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USDF/USEF Competition # 327877Level 2 Dressage CompetitionOpening Date: April 1, 2011Closing Date: May 6, 2011Licensee: Christine Prescott

MAY 14-15, 2011Official Prize List

JUDGE: J. ASHTON JEFF MOORE ( S ), CATECHNICAL DELEGATE: PAT MAYKUTH ( r ), GA

OFFICIAL QUALIFYING COMPETITION FOR THE 2011 GREAT AMERICAN INSURANCE GROUP/USDF REGIONAL DRESSAGECHAMPIONSHIPS, OFFICIALUSDF/DOVER SADDLERY ADULT AMATEUR MEDAL COMPETITION

EVERY CLASS OFFERED HEREIN THAT IS COVERED BY THE RULES AND SPECIFICATIONS OF THE CURRENT RULEBOOK WILL BECONDUCTED AND JUDGED IN ACCORDANCE THEREWITH.

Saturday, May 14, 2011 Sunday, May 15, 2011

1. Introductory Level Test A Open2. Training Level Test 1 Open3. Training Level Test 1 AA4. Training Level Test 1 Jr/YR5. Training Level Test 1 Opportunity6. First Level Test 1 Open7. First Level Test 1 AA8. First Level Test 1 Jr/YR9. Second Level Test 1 Open10. Second Level Test 1 AA11. Second Level Test 1 Jr/YR12. Third Level Test 1 Open13. Third Level Test 1 Jr/YR/AA14. Fourth Level Test 1 Open15. Fourth Level Test 1 Jr/YR/AA16. Introductory Level Test B Open17. Training Level Test 2 Open

18. Training Level Test 2 AA19. Training Level Test 2 Jr/YR20. First Level Test 2 Open21. First Level Test 2 AA22. First Level Test 2 Jr/YR23. Second Level Test 2 Open24. Second Level Test 2 Jr/YR/AA25. Third Level Test 2 Open26. Fourth Level Test 2 Open27. Introductory Level Test C Open28. Training Level Test 3 Open Q29. Training Level Test 3 AA Q30. Training Level Test 3 Jr/YR Q31. First Level Test 3 Open Q32. First Level Test 3 AA Q33. First Level Test 3 Jr/YR Q

34. Second Level Test 3 Open Q35. Second Level Test 3 Jr/YR/AA Q36. Third Level Test 3 Open Q37. Fourth Level Test 3 Open Q38. Introductory Level Test C Open39. Prix St. George Open Q40. Intermediare I Open Q41. Intermediare II Open Q42. Grand Prix Open Q

43. Introductory Level Test A Open44. Training Level Test 1 Open45. Training Level Test 1 AA46. Training Level Test 1 Jr/YR47. Training Level Test 1 Opportunity48. First Level Test 1 Open49. First Level Test 1 AA50. First Level Test 1 Jr/YR51. Second Level Test 1 Open52. Second Level Test 1 AA53. Second Level Test 1 Jr/YR54. Third Level Test 1 Open55. Third Level Test 1 Jr/YR/AA56. Fourth Level Test 1 Open57. Fourth Level Test 1 Jr/YR/AA58. Introductory Level Test B Open59. Training Level Test 2 Open

60. Training Level Test 2 AA61. Training Level Test 2 Jr/YR62. First Level Test 2 Open63. First Level Test 2 AA64. First Level Test 2 Jr/YR65. Second Level Test 2 Open66. Second Level Test 2 Jr/YR/AA67. Third Level Test 2 Open68. Fourth Level Test 2 Open69. Introductory Level Test C Open70. Training Level Test 3 Open Q71. Training Level Test 3 AA Q72. Training Level Test 3 Jr/YR Q73. First Level Test 3 Open Q74. First Level Test 3 AA Q75. First Level Test 3 Jr/YR Q

76. Second Level Test 3 Open Q77. Second Level Test 3 Jr/YR/AA USDF/DoverSaddlery Adult Amateur Medal Class Q

78. Third Level Test 3 Open Q79. Fourth Level Test 3 Open Q80. Introductory Level Test C Open81. Prix St. George Open Q82. Intermediare I Open Q83. Intermediare II Open Q84. Grand Prix Open Q

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Where the horses are strong, the riders are beautiful,

and the results are way above average

.Manager/Secretary:Christine PrescottSuCaro Ridge1741 County Rd. 29Tuskegee, AL 36083(334) 328-4553 cell(334) 727-3914 barn

