2018 ORPOAC Open Horse Show 4/14/18 Entry Form

Contact Information: Name: _________________________________________________________________

Address: _________________________________________________________________________________________

Phone: _________________________________________ Email: __________________________________________

Exhibitor Name: ______________________________________ Birthdate ____________ POA Mem# ____________ Horse Name: ___________________________________________________ Height: _______ Yr Foaled: _________

Sex: Mare Stallion Gelding Registration Number (POA only) ______________ PHC: Yes/No Back Number_________

Circle Classes: (All classes listed count towards division High Point plus halter and costume) Halter/HIH293032343536394142434648495053Open196676LeadlinePerformance13315460W/JAllAges1523556270W/JGames838995101107LeadlineGaming818793991059&UPerformance14710142220/2756616967/74799&UGaming82889410010610-13Performance25811162420/275763717767/7410-13Gaming84909610210814-18Performance36912172520/275864727867/7414-18Gaming84919710310919&OverPerformance182621/285965737968/7519&OverGaming869298104110

For Office Use Only

________ Payment ________ Registration ________ Signature ________ PHC ________ Height Check $ _______ Enclosed $ _______ Balance ________ Camping

____ Classes X $9 (Pre Entry) = $ ______ Entry Fees ____ Classes X $11 (Post Entry) = $ ______ Entry Fees ____ Flat Fee All Day $145 (PreEnt) = $ ______ Entry Fees ____ Flat Fee All Day $185(PostEnt) = $ ______ Entry Fees ____ X $7 POA Only per Pony/Youth= $ ______ POA ____ X $7 POA Only per Pony/Adult = $ ______ POA ____ Day Stalls $25 per day = $ ______ Day Stall ____ Night Stall $35 = $ ______ Friday Stall ____ Nights X $15 per night dry = $ ______ Camping Fee

Make Checks Payable to ORPOAC Amount Due: $ __________

Send Entries to:

Candace Pelt “Silver Series” PO Box 1241

Newberg, OR 97132 candacepelt@yahoo.com

Participation Agreement, Notice Release, and Acknowledgement of Risk: I accept and clearly understand that riding a horse can be hazardous, especially in an equestrian event; that there are inherent and other risks involved in riding a horse; and that injuries are a common and ordinary occurrence. I freely accept and assume those risks. I therefore release ORPOAC and Oregon Family Equestrian Activities, Inc. (OFEA), its members and show grounds’ owners and all of their agents and employees, from any and all liability for damage and injury to myself, my horse, or to any person or property resulting from my riding a horse in this equestrian event, accepting myself the full responsibility for any and all such damage or injury of any kind which may result. I agree to fully indemnify, defend, and hold ORPOAC, OFEA, show grounds’ owners and all of their agents and employees, harmless from any and all claims, actions, liability, or costs including attorney fees and other costs of defense, arising out of or in any way related to my riding a horse in this equestrian event. The limitations on liability provided in ORS 30.691 shall apply to an adult participant in the circumstances listed in subsection (1)(b) of this section if the participant, prior to riding, training, driving, grooming or riding as a passenger upon an equine, knowingly executes a release stating that as a condition of participation, the participant waives the right to bring an action against the equine professional or equine activity sponsor for an injury or death arising out of riding, training, driving, grooming or riding as a passenger upon the equine. A release so executed shall be binding upon the adult participant. I hereby certify that every horse is eligible as entered. I make these entries at my own risk and understand that equine events are potentially dangerous. Show management, owners of the facility, ORPOAC, and/or OFEA shall not be held responsible for any accident, injury or loss that may occur to any exhibitor, their representatives, or to their horses, equipment, or vehicles. Presentation of this entry with my entry fee shall be deemed acceptance of the above. I understand and agree that this show shall be conducted under the rules of ORPOAC, Oregon Family Equestrian Activities, and that of the Show Management

Signature:_____________________________________________________________Date:_____________

Junior(Minor)ExhibitorConsentIherebyconsenttotheentryofmychildintheequineshowandacknowledgethatIhavereadtheaboveandagreetoaccepttheapplicableterms,conditions,waiversandconsentassetforthhereinandacceptresponsibilityhereunderfortheparticipationofsaidjunior(minor).Parent(guardian)Signature:________________________________________________________Date:_____________

Pre Entry: Postmarked or eMailed

by April 6

*Classesmaybecombined**NotNationallyPOAPointedClass***W/JClasses:QualifiesforOFEA

PointsExhibitorsMayNotCanterinanyclass

(Exception:POAmembersmayenteragedivisiongamestolope-NOTOFEA)

