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*GR845 Equine Vaccination Rule1. At Federation licensed competitions, horses entering the grounds must be accompanied bydocumentation of Equine Influenza Virus and Equine Herpes Virus (Rhino- pneumonitis)vaccinations within six months prior to entering the stables. Horses not in compliance with thisrule may be required to leave the competition grounds upon request by CompetitionManagement. Documentation should consist of one of the following methods mentioned below.The frequency of vaccine administration should be per the vaccine manufacturers’ orveterinarian’s recommendations. It is recommended that vaccines are administered by or underthe direction of a veterinarian.2. In the case of vaccines administered by a veterinarian, the exhibitor, upon request byCompetition Management, must provide documentation from the veterinarian on documentingthat the horse in question received the vaccinations; name of the vaccines and date of vaccineadministration.3. In the case of vaccines administered by a person other than a veterinarian, the exhibitor, uponrequest by Competition Management, must provide a receipt of the vaccine purchase which issigned by the owner, or agent with care, custody, and control of the horse; name, serial numberand expiration date of the vaccine; and date of vaccine administration.4. In the case of a horse that is unable to receive either of the vaccinations due to a history ofadverse reactions, the exhibitor, upon request by Competition Management, must provide a letterfrom the veterinarian on official letterhead stating that the horse in question cannot be vaccinateddue to medical concerns and a log of temperatures taken twice daily for the seven days prior toentering the competition grounds. These horses must also have their temperature taken andlogged twice daily while on the competition grounds. The log of temperatures should beprovided to the Competition Management, steward, or technical delegate when requested.5. Competition Management may not amend or enhance vaccination requirements without priorapproval of the Veterinary Committee. BOD 1/17/15 Effective 12/1/15.

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https://www.usef.org/documents/drugsMeds/2016/2016GR08845VaccineRule.pdf

Link to form for trackingvaccinations: https://www.usef.org/documents/membership/EquineVaccinationRecord.pdf

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USEF MEMBERSHIP STATEMENTLife, senior active and junior active members shall be eligible to participate in all classes atRegular 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 DrivingCompetitions upon payment of a $30 Show Pass fee. Participants in the following classesare exempted from the Requirements of this rule:1) leadline; 2) exhibitions; 3) games and races; 4) classes for 4-H members; 5) walk trot andacademy classes (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

All questions not covered in these rules and regulations shall be decided by the showmanagement whose decision shall be final. Every horse entered for competition will comply withthe rules of the horse show management, but management will, in no case, be responsible for anyloss or damage that may occur, and it shall be condition of entry that each exhibitor shall holdthis horse show and the officials and employees of the show blameless for any loss or accident tohis horse, employees, equipment, which may occur from sickness, fire or otherwise. Themanagement reserves the right to refuse, accept conditionally, or to cancel any entries, disqualifyany riders or exhibitors, prohibit entries and cancel award prizes without claims for damages; to


cancel or combine unfilled classes, or to reschedule classes after due notice to exhibitors; tochange rings or rotate judges. Exhibitors are notified that any act of discourtesy or disobedienceto the judges or officials, on the part of the owner, manager, rider, or groom shall disqualify thehorse, and the owner shall forfeit his entry fee and other fees. Show management reserves toitself the power to prohibit any person from attending or showing a horse in the ring and toremove any groom or horse from the show without being liable for compensation. In accordancewith the 1989 Federal Waste Tracking Act, which restricts the disposal of medical waste, bio-hazardous medical waste containers will be provided in the stable area. All exhibitors and theiragents are responsible for the proper disposal of this waste. No person will be allowed in theshow ring during the time of judging except the exhibitor and those having official or requestedduties to perform. It is the tradition of the show that riders be correctly attired for theclass in question, that attendants be neatly dressed and the horses properly presented.Management may in its discretion bar any person from entering the ring if not suitably presentedto appear before an audience.

