2019 california 4-h horse classic premium4h.ucanr.edu/files/303290.pdf · 2019 california 4-h horse...

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2019 CALIFORNIA 4-H HORSE CLASSIC PREMIUM General rules and expectations for the 4-H Championship Horse Show The University of California, Division of Agriculture and Natural Resources (UC ANR) prohibits discrimination against or harassment of any person in any of its programs or activities on the basis of race, color, national origin, religion, sex, gender, gender expression, gender identity, pregnancy (which includes pregnancy, childbirth, and medical conditions related to pregnancy or childbirth), physical or mental disability, medical condition (cancer‐related or genetic characteristics), genetic information (including family medical history), ancestry, marital status, age, sexual orientation, citizenship, status as a protected veteran or service in the uniformed services (as defined by the Uniformed Services Employment and Reemployment Rights Act of 1994 [USERRA]), as well as state military and naval service. UC ANR policy prohibits retaliation against any employee or person in any of its programs or activities for bringing a complaint of discrimination or harassment. UC ANR policy also prohibits retaliation against a person who assists someone with a complaint of discrimination or harassment, or participates in any manner in an investigation or resolution of a complaint of discrimination or harassment. Retaliation includes threats, intimidation, reprisals, and/or adverse actions related to any of its programs or activities. UC ANR is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment and/or participation in any of its programs or activities without regard to race, color, religion, sex, national origin, disability, age or protected veteran status. University policy is intended to be consistent with the provisions of applicable State and Federal laws. Inquiries regarding the University’s equal employment opportunity policies may be directed to: John I. Sims, Affirmative Action Compliance Officer and Title IX Officer, University of California, Agriculture and Natural Resources, 2801 Second Street, Davis, CA 95618, (530) 750‐ 1397.Email:[email protected]. Website: http://ucanr.edu/sites/anrstaff/Diversity/Affirmative_Action/. This policy statement supersedes the UC ANR Nondiscrimination and Affirmative Action Policy Statement for University of California Publications Regarding Program Practices dated July 2013.

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Page 1: 2019 CALIFORNIA 4-H HORSE CLASSIC PREMIUM4h.ucanr.edu/files/303290.pdf · 2019 CALIFORNIA 4-H HORSE CLASSIC PREMIUM General rules and expectations for the 4-H Championship Horse Show

2019 CALIFORNIA 4-H

HORSE CLASSIC PREMIUM

General rules and expectations for the 4-H Championship Horse Show

  

The University of California, Division of Agriculture and Natural Resources (UC ANR) prohibits discrimination  against or harassment of any person in any of its programs or activities on the basis of race, color, national origin, religion, sex, gender, gender expression, gender  identity, pregnancy (which includes pregnancy, childbirth, and medical conditions related to pregnancy or childbirth), physical or mental disability, medical condition (cancer‐related or genetic characteristics), genetic information (including family medical history), ancestry, marital status, age, sexual orientation, citizenship, status as a protected veteran or service in the uniformed services (as defined by the Uniformed Services Employment and Reemployment Rights Act of 1994 [USERRA]), as well as state military and naval service. UC ANR policy prohibits retaliation against any employee or person in any of its programs or activities for bringing a complaint of discrimination or harassment. UC ANR policy also prohibits retaliation against a person who assists someone with a complaint of discrimination  or  harassment,  or  participates  in  any manner  in  an  investigation  or  resolution  of  a  complaint  of  discrimination  or  harassment.  Retaliation  includes  threats, intimidation, reprisals, and/or adverse actions related to any of its programs or activities. UC ANR is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment and/or participation in any of its programs or activities without regard to race, color, religion, sex, national origin, disability, age or protected veteran status. University policy  is  intended to be consistent with the provisions of applicable State and Federal  laws.  Inquiries regarding the University’s equal employment opportunity policies may be directed to: John I. Sims, Affirmative Action Compliance Officer and Title IX Officer, University of California, Agriculture and Natural Resources, 2801 Second Street, Davis, CA 95618, (530) 750‐1397.Email:[email protected].  Website:  http://ucanr.edu/sites/anrstaff/Diversity/Affirmative_Action/.  This  policy  statement  supersedes  the  UC  ANR  Nondiscrimination  and Affirmative Action Policy Statement for University of California Publications Regarding Program Practices dated July 2013. 

Page 2: 2019 CALIFORNIA 4-H HORSE CLASSIC PREMIUM4h.ucanr.edu/files/303290.pdf · 2019 CALIFORNIA 4-H HORSE CLASSIC PREMIUM General rules and expectations for the 4-H Championship Horse Show

2                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

TABLE OF CONTENTS

Welcome…………………………………………………………………….. Page 3

New for 2019………………………………………………………………… Page 4

Officials and Planning Team…............................................................... Page 5

California 4-H Horse Classic Fees………………………………………… Page 6

Deadlines…………………………………………………………………….. Page 7

Entries……………………………………………………………………….. Page 8

Sponsorships………………………………………………………………… Page 9

Schedule……………………………………………………………………... Page 10

General Information…………………………………………………………. Page 11-12

Supervision and Code of Conduct………………………………………… Page 13

Classes and Divisions Offered…………………………………………….. Page 14-15

Horse Show Prize List………………………………………………………. Page 16

Horse Show Rules………………………………………………………….. Page 17-19

Class List (Over Fences, English Flat)…………………………………… Page 20

Class List (Miniature Horse, Western)……………………………………. Page 21

Class List (Gymkhana, Dressage)………..………………………………. Page 22

Participant’s Agreement…...................................................................... Page 23

Sponsorship Levels…………………………………………………………. Page 24

Horse Classic Sponsorship Form………………………………............... Page 25

Youth Treatment Authorization Form…………………………………….. Page 26

Health History Information………………………………………………… Page 27

Waiver of Liability…………………………………………………………... Page 28

Formulario de Autorización de Tratamiento Médico para Jóvenes…… Page 29

Historial Médico …………………………………………………………….. Page 30

Exoneración de Responsabilidad………………..……………………….. Page 31

Page 3: 2019 CALIFORNIA 4-H HORSE CLASSIC PREMIUM4h.ucanr.edu/files/303290.pdf · 2019 CALIFORNIA 4-H HORSE CLASSIC PREMIUM General rules and expectations for the 4-H Championship Horse Show

3                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

Welcome Dear Exhibitors, Leaders, Volunteers, and Parents,

Welcome to the 23nd Annual California 4-H Horse Classic at Brookside Equestrian Center. This event is designed to allow 4-H members the chance to showcase the culmination of their hard work put forth in their equine projects throughout the year. This Premium contains the guidelines and official rules for the 2019 California 4-H Horse Classic. It is expected that all 4-H members, 4-H leaders, parents, and volunteers adhere to the rules and information provided within this document. Specific rules, regulations and information for the educational contests can be found in the California 4-H Horse Classic Educational Events Rules and Information booklet at 4h.ucanr.edu/4-H_Events/Horse_Classic. The primary purpose of the Horse Classic is to create a forum where 4-H members can display their equine knowledge, demonstrate their horsemanship skills, and have fun. The Horse Classic offers a variety of horse show classes, educational events, and social activities. 4-H members can expand their equine knowledge through participation in the Horse Bowl educational contests. The top four individuals in Horse Bowl will have the opportunity to represent California at the Western National Roundup in Denver, Colorado in 2020. Please note that the Horse Judging, Hippology and public speaking contests will be its own separate event. The goals of this event, as outlined by the 4-H Horse Classic Committee, are to provide participants with an opportunity to:

Establish lifelong friendships with fellow 4-H members and leaders throughout the state. Network with other counties and share personal experiences that have been meaningful to

each person’s growth and development. Share their passion for horses and expand their equine knowledge. Experience personal growth. Promote good sportsmanship. Compete at a level that is beyond that of the local, county, regional, or district level. Help raise funds to support the California delegation at the National Western Roundup.

The 2019 California 4-H Horse Classic Committee consists of a variety of knowledgeable and dedicated committee members. Each one of these committee members have put forth a great deal of time and effort into making this a fun and enjoyable event for youth and adults alike. Please take the time to thank them for their generosity and their diligence. The 4-H Horse Classic Committee would also like to thank the exhibitors, parents, 4-H leaders, and adult volunteers for their hard work and their commitment to the California 4-H Equine Program. We hope that you will continue to share your positive experiences with others to encourage them to take part in the 4-H Youth Development Program. On behalf of the entire committee, we look forward to seeing each of you at the 2019 California 4-H Horse Classic in Elk Grove, CA! Gratefully, California State 4-H Horse Classic Committee Members

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4                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

***NEW FOR 2019***

Mandatory Volunteer Time: Due to the fact that we are a volunteer organization, we depend on parents showing up to do their volunteer time, unfortunately for the past two years many parents have signed up but not shown up to fulfill their volunteer obligations. As a result, we will be implementing the following rule effective State Classic 2018: Volunteer opt out fee is increased to $75. If volunteer (parent or designee) does not check in with the event manager and fulfill their volunteer time the awards and points earned by the 4-H member will be removed. If your child is competing in jumping or trail, your volunteer time must be served setting up, taking down or working as ring crew for that event. Awards will not be handed out at the conclusion of the day until the arenas are emptied.

Green Horse Divisions: The green horse division will be a 3-gaited division (walk/trot/canter), based on the horse, first and second calendar year of showing, in any discipline ridden by experienced 4-H members. Once having shown at State Classic, they are no longer eligible for this division. Thus, a second year green horse who competed at State Classic the previous year, would not be eligible to compete at State Classic for a second year in the same division.

