a

nd f

or c

laim

s m

ade

by o

ther

s fo

r an

y H

arm

cau

sed

by m

e or

my

hors

e w

hile

at t

he C

ompe

titio

n. I

hav

e re

ad t

he F

eder

atio

n R

ules

abo

ut p

rote

ctiv

e eq

uipm

ent,

incl

udin

g G

R80

1 an

d, if

app

licab

le, E

V11

4, a

nd I

und

erst

and

that

I

am e

ntitl

ed t

o w

ear

prot

ectiv

e eq

uipm

ent w

ithou

t pe

nalty

, an

d I a

ckno

wle

dge

that

the

Fed

erat

ion

stro

ngly

enc

oura

ges m

e to

do

so w

hile

WA

RN

ING

that

no

prot

ectiv

e eq

uipm

ent c

an g

uard

aga

inst

all

inju

ries.

If

I am

a p

aren

t or

gua

rdia

n of

a ju

nior

exh

ibito

r, I c

onse

nt t

o th

e ch

ild’s

par

ticip

atio

n an

d A

GR

EE

to

all o

f the

abo

ve p

rovi

sion

s an

d A

GR

EE

to

assu

me

all o

f the

obl

igat

ions

of t

his

Rel

ease

on

the

child

’s b

ehal

f. I

re

pres

ent

that

I h

ave

the

requ

isite

tra

inin

g, c

oach

ing

and

abili

ties

to s

afel

y co

mpe

te i

n th

is c

ompe

titio

n.I A

GR

EE

tha

t if I

am

inju

red

at th

is c

ompe

titio

n, th

e m

edic

al p

erso

nnel

tre

atin

g m

y in

jurie

s m

ay p

rovi

de i

nfor

mat

ion

on m

y in

jury

and

trea

tmen

t to

the

Fede

ratio

n on

the

offic

ial

USE

F ac

cide

nt/in

jury

repo

rt fo

rm.

BY

SIG

NIN

G B

EL

OW

, I

AG

RE

E t

o be

bou

nd b

y al

l app

licab

le F

eder

atio

n R

ules

and

all

term

s an

d pr

ovis

ions

of t

his

entry

bla

nk a

nd a

ll te

rms

and

prov

isio

ns o

f thi

s Pr

ize

List

. If

I am

sig

ning

and

su

bmitt

ing

this

Agr

eem

ent e

lect

roni

cally

, I a

ckno

wle

dge

that

my

elec

troni

c si

gnat

ure

shal

l hav

e th

e sa

me

valid

ity,

forc

e an

d ef

fect

as

if I a

ffix

ed m

y si

gnat

ure

by m

y ow

n ha

nd.

#

Temp

orar

y St

alls @

$250

#

Perm

anen

t Stal

ls @

$35

0

#____

____N

on-‐sh

owing

wee

ks St

alls @

$150

(see

page

45)

Nomi

natin

g Fe

e $1

75US

EF N

on-‐M

embe

r Sho

w Pa

ss $

30US

HJA

Non-‐

Memb

er Sh

ow P

ass

$30

USEF

Fee

(Dru

g &

Med

icatio

n $8/

USEF

$8)

USHJ

A Zo

ne Su

ppor

t Fee

@ $7

LATE

FEE

$60

NON-‐

SHOW

ING

FEE

$100

GROU

NDS

FEE

$55

1 Pad

dock

@ $1

00/w

eek

TOTA

LSTAB

LE W

ITH:

Owne

r/Age

nt

Sign

atur

e

Print

Nam

e

Addr

ess

City,

Sta

te, Z

ip

Phon

e (

)

USEF

#

Email

Add

ress

:_

Train

er

Sign

atur

e

Print

Nam

e

Addr

ess

City,

Sta

te, Z

ip

Phon

e (

)

USEF

#

Email

Add

ress

:_

Ride

r 1

Sign

atur

e

Print

Nam

e

Addr

ess

City,

Sta

te, Z

ip

Phon

e (

)

USEF

#

Email

Add

ress

:_

Coac

h (if

app

licab

le) o

r Ride

r 2

Sign

atur

e

Print

Nam

e

Addr

ess

City,

Sta

te, Z

ip

Phon

e (

)

USEF

#

Email

Add

ress

:_

PRIZE MONEY

TAX

PAYER

INFO

RMAT

ION M

UST BE

COMPLET

ED!