C.Prescott@sucaroridge.comwww.sucaroridge.com

Competition Management:Christine Prescott

Technical Delegate:Pat Maykuth, r, GA

Judge:J. Ashton Moore, S, CA

Veterinarian:Dr. Aimee Emory CrowByrd Creek Equine(334) 787-2512 cell

Farrier (on call): Billy Lewis & Associates(334) 324-9347

Medical Services: CARE Ambulance

Official Show Photographer:Event Photographer, Inc. (678) 491-6222ries007@earthlink.netwebsite:www.besteventphotographer.comgallery:http://shop.besteventphotographer.com/redcart/

Effective March 1, 2011, for dressage: Anyone mounted on a horse must wear protective headgearexcept those riders age 18 and over while on horses that are competing only in FEI levels and tests atthe Prix St. Georges level and above (including FEI Young Rider Tests, the USEF Developing PrixSt. Georges Test and the USEF Brentina Cup Test).

USEF MEMBERSHIP STATEMENTLife, senior active and junior active members shall be eligible to participate in all classesat Regular Competitions, Eventing Competitions at the Preliminary Level or above andCombined Driving Competitions at the Advanced Level, Dressage, Reining and VaultingCompetitions and Endurance Rides. A nonmember may participate as a handler, rider,driver, owner, lessee, agent, coach or trainer at Regular Competitions, EventingCompetitions, Dressage Competitions, Reining Competitions and Combined Driving

Competitions upon payment of a $30 nonmember registration fee. Participants in thefollowing classes are exempted from the Requirements of this rule: 1) leadline; 2)exhibitions; 3) games and races; 4) classes for 4-H members; 5) walk trot and academyclasses (academy classes are classes limited to horses used regularly in a lessonprogram); 6) USDF introductory level tests, pas de deux and quadrille classes; 7) NRHAEndorsed Reining Competitions. 8) Opportunity classes, 9) citizens of other nations whohave proof, in English, of current membership in good standing of their own NationalFederation, 10) USEA beginner novice division; and 11) assistant handlers in DressageSport Horse Breeding classes.

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Opportunity Classes: Horse/Rider combinations entered in opportunity classes may NOT cross-enter into regular USEF classes, but MAY enter USDF Introductory Level classes.

Qualifying & Open Divisions: There are no qualifying only classes. Riders may qualify forthe 2011 Great American Insurance Group/USDF Regional Championships only in a classdesignated as a qualifying class. Specify Q for qualifying on the entry form and pay the

additional $10 qualifying fee per class. This competition is a qualifying competition for the 2011Great American Insurance Group/USDF Regional Championships.

Important Note: Horses entered in qualifying classes must be entered under the complete

official name registered with USEF and USDF, and the name(s) of the owner(s) must be

correct on both USEF and USDF membership cards. All documentation must match.

Riders and owners wishing their horses to be entered into USDF Regional Championship

qualifying classes must be current members of USEF and Participating Members (not

Group Members) of USDF, (owner may be a USDF business member) and their horses

must be fully registered with both organizations before the competition. A copy of horses

recording or registration certificates must accompany all qualifying entries.

Show management reserves the right to split classes if entries warrant or to balance unusualamounts of entries, excessive scratches or due to extenuating circumstances. All entries mustindicate JR/YR, AA, or Open on the entry blank or they will be considered Open in the casethat entries warrant splitting classes.

Ride Times: All times are to be considered tentative until official ride times are posted at 12:00noon on Friday, May 13, 2011 at the secretary stand. Competitors showing three or more horsesdo so at their own risk. While show management will try to allow adequate time between rides,we cannot guarantee a certain amount of time. Refunds will not be given if times are notsatisfactory. Ride Times will be made available May 12, 2011. Unless indicated otherwise onyour entry, ride times will be sent via email.

No Shows: We may reserve the right to fill a competitors subsequent ride times if thatcompetitor fails to notify the competition of his/her intention to scratch. (DR126.3)

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2011 USEF Federation Entry Agreement : This agreement is also included in your entry formand MUST be completed. Please read the following text carefully:

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Entries: Checks should be made out to: SuCaro Ridge1741 County Road 29Tuskegee AL 36083

The following MUST ACCOMPANY YOUR ENTRY:1. Copy of current, Negative Coggins Test2. Copies of riders USEF card, and USDF card

3. Copies of trainers USEF card, and USDF card4. Copies of owners USEF card, and USDF card5. Copies of horses USEF registration, and USDF registration6. All 4 completed pages of entry form7. Check for entry fees8. Separate check for $35.00 stripped stall deposit if you are stabling your horse9. If you are submitting results to a breed association, please include copies of all

registration paperwork for you and your horse.