Changes in class list: New Ranch Horse division and Dressage division

Patterns for western riding, reining, and ranch riding will not be posted prior to the show. o Ranch Riding: A pattern will be selected from AQHA Ranch Riding. Patterns can be

found at: https://www.aqha.com/aqha-show-patterns o Ranch Trail-pattern will be posted at check in

The Western Clover Medal Reining class will be changed from a Reining class to a Horsemanship class. Reining will be a Ranch Reining Open class.

A driving class has been added to the end of English day, this class is open to all equines including miniatures. Qualification not required.

English Walk/Trot Novice Rider: Hunter Hack will no longer be included as a class.

Dressage Show will be run according to USDF guidelines. No more than three tests per horse. Plain snaffle bit to be used. Dressage times will be emailed to riders the week before competition. USDF Intro A, B and C are offered as well as Training Level 1, in addition Quadrille and musical freestyle.

Code of Conduct: All exhibitors and adults on grounds must sign and abide by the 4-H Code of Conduct. The Code of Conduct will be strictly enforced. First offense against the Code will be forfeiture of the exhibitor’s next class or contest, 2nd offense will be exhibitor’s dismissal from the remainder of the show.

Back Numbers: All exhibitors will be issued a back number, this number must be worn at all times during the show/event hours and/or while working with their horse while on show grounds. This is for accountability and for the sportsmanship award.

Grounds cleanup: In an effort to be courteous guests, each county will be assigned a day that they will be responsible for making sure that trash is picked up around the facility and all chairs and tables are returned to their correct place on the patios at the conclusion of the day’s events. Brookside does us a huge favor by allowing us to hold our event at their facility, we need to make a good impression and show our appreciation.

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5                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

OFFICIALS AND EQUINE PLANNING TEAM

California 4-H Horse Classic June 26- June 30, 2019

Brookside Equestrian Center, Elk Grove CA, https://brooksideshowpark.com/

Officials

State 4-H Office Advisor: Jessica Bautista 530-750-1341 [email protected]

4-H Equine Program Rep/

Show Manager: Shauna Bond 530-260-3277 [email protected]

Event Secretary: Ami Alongi 209-324-6080 [email protected]

Barn Manager: Lynn Warren 951-845-7730 [email protected]

Volunteer Coordinator: Anna Zito 559-770-4122 [email protected]

2019 Hose Classic Planning Team:

Amy Alongi, Stanislaus County Dyllan Bond, Lassen County Shauna Bond, Lassen County Emily Charlton, Marin County Dylann Cullinane, Marin County Emily Cullins, Riverside County Pat Duffy, Marin County Christine Fry, Fresno County Kerri McKee, Riverside County Donna Mikel, Placer county Russell Peralta ll, Riverside County Carmen Rodriguez, San Diego County Pamela Smith, Marin County Lynn Warren, Riverside County Anna Zito, Fresno County

Horse Bowl Educational Contest Supervisors:

Lynn Warren, Christine Fry and Ami Alongi Horse Show Contests Supervisors:

Western Flat: Kerri McKee and Russell Peralta ll: Trail and Ranch Horse: Annette Anderson English jumping and Dressage: Pat Duffy, Emily Charlton and Dylann Cullinane Gymkhana: Christine Fry and Dyllan Bond Miniature Horse Division: Lynn Warren and Emily Cullins

Page 6: 2019 CALIFORNIA 4-H HORSE CLASSIC PREMIUM4h.ucanr.edu/files/303290.pdf · 2019 CALIFORNIA 4-H HORSE CLASSIC PREMIUM General rules and expectations for the 4-H Championship Horse Show

6                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

CALIFORNIA 4-H HORSE CLASSIC FEES

All Entries Due: June 10th, 2019

Horse Bowl $20.00/individual (4-member team-$80; 5-member team-$100)

Championship Horse Show $20.00 per class

Dressage Tests and classes $20.00 per test

Miniature Horse Classes $20.00 per class

Versatility Class $5.00

Warm-up tickets $10.00 per warm-up (Trail, Jumping, Gymkhana) Warm-up Jumping Course will run starting Thursday 6:00 – 8:00 p.m. Warm up times are

subject to change based on weather and show schedule. Warm-up Trail Course will run starting Friday @ 7:00p.m. Warm up times are subject to

change based on weather and show schedule. Warm-up Gymkhana Courses will run starting Saturday @ 7:00p.m. Warm up times are

subject to change based on weather and show schedule. Gymkhana Warm-up $10.00 for 2 runs “Time Only” warm-up on Cloverleaf barrels and/or Pole

bending You only need to pay to warm up if using the set-up course. Warm-up arenas are available at

no cost to those not using the courses.

Drug Fee $5.00 (one $5.00 Drug fee per horse entered)

Stall Fee $90.00 (Feed and bedding not included - you must provide your own feed and bedding or contact Brookside Equestrian Center or local feed stores to order shavings and feed.

Tack Room $90.00

Haul-In Fee $40.00 (Only pay Haul-In Fee if not ordering a stall. Either a stall fee or a Haul-In Fee MUST be paid for every horse showing.

Pre-Purchase Hats $20.00

Pre-Purchase Shirts $20.00

Show Program $5.00 (All classes, exhibitors & sponsors will be listed)

Office Fee $5.00 (required per entry)

RV Fee RV fees paid to Brookside only. Limited power hook-ups. Please contact Brookside directly 916-682-1403.

A penalty of $30.00 must be paid if a check for payment of entry fees is refused by the bank. Only cash, certified check or money orders are acceptable for fees and penalty payment. Refunds: No class refunds will be given without a veterinarian or doctor’s certificate prior to the start of the show. No refunds will be given for educational events or stabling/grounds fees after June 10th, 2019 as these fees are pre-paid to Brookside. Refunds for injury or illness during the Show MUST be submitted to show management no later than July 6, 2019. Refunds for injury or illness during the Show MUST be accompanied by a doctor’s or veterinarian’s certificate. Only class fees will be refunded in the circumstance of an injury or illness during the show. No refund requests of any kind will be accepted after that date.

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7                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

DEADLINES

Horse Show entries due: June 10th, 2019

Horse bowl entries due: June 10th, 2019 Any entry information and/or sponsorships received after June 10th, will not be included in the CA 4-H Horse Classic program, posters, or on T-shirts. ALL CHECK PAYMENTS MUST BE POSTMARKED BY: JUNE 10, 2019 AND MAILED TO THE STATE 4-H OFFICE:

California State 4-H Office ATTN: Jessica Bautista 2801 2nd Street Davis, California 95618

Participants must have owned or leased the horse that they are exhibiting for at least 120 days prior to the last qualifying show that they attended. Shows that count as qualifiers for this event must have been held and attended between June 5, 2018 and June 9, 2019. Shows must be registered on the CA 4-H website, http://4h.ucanr.edu/4-H_Events/Horse_Classic/Equine_Qualifier_4-H_Events/, to be considered a qualifying show for the California 4-H Horse Classic. Any Horse-rider combination who is pre-entered in at least 3 classes by June 10th can add additional classes. Add Class Fee of $15.00 per class in addition to regular class fees (i.e. $35 total per class) will be charged. NOTE: Added class entries are due at the show office by 5:00 pm on the day before the class. Educational Contest entries may also be added at the show until 5:00 pm the day before the contest with the applied late fee.

Page 8: 2019 CALIFORNIA 4-H HORSE CLASSIC PREMIUM4h.ucanr.edu/files/303290.pdf · 2019 CALIFORNIA 4-H HORSE CLASSIC PREMIUM General rules and expectations for the 4-H Championship Horse Show

8                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

ENTRIES

PLEASE USE A SEPARATE ENTRY FORM FOR EACH HORSE/RIDER COMBINATION. Please include registered horse name and registration number on entry form to be able to qualify for breed association high point awards. Entries can be paid by credit card, check, certified check, or money order. If paying by check, certified check, or money order, please make it out to: UC REGENTS. All checks/money orders payments must be postmarked by June 10, 2019 and mailed to the State 4-H Office:

California State 4-H Office ATTN: Jessica Bautista 2801 2nd Street Davis, California 95618

At the show, no credit card payments will be accepted. Only checks and cash will be accepted at the show. Show entries may be done online (no paper entries will be accepted): Horse Show: https://ucanr.edu/survey/survey.cfm?surveynumber=27419 Horse Bowl: http://ucanr.edu/survey/survey.cfm?surveynumber=27432 Jessica Bautista can be contacted via e-mail at [email protected]. Entry payment, Entry Form, Medical History Form, Medical Authorization, Waiver and Participant's Agreement with all signatures must be submitted to be considered a valid entry – NO FAXES WITH “CHECK AND ORIGINAL FORMS TO FOLLOW”. The following is a completed entry: 1. Participants Agreement per exhibitor with signatures of 4-H member, parent, leader and 4-H staff 2. One Entry Form per horse and rider combination (horse show only) 3. Educational Entry form per exhibitor (educational entries only) 4. 4-H Youth Treatment Authorization Form 5. 4-H Health History Information Form 6. Volunteer Agreement, with a current phone number for volunteer on it. 7. Brookside Equestrian Center Waiver of Liability 8. Entry fees paid in full 9. Optional: Team entry form for Horse Bowl teams (by coach/leader, 1 per team) 10. Optional: Sponsorship form All entrants (or a member of their family or a friend) are REQUIRED to work a minimum of two (2) hours as a volunteer at some time during the Classic. If you do not wish to volunteer, you may submit a $75.00 payment with a notice on your Volunteer Agreement, acknowledging that you will not be volunteering. Exhibitors must send in their Volunteer Agreement with their entry form, the designated volunteer must have their current phone number on the volunteer agreement. To sign up for a volunteer time slot, please visit the show office upon arrival to the event. Your participant’s packet and exhibitor number will NOT be released until you or your designee has signed up for a volunteer time slot or until your $75.00 payment has been received. Any adult or youth helping must be a 4-H certified volunteer leader or enrolled 4-H member OR must sign the University of California waiver of liability.