Taxp

ayer

Nam

e (M

ust c

oincid

e wi

th S

S# o

r EIN

#)

Socia

l Sec

urity

# o

r Fed

eral

ID #

Prize

Mon

ey Payee Add

ress

In Case of Emergency du

ring

the show

con

tact #

OFFI

CE/V

ENUE

FEE

$75

#____

______

C

$

/$

$16

$7 $75

FOR

VIP

TA

BLE

RES

ERVA

TIO

NS,

SEE

PA

GE

15FO

R R

V R

ESER

VAT

ION

S, S

EE P

AG

E 14


Entry # Santa Fe Fiesta W

eek 3 Make Checks Payable to Grand Prix de Santa Fe

HIPICO

Santa Fe Mail Entries or Enter Online at equestrianconnect.com

Au

gust 2

-6, 2

017 ▪ E

ntry D

eadlin

e: June 30, 2017M

ail Entries to: G

rand Prix de S

anta Fe P

.O. B

ox 5353 Santa Fe, N

M 87502 !

505-474-0999

NAM

E OF H

ORSE

USEF/U

SHJA #

BREED

COLO

R SEX

HEIGH

T AGE

CREDIT CARD INFORMATION MUST H

AVE CREDIT CARD

PRESENT AT CH

ECK OUT

□Visa □ MasterCard □ American Express □ Discover

Card # -‐

-‐

-‐

Expiration Date: ___ / CVV Code:

Card Holder's Name:

Signature: __________________________________________ Address: _________________________________________________ City/State/Zip: __________________________________________

NAM

E OF RID

ER AGE

SECTIONS/CLA

SSES ENTER

ED

USEF/U

SHJA #

ASPCA # 1st Rider

2nd Rider

United States E

questrian Federation, Inc. Entry A

greement

I have read the United States Equestrian Federation, Inc. (the "Federation") Entry A

greement (G

R906.4) as printed in the Prize List for G

rand Prix de Santa Fe Week, and agree to all of its provisions. I

understand and agree that by entering this Com

petition, I am subject to Federation R

ules, the Prize List, and local rules of the competition. I agree to w

aive the right to the use of my photos at the

competition, and agree that any actions against the Federation m

ust be brought in New

York State.

Release, A

ssumption of R

isk, Waiver, and Indem

nification.

* T

his Docum

ent waives im

portant legal rights. Read it carefully before signing.

I AG

RE

E in consideration for m

y participation in Grand Prix de Santa Fe W

eek, to the following:

I AG

RE

E that the "Federation" and "C

ompetition" as used above includes all of their officials, officers, directors, em

ployees, agents, personnel, volunteers and affiliated organizations.I A

GR

EE

that I choose to participate voluntarily in the Com

petition with m

y 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 aw

are and acknowledge that horse sports and the C

ompetition involve inherent dangerous risks of accident, loss, and serious bodily injury including broken bones, head injuries, traum

a, pain, suffering, or death. (“H

arm”).

I AG

RE

E to hold harm

less and release the Federation and the Com

petition from all claim

s for money dam

ages or otherwise for any H

arm to m

e or my horse and for any H

arm of any nature caused by m

e or my

horse to others, even if the Harm

arises or results, directly or indirectly, from the negligence of the Federation or the C

ompetition.

I AG

RE

E to expressly assum

e all risks of Harm

to me or m

y horse, including Harm

resulting from the negligence of the Federation or the C

ompetition.

I AG

RE

E to indem

nify (that is, to pay any losses, damages, or costs incurred by) the Federation and the C

ompetition and to hold them

harmless w

ith respect to claims for H

arm to m

e or my horse, and for claim

s m

ade by others for any Harm

caused by me or m

y horse while at the C

ompetition. I have read the Federation R

ules about protective equipment, including G

R801 and, if applicable, EV

114, and I understand that I am

entitled to wear protective equipm

ent without penalty, and I acknow

ledge that the Federation strongly encourages me to do so w

hile WA

RN

ING

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 A

GR

EE

to all of the above provisions and AG

RE

E to assum

e 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 com

petition.I A

GR

EE

that if I am injured at this com

petition, the medical personnel treating m

y injuries may provide inform

ation on my injury and treatm

ent to the Federation on the official USEF accident/injury report

form.

