USEF/USDF # 1252 – Level 2 Opening date: September 1, 2016 Closing date: October 10, 2016 (REC'VD BY) WWW.EQUESTRIANSECRETARIALSERVICES.COM 2016 NCD...
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USEF/USDF # 1252 – Level 2

Opening date: September 1, 2016 Closing date: October 10, 2016 (REC'VD BY) WWW.EQUESTRIANSECRETARIALSERVICES.COM




MANAGER/SECRETARY Martie Healy 2201 Astor Street #13 Orange Park, FL 32073 352-363-0085 [email protected] LICENSEE NCDCTA, Lynn Kerin, Pres.

Show Cell: 352 363-0085 Show Office: 910 875 2074 TD: Sheli King (r-VA) JUDGES: Dolly Hannon (S - CO) Sandy Osborn (S – GA)

VETERINARIAN - Dr. Sally Vivrette, DVM 919-622-3681 SAFETY COORDINATOR: Wade Garner (910) 638-3139 ~ FARRIER – Joey Hite 252 432 3147


Non-Championship classes are run in their entirety; pinned by Division

NCDCTA Dressage Championships require one class on Saturday and one class on Sunday - Scores will be combined

SATURDAY CLASSES 1 1.5 2 3 1010 1020 101 101.5 102 103 105 111 111.5 112 113 115 1110 1120 121 121.5 122 123

USDF Intro A USDF Intro A $ NCDCTA CH USDF Intro B USDF Intro C Training 1 Opportunity Training 2 Opportunity Training 1 Training 1 $ NCDCTA CH Training 2 (BLM) Training 3 (GAIG Q) Training Level Rider Test First 1 First 1 $ NCDCTA CH First 2 (BLM) First 3 (GAIG Q) First Level Rider Test First 1 Opportunity First 2 Opportunity Second 1 Second 1 $ NCDCTA CH Second 2 (BLM) Second 3 (GAIG Q)

125 131 131.5 132 133 141 141.5 142 143 150 155 156 160 170 180 181 185 190 199

Second Level Rider Test Third 1 Third 1 $ NCDCTA CH Third 2 (BLM) Third 3 (GAIG Q) Fourth 1 Fourth 1 $ NCDCTA CH Fourth 2 (BLM) Fourth 3 (GAIG Q) FEI PSG (BLM, GAIG Q) $ NCDCTA CH FEI I-1 (BLM, GAIG Q) $ NCDCTA CH FEI I-2 (BLM, GAIG Q) $ NCDCTA CH FEI GP TOC (BLM, GAIG Q) $ NCDCTA CH FEI Test of Choice – unlisted test (GAIG Q if appl) MFS USDF TOC (BLM, GAIG Q) $ NCDCTA CH MFS FEI TOC (BLM, GAIG Q) $ NCDCTA CH NDPC Pony TOC (measured ponies only) Para TOC (standard Arena) Exhibition

SUNDAY CLASSES 4 5 5.5 6 2020 2030 201 202 202.5 203 211 212 212.5 213 2120 2130 221 222 222.5

USDF Intro A USDF Intro B USDF Intro B $ NCDCTA CH USDF Intro C Training 2 Opportunity Training 3 Opportunity Training 1 Training 2 (BLM) Training 2 (BLM) $ NCDCTA CH Training 3 (GAIG Q) First 1 First 2 (BLM) First 2 (BLM) $ NCDCTA CH First 3 (GAIG Q) First 2 Opportunity First 3 Opportunity Second 1 Second 2 (BLM) Second 2 (BLM) $ NCDCTA CH

223 231 232 232.5 233 241 242 242.5 243 250 255 256 260 270 260 265 280 281 190

Second 3 (GAIG Q, Dover Medal) Third 1 Third 2 (BLM) Third 2 (BLM) $ NCDCTA CH Third 3 (GAIG Q) Fourth 1 Fourth 2 (BLM) Fourth 2 (BLM) $ NCDCTA CH Fourth 3 (GAIG Q) FEI PSG (BLM, GAIG Q) $ NCDCTA CH FEI I-1 (BLM, GAIG Q) $ NCDCTA CH FEI I-2 (BLM, GAIG Q) $ NCDCTA CH FEI GP TOC (BLM, GAIG Q) $ NCDCTA CH FEI Test of Choice – unlisted test (GAIG Q if appl) Dressage Seat Equitation Jr/YR Dressage Seat Equitation Adult MFS USDF TOC (BLM, GAIG Q) $ NCDCTA CH MFS FEI TOC (BLM, GAIG Q) $ NCDCTA CH Para TOC (standard Arena)

Equitation Divisions – Adult & Junior – ride the Rider Test on Saturday and DSE Sunday for your Equitation Division Score. Special Prizes and Ribbons and Medals. BLM: Bengt Ljungquist Memorial Championships qualifying class (2017). (www.cblm.org) GAIG/USDF-Q: Great American Insurance Group/USDF Qualifying class (2017), state qualifying and add $10 to fee. May apply to TOC classes – if appropriate test is ridden. PLEASE NOTE: Training Level MFS, I-A, I-B, GP Special are NOT GAIG Q tests.