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9                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

SPONSORSHIPS

Sponsorships are necessary to provide a quality educational experience. We encourage 4-H members to secure sponsorships in a variety of ways: High Point Awards, Horse Show Class sponsorships or event sponsors.

*** Exhibitors bringing in sponsorships may reduce their entry fees ** For each $50 sponsorship brought in by exhibitor, exhibitor will receive one free program OR

one warm-up ticket. Program and warm-up ticket to be distributed at check-in. For each $100 sponsorship brought in by exhibitor, exhibitor will receive one free class. For each $250 sponsorship brought in by exhibitor, exhibitor will receive 5 free classes. Each exhibitor bringing in $1000 in sponsorships, exhibitor will get all of their class fees

waived. Each exhibitor bringing in $2000 in sponsorships, exhibitor will get their class fees and stall

fees waived. Sponsorships must be received by time of check in at show.

Sponsorship Levels Day Sponsor ($2,000 or more) Fully supports one day of events, includes: facility, judges, and class awards. Banner displayed during day of sponsor, donor announced throughout the day

Educational Event Donor ($1,000 or more) Fully Supports Public Speaking/Demonstrations, or Horse Bowl, or Hippology, or Horse

Judging 4 sponsors total, 1 per educational event Recognition given during Educational contest with signage and announcements.

High Point Award ($250) High Point features a custom design engraved buckle.

Horse Show Class ($50) Funds 1st through 10th place ribbons per class awards.

NEW! Breed High Point Sponsor Breed registries can sponsor a High Point Award for their breed. For more information,

contact Shauna Bond, [email protected].

Sponsors are recognized before and during the Horse Classic through a wide variety of methods including the registration materials, CA 4-H Equine website and social media, posters, event program, and announced throughout the show. Sponsors of $500 or more will have banners with their name displayed during show. Please let us know should you NOT wish your name included in any publications.

Please make your sponsorship check payable as follows: UC Regents and mailed to:

California State 4-H Office ATTN: Jessica Bautista 2801 2nd Street Davis, California 95618

No goods and services will be exchanged for gifts (sponsorships). All gifts are tax-deductible.

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10                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

SCHEDULE Wednesday, June 26, 2019 10:00 AM Show staff checks in, stalls set up, Equine Committee meeting

Thursday, June 27, 2019 (Horse Bowl Contest, Dressage Contest and Jumping warm-ups) 10:00 AM Show office opens 3:00 PM Patio: Contestant’s Meeting for Horse bowl contest 5:00 PM Ring 2: Dressage Show 7:00 PM Ring 1: Jumping warm-ups

Friday, June 28, 2019 (English Flat and Jumping, Trail Warm Ups, and Versatility Contest) 6:30 AM Mandatory height measuring for all ponies competing this day. Location: cement area

by show office) 7:00 AM Show office opens 7:00 AM Ring 1: Patio: Contestants Meeting 7:30 AM Ring 1: English Showmanship followed by English Flat classes, then jumping classes 4:00 PM Ring 1: Driving classes 5:30 PM Ring 1: Set Trail Course followed by trail warm-ups 6:00 PM Ring 1 Warm-up Mini Horse Show 7:00 PM Ring 1: Trail Warm-ups** TBD Horse Show Office closes one hour after the last competition of the day

Saturday, June 29, 3019 (Western, Ranch, Trail, and Gymkhana Warm Ups) 6:30 AM Mandatory height measuring for all ponies competing this day. Location: cement area

by show office) 7:00 AM Show office opens 7:00 AM Ring 1: Patio: Contestants Meeting 7:30 AM Ring 2: Western Showmanship followed by Western Rail classes 8:00 AM Ring1: Trail to run on open card until 12:30 pm, Ranch classes to follow trail

* Rings 1 and 2 will run concurrently starting at 9:00 AM. Trail will be run on an open card. It is YOUR responsibility to get your classes completed ** The number of rings are subject to change and will be determined based on entry numbers.

6:00 PM Ring 1: Versatility followed by Mini Horse Versatility 6:30 PM Ring 1: Gymkhana Warm Ups 7:30 PM BBQ and highpoints for Western and English 9:00 PM Dance and/or Movie- Hosted by Riverside County 4-H Equine Committee TBD Horse Show Office closes one hour after the last competition of the Day

Sunday, June 30, 2019 (Gymkhana) 6:30 AM Mandatory height measuring for all ponies competing this day. Location: cement area

by show office) 7:00 AM Show office opens 7:00 AM Ring 1, Patio: Contestants Meeting 7:30 AM Ring 2: Gymkhana Show

*High Point awards will be handed out approximately 30 minutes after the conclusion of the day’s classes

TBD Horse Show Office closes one hour after the last competition of the Day

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11                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

GENERAL INFORMATION Code of Conduct: All exhibitors and adults on grounds abide by the 4-H Code of Conduct. The Code of Conduct will be strictly enforced. First offense against the Code will be forfeiture of the exhibitor’s next class or contest, 2nd offense will be exhibitor’s dismissal from the remainder of the show. 4-H member code of conduct: http://4h.ucanr.edu/files/4715.pdf; Parent, Guardian, or Adult Participant Code of Conduct: http://4h.ucanr.edu/files/187920.pdf.

Current Exhibitor’s Premium Book supersedes previous premium books or rules.

Bicycles allowed in non-horse areas, youth must wear an approved helmet (4-H Policy). No dogs allowed in horse area (4-H Policy).

Brookside will access a fine for every form of damage found in or on your stall. No nails, staples, etc. will be allowed to hang stall drapes, banners, etc. To request special accommodations (i.e. needs for a handicapped contestant, medical condition, etc.), the 4-Her’s project leader must contact show management prior to June 4th.

Participants will be ineligible to compete until all registration & entry forms with appropriate signatures are complete and all fees are paid. If any of these are missing, the project leader’s and 4-H staff’s signatures may be verified with show management by telephone. Telephone number must be provided.

Show office: Exhibitors are requested to register promptly at the show office upon arrival. The show office will be open Wednesday, June 26th from 2:00 PM to 5:00 PM. The show office will be open Thursday through Sunday beginning at 7:00 AM and will close one hour following the conclusion of day’s classes or events.

Stabling and grounds facilities: Stabling will be in box stalls and will be open to exhibitors Thursday, June 26th starting at 9:00 AM. Exhibitors are to vacate the stalls by 7:00 PM, Sunday, June 30th. Early arrival must be arranged with the show management and will be charged an extra fee by Brookside Equestrian Center. The Barn Manager will be on the grounds from Wednesday, June 26th til Sunday, June 30th. A stall chart will be posted near the drive entrance to the facility; check there as you drive in for you stall assignment. Each horse must be assigned a separate stall unless no stall is requested, in which case a grounds fee of $45.00/horse/day will be charged. Tack rooms may be requested for $90.00 each. Bedding will not be provided. Exhibitors may order bedding or feed from Brookside or one of the local feed stores. Assignment of stalls is entirely at the discretion of show management. Horses must be placed in stalls assigned and no changes will be permitted without the express consent of the Barn Manager, Lynn Warren 951-845-7730. No day use of stalls will be permitted.

RV reservations: Please call Brookside Equestrian Center at 916-682-1403 https://brooksideshowpark.com/stay/. Overnight RV: RV hook-ups are available on a first come first serve basis. All reservations are made thru Brookside.

Parking: ALL HORSE TRAILERS & RV’s must be parked in designated parking areas. There will be no trailers permitted in the barn aisles, including the side and front of the barns. Show management is responsible for enforcing and reinforcing this rule throughout the show.

Class Calls: Due to unforeseeable problems with any mechanical device, the PA system and paddock calls must be considered a courtesy. It is the responsibility of the exhibitor to be sure that he/she is at the proper location for educational events as well as his/her horse is at the arena gate prior to the start of the class. Every effort will be made to maintain a working PA

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system to carry class calls; however, no protest will be upheld, nor will any class be changed on the basis of a PA malfunction alone. In classes where horses compete collectively, after the warning is issued that competitors are to appear at the in-gate ready to participate, the in- gate will be closed two minutes after the first horse enters the ring.

Rings running concurrently: On the days we have multiple rings running, some rings will run with “Open Cards”, it is the exhibitors responsibility to get to all of their classes in a timely manner. We will not hold all the rings open til the end of the day.

Participants’ meetings will take place each morning prior to the day’s events. It is suggested that all participants, leaders, and parents attend. Any changes to the schedule or event clarifications will be given at these meetings. If you do not attend and a change is announced at the meeting, show management is not responsible for missed classes, changes in patterns, etc.

Mandatory Volunteer Time: Due to the fact that we are a volunteer organization we depend on parents showing up to do their volunteer time, unfortunately for the past two years many parents have signed up but not shown up to fulfill their volunteer obligations. As a result, we will be implementing the following rule effective State Classic 2018: Volunteer opt out fee is increased to $75. If volunteer (parent or designee) does not check in with the event manager and fulfill their volunteer time the awards and points earned by the 4-H member will be removed. If your child is competing in jumping or trail your volunteer time must be served setting up, taking down, or working as ring crew for that event. Awards will not be handed out at the conclusion of the day until the arenas are emptied.