Show management will keep all documents, be sure to save a copy for your own records. A fee of$35 will be charged for returned checks. Entries will not be accepted without a check.Management reserves the right to limit entries or refuse any entry, combine, divide or cancel

classes, use substitute judges or make any other changes as deemed appropriate at the time.Entries will be accepted on a First Come, First Served basis. (USEF Rule Book GR915.3.a)This is a small show, so please enter early to ensure your slot.

Late Entries: Late entries will be accepted at managements discretion. Any entriesRECEIVED (not postmarked) after May 6, 2011 will be considered late and will becharged the $50 late entry fee- no exceptions. To avoid late entry fees, be sure thatyour entry is in the SECRETARYS HAND BY MAY 6, 2011.

Entry Fees:USDF Introductory Level Tests $40.00USDF Training Fourth Level Tests $45.00

GAIG/USDF Qualifying Fee (mark Q on Entry form)This is in addition to the class fee, if riding in a TOC class,

riders must choose to ride the qualifying test for that level.

$10.00

PSG-GP $50.00Stabling FeesWeekend Stabling (Friday, Saturday, and Sunday Nights)Includes initial bedding (equivalent of two bags), horses may arrive no

earlier than noon Friday and must leave by noon Monday.

$135.00

Stall Deposit FeePlease enclose a separate check for the stall deposit. If you strip your

stall after the competition, this check will be destroyed. If the stall is

not completely stripped, the check will be cashed

.

$35.00SEPARATE CHECK

Weekend Tack StallNo bedding, will be assigned only after all stalls are assigned

$75.00

Non-Stabled Horses (Grounds Fee)Covers entire weekend

$50.00

*SUNDAY ONLY Non-Stabled Horses (Grounds Fee)This does NOT apply to Saturday only riders. This applies ONLY to

riders trailering in on Sunday.

$35.00

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Non-Competing HorsesFor entire weekend, per horse

$50.00

Extra Shavings(per bag equivalent)

$7.00

Organization Fees

USDF Non Member Fee $25.00USEF Fee (Drug Fee $7, USEF $8)Per horse

$15.00

USEF Non Member Fee $30.00Other FeesOffice FeePer horse/rider

$35.00

Late Entry FeeAny entry receivedafter closing date, accepted at the discretion of

management

$50.00

Post Entry FeeChange fee (change of rider/horse/class) PER CLASS

$30.00

Refunds: Entries will be refunded in full, less the office fee PRIOR TO THE CLOSING DATEONLY- NO EXCEPTIONS. Absolutely no refunds, including stabling, will be given for anyreason, including weather, after the closing date.

Withdrawals: USEF rules require that competitors must request permission of the showsecretary prior to withdrawing or removing their horse from the show facility prior to the end ofthe show. (USEF Rule Book GR1305.1)

Post Entry Fee: This will be charged per change per class for any changes made to the entryafter the closing date. Riders wishing to add qualifying status or withdraw qualifying statusmay do so without incurring a fee.

Concessions/Restrooms: Concessions by Duffs Stuff available on grounds. Restrooms locatedaround the competition area and in the competition barn.

Public Phone: Landline public phone for emergencies on the first floor of the main barn. Thephone number is (334) 727-3914.

Directions: From I-85S: Take exit 26/Tallassee. Turn left at the top of the ramp onto Co. Rd.30. Continue 2.5mi to stop sign at little white church, go straight through stop sign for 2.2 miuntil you reach the second little white church, Bradfords Chapel. Make a right immediately afterBradfords Chapel onto Co. Rd. 29. SuCaro Ridge is 0.2mi on the right hand side of the road.

From I-85 N Take exit 26/Tallassee. Turn right at the top of the ramp onto Co. Rd. 30. Continue2.5mi to stop sign at little white church, go straight through stop sign for 2.2 mi until you reachthe second little white church, Bradfords Chapel. Make a right immediately after BradfordsChapel onto Co. Rd. 29. SuCaro Ridge is 0.2mi on the right hand side of the road.

Accommodations: The Holliday Inn Express 334-271-5516 (9250 Boyd-Cooper Parkway,Montgomery, AL) is the official hotel of Dressage at The Ridge. Be sure to ask for the specialhorse show rate.