Pro-Am Team Challenge: All Saturday Classes excluding Intro, MFS and DSE eligible. $20 per team required in the Challenge – see below for full details. TOC: Test of Choice, state test on entry form. Freestyle entrants must also submit photocopy of 60%+ ride in highest test of level, or higher – Jr, YR, Pony MFS exempt Opportunity Classes: exempt from all membership & Horse ID requirements, n/m fees and $16 USEF fee. LEVELS: USDF Intro - FEI Grand Prix, all current editions. FEES: Intro, Opportunity, DSE, Exhibition: Training through Fourth level FEI classes & Musical Freestyles & TOC Great American/USDF qualifying Pro-Am Team Challenge Fee USEF fee USEF non-member fee USDF non-member fee Horse Stall -

$40 $50 $60 add $10 $20 per team $16 per horse except Opportunity $30 per rider, owner, trainer $25 per rider, owner $115 per weekend,

Extra Bedding Ordered on Entry Tack Stall Layover Stabling Camper Hookups Day parking (non-stabled horses) Office fee Late fee -

$8/bag; no bedding sales at show $90 per weekend, No bedding $20/night for each stall, tack $75 per weekend $30 per horse per day. $25 per entry, non refundable. $25 per entry

(10 a.m. Fri. to noon Mon.), includes 2 bags initial bedding.

ALL LATE ENTRIES MUST ENTER AND PAY ONLINE – email for late entry permission.

Add/Change fee $10 per change Guest horses - (non-competing) Submit signed entry form, negative coggins, pay $25 office fee plus $25 non-compete fee plus either stabling or day parking. CHECKS: payable to Equestrian Secretarial Services.

Use the Online Entry System instead of Express Mail! Refunds - before CD, all minus office fee; after CD – notified scratches: drug fee, Q fees & extra bedding fees paid refunded; no-shows: no refunds. No other refunds after closing date, including classes canceled due to weather, terrorism, or Acts of God. Bounced Check Policy: $25 fee; wait listed until cashier’s check/cash received.

CREDIT CARD PAYMENT: available with On-Line Entry – see show website.

ONLINE MOBILE ENTRY: SCAN with phone/tablet

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AWARDS: Trophy and ribbons – 1st through 6th per division. Special Prizes, Medal & Ribbons for Equitation Divisions. NCDCTA Dressage Championship Trophy & ribbons (1-8) per level/division. PRIZE MONEY to CHAMPION and RESERVE; Award to CHAMPION High Score Prizes sponsored by Dover Saddlery. Pro-Am Team Challenge Trophies – for all members of 1st through 3rd placing teams – see website for more details. Special Sponsored High Score Awards See www.usdf.org for Dover/USDF AA Medal details. JOVEE PONY CHAMPIONS: Ponies may enter ANY Saturday class. Saturday Scores will be averaged at each show to find the ADULT PONY CHAMPION and the JUNIOR PONY CHAMPION. (DSE, MFS, Young Horse classes will not be included). Ponies must hold a current USEF Measurement Card Measuring will be available at the show at no charge, courtesy of Triangle Equine Veterinary

NPDC PONIES (CLASS 185) Measured ponies may enter class 385 on Saturday and ride any regular (USDF, USEF, FEI) test. Special National Pony Dressage Cup ribbons will be given for this class. PLUS there is a NPDC High Point Ribbon for the highest score among measured ponies at the show (will be awarded on Sunday). PLUS all ponies competing in the NPDC Pony TOC class will be eligible for NPDC Year-End Awards. ENTERPRISE FARM AQHA DRESSAGE HIGH SCORE AQHA registered horses are eligible for the Enterprise Farm AQHA High Point Award.     