Accommodations located near Brookside Equestrian Center: Residence Inn Rancho Cordova: 916-851-1550 15% discount requesting Brookside show park

reservations. Other local hotels can be found here: https://brooksideshowpark.com/hotels/

Feed & Bedding: Feed, Bedding & Delivery will be provided by Brookside. All orders are to be placed by calling Brookside: 916-682-1403 Grounds cleanup: In an effort to be courteous guests, each county will be assigned a day that they will be responsible for making sure that trash is picked up around the facility and all chairs and tables are returned to their correct place on the patios at the conclusion of the day’s events. Dress Code: All persons in the Barn areas and/or around horses must wear closed-toe shoes at all times. Please be advised that the following dress code will be enforced for all individuals attending the California State 4-H Horse Classic, including adults. If you choose to dress inappropriately, you will be asked to change. All clothing shall be neat and in good repair and appearance. All attire shall be within the bounds of decency and good taste as appropriate for youth events. Articles of clothing, which display profanity, products or slogans, which promote tobacco, alcohol, drugs, sex or that are in any other way distracting, are prohibited. Excessively baggy or tight clothing, and clothing which advertises gang symbols or affiliation is prohibited. Items of clothing which expose bare midriffs, bare chests, undergarments, or that is transparent are prohibited. Tank tops with straps wider than one inch are permitted. Please be advised that spaghetti straps, shirts, which expose a bareback, halter tops, and tube tops are prohibited.

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SUPERVISION AND CODE OF CONDUCT A certified 4-H volunteer adult leader(s) must be named as a chaperone and on grounds when 4-Her(s) are present. The adult(s) must be named on the individual’s registration form. Parents, as non 4-H leaders, may only chaperone their own child(ren). A certified 4-H leader must supervise at all times while youth are working with or riding horses. Adequate adult supervision is required in order for the 4-H accident insurance to be valid and in force. 4-Hers must abide by the code of conduct. Any infractions may disqualify the 4-Her from classes and/or high point awards or they may be asked to immediately leave the grounds. This is your ONLY warning. Additional infractions will result in consequences. All adults must adhere to the adult code of conduct; remember that this is an educational, fun event for our exhibitors, parents, guardians and leaders. Unsportsmanlike conduct on the part of the exhibitors, parents, guardians or leaders will be subject to removal from the premises for the remainder of the show with no refund of any monies paid. Please review the 4-H member code of conduct: http://4h.ucanr.edu/files/4715.pdf; Parent, Guardian, or Adult Participant Code of Conduct: http://4h.ucanr.edu/files/187920.pdf. Horse Show Code of conduct – please read carefully All, youth and adults, will demonstrate respect for one another and their property Bullying will not be tolerated Unsportsmanlike conduct will not be tolerated, treat others as you would like to be treated Youth participants may not leave grounds without permission of their chaperone Possession or use of alcohol, tobacco, smokeless tobacco products, e-cigarettes, unregulated nicotine

products, illegal drugs and/or any other inappropriate materials is prohibited. (4-H Policy) Obscene and discriminatory language, roughhousing and insubordination will not be tolerated Accept

volunteer assignments and complete in a timely manner Provide assistance to other 4-Hers, as requested Parents, 4-H Leaders and/or riders in Over Fences and Trail must help set up and tear down

courses or work ground crew during show A 4-H Adult Leader or parent must be present when youth is using wash racks Absolutely no parking in the barn area. Use designated parking areas. Be responsible for the care of your horse(s) i.e. watering, feeding, grooming In practice areas, take your turn and allow others equal time Be on time for classes; being late may disqualify you from the class Do not tie horses to fences, stall doors or other unsafe areas Clean stall daily and/or day use area upon leaving. Use designated wash areas only. Clean up wash and grooming areas after each use. Wear an equestrian helmet, which meets ASTM/SEI standards, while riding at all times Must wear boots with heels while riding i.e. no bare feet, sandals, or athletic shoes No riding in shorts, long pants must be worn No double riding or bareback riding on the grounds. Hair extensions are allowed for both horse (artificial tails, or “switches”) and riders (clip-on pony tail or bun) Walk, do not trot or lope, horses in barn area and areas outside of arenas Must follow the Warm Up Arena Rules and/or directions of the supervisor (see below) All exhibitors must wear their back numbers at all times during the show/event hours and/or while

working with their horse while on show grounds. Please remember - all competitors and families are asked to place all trash and garbage in containers provided throughout the grounds. Also, be very careful to use the designated wash rack areas. Your assistance and cooperation will assure that we can continue to hold the Classic Event in the future at this wonderful facility. All exhibitors and adults (parents and leaders on grounds) must abide by the 4-H Code of Conduct, this Code will be strictly enforced: 1st offense will be cause for forfeiture of next class/contest, 2nd offense: dismissal from the remainder of the show.

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CLASSES AND DIVISIONS OFFERED Divisions Classes or divisions with less than FOUR entries may be combined or cancelled. Exhibitors may not cross enter divisions on the same horse with the exception of Open classes.

Junior: An exhibitor, 13 years of age or under as of Dec. 31, 2018.

Senior: An exhibitor, 14 years of age or older and not yet 19 years of age as of Dec. 31, 2018.

Pony: Any breed under 14.2 hands. Rider may be any age.

Novice Rider: 2 gaited division (walk/trot). Based on the rider and limited to first and second year members with no age restriction but limited in performance (no cantering/loping in ANY event) once a member moves into walk, trot, canter class (this includes English, Western, and Gymkhana divisions) they may not move back into the beginning rider division. Once having shown at State Classic, the rider must move out of this division at the State Classic. Qualifying shows allow riders to compete in the Novice Division for a second year. However, a rider may only compete one year at the State Classic in the Novice Division. Thus, a second year novice who competed at the State Classic the previous year would not be eligible to compete at the State Classic for a second year same division.

Green Horse: 3-gaited division (walk/trot/canter), Based on the horse, first and second calendar year of showing in any discipline ridden by experienced 4-H members. Once having shown at State Classic they are no longer eligible for this division. Thus, a second year green horse who competed at the State Classic the previous year would not be eligible to compete at the State Classic for a second year in the same division.

Miniature Horse Division: Classes to be offered: Showmanship, Trail Obstacles, Horsemanship, Hunters, Jumpers, and Pole Bending. Athletic or tennis shoes are allowed in the Hunter, Jumper, and pole bending classes. Miniature horses must be 38" or less in height and includes miniature donkeys and mules. All entries in the miniature horse classes will be measured prior to the show on Friday, June 28th at 7:00 AM. For further information, please refer to the AMHR web, https://www.shetlandminiature.com/registries/amhr Note: The miniature horse division high-point winner will receive a belt buckle.

OVER FENCES DIVISIONS: Cross Rail Division: trot or canter, open – 18” cross rails; Open to all exhibitors except Novice Rider. To be shown at the trot or canter.

The following Over Fences divisions are not open to Novice Rider or Green Horse Entries: Short/long Stirrup: Beginners 2’ – 2’3” Beginner division, exhibitor has successfully completed the Cross Rail division and is able to complete a course at a canter. After showing at State Horse Classic for no more than 2 years rider must move on to next division the following year. This division is designed for the horse and rider who are moving up from the Cross Rail division. As they are still beginners, minor infractions will be judged accordingly.

Low Hunters: (Intermediate Class) 2’3” – 2’6” Intermediate division, exhibitor has successfully completed the Short/Long stirrup division, or is capable of jumping an entire course at a canter without breaking gait, refusals, etc., and exhibitor possesses a solid seat and leg in order to safely complete the course.

Children’s Hunters: (Advanced Class) 2’9” – 3’ An advanced division, exhibitor has successfully completed the Intermediate division, or is capable of jumping an entire course at a canter without breaking gait, refusals, etc. Exhibitor must possess a solid seat and leg in order to safely complete the course as well as knowledge and training of the techniques required for the requirements of advanced classes. The horse must be solid and experienced at jumping the indicated height, without refusals, etc.

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Clover Equitation Medal over fences: 2’6” – 2’9”: An intermediate to advanced class. For members wishing to compete over a more challenging equitation course over fences. This class is not open to riders in the Short/long Stirrup division, as this is NOT a class for beginners.

Dressage: will run according to USDF guidelines. No more than three tests per horse. Plain snaffle bit to be used. Dressage times will be emailed to riders week before Classic. USDF Intro A, B and C offered as well as Training level 1, in addition Quadrille and Musical freestyle.

Versatility Class will be offered on Friday evening, following the last class. Come test you’re riding skills and have fun in the versatility class! In this event, you'll first compete in English Pleasure. After the judge has placed the class, the "helpers" (1 youth and 1 adult) you've chosen will be signaled to carry your Western tack and clothes into the arena. As the helpers brush down your horse and tack up, the riders "change" into Western attire (Think of zipping chaps over your breeches, or slipping jeans over your breeches. You can also slip off your hunt coat, and add a bright Western scarf over your ratcatcher shirt). There is a two-minute time limit for the change, which adds to the excitement! The next phase is Western Pleasure, and after that, the riders compete in cloverleaf barrels. The entry fee is only $5.00 at the gate, and there will be some special prizes for the winners!

Clover Medal Classes will be as follows: Three (3) medal classes will be scheduled for the 2019 Horse Classic. They are Clover Medal Equitation Over Fences (2'6" – 2’9” fence heights), Clover Medal Western Horsemanship Class and the Clover Medal English Equitation Class. The Clover Medal Classes will be Open Division Classes and each run in one section of mixed participants only (limited to Junior, Senior, Green Horse and Pony division for Western Horsemanship and English Equitation Medal or Low Hunters and Children's Hunters for Clover Medal participants only). Participants will be eligible to enter the class if they placed 1st, 2nd or 3rd in their respective equitation class, either Equitation Over Fences or Western Horsemanship or English Equitation/Horsemanship. The English Equitation Medal Classes is open to Saddle Seat or Hunt Seat participants. Special award medals will be given to Top Five finalists of each class in all Equitation Medal Events

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HORSE SHOW PRIZE LIST

Class Awards: Award ribbons will be given to 1ST through 10TH place. The top 5 in Clover medal classes will receive medallions. All awards will be presented at the end of each class and as scheduled for the High Point Awards.

Depending upon sponsorships, there may be special breed and/or overall awards given to the high point horse and rider combination.