BY

SIGN

ING

BE

LO

W, I A

GR

EE

to be bound by all applicable Federation Rules and all term

s and provisions of this entry blank and all terms and provisions of this Prize List. If I am

signing and subm

itting this Agreem

ent electronically, I acknowledge that m

y electronic signature shall have the same validity, force and effect as if I affixed m

y signature by my ow

n hand.

# Temporary Stalls @

$250#

Permanent Stalls @ $350

#________Non-‐showing weeks Stalls @ $150 (see page 45)

Nominating Fee $175USEF Non-‐Member Show Pass $30

USHJA Non-‐Member Show Pass $30USEF Fee (Drug & M

edication $8/USEF $8) USHJA Zone Support Fee @

$7

LATE FEE $60NON-‐SHOW

ING FEE $100GROUNDS FEE $55

1 Paddock @ $100/week

TOTALSTABLE W

ITH:

Owner/Agent Signature

Print Name

Address

City, State, Zip

Phone ( )

USEF #

Email Address:_

Trainer Signature

Print Name

Address

City, State, Zip

Phone ( )

USEF #

Email Address:_

Rider 1

Signature

Print Name

Address

City, State, Zip

Phone ( )

USEF #

Email Address:_

Coach (if applicable) or Rider 2 Signature

Print Name

Address

City, State, Zip

Phone ( )

USEF #

Email Address:_

PRIZE MONEY TAXPAYER

INFO

RMATIO

N M

UST BE

COMPLETED

!

Taxpayer Name (M

ust coincide with SS# or EIN#)

Social Security # or Federal ID #

Prize Money Payee Address

In Case of Emergency during

the show contact #

OFFICE/VENUE FEE $75

#__________C

$

/$

$16$7$75

FOR

VIP TA

BLE RESERVA

TIO

NS, SEE PA

GE 15

FOR

RV R

ESERVAT

ION

S, SEE PAG

E 14

10

Entry

#

G

rand

Pri

x de

San

ta F

e W

eek

4 Make Ch

ecks Payable to Grand Prix de Santa Fe

H

IPICO Santa Fe

Mail E

ntrie

s or E

nter

Onl

ine a

t equ

estri

anco

nnec

t.com

Au

gust

9-1

3,

2017 ▪

En

try

Dea

dlin

e: J

un

e 30,

2017

Mai

l Ent

ries

to:

Gra

nd P

rix d

e S

anta

Fe

P.O

. Box

535

3 S

anta

Fe,

NM

875

02 !

505-

474-

0999

NAM

E OF HORSE

USEF/USH

JA #

BREED

COLO

R

SEX

HEIGH

T

AGE

CRED

IT C

ARD

INFO

RMAT

ION

MUST HAV

E CR

EDIT CAR

D PRE

SENT AT

CHECK OUT

□Vi

sa □

Mas

terCa

rd □

Amer

ican E

xpre

ss □

Disc

over

Car

d #

-‐ -‐

-‐ Ex

pira

tion D

ate:

___

/

CVV

Code

:

Card

Hold

er's

Nam

e:

Sign

atur

e:

_____

______

______

______

______

______

______

_

A

ddre

ss:

____

______

______

______

______

______

______

______

___

City

/Sta

te/Z

ip:

____

______

______

______

______

______

______

__

NAM

E OF RIDER

AG

E

SECT

IONS/CLASSES ENTER

ED

USEF/USH

JA #

ASPC

A #

1st R

ider

2nd

Ride

r

Uni

ted

Stat

es E

ques

tria

n Fe

dera

tion,

Inc

. Ent

ry A

gree

men

t I h

ave

read

the

Uni

ted

Stat

es E

ques

trian

Fed

erat

ion,

Inc.

(th

e "F

eder

atio

n") E

ntry

Agr

eem

ent

(GR

906.

4) a

s pr

inte

d in

the

Priz

e Li

st f

or B

ienv

enid

os W

eek,

and

agr

ee t

o al

l of i

ts p

rovi

sion

s. I

und

erst

and

and

agre

e th

at b

y en

terin

g th

is C

ompe

titio

n, I

am

sub

ject

to

Fede

ratio

n R

ules

, th

e Pr

ize

List

, and

loca

l rul

es o

f the

com

petit

ion.

I ag

ree

to w

aive

the

rig

ht t

o th

e us

e of

my

phot

os a

t the

com

petit

ion,

and

agr

ee

that

any

act

ions

aga

inst

the

Fed

erat

ion

mus

t be

bro

ught

in

New

Yor

k St

ate.