POA Open Horse Show PacificEquestrianCenter,Springfield,OR

Hostedby:OregonPOAClubStartsat8:00AM

ORPOAC&OFEA AllBreedApril14,2018Judge:StaceyColgan-Kleikamp

1. Hunter Hack 9 & Under 2. Hunter Hack 10-13 3. Hunter Hack 14-18 4. Equitation Over Fences 9 & Under 5. Equitation Over Fences 10-13 6. Equitation Over Fences 14-18 7. Hunter Over Fences 9 & Under 8. Hunter Over Fences 10-13 9. Hunter Over Fences 14-18 10. Open Jumping 9 & Under 11. Open Jumping 10-13 12. Open Jumping 14-18 13. Hunt Seat Equitation Leadline 14. Hunt Seat Equitation 9 & Under W/T* 15. Hunt Seat Equitation W/T All ages 16. Hunt Seat Equitation 10-13 17. Hunt Seat Equitation 14-18 18. Hunt Seat Equitation 19 & Over 19. Hunter Under Saddle W/T/C Open** 20. Hunter Under Saddle Jr Horse 18&U 21. Hunter Under Saddle Jr Horse 19&O 22. Hunter Under Saddle 9 & Under

W/T/C 23. Hunter Under Saddle W/T All ages 24. Hunter Under Saddle 10-13 25. Hunter Under Saddle 14-18 26. Hunter Under Saddle 19 & Over 27. Hunter Under Saddle Sr Horse 18&U 28. Hunter Under Saddle Sr Horse 19&O 29. Hunter In Hand 18 & Under 30. Hunter in Hand 19 & Over 31. Leadline Costume Break

32. Two & Under stallions 33. Jr. stallion championship (Q) 34. 3 & older stallions 51” & under 35. 3 & older stallions 51” – 54” 36. 3 & older stallions 54” & over 37. Sr. stallion championship (Q) 38. Grand Champion Stallion (Q) 39. Two & Under Geldings 40. Jr. gelding championship (Q) 41. 3 & older geldings 51 “ & under 42. 3 & older geldings 51 “ – 54” 43. 3 & older geldings 54” & over 44. Sr. gelding championship (Q) 45. Grand champion gelding (Q) 46. Two & Under Mares 47. Jr. mare championship (Q) 48. 3 & older mares 51“ & under 49. 3 & older mares 51” – 54” 50. 3 & older mares 54” & over 51. Sr. mare championship (Qualify) 52. Grand champion mare (Qualify) 53. Most Colorful 54. Leadline Showmanship 55. Showmanship W/J All ages 56. Showmanship 9 & Under 57. Showmanship 10-13 58. Showmanship 14-18 59. Showmanship 19 & Over

Lunch Break

60. Western Horsemanship Leadline 61. Western Horsemanship 9 & Under W/T* 62. Western Horsemanship W/T All Ages 63. Western Horsemanship 10-13 64. Western Horsemanship 14-18 65. Western Horsemanship 19 & Over 66. Western Pleasure W/T/C Open** 67. Western Pleasure Jr Horse 18&U 68. Western Pleasure Jr Horse 19&O 69. Western Pleasure 9 & Under W/T/C 70. Western Pleasure W/T All Ages 71. Western Pleasure 10-13 72. Western Pleasure 14-18 73. Western Pleasure 19 & Over 74. Western Pleasure Sr Horse 18&U 75. Western Pleasure Sr Horse 19&O 76. Western Reining 9 & Under 77. Western Reining 10-13 78. Western Reining14-18 79. Western Reining 19 & Over 80. Open Costume

81. Single Pole Leadline

82. Single Pole 9 & Under 83. Single Pole W/J All Ages*** 84. Single Pole 10-13 85. Single Pole 14-18 86. Single Pole 19 & Over** 87. Pole Bending Leadline 88. Pole Bending 9 & Under 89. Pole Bending W/J All Ages** 90. Pole Bending 10-13 91. Pole Bending 14-18 92. Pole Bending 19& Over 93. GoGo Leadline 94. GoGo 9 & Under 95. GoGo W/J All Ages** 96. GoGo 10-13 97. GoGo 14-18 98. GoGo 19 & Over 99. Keyhole Leadline 100. Keyhole 9 & Under 101. Keyhole W/J All Ages** 102. Keyhole 10-13 103. Keyhole 14-18 104. Keyhole 19 & Over 105. Texas Rollback Leadline 106. Texas Rollback 9 & Under 107. Texas Rollback W/J All Ages** 108. Texas Rollback 10-13 109. Texas Rollback 14-18 110. Texas Rollback 19 & Over

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