High Point Awards and Reserve High Point Awards: Belt Buckles will be awarded to the horse/rider combination earning the most points and special award will be awarded to those with the 2nd highest points scored in each of the divisions listed below:

A. Western Walk/Trot – Novice Rider B. Western – Green Horse C. Western - Pony D. Western – Junior E. Western – Senior F. Over Fences - Long/Short Stirrup G. Over Fences - Low Hunters H. Over Fences - Children's Hunters I. English Walk/Trot - Novice Rider J. English Flat - Green Horse

K. English Flat – Pony L. English Flat - Junior M. English Flat – Senior N. Gymkhana - Pony O. Gymkhana - Junior P. Gymkhana – Senior Q. Miniature Horse Division R. Ranch Horse Division S. Dressage Division

Points are awarded in each class on a sliding scale according to number of exhibitors in that class.

Gymkhana division high point awards will be awarded based on the lowest total accumulated times for all the classes in each division

New High Points for 2019:

Ranch Horse Division: Classes to include Ranch Horse Showmanship, Ranch Horse Trail, Ranch Pleasure, Ranch Riding, Ranch reining. All classes but Ranch Showmanship will be governed by AQHA Ranch Horse Program. Ranch Showmanship will follow American Ranch Horse Association. Contestants do not have to qualify this year for this division. Ribbons first thru tenth. High Point Buckle and Reserve Highpoint Award. These classes are all Open Classes that do not count for Overall High Point.

Dressage Division: Classes will be USDF Intro A, B and C, Training Level 1, Quadrille and Musical Freestyle. USDF Guidelines will govern show. Will have first thru 10th place ribbons and High Point Buckle and Reserve High Point Award.

Overall High Point will include only horse show classes, open classes will not be included, points from educational classes will not be included. One Overall High Point Award and Reserve High Point will be given at the conclusion of the show.

Ties for high point will be broken as follows: English & Western Divisions: placing in showmanship, placing in Equitation, place in Horsemanship #

of 1st places Over Fences Divisions: Equitation, #1st places, #2nd places. Gymkhana Division: Strictly on time placed to the 1000th Miniature Horse Division: Showmanship, #1st places, #2nd places. Ranch Horse placing in Showmanship, Pattern class, then trail.

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HORSE SHOW RULES Eligibility: 1. Contestants must have won a 1ST, 2ND, or 3RD in the same class at a State Classic Qualifying Show to be

eligible to enter the Championship Horse show. All County Fair, District Fair, Regional Fair, Citrus Fair and State Fair 4-H Horse Shows qualify for this Championship show. In addition, shows designated by the County Youth Advisor and/or County Horse Resource Leader will also qualify. Each county may have a maximum of 3 qualifying shows. The qualifying period for this show is: June 4, 2018 – June 9, 2019. For purposes of clarification, the qualifying period shall be what we refer to as the current Horse Show Year.

2. In the case where a county horse show does not hold a class (i.e. Equitation Medal class), an exhibitor who has qualified (1st, 2nd, or 3rd) in their division Equitation class may also enter the Medal class. Likewise, if a county show combines divisions so the exhibitor doesn’t compete in their division but instead in a combined division (i.e. Pony rider riding in a Junior class), again, if that exhibitor qualifies they may ride at State Classic in their correct division.

 

3. In the case of showmanship, please note that English Showmanship and Western Showmanship are different classes and must be qualified for separately.

 

4. Entry Deadline: June 10. Overnight mail or personal delivery may be necessary if your show date falls too close to the entry deadline. No Horse Show post entries will be accepted. Entries may be made online: https://ucanr.edu/survey/survey.cfm?surveynumber=27419

 

5. The horse shown must be the member's project at least 120 days prior to the qualifying show but need not be owned by or registered to the exhibitor (i.e., leasing of horses is acceptable.) Exhibitors shall show in their respective divisions based upon their age as of December 31, 2018, regardless of their current age. Seniors will be defined as 14 years but not yet 19 years of age as of December 31, 2018. Pony Division exhibitors are based on the height (14.2) and breed of the animal rather than the age of the exhibitor. All Ponies will be measured at the show each morning. Once your pony has been measured at this show it is not necessary to have it measured again at this show. If any pony measures taller than 14.2 they will be placed in appropriate age bracket. A Miniature horse is defined as being 38” and under.

 

6. The rider will be disqualified from all remaining classes and previous points won will NOT count towards the high point awards if the following occurs:

Deliberate failure of the rider to immediately leave the arena when so instructed by the judge, or; Use of offensive language or unsportsmanlike behavior, or; Harassment of the judge, show management and/or fellow competitors.

7. Any protest must be submitted in writing within two hours of the alleged violation. The protest must be specific and state one or more proposed solutions to the situation. The protest will be discussed and a final decision will be made by the State 4-H Advisory Committee within 24 hours after submission to the show office. Protests will be considered only if there has been a violation of stated rules. The decisions of the judges, veterinarians, and timers cannot be protested and are final. 4-H rules stated in this information overrides USEF, California Gymkhana Association and AMHA rules, AQHA, USDF.

8. 4-Hers must wear an equestrian helmet which meets ASTM/SEI standards while mounted at all times, i.e. during classes, practice areas, and pleasure rides. If a helmet is not worn, the rider will be disqualified from all remaining classes and previous points won will NOT count towards the high point awards. There will be no appeal process.

 

9. Appropriate Attire Recommendations: English Attire: Hunt or Saddle seat coat, shirt, breeches or jodphurs, boots and ASTM/SEI helmet. Western Attire: Long-sleeve western shirt, pants or jeans, belt, tie, and ASTM/SEI helmet. Showmanship: 4-H Uniform, English or Western attire. 4-H Uniform is appropriate for all events. Silver and/or professional show clothes (i.e. chaps) will not count over good, working equipment Advertising of any form on the clothing worn is not permissible

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In the showmanship classes, the ASTM/SEI helmet is not required but is recommended by 4-H policy

10. Exhibitors are required to care for, prepare for showing, and show their own animals. Adult help (including parents/trainers) in grooming, exercising and preparing for show at this Championship 4-H Horse Show may cause the member and/or animal to be disqualified. Adults may assist the member when necessary for safety purposes. No adult may mount a 4-H project horse to school, prepare for a class or ride for pleasure. (In the event an exhibitor’s horse must be used as a fill-in for the judging contest, an adult would be allowed to ride said horse for contest but “schooling” will not be allowed). (Disqualification consists of withholding ribbons or awards, elimination from further competitions and removal from the show grounds.) It is strongly encouraged that older, more experienced 4-H members help younger, less experienced members.

11. There is to be no coaching (coaching includes verbal and non-verbal commands, instructions, gestures, etc.) from the rail during classes, adults may help exhibitors in the warm up arena. After the second offense exhibitor will be disqualified from the show, “two strikes and you’re out”.

12. Inhumane treatment of any animal will be cause for eviction from the grounds. All horses must be under control at all times anywhere on the grounds or in the arena. Horses presenting a danger to themselves or others may be excused from the arena and/or the show.

 

13. Any and all decisions of the judges shall be final. No exhibitor shall be allowed, under any circumstances, to interfere with the judge(s), during their adjudication, or with Classic’s staff and management. The judge may refuse to discuss a decision with anyone unless the individual first requests permission from show management. Show management will only give permission for judges to discuss with riders a decision upon the completion of the day’s classes to be judged.

 

14. Horses that are owned or leased as a joint project may be shown by no more than 2 exhibitors per horse but may not be shown in the same age division.

 

15. All equine species are eligible i.e. horse, pony, miniature, mules and donkeys. No stallions may be shown or permitted on the grounds at any time.

 

16. 4-Hers are not eligible to participate if they or their horses have been trained under the judge within 90 days of the show date.

 

17. Any rule not addressed in these pages may be found at the United States Equestrian Federation website: www.usef.org/compete/resources-forms/rules-regulations/rulebook under rule book (equitation, hunter/jumpers, and western divisions). California Gymkhana Association web site (gymkhana) calgymkhana.com/ and www.amha.org (miniature horse classes), USDF https://www.usdf.org/ (Dressage Classes) and AQHA https://www.aqha.com/ranch-riding1 Ranch Horse division rule book.

 

18. Show management has the right to limit the number of exhibitors due to safety, facility accommodations, and time schedule. If a rail class is divided, the classes will be judged as a preliminary classes, the judge will then call back his/her choices to return in a final class to complete for awards.

 

19. A daily sheet listing classes and detailed schedule will be posted. There will be a contestants meeting each morning prior to the show, it is recommended that the exhibitor and/or parent and/or leader attend, any changes to the show and announcements will be made at this time.

 

20. The rider and horse must be under control and deemed safe by the judge and/or show management and will be excused from the class if the horse or rider presents a safety issue for self or others. There will be no appeal process.

 

21. If a green horse is a junior horse (five years of age or under) and is being shown Western it may be shown with two hands in a snaffle or a bosal or any legal Western Bit as described in the bits section of the USEF Rulebook. If a green horse is a senior horse (older than 5 years of age) and is showing Western it shall be shown in any legal western bit as described in the bits section USEF Rulebook. If a green horse is being shown English it may be shown in any legal bit as described in the bits section of the USEF Rulebook.

 22. In the English Showmanship classes, horse is to be shown in an English bridle.

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23. Patterns/courses will be posted at least one (1) hour prior to start of class and will be available for exhibitors at check in. Patterns for classes will no longer be posted on the web site but will be selected from the following sites:

Ranch Riding patterns can be found at AQHA Ranch Riding Patterns: https://www.aqha.com/aqha-show-patterns

Dressage Tests: can be found at United States Dressage Federation site: https://www.usdf.org/

24. All shows held in California are subject to the state equine drugging laws. Exhibitors shall inform show management of all drugs and medication administered to a horse within 72 hours prior to the show. A declaration form containing the name of the drug, its purpose and time/date of administration shall be presented to the show management prior to the entrant’s first class. If medication contains a prohibited substance, the horse must be withdrawn from competition for at least 24 hours after administration of the medication. For more information, go to http://www.cdfa.ca.gov/ahfss/Animal_Health/EMMP/. Look under the “state” tab and then “equine medication and monitor”.