Rel

ease

, Ass

umpt

ion

of R

isk,

Wai

ver,

and

Ind

emni

ficat

ion.

* T

his

Doc

umen

t w

aive

s im

port

ant

lega

l rig

hts.

Rea

d it

care

fully

bef

ore

sign

ing.

I AG

RE

E i

n co

nsid

erat

ion

for

my

part

icip

atio

n in

Bie

nven

idos

Wee

k, to

the

follo

win

g:I A

GR

EE

tha

t the

"Fe

dera

tion"

and

"C

ompe

titio

n" a

s us

ed a

bove

inc

lude

s al

l of t

heir

offic

ials

, of

ficer

s, d

irect

ors,

em

ploy

ees,

age

nts,

per

sonn

el,

volu

ntee

rs a

nd a

ffili

ated

org

aniz

atio

ns.

I AG

RE

E t

hat I

cho

ose

to p

artic

ipat

e vo

lunt

arily

in

the

Com

petit

ion

with

my

hors

e, a

s a

rider

, driv

er,

hand

ler,

vaul

ter,

long

eur,

less

ee,

owne

r, ag

ent,

coac

h, t

rain

er,

or a

s pa

rent

or g

uard

ian

of a

juni

or

exhi

bito

r. I a

m fu

lly a

war

e an

d ac

know

ledg

e th

at h

orse

spo

rts a

nd th

e C

ompe

titio

n in

volv

e in

here

nt d

ange

rous

risk

s of

acc

iden

t, lo

ss, a

nd s

erio

us b

odily

inj

ury

incl

udin

g br

oken

bon

es,

head

inj

urie

s, tr

aum

a,

pain

, suf

ferin

g, o

r de

ath.

(“H

arm

”).

I AG

RE

E t

o ho

ld h

arm

less

and

rel

ease

the

Fed

erat

ion

and

the

Com

petit

ion

from

all

clai

ms

for

mon

ey d

amag

es o

r oth

erw

ise

for

any

Har

m t

o m

e or

my

hors

e an

d fo

r an

y H

arm

of a

ny n

atur

e ca

used

by

me

or m

y ho

rse

to o

ther

s, e

ven

if th

e H

arm

aris

es o

r res

ults

, di

rect

ly o

r ind

irect

ly,

from

the

negl

igen

ce o

f the

Fed

erat

ion

or th

e C

ompe

titio

n.I A

GR

EE

to

expr

essl

y as

sum

e al

l ris

ks o

f Har

m t

o m

e or

my

hors

e, i

nclu

ding

Har

m r

esul

ting

from

the

negl

igen

ce o

f the

Fed

erat

ion

or th

e C

ompe

titio

n.I A

GR

EE

to

inde

mni

fy (

that

is,

to p

ay a

ny lo

sses

, da

mag

es,

or c

osts

inc

urre

d by

) th

e Fe

dera

tion

and

the

Com

petit

ion

and

to h

old

them

har

mle

ss w

ith re

spec

t to

cla

ims

for

Har

m t

o m

e or

my

hors

e, a

nd f

or c

laim

s m

ade

by o

ther

s fo

r an

y H

arm

cau

sed

by m

e or

my

hors

e w

hile

at t

he C

ompe

titio

n. I

hav

e re

ad t

he F

eder

atio

n R

ules

abo

ut p

rote

ctiv

e eq

uipm

ent,

incl

udin

g G

R80

1 an

d, if

app

licab

le, E

V11

4, a

nd I

und

erst

and

that

I

am e

ntitl

ed t

o w

ear

prot

ectiv

e eq

uipm

ent w

ithou

t pe

nalty

, an

d I a

ckno

wle

dge

that

the

Fed

erat

ion

stro

ngly

enc

oura

ges m

e to

do

so w

hile

WA

RN

ING

that

no

prot

ectiv

e eq

uipm

ent c

an g

uard

aga

inst

all

inju

ries.