Federation Entry AgreementBy 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 onbehalf of myself and my principals, representatives, employees and agents, I agree that I amsubject to the Bylaws and Rules of The United States Equestrian Federation, Inc. (the“Federation”) and the local rules of Tennessean Express and Tennessean Dressage(Competition). I agree to be bound by the Bylaws and Rules of the Federation and of thecompetition. I will accept as final the decision of the Hearing Committee on any question arisingunder the Rules, and agree to release and hold harmless the competition, the Federation, theirofficials, directors and employees for any action taken under the Rules. I represent that I ameligible to enter and/or participate under the Rules, and every horse I am entering is eligible asentered.I also agree that as a condition of and in consideration of acceptance of entry, the Federationand/or the Competition may use or assign photographs, videos, audios, cable - casts, broadcasts,internet, film, new media or other likenesses of me and my horse taken during the course of thecompetition for the promotion, coverage or benefit of the competition, sport, or the Federation.Those likenesses shall not be used to advertise a product and they may not be used in such a wayas to jeopardize amateur status. I hereby expressly and irrevocably waive and release any rightsin connection with such use, including any claim to compensation, invasion of privacy, right ofpublicity, 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 Federationmust be filed in New York State. See GR908.4


ATTENTION COMPETITORSEach competitor is responsible for supplying management with correct applicable numbers (USDF andUSEF) for horse, owner, rider, and trainer, before the day(s) of the competition.

The scores of competitors who fail to supply correct numbers may not be counted toward nationalawards.

This competition is recognized by USDFfor 2016

USDF Membership Benefits: USDF is dedicated to education, the recognition of achievement, and promotion of dressage. For details onmember benefits, including educational programs, awards, and other opportunities, refer to the USDF Member Guide or the USDF website atwww.usdf.org.Membership Requirements for USEF-licensed/USDF-recognized Competitions: Owners and riders, including foreign riders andowners who are not residents of the US, wishing to participate in a USEF-licensed/USDF-recognized competition as a rider orowner/lessee, must have either a USDF Group Membership (GM), Participating Membership (PM), or have a USDF Non-Member (NM)identification number and pay the USDF Non-Member (NM) fee. (Note: USDF Business Members can own horses but cannot compete asriders with their USDF Business Membership.)Individuals cannot compete at a USEF-licensed/USDF-recognized competition with a USDF Education Membership.Horses competing at USEF-licensed/USDF-recognized competitions must have either a USDF Horse Identification (HID) number or a USDFLifetime HorseRegistration (LHR). Proper credentials or verification certificates must be presented to the competition secretary.Riders and owners wishing to participate in a USEF-licensed/USDF-recognized competition, and not able to present the competitionsecretary with verification of a USDF membership or NM identification, and USDF LHR or USDF HID, must complete a USDF CompetitionAffidavit Form and pay the $5 affidavit filing fee. A copy of a completed affidavit form from another competition may also be used forverification purposes for up to 60 days. (Exception: Affidavits cannot be used at Great American Insurance Group/USDF RegionalDressage Championships.)Exceptions:

• Horses competing only in Individual Breed Classes (IBCs) at DSHB competitions, sires and dams of horses in DSHB groupclasses, where those sires or dams are not actually competing in the same competition, horses competing only in breed restricteddressage or DSHB classes at Regular Competitions (e.g. all Arabian, all Friesian, or all Morgan classes), or in USDF IntroductoryLevel tests, pas de deux or quadrille, are exempt from this requirement. Also exempt are horses ridden in leadline, exhibitions,games and races, classes for 4-H members, walk-trot, academy and opportunity classes.