25. Exhibitors placing first in their class will qualify to enter in the State Fair County Fair Best of Show 4-H Horse Show in 2019 at Cal Expo, Sacramento. Not all classes are recognized at State Fair, Novice and Green horses are not eligible.

 

26. Back Numbers: All exhibitors will be issued a back number, this number must be worn at all times during the show/event hours and/or while working with their horse while on show grounds.

Warm up Arena Rules: 1. There will be one or more warm-up arenas designated each day of the horse show.

2. Lunging will be permitted only in a fenced arena.  

3. Horses being lunged or ridden must be under control at all times. No galloping or excessive speed will be tolerated.

 

4. ASTM/SEI approved helmets, appropriate boots and long pants must be worn while riding.  

5. No riding bareback or riding double is allowed (exception: dollar bill bareback classes)  

6. Please be considerate of others while in the warm-up arenas. Allow a safe distance between horses when passing, and do not cut off others when returning to the rail.

 

7. Exhibitors must follow all other rules put forth by the warm up arena supervisor. If these rules are violated, or there is a safety concern, you may be asked to leave the warm-up arena.

Warm up Tickets 1. Tickets can be ordered ahead of time with your entry. This is recommended for participants who are in the

gymkhana, jumping or trail classes.

2. Warm-ups will run the DAY PRIOR to the event, so Jumping will run on Wednesday, Trail will run Friday afternoon and Gymkhana Warm-ups will run Saturday afternoon.

 

3. The cost will be $10.00 per ticket. Warm up areas that are free of cost are available for those not wishing to use a course.

 

4. If you purchase more than one warm-up ticket, you will be required to do one go, then leave the ring and get back in line. This ensures that all members with a ticket have the chance to warm-up. No exceptions!

 

5. For jumping warm-ups, the exhibitor will receive a 3 minute allowance and will be able to jump a course of at least 8 jumps. Coaches are allowed in the ring.

 

6. For Trail Warm-up, the exhibitor will receive a 10 minute allowance and will be able to school over a modified course. Coaches are allowed in the ring.

 

7. Gymkhana warm-up: Exhibitor will be allowed 2 runs for “time only” on Cloverleaf Barrels or Pole Bending.

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CLASS LIST (OVER FENCES, ENGLISH FLAT) Over Fences Classes

1. Hunter Hack X-Rails 18” Open 2. Equitation over X-Rails 18” Open 3. Working Hunter over X-Rails 18” Open 4. Hunter Hack 2’-2’3” Short/Long Stirrup 5. Equitation over Fences 2’-2’3” Short/Long Stirrup 6. Working Hunters 2’-2’3” Short/Long Stirrup 7. Jumpers 2’-2’3” Short/Long Stirrup 8. Hunter Hack 2’3”-2’6” Low Hunters 9. Equitation over Fences 2’3”-2’6’ Low Hunters 10. Working Hunters 2’3”-2’6” Low Hunters 11. Jumpers 2’3”-2’6” Low Hunters 12. Hunter Hack 2’9-3’ Children's Hunters 13. Equitation Over Fences 2’9”-3’ Children's Hunters 14. Working Hunters 2’9”-3’ Children's Hunters 15. Jumpers 2’9”-3’ Children's Hunters 16. Clover Medal Equitation Over Fences Open (walk/trot/canter)

English Flat Classes 17. English Showmanship Senior

18. English Showmanship Junior

19. English Showmanship Pony

20. English Showmanship Green Horse

21. English Showmanship Novice

22. English Equitation Senior

23. English Equitation Junior

24. English Equitation Pony

25. English Equitation Green Horse

26. English Equitation Novice

27. Hunter Under Saddle Senior 28. Hunter Under Saddle Junior 29. Hunter Under Saddle Pony 30. Hunter Under Saddle Green Horse 31. Hunter Under Saddle Novice 32. English Pleasure Senior 33. English Pleasure Junior 34. English Pleasure Pony 35. English Pleasure Green Horse 36. English Pleasure Novice 37. English Horsemanship (pattern) Senior 38. English Horsemanship (pattern) Junior 39. English Horsemanship (pattern) Pony 40. English Horsemanship (pattern) Green Horse 41. English Horsemanship (pattern) Novice 42. Clover Medal English Equitation(pattern) Open (walk/trot/canter) 43. Pleasure Driving Open

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21                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

CLASS LIST (MINIATURE HORSE, WESTERN)

Miniature Horse Classes 44. Miniature Horse Showmanship Open 45. Miniature Horse Trail Obstacle Open 46. Miniature Horse Horsemanship Open 47. Miniature Horse Hunters Open 48. Miniature Horse Jumpers Open 49. Miniature Horse Pole Bending Open

Western Classes

50. Western Showmanship Senior 51. Western Showmanship Junior 52. Western Showmanship Pony 53. Western Showmanship Green 54. Western Showmanship Novice 55. Western Equitation Senior 56. Western Equitation Junior 57. Western Equitation Pony 58. Western Equitation Green 59. Western Equitation Novice 60. Western Pleasure Senior 61. Western Pleasure Junior 62. Western Pleasure Pony 63. Western Pleasure Green 64. Western Pleasure Novice 65. Western Horsemanship Senior 66. Western Horsemanship Junior 67. Western Horsemanship Pony 68. Western Horsemanship Green 69. Western Horsemanship Novice 70. Clover Medal Western Horsemanship Open (walk/trot/canter) 71. Ranch Showmanship Open 72. Ranch Pleasure Open 73. Ranch Riding (pattern) Open 74. Ranch Reining Open 75. Ranch Trail Open 76. Trail Pony 77. Trail Green 78. Trail Novice 103. Trail Senior 104. Trail Junior

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22                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

CLASS LIST (GYMKHANA, DRESSAGE) Gymkhana Classes

105. Washington Pole Bending Senior 106. Washington Pole Bending Junior 107. Washington Pole Bending Pony 108. Speed Barrels Senior 109. Speed Barrels Junior 110. Speed Barrels Pony 111. Cloverleaf Barrels Senior 112. Cloverleaf Barrels Junior 113. Cloverleaf Barrels Pony 114. Bi-rangle Senior 115. Bi-rangle Junior 116. Bi-rangle Pony 117. Big T Senior 118. Big T Junior 119. Big T Pony 120. Single Stake Senior 121. Single Stake Junior 122. Single Stake Pony

Dressage Classes

123. Intro A Open 124. Intro B Open 125. Intro C Open 126. Training Level 1 Open 127. Quad Drill Open 128. Musical Freestyle Open

**UPDATE**5.16.19

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23                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

PARTICIPANT’S AGREEMENT 2019 4-H California State 4-H Horse Classic Must be signed by parent/guardian, exhibitor, project leader AND county office or county resource leader. Entry will not be accepted without signatures. Member Name:________________________________________Club:________________________________

County:______________________________________________

Horse(s) (if participating in Horse Show)_________________________________________________________

List Horse Shows and Dates where you qualified:_________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Name of adult who is responsible for exhibitor______________________________ Phone:_______________ Parent/Guardian: My child has my permission to participate in the California State 4-H Horse Classic held at the Brookside Equestrian Center. I further authorize the adult in charge to do whatever he/she deems necessary, including obtaining necessary emergency treatment and/or placing him/her under a physician’s care in the event of illness or physical injury. I understand that while at this event, my child is expected to adhere to the 4-H Code of Conduct & I acknowledge that a 4-H Release Agreement is on file at the 4-H Office in my county. ______________________________________________________________________________________ Parent/Guardian Signature Date

Exhibitor: I have read the 4-H Code of Conduct and State Horse Classic Rules and will follow them. This entry form certifies that I am nine years old or older, that I have been enrolled in the 4-H program and in the Horse Project for over 120 days (if exhibiting in horse show), and that I own or lease the horse that I am riding at this event. ______________________________________________________________________________________ 4-H Member’s Signature Date

4-H Project Leader: As the 4-H Horse Project Leader, I certify that this 4-H member has been enrolled in 4-H and in the Horse Project for over 120 days (if exhibiting in horse show), and that he/she has cared for the horse that they will be riding at this event. ______________________________________________________________________________________ 4-H Project Leader’s Signature Date

County 4-H Program Representative: This 4-H member has been enrolled in 4-H and in the Horse Project for over 120 days (if exhibiting in horse show), and is eligible to compete at this event. ______________________________________________________________________________________ 4-H County Staff’s Signature Date

Mandatory Volunteer Time Yes, I, or a representative on my behalf, will volunteer a minimum of 2 hours during the California State 4-H Horse Classic.

OR No, I will not volunteer a minimum of 2 hours during the California State 4-H Horse Classic. I will instead submit a payment of $75.00 with my entry form to waive the volunteer requirement. ______________________________________________________________________________________ Name of individual performing volunteer time Phone Date

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24                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

SPONSORSHIP LEVELS

Day Sponsor: $2,000 and over Fully supports one day of events, including: facility, judges, and class awards. Most prominent name and logo placement on all printed materials related to the event

(event program, invitations, participant t-shirts and registration material) Recognition given to sponsor through announcements and signage, including a 2.5’ x 6’

banner with the sponsor’s name and logo All benefits listed below

Educational Event Sponsor: $1,000-$1,999 Fully supports the public speaking contest, horse bowl, or hippology, or horse judging contest. Recognition given during the educational contests and awards ceremony with signage and

announcements All benefits listed below

High Point Sponsor: $250 Supports the High Point and Reserve High Point award for a single division. The High Point winner of each division will receive a custom engraved belt buckle, and the Reserve High Point winner of each division will receive a special award. Recognition given during the presentation of High Point awards All benefits listed below

Class Sponsor: $50

Funds 1st through 10th place ribbons per class. Prominent name and logo placement on all printed materials related to the event (event

program, invitations, participant t-shirts and registration material) Recognition on California 4-H Horse Classic website page

NEW! Breed High Point Sponsor Breed registries can sponsor a High Point Award for their breed. For more information,

contact Shauna Bond, [email protected].