If

I am

a p

aren

t or

gua

rdia

n of

a ju

nior

exh

ibito

r, I c

onse

nt t

o th

e ch

ild’s

par

ticip

atio

n an

d A

GR

EE

to

all o

f the

abo

ve p

rovi

sion

s an

d A

GR

EE

to

assu

me

all o

f the

obl

igat

ions

of t

his

Rel

ease

on

the

child

’s b

ehal

f. I

re

pres

ent

that

I h

ave

the

requ

isite

tra

inin

g, c

oach

ing

and

abili

ties

to s

afel

y co

mpe

te i

n th

is c

ompe

titio

n.I A

GR

EE

tha

t if I

am

inju

red

at th

is c

ompe

titio

n, th

e m

edic

al p

erso

nnel

tre

atin

g m

y in

jurie

s m

ay p

rovi

de i

nfor

mat

ion

on m

y in

jury

and

trea

tmen

t to

the

Fede

ratio

n on

the

offic

ial

USE

F ac

cide

nt/in

jury

repo

rt fo

rm.

BY

SIG

NIN

G B

EL

OW

, I

AG

RE

E t

o be

bou

nd b

y al

l app

licab

le F

eder

atio

n R

ules

and

all

term

s an

d pr

ovis

ions

of t

his

entry

bla

nk a

nd a

ll te

rms

and

prov

isio

ns o

f thi

s Pr

ize

List

. If

I am

sig

ning

and

su

bmitt

ing

this

Agr

eem

ent e

lect

roni

cally

, I a

ckno

wle

dge

that

my

elec

troni

c si

gnat

ure

shal

l hav

e th

e sa

me

valid

ity,

forc

e an

d ef

fect

as

if I a

ffix

ed m

y si

gnat

ure

by m

y ow

n ha

nd.

#

Temp

orar

y St

alls @

$250

#

Perm

anen

t Stal

ls @

$35

0

#____

____N

on-‐sh

owing

wee

ks St

alls @

$150

(see

page

45)

Nomi

natin

g Fe

e $1

75US

EF N

on-‐M

embe

r Sho

w Pa

ss $

30US

HJA

Non-‐

Memb

er Sh

ow P

ass

$30

USEF

Fee

(Dru

g &

Med

icatio

n $8/

USEF

$8)

USHJ

A Zo

ne Su

ppor

t Fee

@ $7

LATE

FEE

$60

NON-‐

SHOW

ING

FEE

$100

GROU

NDS

FEE

$55

1 Pad

dock

@ $1

00/w

eek

TOTA

LSTAB

LE W

ITH:

Owne

r/Age

nt

Sign

atur

e

Print

Nam

e

Addr

ess

City,

Sta

te, Z

ip

Phon

e (

)

USEF

#

Email

Add

ress

:_

Train

er

Sign

atur

e

Print

Nam

e

Addr

ess

City,

Sta

te, Z

ip

Phon

e (

)

USEF

#

Email

Add

ress

:_

Ride

r 1

Sign

atur

e

Print

Nam

e

Addr

ess

City,

Sta

te, Z

ip

Phon

e (

)

USEF

#

Email

Add

ress

:_

Coac

h (if

app

licab

le) o

r Ride

r 2

Sign

atur

e

Print

Nam

e

Addr

ess

City,

Sta

te, Z

ip

Phon

e (

)

USEF

#

Email

Add

ress

:_

PRIZE MONEY

TAX

PAYER

INFO

RMAT

ION M

UST BE

COMPLET

ED!

Taxp

ayer

Nam

e (M

ust c

oincid

e wi

th S

S# o

r EIN

#)

Socia

l Sec

urity

# o

r Fed

eral

ID #

Prize

Mon

ey Payee Add

ress

In Case of Emergency du

ring

the show

con

tact #

OFFI

CE/V

ENUE

FEE

$75

#____

______

C

$

/$

$16

$7 $75

FOR

VIP

TA

BLE

RES

ERVA

TIO

NS,

SEE

PA

GE

15FO

R R

V R

ESER

VAT

ION

S, S

EE P

AG

E 14


2017 TEXAS PRE-GREEN SUPER STAKE SERIES ENROLLMENT FORM

DESIGNED BY THE SUPER SERIES GROUP SPECIFICALLY FOR PROMOTING THE GREEN HUNTER SHOWCASING THE 3’AND 3’3” GREEN HUNTER HORSES.

Featuring: $27,500 Added Green Hunter Final Championship,Year End Awards, Top Thoroughbred Year End Bonus,$2,500 Minimum Added Stake Class At Each Participating Show

TEXAS SUPER SERIES GREEN HUNTER STAKESOpen to enrolled horses only. Each participating show will offer a minimum $2,500 Green Hunter Super Stake class with $75.00

per horse added back. In order to qualify for each participating Stake, horse must have competed in at least 2 over fence classes in the Green Hunter 3’ or 3’3” Division at that show. Money accrued throughout the regular season in the Texas Green Hunter Stake Classes will determine year end awards. All enrolled horses are eligible for the $27,500 Added Green Hunter Final Championship.