• Riders and owners/lessees competing only in classes which are exempt from the USDF HID requirements are also exempt fromthe USDF NM identification number and NM fee requirements. Also exempt are handlers of horses competing in DSHB In-Hand or Groupclasses.Memberships Defined

Participating Membership (PM): A membership issued to an individual directly by USDF. The membership year is December 1 throughNovember 30. PMs are available for 1-year ($75), 5-years ($300), or life ($1,500). A USDF Youth Participating Membership (YPM) isavailable for individuals who have not reached their 21st birthday by December 1 of the current membership year ($60). A PM allows themember to compete at USEF-licensed/USDF-recognized competitions and to participate as a rider and/or owner/lessee for allAdequan®/USDF Year-End Awards, Great American Insurance Group/USDF Breeders Championship Series Finals and the Great AmericanInsurance Group/USDF Regional Dressage Championship program.Group Membership (GM): A membership issued to an individual by USDF when the member name and dues are submitted to USDFthrough an affiliate Group Member Organization (GMO). The GM year begins December 1 and ends November 30. A GM allows themember to compete at USEF-licensed/USDF-recognized competitions and participate in the USDF Rider Awards program.Business Membership (BM): A membership that runs December 1 through November 30 and is issued to a business or organizationdirectly by USDF. The USDF BM ($200) offers a wider variety of advertising benefits. BMs satisfy requirements of horse ownership only.


Education Membership (EM): A membership issued to an individual directly by USDF. This online education only membership expires12 months after the date joined. This membership type does NOT allow an individual to compete at a USEF-licensed/USDF-recognizedcompetition.Non-Member (NM) Identification Number: For each USDF NM owner/lessee and USDF NM rider there will be a USDF NM fee of $25 percompetition that must be collected by the show secretary and submitted to USDF, along with the USDF Report of Fees document and the$5 affidavit fee and Competition Affidavit Form if the person cannot provide a copy of their USDF NM card. Owners/lessees or ridersexempt from the NM number requirements are also exempt from paying the USDF NM fee. If there are multiple owners of a horse and allare NMs, only one of the owners must pay the NM fee. If the horse has at least one owner who is a current USDF PM, GM, or BM there isno NM fee assessed. Competition management will be invoiced for all applicable USDF NM fees not received with the USDF postcompetition paperwork, along with a report listing all USDF NMs. Competition management is then required to submit the NM fees within30 days to the USDF. An individual with a USDF NM identification number is not eligible for any USDF membership benefits. Once a USDFNM number has been assigned, a USDF NM card can be obtained from the USDF website.Horse Identification (HID) Number: A one-time tracking number for horses ($25). Scores earned by a horse with an HID number will berecorded, but will NOT be counted towards Adequan®/USDF Year-End Awards. A horse with an HID number is not eligible to compete inGreat American Insurance Group/USDF Regional qualifying or championship classes or Great American Insurance Group/USDF BreedersChampionship Series Finals. An HID number can be upgraded to a Lifetime Horse Registration (LHR) for a fee of $70. If a horse has aUSDF LHR it does not need an HID number. An HID number is a one-time fee that does not need to be renewed.Lifetime Horse Registration (LHR): A horse with an LHR ($95) is eligible for Adequan®/USDF Year-End Awards, and eligible to competeat Great American Insurance Group/USDF Breeders Championship Series Finals and Great American Insurance Group/USDF Regionalqualifying and championship classes, assuming requirements for the owner and rider are met. If a horse has an LHR it does not need anHID number. An LHR does not need to be renewed.

How to Join USDFApplications for USDF Participating Membership (PM), Business Membership (BM), Horse Identification (HID) number, and LifetimeHorse Registration (LHR) may be found in the following locations:

• On the USDF website: www.usdf.org. You can submit the application online or download the form and fax or mail it to the USDFoffice.• In the show office at USEF-licensed/USDF-recognized competitions classified by USEF as Dressage Competitions, and Regular

Competitions which are open to all breeds.• By calling or writing the USDF office at (859) 971-2277, 4051 Iron Works Parkway, Lexington, KY 40511

The effective date of membership is the date the form and correct fees are received in the USDF office or, if applying at a competition, the dateaccepted by the competition secretary, provided the application is signed and dated by the competition secretary, member, and/or horse owneron that same day.

TRACK POINTS, CLIMB THE STANDINGS,

AND EARN YEAR-END AWARDS!

Make your results count toward the USEF Horse of the Year Awards Program with an annual or lifetime horse recording. Call or email today to speak with a customer care representative about how to get started.