To become a Horse Classic Sponsor, simply fill out the sponsorship form and mail it to: California State 4-H Horse Classic Attn: Jessica Bautista UC Division of Agriculture and Natural Resources 2801 Second Street Davis, California 95618-7779

For more information about California 4-H Horse Classic Sponsorship opportunities, please contact Shauna Bond, [email protected] or (530)260-3277.

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25                                                                            2019 California State 4-H Horse Classic Premium / Revised May 2019  

 

4-H HORSE CLASSIC SPONSORSHIP FORM

YES, I would like to become a sponsor of the California 4-H Horse Classic. My sponsorship gift will help pay for costs associated with putting on the California 4-H Horse Classic, which serves as a culminating event for 4-H equine members to showcase their skills and knowledge.

Day Sponsor ($2,000 or more) $ enclosed

Educational Event Sponsor ($1,000-$1,999) $ enclosed

High Point Sponsor ($250) $ enclosed

Class Sponsor ($50) $ enclosed

Breed High Point Sponsor $ enclosed

Program Ad $ enclosed (Full page $250; ½ page $150; ¼ page $100)

Gift to the CA 4-H Horse Classic $ enclosed Contact Name(s):

Business/Organization Name:

Address:

City: State: Zip:

Phone: Email address:

This sponsorship was obtained by: _______________________________________

Please make your check payable as follows: UC Regents Mail to: California State 4-H Horse Classic

Attn: Jessica Bautista 2801 Second Street Davis, California 95618-7779

Please submit your company logo and website link to [email protected] by June 10th. Any sponsorships received after June 10th will not be included in the CA 4-H Horse Classic program, posters, or on T-shirts.

No goods or services will be exchanged for this gift. All gifts are tax‐deductible as prescribed 

by law. The information you provide will be used for the University and will not be released 

unless required by law. Should you wish that your name not be included in any publications, 

please let us know. Our Federal Tax ID# is 23‐7327765. 

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Form Revised 7/1/2018

Youth Treatment Authorization Form - Print all information clearly. (PAGE SUBMITTED TO AND RETAINED BY THE 4-H CLUB/UNIT LEADER)

This Treatment Authorization Form is authorized for all 4-H Youth Development meetings and activities during the dates specified below. (Please Note: This information must be updated annually)

First Name Last Name Club/Unit Name

From: July 1, 2018 to December 31, 2019 County and State

PARENT(S)/GUARDIAN(S)

First & Last Name Home/Work/OtherPhone:

Cell Phone:

EMERGENCY CONTACT INFORMATION: (Must be an adult other than Parent/Guardian) First & Last Name: Home/Work/Other Phone: Relationship:

Cell Phone:

While my child is attending or traveling to or from this 4-H function, I HEREBY AUTHORIZE THE 4-H ADULT VOLUNTEER OR 4-H STAFF MEMBER, or in his/her absence or disability, any adult accompanying or assisting him/her, TO CONSENT TO THE FOLLOWING MEDICAL TREATMENT FOR SAID MINOR:

Any x-ray examination, anesthetic, medical or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of any physician and/or surgeon licensed under the provisions of the Medical Practices Act, California Business and Professions Code Section 2000 et seq.; or any x-ray examination, anesthetic, dental or surgical diagnosis or treatment, and hospital care to be rendered by a dentist licensed under the provisions of the Dental Practices Act, California Business and Professions Code Section 1600 et seq.

This authorization is given pursuant to the provisions of California Family Code Section 6910. This authorization shall remain effective until my child completes his/her activities in this program unless sooner revoked in writing. I understand that as a parent/guardian, I will be responsible for the cost of any service or treatment provided not covered by the 4-H Accident/Sickness Insurance Program sponsored by UC Cooperative Extension.

AUTHORIZATION AND CONSENT AND RELEASE I hereby certify that my child is in good health and can travel to and participate in all functions of the 4-H Youth Development Program as described above. I am the parent/guardian having legal custody of the youth member named above as stated under California Family Code Section 6550. I understand it is my responsibility to keep the information on this form updated (including Health History) by contacting the County 4-H Office.

_________________________________________________ Signature of Parent/Guardian Date

NON-CONSENT I do not desire to sign this authorization and understand that this will prohibit my child from receiving any non-life threatening medical attention in the event of illness or accident.

_________________________________________________ Signature of Parent/Guardian Date

University policy and the State of California Information Practices Act of 1977 require the following information be provided when collecting personal information from you: The information entered on this form is collected under authority of the Smith-Lever Act. Submission of the medical data is voluntary. However, a signature is required on one or the other of the two signature lines above. Failure to provide the medical information and authorization may result in our inability to provide necessary medical treatment. You have the right to review University records containing personal information about you, with certain exceptions as set forth in policy and statute. Copies of University policies pertaining to the collection, use, or release of personal data are available for your examination from the local UCCE County Director, 4-H Youth Development Advisor, 4-H Program Representative or the Statewide 4-H Director at University of California, Division of Agriculture and Natural Resources, California State 4-H Office, 2801 Second Street, Davis, CA 95618-7774, (530) 750-1334, [email protected]. Only your own records are open to your review.

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Form Revised 7/1/2018

Health History Information - Print all information clearly. (PAGE SUBMITTED TO AND RETAINED BY THE 4-H CLUB/UNIT LEADER; SHRED AFTER THE PROGRAM YEAR) (please attach extra page if more space is needed)

/ / First Name Last Name County Date of Birth

Date of last Tetanus Vaccination: Not Sure None Please check over-the-counter medications that may be administered:

Tylenol Ibuprofen Cough Syrup Decongestant Dramamine Antacid Polysporin

Hydrocortisone Benadryl Other: Please identify if this participant has any health conditions that are important for program staff to know in order to maximize participation and ensure safety and well-being:

Or check this box if no information needs to be shared

Please list all current medications:

Name of Medication Dosage Times Taken

Please identify any allergies including allergies to food, medications, and drug reactions:

Please include any additional remarks and special instructions to better assist emergency service personnel.

Please list any additional assistance the youth will need in order to participate in this program or activity. Note: in some cases, a Doctor’s note may be required to confirm the request.

Please explain any “Yes” answers on this page.

Yes No Does the youth have any current emotional or behavioral difficulties that would be helpful for us to know about?

Are there any ways of responding to the youth’s negative moods or feelings that you found to be effective?

Would you like to share any significant life or family events that will help us support the youth’s current emotional state?

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Form Revised 4/16/2018

Waiver of Liability, Assumption of Risk, and Indemnity Agreement (PAGE SUBMITTED TO THE 4-H CLUB/UNIT LEADER AND RETAINED BY THE COUNTY 4-H OFFICE)

Participant’s Name (Please Print)

County Club/Unit Waiver: In consideration of being permitted to participate in any way in California 4-H Youth Development Activities and Projects, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue The Regents of the University of California, its officers, employees, and agents from liability from any and all claims including the negligence of The Regents of the University of California, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in California 4-H Youth Development Activities and Projects. Assumption of Risks: Participation in California 4-H Youth Development Activities and Projects carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains; 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions; and 3) catastrophic injuries including paralysis and death. I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in California 4-H Youth Development Activities and Projects. I hereby assert that my participation is voluntary and that I knowingly assume all such risks. Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD The Regents of the University of California HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in California 4-H Youth Development Activities and Projects, and to reimburse them for any such expenses incurred. Severability: The undersigned further expressly agrees that the foregoing Waiver and Assumption of Risk Agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Acknowledgment of Understanding: I have read this Waiver of Liability, Assumption of Risk, and Indemnity Agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

______________________________________________________ Signature of Parent/Guardian of Minor or Adult Participant Date

Age (if minor) THIS WAIVER APPLIES TO ALL CALIFORNIA 4-H YOUTH DEVELOPMENT ACTIVITIES AND PROJECTS INCLUDING, BUT NOT LIMITED

TO PROJECT MEETINGS, CLUB MEETINGS, EDUCATIONAL FIELD DAYS, FIELD TRIPS, CAMPS, EXCHANGE PROGRAMS, FUNDRAISERS, COMMUNITY SERVICE ACTIVITIES, VOLUNTEER TRAININGS, FAIRS, AND PROJECTS.

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Form Revised 7/1/2018

Formulario de Autorización de Tratamiento Médico para Jóvenes- Escriba claramente toda la información en letra de imprenta. (ESTA PÁGINA SE ENTREGA AL LÍDER DEL CLUB O UNIDAD DEL PROGRAMA 4-H QUIEN LA MANTIENE EN LOS ARCHIVOS.)