Enrollment Fees: Through March 1st ...............$250.00

Through June 15th ................$350.00 Through August 1st ................$550.00 Through Final Championship ................$750.00

Horse Name: ________________________ Horse Recording Number: ____________________

Sire: ________ Dam:______________________________________________

Age:_______ Sex:_______ Breed:_____________________________________________ American Bred? ___________

Owner’s Name:______________________________________________ Phone #: ________________________________

Address:________________________________________________________________City: ________________________

State:_________ Zip: _____________ Email: ______________________________________________________________

Rider Name: __________ Trainer Name:_______________________________________

All blanks must be filled out in order for enrollment to be considered complete.

Thoroughbreds: Attach copy of Jockey Club papers or obtain tattoo verification form from steward at your first TX PG show.

_______________ Owner / Agent Signature Date

*Please make check payable to: Texas Super Series Terri Irrer or Fill Out Credit Card Form and mail to: Texas Super Series

785 W. Jeter Road Argyle, TX 76226

Enrollment Information: Terri Irrer, [email protected], 313-310-2106

Information Available at: superseriesgroup.com

Super Series Group: Patrick Rodes, [email protected] Pauline “Cookie” Cook, [email protected] Colleen McQuay, [email protected] Peter Pletcher, [email protected]______________________________________________________________________________

Office Use Only:Amount Paid: __________________________ Check #: ____________________ Date: ________________________

12

Santa Fe Welcome Week 1 Total # of Stalls __________

Sonrisa Week 2 Total # of Stalls __________

Santa Fe Fiesta Week 3 Total # of Stalls __________

Grand Prix de Santa Fe Week 4 Total # of Stalls __________

Check the Southbound Showday APP for Stall Assignments

Barn Name:

Trainer Name:

Phone Contact:

Please list all clients you want stabled with your group in the space below.

Horse or Tack Stall Owner# Circuit

Stalls # Stalls Day of Arrival Day of Departure

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Notice: All forms must be signed. All changes must be made in writing.Trainer splits must be received by 12 PM Friday. No splits will be accepted after that time.

Signature: Date: ____________

All Stall Reservations MUST be accompanied by check or credit card

information on the entry form.

All CIRCUIT STALLS must be paid for, IN FULL, upon reservation.

NO EXCEPTIONS.

STALL REQUEST FORM


Trainer Name: ___________________________________________

Cell phone number: ______________________________________

Barn Name:_____________________________________________

Ordered by: _____________________________________________

Arrival Date:_____________________________________________

Arrival Time: ____________________________________________

Billing Information: (If billed to Trainer, you may split your charges by noon on Friday of each show week)

□ Bill to Trainer □ Bill to Horse Name:________________________________

Owner Name:________________________________ Owner Billing Address:________________________________

Credit Card Number (Visa, MC, Discover):________________________________ Exp. Date:___________

Cardholder Name________________________________ CVV#:___________

Product: Amount Needed:

Shavings: Large flake, pine shavings.

Shavings: Eco Shavings.

Grass Hay

Alfalfa Hay

Equine Senior

Omolene 200

Strategy GX

Ultium Performance

Patton’s Blend – HIPICO Santa Fe’s Custom Grain: A performance grain blend high in protein, low in fat and sugar, enriched with vitamins and minerals beneficial to your horses’ health.

Triple Cleaned Whole Oats

Special Orders:

Special Orders take two days

FEED AND BEDDING PRE-ORDER FORM

Please include this form with your entries. Orders not received prior to arrival

are not guaranteed.

All Feed & Bedding forms must be received by 2:00pm for same day delivery.