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Stabling Information: Tack stalls will be assigned only after all horses are assigned stalls. MainCompetition Barn 12 x 14 stalls have Dutch Doors, individual lights and power outlet, andwater faucets in every stall. Stall flooring is Stall Skins. Small barn has 12x12 stalls, full doors,and automatic waterers. Initial bedding is included in the stabling fee. Additional bedding maybe purchased at $7/ bale equivalent.

No smoking is permitted in or near the stabling area. No nails or screws may be used. Pleasekeep horses off the sod on the lawn of the competition barn.

If competition stalls fill, off-site stabling at Bare Bones Farm, less than 4 miles from show-grounds, is available. Management will contact you prior to officially accepting your entry if thisshould occur.

Stall Deposit: Please include a separate check in your entry for a $35.00 stall deposit. If youcompletely strip your stall, the check will be destroyed. If you are unable to strip your stallbefore you leave, the check will be cashed.

Trailer-In Horses: There will be a grounds fee of $50 per horse per weekend in addition to other

applicable charges. OR if you are trailering in on Sunday only, a grounds fee of $35 per horsewill be charged rather than the full $50. Please note that this reduced fee does not apply toriders trailering in on Saturday only.

Non-competing Horses: Non-competing horses are welcome at the show pending stallavailability. A non-competing horse fee of $50 per weekend will be charged. All non-competinghorses will be issued a non-competitor number and it must be worn on the left side of his bridle orhalter at any time he is not in his stall for the duration of the show. A copy of current negativeCoggins Test must be submitted to management.

Arenas: A standard 20 X 60 meter arena will be used for all classes, including Introductorylevels. Riding within the dressage competition arenas is not allowed before the show at any time;

however, riding around the perimeter of the arenas is permitted before and after the competitioneach day.

Footing: Competition arena and warmup arena footing is all-weather sand base with waterretention additives. The arena has a complete sprinkler system that will be used to eliminate dust.Additional warmup offered on well-established turf.

Lunging/Warmup: A designated lunging area is provided in the large fenced in field near thebig barn. Footing is well-established turf. NO LUNGEING in anywhere other than thedesignated areas at any time. The gate to the designated lunge area must remain closed.

Sharps Containers: Pursuant to USEF GR1210.4, each barn has one sharps container per 50

horses. Competition management may fine any individuals including trainers, owners, exhibitors,or their agents up to $100 for improper disposal of needles or other sharps disposable instruments.

Dogs: You may bring your dog to the show, but it must be kept on a leash no longer than six feetand attached to a person or immovable object at ALL TIMES. A loose dog fine of $50, checksmade out to Macon County Humane Society, will be imposed. THIS RULE WILL BEENFORCED.

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Schooling: Schooling hours begin at the hour of daylight and end at sunset. Lunging may be donein the designated area only.

Veterinarian: The official show veterinarian is Dr. Aimee Emory Crow of Byrd Creek Equine.The official veterinarian will be available by appointment Saturday morning to conduct necessarymeasurements. Dr. Aimee Emory Crow will be on call for the duration of the show. She may be

reached at (334) 787-2512.

Farrier: Mr. Billy Lewis, Certified Journeyman Farrier, is on call for the show. He may bereached at: (334) 324-9347.

Golf Carts, Scooters, and other Motorized Vehicles - Motorized Vehicle Statement in accordancewith GR901.29: Minors who do not have a valid driver's license which allows them to operate a motorizedvehicle in the state in which they reside will not be permitted to operate amotorized vehicle of any kind, including, but not limited to, golf carts, motorcycles, scooters,or farm utility vehicles, on the competition grounds of licensed competitions. Minors whohave a valid temporary license may operate the above described motorized vehicles aslong as they are accompanied by an adult with a valid driver's license. Violations of this rulewill be cause for sanctions against the parent(s), guardian(s) and/or trainer(s) who are

responsible for the child committing the offense. Penalties may include exclusion of thechild, parent(s), guardian(s), and/or trainer(s) from the competition grounds for theremainder of the competition and charges being filed against any of the above individuals inaccordance with Chapter 6. Wheelchairs and other mobility assistance devices forindividuals with disabilities are exempt from this rule.

Camper/RV Hookup: At this time we do not offer camper/RV hookup. Water and electricityhookups from the barn are NOT ALLOWED.

Bridle Numbers: All horses must wear bridle numbers on the side of his bridle or halter at anytime he is not in his stall.