859 258 2472 // [email protected]

USEF Competition Name: USEF#:Competition Division(s) and Rating(s):

USDF Statement on Animal WelfareThe United States Dressage Federation, Inc. (USDF), a federation of over 100 independent organizations throughout the United States with a member-ship of nearly 30,000 members, supports the concept of ethical treatment of animals.

Dressage is a classical method of training horses, based upon the horse’s natural responses, as carried out in a gradual, planned program during which the horse’s athletic abilities are improved in a systematic manner. As a result, the horse becomes capable, comfortable, and responsive in partnership with the rider without the use of force. Dressage competition at various levels of achievement is the ultimate test of the training program to determine whether the desired harmony between horse and rider has been achieved.

The rules pertaining to dressage competition prohibit the use of artificial appliances, training aids, and drugs, which would force the horse to submit. Instead, the emphasis is upon training and a cooperative partnership with the rider. Major competitions are carefully monitored to assure that there is no unnecessary force or harshness displayed.

Unlike other horse sports in which horses enter training at a relatively immature state, dressage training is usually not seriously begun until the horse is three or four. The top levels of achievement require five or more years of progressive training and it is not unusual to see horses in international competition in their late teens. This, in itself, places a premium on good care and soundness throughout the horse’s life.

While supporting the concept of animal welfare in its broadest form, the United States Dressage Federation, Inc., also recognizes that it is unrealistic to ascribe human emotions and responses to the horse which in its wild state is a creature of flight, living a hard and precarious existence. Under domes-tication, the horse is assured of ample food, water, and shelter, as well as protection against infectious diseases and damaging parasites, thus leading a longer and healthier life with a high rate of survival.

As an educational organization, USDF has numerous programs, which teach people how to pursue the accepted, humane training methods. A program of certifying instructors also emphasizes protecting the horse’s welfare in pursuit of dressage training.

United States Dressage Federation4051 Iron Works Parkway, Lexington, KY 40511

Phone: 859-971-2277, Fax: 859-971-7722, [email protected], www.usdf.org

2016 Dressage Show Entry Form

ONLY one Horse/Rider-Handler per form.Fill out form COMPLETELY – all blanks should be filled in –

use n/a if something does not apply to you.

CHECK PRIZELIST/USEF RULEBOOK/

Check #Show Name:________________________

ShowDate(s):_______________________

Required Horse Information:

Horse Name: USEF# Status: USDF# Type: LocalGMO #

DateOf Coggins: Breed: Sex: Ht: Color: Year Foaled:

Sire: Dam: Breeder: Countrywhere Bred:

Required Rider/Handler Information: CheckOne:

Name: USEF# USDF# Type: AA

Email: JR

Address:DOB if Jr/YR: YR

Cell: OpenPhone:

Classes

Day Class # Class Name (& Test if TOC)Also indicate any qualifying status (other than GAI G/ USDF) with class name

GAIG Q(+$10)

ClassFee

Required Owner Information:Name: USEF# USDF# Type:

Address:

Required Trainer Information (Adult responsible for Horse at Show)Name: USEF# Address:

# Stabling/Day Park/Camping $ All Fees: $ OfficeUse

Regular Stall Total Class Fees plus Q Fees:

Tack Stall Total Stabling & Camping Fees:

Day Parking # of days _______ Office Fee Required per Entry: $35.00

Extra Nights Stabling # of nights _______ USEF Fee Required per Horse (D&M=$8+ USEF=$8): $16.00

Other Stable (if offered – paddock, etc.) USEF Show Pass ($30) – see Rules/Prizelist:

State Type of Other stabling:________________________ USDF n/m Fee ($25/participant) – see Rules/Prizelist:Camping: # hookups _____ # nights _______Rig Size: _______________ Amp. needed: ____________ Description of Other Fee(s) if included:

Extra Bedding:(Pay with Entry) Total Fees Enclosed:

Stable With (ONE name for group):________________________________________________

Office Use OnlyOffice Use OnlyCheck Amt

2016 Dressage Show Entry Form – Page 2 REQUI RED FOR ALL ENTRI ES

Horse: Rider: Owner: Trainer:

• Emergency ContactRider___________________________________________________________________

Arrival Day/Time: ______________________________ Staying at: ________________________________________________

Emergency Contact HORSE:______________________ Special Requests:______________________________Under NC,VA,SC,GA AL and TN law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in equineactivities resulting exclusively from the inherent risks of equine activities. (N.C. Gen. Stat. §99E-1-3, VA Code Ann. § 1-796.130-133, S.C. Code Ann. § 47-9-710-730, § 12-4, GA Code Ann, Code of Ala. § 6-5-337 (1994) and Tenn. Code Ann. § 44-20-101-105 respectively).I hereby agree to release, indemnify and hold harmless USDF, its instructors, officers, directors, agents and volunteers from and against anyand all loss, liability or damage arising from or because of, or in connection with, participation in this competition or related activities. I alsohereby agree to release, indemnify and hold harmless the competition management, show committee and members, officers, directors,agents and volunteers from and against any and all loss, liability or damage arising from or because of, or in connection wit h, participation inthis competition or related activities.

United States Equestrian Federation, Inc. Entry Agreement

By entering a Federation-licensed Competition and signing this entry blank as the Owner, Lessee, Trainer, Manager, Agent, Coach,Driver, Rider, Handler, Vaulter or Longeur and on behalf of myself and my principals, representatives, employees and agents, I agree thatI 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 theBylaws and Rules of the Federation and of the competition. I will accept as final the decision of the Hearing Committee on any questionarising under the Rules, and agree to release and hold harmless the Competition, the Federation, their officials, directors and employeesfor any action taken under the Rules. I represent that I am eligible to enter and/or participate under the Rules, and every horse I amentering is eligible 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 of meand 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.

This 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, as well as all of theirofficials, 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 Competitioninvolve inherent dangerous risks of accident, loss, and serious bodily injury including broken bones, head injuries, trauma, pain, suffering, ordeath. (“Harm”).I AGREE to hold harmless and release the Federation and the Competition from all claims for money damages or otherwise for any Harm tome or my horse and for any Harm of any nature caused by me or my horse to others, even if the Harm arises or results, directly or indirectly,from the negligence of the Federation or the Competition.I AGREE to expressly assume all risks of Harm to me or my horse, including Harm resulting from the negligence of the Federation or theCompetition.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 horse while atthe Competition. I have read the Federation Rules about protective equipment, including GR801 and, if applicable, EV114, and I understandthat I am entitled to wear protective equipment without penalty, and I acknowledge that the Federation strongly encourages me to do sowhile WARNING that no protective equipment can guard against all injuries.If I am a parent or guardian of a junior exhibitor, I consent to the child’s participation and AGREE to all of the above provisions and AGREE toassume all of the obligations of this Release on the child’s behalf. I represent that I have the requisite training, coaching and abilities to safelycompete in this competition. I AGREE that if I am injured at this competition, the medical personnel treating my injuries may provideinformation on my injury and treatment to the Federation on the official USEF accident/injury report form. BY SIGNING BELOW, I AGREEto be bound by all applicable Federation Rules and all terms and provisions of this entry blank and all terms and provisions of this Prize List. IfI am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force andeffect as if I affixed my signature by my own hand. BOD 1/23/11 Effective 12/1/11Parent/Guardian Signature (REQUIRED if Rider/Handler is a minor):_________________________________________Parent/Guardian – PRINT NAME and Phone Number:

Rider/Handler – US Citizen? Yes __ No __ No entry is valid without original signatures from the above individuals; writing “same” is not acceptable.Trainer signature: MUST be from Adult; Parent/Legal Guardian may sign for child under child’s USEF membership.

Rider/Handler (Mandatory) Owner/Agent (Mandatory) Trainer (Mandatory - Adult) Coach (If Applicable)

USEF # USEF # USEF # USEF #

Sign: Sign: Sign: Sign:

Print: Print: Print: Print:

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Documents

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