14

PERSONAL INFORMATION: RV Slot #________________________

Last Name: ________________________________ First Name: ____________________________

Address:___________________________________________________________________________

City:_____________________________________ State: __________ Zip:___________________

Cell:________________________________________________

Email:______________________________________________

SERVICE INFORMATION:Show/s Attending (please check): Santa Fe Welcome Week 1___ Sonrisa Week 2___ Santa Fe Fiesta Week 3___ Grand Prix de Santa Fe Week 4___

Non-showing Weeks: July 12-16 ___ August 14-18 ___

First Night: ______________________ Arrival Time: ______________________ Last Night:______________________

Type and Length of Unit: Motor Home:_______ ft. Travel Trailer: _______ ft. Fifth Wheel_______ ft. Horse Trailer_______ ft. Plate #: ______________

Electric (please check one): ___30 Amp $350/week ___50 Amp $375/week PLEASE NOTE: RV space is available on a first come, first serve basis at the discretion of management. Payment must be made no later than close of entries, June 30, 2017.

Do you travel with a pet(s)?

Yes ____ No ____ (USEF regulations and HIPICO rules require that all pets on HIPICO property remain on a leash at all times.)

PAYMENT INFORMATION:

□ Please bill my Show Account to (Trainer/Owner) Name:________________________________________________ *Please note that a check or credit card number on the entry form is required to guarantee Show Accounts. □ Payment Enclosed. Amount Paid:___________ Check #: ____________ (Payable to “Grand Prix de Santa Fe”)

Credit Card #: _______________________________________ Expiration Date: _____________ CVV#: _________

Cardholder’s Name: ____________________________ Billing Address:________________________________________________

The undersigned releases, indemnifies and saves harmless HIPICO Santa Fe and its agents or employees from all suits, actions or claims of any character, type or description brought or made for or on account of any injuries or damages received or sustained by any person or persons or property or acts of God. RV guest expressly assumes all risk of such loss or damage an d must carry their own insurance. I have read and understand the Rules, Terms and Conditions as set forth in this Reservation Form. By sign-ing below, I agree to all the Rules, Terms and Conditions as contained in this Reservation Form.

Signature: ____________________________________________________ Date: ______________

CAMPER/RV REQUEST FORM

Please include this form with your Entries


Enjoy the competition action each week from the comfort of the gracious HIPICO VIP Lounge. Excellent food and drink, local musical talent, spa services, recreational family games, concierge services and weekly special events…don’t miss out, order your tables now!

Santa Fe Welcome Week 1

Sonrisa Week 2

Santa Fe Fiesta Week 3

Grand Prix de Santa Fe Week 4

Total # and type of Tables __________




For Sponsorship opportunities, please contact our sponsorship department at [email protected].

PAYMENT INFORMATION:

□ Please bill my Show Account to (Trainer/Owner) Name:________________________________________________

*Please note that a check or credit card number on the entry form is required to guarantee Show Accounts.

□ Payment Enclosed. Amount Paid:___________ Check #: ____________ (Payable to “Grand Prix de Santa Fe”)

Credit Card #: _______________________________________ Expiration Date: _____________ CVV#: _________

Cardholder’s Name:______________________________________________________

Billing Address: _______________________________________________________________________________________

Email Address: ________________________________________ Cell Phone Number: __________________________

Signature of Table holder:__________________________________________ Date:____________________

Please note that completion of the HIPICO Lounge VIP Table Request form is not a guarantee of reservation. Tables are available on a first-come, first-serve basis. Concierge services will confirm your reservation by email.

Upon your check-in at the Show Office, the Concierge will be happy to accept the names of your guests for each week. Please advise your guests to check in with the Concierge in the Show Office upon their

arrival on show grounds for proper credentials.

Questions? Email us at [email protected]

HIPICO VIP LOUNGE TABLE REQUEST FORM

Both Standard and Premium VIP tables

include breakfast, lunch, access to complimentary drinks and much more! Standard Tables seat 6 guests. Premium Tables are front row seating for

8 guests.

Standard Tables are $2000/ week. Premium Tables are $2750 / week. All requests for Premium Tables must be received by June 30th, 2017 and will be accommodated on a "first come, first serve" basis as there is limited availablity. Please email this form directly to [email protected] or submit this form

along with Entry forms.

Join Us This Summer For2 Weeks Of Fun!

July 6-9 GO PreviewJuly 10-11 USHJA

Regional ChampionshipsJuly 10-16 GO Show

Featuring:USHJA National Hunter Derby - Both Weeks

1.20m Jumper ClassicNAL Low/High Jr/AO Jumper Classic

WIHS/NAL/M&S Children’s/Adult Jumper Classic

www.goshow.org

GO SHOWS2017

2017 schedules and forms · santa fe summer series 2017 5 2017 weeks 2-4 tentative schedule...

Documents