Padre/tutor legal Nombre Celular Apellido Teléfono del trabajo y

extensión

INFORMACIÓN DEL CONTACTO DE EMERGENCIA:

Nombre y apellido: Teléfono de casa/trabajo/otro:

Relación, parentesco:

Teléfono celular:

Durante el tiempo en que mi hijo(a) participe o viaje rumbo a y de regreso de este evento de 4-H, AUTORIZO POR MEDIO DE LA PRESENTE AL LÍDER VOLUNTARIO ADULTO DE 4-H O AL PERSONAL DE 4-H, o en su ausencia o discapacidad, a cualquier adulto que lo acompañe o ayude, QUE PERMITA QUE MI HIJO RECIBA EL TRATAMIENTO MÉDICO QUE AQUÍ SE INDICA: Cualquier examen de rayos X, anestesia, diagnóstico o tratamiento médico o quirúrgico y cuidado hospitalario que sea considerado recomendable y que se vaya a administrar bajo la supervisión general o especial de cualquier médico o cirujano licenciado bajo las estipulaciones de la Ley de Prácticas Médicas, Sección 2000 y siguientes del Código de Negocios y Profesiones de California; o cualquier examen de rayos X, anestesia, diagnóstico o tratamiento dental o quirúrgico y cuidado hospitalario que vaya a ser administrado por un dentista licenciado bajo las estipulaciones de la Ley de Prácticas Dentales, Sección 1600 y siguientes del Código de Negocios y Profesiones de California. Doy esta autorización según las estipulaciones de la Sección 6910 de la Ley de la Familia de California. Esta autorización seguirá vigente hasta que mi hijo(a) concluya con las actividades de este programa, a menos que yo la revoque por escrito antes de ese momento. Tengo entendido que como su padre, madre o tutor, seré responsable por el costo de cualquier servicio o tratamiento que no esté cubierto por el Programa de Seguro para Accidentes y Enfermedad de 4-H patrocinado por Extensión Cooperativa de la UC.

AUTORIZACIÓN Y CONSENTIMIENTO Por la presente, certifico que mi hijo(a) goza de buena salud y que puede viajar a y participar en todos los eventos y actividades del Programa de Desarrollo Juvenil 4-H según lo descrito anteriormente. Tengo entendido que es mi responsabilidad informar a la oficina de 4-H del condado si hay algún cambio en la información incluida en este formulario (incluso el Historial Médico y cambios en la relación con los padres o tutor).

_ Firma del padre/tutor(guardián) Fecha

RECHAZO DE AUTORIZACIÓN Y CONSENTIMIENTO

No deseo firmar esta autorización y entiendo que al no firmarla, queda prohibido que mi hijo(a) reciba cualquier tipo de cuidado médico en caso de un accidente o enfermedad que no ponga en peligro su vida.

_ _ Firma del padre/tutor(guardián) Fecha

La política de la Universidad y la Ley de 1977 de Prácticas de la Información del Estado de California exigen se proporcione la información a continuación siempre que se le pida información personal: La información que se incluya en este formulario se recaba bajo la autoridad de la Ley Smith-Lever. Usted brinda los datos médicos de manera voluntaria. Sin embargo, se requiere que firme en alguno de los dos recuadros anteriores. Dejar de proporcionar su autorización y la información médica, puede ocasionar que no podamos brindarle a su hijo(a) el tratamiento médico necesario. Usted tiene derecho de leer los registros de la Universidad que incluyan información personal suya o de su hijo(a), con ciertas excepciones establecidas por políticas y estatutos. Usted puede revisar una copia de las políticas de la Universidad referentes a la obtención, uso o diseminación de información personal pidiéndola al director de la oficina local de Extensión Cooperativa de la Universidad de California en su condado, al Asesor del Programa de Desarrollo Juvenil 4-H, al Representante del Programa 4-H o al Director Estatal de 4-H en: California 4-H Youth Development Program, University of California, División de Agricultura y Recursos Naturales, oficina estatal de 4-H de California, 2801 Second Street, Davis, CA 05618-7774, (530) 750-1334, [email protected]. Usted solo puede revisar sus propios records. Únicamente están a su disposición el registro de su hijo(a) o el suyo propio.

Este Formulario de Autorización de Tratamiento Médico se autoriza y está vigente para todos los eventos y actividades de 4-H en las fechas específicas indicadas a continuación. (Nota: esta información se debe actualizar anualmente)

Nombre Apellido(s) Nombre del Club o Unidad

Del: 1 de Julio de 2018 Al: 31 de Diciembre del 2019

Condado y estado

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Form Revised 7/1/2018

Historial Médico -Escriba claramente toda la información en letra de imprenta. (PÁGINA ENTREGADA AL LÍDER DEL CLUB O UNIDAD 4-H QUIEN SE ENCARDARÁ DE GUARDARLA; TRITURAR AL

CONCLUIR EL AÑO DEL PROGRAMA) (Por favor anexa una o más paginas si necesitas más espacio)

/ /          Nombre Apellido(s) Condado Fecha de nacimiento

Fecha de la vacuna más reciente contra el tétano: No estoy seguro Ninguna Indique cuáles medicamentos sin receta autoriza a que se administren a su hijo(a) de ser necesario:

Tylenol Ibuprofen Jarabe para la tos Decongestionante Dramamina Antiácido Polysporin

Hidrocortisona Benadryl Otros:

Anote todos los medicamentos que toma actualmente:

Nombre del medicamento Dosis ¿Cuándo lo toma?

Indique cualquier alergia que tenga, incluso a alimentos, a medicamentos y reacciones a medicamentos:

Por favor, incluya comentarios adicionales o instrucciones especiales que puedan ayudar al personal de servicios de emergencia.

Por favor indique aquí cualquier tipo de asistencia adicional que el joven vaya a necesitar para poder participar en este programa o actividad. Nota: en algunos casos, se podría requerir una nota del doctor para confirmar la petición.

Si respondió “Sí” a cualquiera de las preguntas, explique su respuesta en esta página.

Sí No ¿Tiene el joven actualmente dificultades emocionales o de comportamiento que sería beneficioso para nosotros saber?

¿Hay maneras de responder a los sentimientos negativos del joven que usted haya encontrado ser eficaces?

¿Le gustaría compartir algún evento familiar importante que nos pueda ayudar a entender y apoyar el estado emocional del joven?

Indique si tiene alguna condición de salud que el personal del programa deba saber al respecto para maximizar su participación y proteger su seguridad y bienestar:

marque este recuadro si no tiene nada que compartir.

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Form Revised 7/1/2018

Exoneración de responsabilidad, aceptación de riesgo y acuerdo sobre indemnización (PÁGINA ENTREGADA AL LÍDER DEL CLUB O UNIDAD 4-H Y ARCHIVADA EN LA OFICINA 4-H DEL CONDADO.)

Nombre del Participante (Escriba en la letra de molde)

Edad (si es menor de edad)

Condado Club/Unidad

Exención: a cambio de permitírseme la participación en las actividades y proyectos del Programa de Desarrollo Juvenil 4-H, incluyendo el uso asociado con los sitios, instalaciones, personal, equipo, transporte y servicios de la universidad, por la presente, yo, por mi mismo, mis herederos, representantes personales y asignados libero, eximo, redimo y prometo no demandar a los Regentes de la Universidad de California, sus directores, funcionarios, empleados y agentes (de “la universidad”), de la responsabilidad sobre cualquier y todos los reclamos, incluyendo negligencia por parte de la universidad, que resulte en lesiones personales (incluyendo la muerte), accidentes o enfermedades y pérdida de propiedad, en conexión con mi participación en actividades y proyectos del Programa de Desarrollo Juvenil 4-H de California.

Asunción de riesgos: la participación en actividades y proyectos de Desarrollo Juvenil 4-H de California lleva consido ciertos riesgos adherentes que no pueden ser eliminados a pesar del cuidado que se tome para evitar cualquier lesión. Los riegos específicos varían de una actividad a otra, pero oscilan desde 1) lesiones menores como raspones, moretones y torceduras a 2) lesiones mayores como heridas en los ojos, articulaciones o huesos, ataques cardiacos o contusión cerebral, hasta 3) lesiones catastróficas, como parálisis y muerte.

Indemnización y exención de responsabilidad: también estoy de acuerdo en indemnizar y eximir a la universidad de la responsabilidad de cualquier y todos los reclamos, acciones, demandas, procedimientos, daños y responsabilidad, incluyendo los honorarios de abogados, que se deriven de mi participación en las actividades y proyectos del Programa de Desarrollo Juvenil 4-H y reembolsarle por cualquiera de estos gastos en los que se incurra.

Divisibilidad: asimismo acepto que el Acuerdo de Exención de Responsabilidad, Asunción de Riesgos e Indemnización tiene la intención de ser tan amplio e inclusivo conforme a lo permitido por la ley y que si alguna porción del mismo es invalidada, las partes restantes continuarán teniendo toda la fuerza y efecto legales.

Ley y jurisdicción vigentes: este acuerdo debe regirse bajo las leyes del estado de California y cualquier disputa que se derive o tenga conexión con este acuerdo deberá tratarse bajo la jurisdicción exclusiva de los tribunales del estado de California.

Reconocimiento de entendimiento: he leído este Acuerdo de Exención de Responsabilidad y Asunción de Riesgos e Indemnización y comprendo por completo sus términos y entiendo que estoy renunciando a derechos substanciales, incluyendo mi derecho a demandar. Confirmo que firmo este acuerdo de manera libre y voluntaria y pretendo con mi firma liberar de manera completa e incondicional de toda responsabilidad en la máxima extensión permitida por la ley.

______________________________________________________ Firma del padre/tutor legal del menor o participante Fecha

ESTA EXONERACIÓN APLICA A TODAS LAS ACTIVIDADES Y PROYECTOS DEL PROGRAMA DE DESARROLLO JUVENIL 4-H DE

CALIFORNIA, INCLUSIVE, PERO SIN LIMITARSE A JUNTAS DEL PROYECTO, REUNIONES DEL CLUB, DÍAS EDUCATIVOS DE CAMPO, EXCURSIONES EDUCATIVAS, CAMPAMENTOS, PROGRAMAS DE INTERCAMBIO, EVENTOS DE RECAUDACIÓN DE FONDOS, ACTIVIDADES DE SERVICIO COMUNITARIO, ENTRENAMIENTO DE VOLUNTARIOS, FERIAS Y PROYECTOS.