UNDER ALABAMA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINEPROFESSIONAL IS NOT LIABLE FO AN INJURY TO OR THE DEATH OF APARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENTRISKS OF EQUINE ACTIVITIES, PURSUANT TO THE EQUINE ACTIVITIES

LIABILITY ACT. Alabama Code 1975 6-5-337

Prizes & Awards:Ribbons (first through sixth place) will be awarded for every class. Show management reservesthe right to combine classes as entries warrant.

Championship & Reserve Championship Prizes will be awarded for the following:1. High Score Adult Amateur

2. High Score Open Rider3. High Score Junior/Young Rider4. High Score Dressage Pony (may be ridden by any competitor)*5. E.L.D.E.R.S. (Elegant Ladies Dressage Equitation Riders Society) Champion: To be

awarded to the highest scoring female rider over 50.*6. Highest Scoring RRDCTA Member*It is the competitors responsibility to notify show management of eligibility to compete for

the Dressage Pony, RRDCTA, or E.L.D.E.R.S. awards.

All Championship prizes will be awarded Sunday.

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DRESSAGE AT THE RIDGE

ENTRY PAGE 1 of 4

Please complete a separate entry for each horse.NAME OF HORSE PREVIOUS NAME (IF

ANY)FORSALE?

BREED REGISTRYINITIALS

SEX

SIRE DAM COGGINSDATE

COLOR HEIGHT

DAMS SIRE DATE OFBIRTH

COUNTRYOF BIRTH

BREEDER PASSPORT# ELIGIBILE FOR:WRITE ELDERS,PONY OR BOTH

OWNER INFORMATION RIDER/HANDLER INFORMATION

NAME: NAME:

ADDRESS: ADDRESS:

CITY, STATE, ZIP: CITY, STATE, ZIP:

CITIZENSHIP (IF NOT US) CITIZENSHIP (IF NOT US)

PHONE: PHONE:

CELL PHONE: CELL PHONE:

EMAIL: EMAIL:

EMERGENCY CONTACT: EMERGENCY CONTACT:

PHONE: PHONE:

IF STABLING AT THE SHOW, PLEASE LIST YOURSTALL ASSIGNMENT GROUP HERE:

RIDER STATUS (CIRCLE)

JR./YR AA OPEN

RIDER DATE OF BIRTH:Req for JR/YR and to beEligible for ELDERS award

TRAINER INFORMATION COACH INFORMATIONNAME: NAME:

ADDRESS: ADDRESS:

CITY, STATE, ZIP: CITY, STATE, ZIP:

CITIZENSHIP (IF NOT US) CITIZENSHIP (IF NOT US)

PHONE: PHONE:

EMAIL: EMAIL:

Need: For Office USE ONLYHorse USEF USDF CogginsRider USEF USDFOwner USEF USDF $__________Trainer USEF USDFSignature: Rider Owner Trainer Econtact Pa

This entry is eligible for(circle):___________________

ELDERS Yes NoPONY Yes NoRRDCTA Yes No

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Page 2 of 4

HORSE RIDER OWNER TRAINER COACHUSEF# USEF# USEF# USEF# USEF#

USDF# USDF# USDF#

LOCAL OR FEI# LOCAL OR FEI# LOCAL OR FEI#

PLEASE ENCLOSE COPIES OFCURRENT MEMBERSHIPS,

REGISTRATIONS, ANDCOGGINS TEST

PLEASE REFER TO ENTRY FEE SECTION OF THE PRIZE LIST FOR CLASS FEE INFORMATION

CLASS # DESCRIPTION TEST TO BE RIDDEN QUALIFYING? FEES

SUBTOTAL CLASS FEES

Please make checks payable to:SuCaro Ridge

Mail your completed entry to:SuCaro RidgeAttn: Christine1741 County Road 29Tuskegee, AL 36083

Show Secretary Email:C.Prescott@sucaroridge.comwww.sucaroridge.com

USEF NON-MEMBER FEE $30

USDF NON-MEMBER FEE $25USEF HORSE FEE ($8 USEF Fee+ $7 Drug Fee $15)

$15.00

HORSE ID NUMBER FEE (IF APPLICABLE) $20

IHP DISCIPLINE FEE ($35 IF REQ)

OFFICE FEE/BRIDLE FEE$35.00

STABLING ($135) OR TRAILER IN ($50)

EXTRA BEDDING ($7/BALE)

LATE ENTRY FEE ($50)

NON-COMPETING HORSE FEETOTAL FEES

*If you are stabling, please be sure to enclose a separatecheck for $35.00 for your stall deposit.

Class Fees:Intro Tests: $40Training Fourth: $45PSG-GP: $50Qualifying Fee: $10

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PAGE 3 OF 4Federation Entry Agreement Effective 12/1/09

By entering a Federation-licensed Competition and signing this entry blank as the Owner, Lessee, Trainer, Manager, Agent, Coach,Driver, Rider, Handler, Vaulter or Longeur and on behalf of myself and my principals, representatives, employees and agents, I agreethat I am subject to the Bylaws and Rules of The United States Equestrian Federation, Inc. (the Federation) and the local rules of theCompetition. I agree to be bound by the Bylaws and Rules of the Federation and of the competition. I will accept as final the decisionof the Hearing Committee on any question arising under the Rules, and agree to release and hold harmless the Competition, theFederation, their officials, directors and employees for any actiontaken under the Rules. I represent that I am eligible to enter and/or participate under the Rules, and every horse I am entering iseligible as entered. I also agree that as a condition of and in consideration of acceptance of entry, the Federation and/or theCompetition may use or assign photographs, videos, audios, cable-casts, broadcasts, internet, film, new media or other likenesses ofme and my horse taken during the course of the Competition for the promotion, coverage or benefit of the Competition, sport, or theFederation. Those likenesses shall not be used to advertise a product and they may not be used in such a way as to jeopardize amateurstatus. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim tocompensation, invasion of privacy, right of publicity, or to misappropriation. The construction and application of Federation rules aregoverned by the laws of the State of New York, and any action instituted against the Federation must be filed in New York State. SeeGR908.4.

Federation Release, Assumption of Risk, Waiver, and IndemnificationThis document waives important legal rights. Read it carefully before signing.

I AGREE in consideration for my participation in this Competition to the following:I AGREE that the Federation and Competition as used herein includes the Licensee and Competition Management, aswell as all of their officials, officers, directors, employees, agents, personnel, volunteers and Federation affiliates.I AGREE that I choose to participate voluntarily in the Competition with my horse, as a rider, driver, handler, vaulter, longeur, lessee,owner, agent, coach, trainer, or as parent or guardian of a junior exhibitor. I am fully aware and acknowledge that horse sports and the

Competition involve inherent dangerous risks of accident, loss, and serious bodily injury including broken bones, head injuries,trauma, pain, suffering, or death. (Harm).I AGREE to hold harmless and release the Federation and the Competition from all claims for money damages or otherwise for anyHarm to me or my horse and for any Harm of any nature caused by me or my horse to others, even if the Harm arises or resultsresulted, directly or indirectly, from the negligence of the Federation or the Competition.I AGREE to expressly assume all risks of Harm to me or my horse, including Harm resulting from the negligence of the Federation orthe Competition.I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) the Federation and the Competition and to hold themharmless with respect to claims for Harm to me or my horse, and for claims made by others for any Harm caused by me or my horsewhile at the Competition. I have read the Federation Rules about protective equipment, including GR801 and if applicable, EV114,and I understand that I am entitled to wear protective equipment without penalty, and I acknowledge that the Federation stronglyencourages me to do so while WARNING that no protective equipment can guardagainst all injuries. If I am a parent or guardian of a junior exhibitor, I consent to the childs participation and AGREE to all of theabove provisions and AGREE to assume all of the obligations of this Release on the childs behalf. I represent that I have the requisitetraining, coaching and abilities to safely compete in this competition.I AGREE that if I am injured at this competition, the medical personnel treating my injuries may provide information on my injuryand treatment to the Federation on the official USEF accident/injury report form.

BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank.**NO ENTRY is valid without original signatures from the individuals below; writing same is not acceptable. **

**Trainer Signature MUST be from Adult; Parent/Legal Guardian may sign for child under childs USEF membership.**

Rider/DriverHandler/Vaulter/Lungeur(mandatory)

Owner(mandatory)

Agent/Trainer(mandatory)

Coach(if applicable)

Print Name

Signature

Is Rider/Driver/Vaulter a U.S. Citizen?: ______Yes _____ NoWARNING: UNDER ALABAMA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT

LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROMTHE INHERENT RISKS OF EQUINE ACTIVITIES, PURSUANT TO THE EQUINE

ACTIVITIES LIABILITY ACT. Alabama Code 1975 6-5-337

Parent/GuardianInformation

(Required if Rider/Driver/ Handler/Vaulter/Longeur is a minor)

Print Name

Signature

Emergency Contact Information

Name:_____________________________

Phone:_____________________________

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Entry PAGE 4 OF 4

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Dressage at The Ridge#327877 Level 2May 14-15, 2011

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