Prize Money for the NCDCTA Dressage Championships will be paid in the show office to the owner of record – see full rules below. SPECTATOR JUDGING CONTEST YOU be the judge! Scan the QRC code to open the app. Enter your scores for the Musical Freestyle rides. The spectator who comes closest to the score of the winning ride in each MFS class will win a prize! FREE TO ALL SPECTATORS! Note: you can review your own scores, but no one else will see them – only the Official Scores will be posted. STABLING: Permanent 12’ stalls with screen doors, rubber mats, 10’ overhang, and some permanent hardware. Initial bedding included in stabling fee: Horse stall: 2 bales, Tack stall 0. Order and prepay for extra bedding in advance, or bring your own. Note # of bales on form, pay $8 per. No bedding sales at show. TIMES: Official times available Friday, Oct. 28 at show office. Times posted www.EquestrianSecretarialServices.com. Entry acknowledgement via email. Please include LEGIBLE email address on entry form. Riders assume responsibility for checking show website for entry & stabling status before closing date to verify information; management not responsible for errors, omissions.

ACCOMMODATIONS: Marriot Springhill Suites 910-695-0234. Comfort Inn (15 mi) 800-831-0541 or 910215-5500, no pets. Best Western (15 mi) pets allowed, 910-692-0640. Resort area Reserve early! Cutoff for blocked rooms is 3 weeks out. CAMPING: Over 100 full campsites with power and water. $75/weekend. High Time Photography is our official photographer and videographer for this show. sign up by calling/texting – John at 336-671-4446 or sign up at their booth. Night Watch & Braiding Services provided by: Amy Struzzieri. 845 220 7206 or [email protected] DIRECTIONS: Physical address is 2814 Montrose Road, Raeford, NC but GPS, Mapquest, and Google may not be accurate. Visit www.CarolinaHorsePark.com for detailed directions from all points, and local B&Bs. ARENAS: Four 20 X 60 competition arenas on all-weather sand / clay footing. Warm up is same, with large additional sand / stone dust ring. Also hundreds of acres of turf with natural sand base for longing and hacking. HOSPITALITY: Food concessions on grounds. Saturday Night Haunted Halloween Hay Ride Vendor space available, call manager (352 371-0549) Brought to you by Equestrian Secretarial Services: FREE Score Texting Optimized Mobile Online Entries Online LIVE Scoring – for both desktop and mobile FREE Spectator Scoring www.EquestrianSecretarialServices.com

PONY MEASURING: Available for Ponies Entered in the Show – check Show Office for time/place. Courtesy of Triangle Equine Veterinary

NCDCTA Junior Scholarships to NCDCTA Shows! In order to encourage juniors of all levels to take advantage of our state's competitive dressage environment, NCDCTA is pleased to offer scholarships to up to four junior riders (riders 18 and under as of December 31, 2016) at each of its five shows in 2016 Each scholarship will cover the cost of four classes, one stall, and a shared tack stall. This application, due by the show's opening date, will be reviewed by a committee of NCDCTA board members. Applicants do not need to be NCDCTA members. Scholarship criteria include enthusiasm, thoughtfulness in application, and dedication to competition as part of ongoing education in dressage. Recipients will be responsible for the cost of classes beyond four, as well as the office fee, the USEF drug fee, and any other applicable fees, including but not limited to the USDF/GAIG qualifying fee and non-member fees. Decisions and entry procedures will be announced before the show's closing date. OTHER: Entries accepted on a first come basis by postmark and/or date stamp on on-line entry. Management reserves the right to combine or divide classes, add or substitute judges, or make changes as required by circumstances. All dogs must be leashed, no dogs allowed in coliseum. FREE SCORE TEXTING!

Sign up in your ONLINE ENTRY at www.EquestrianSecretarialServices.com ON-LINE ENTRIES: Visit www.EquestrianSecretarialServices.com to enter on-line and pay via PayPal / major credit card - OR Print and Mail with your check. You do NOT need a PayPal account to use this service! You will choose the show you wish to enter and will be required to enter the class number(s) you wish to ride and the stabling you need. Your fees will be totaled automatically. You will click the “Pay via PayPal” button to pay for your entry. (or Print and Mail with check). You will have the opportunity to print your completed entry for your records and will receive an automated email receipt. You will be required to sign electronically.

Juniors must have ADULT signatures in all blocks. You may upload your negative coggins (and, if applicable, your MFS documentation). Please NOTE – online entries are NOT accepted without payment – the email receipt from PayPal is your proof of payment. Fly Hoods permitted for outdoor classes – USEF Rule Change effective 4/1/13 Fly hoods (ear covers) are permitted for competitions held outdoors in order to protect horses from insects. The fly hoods should be discreet and should not cover the horse’s eyes. After completion of the test, the rider or his representative is responsible for removing the fly hood to present to the designated ring steward for inspection. USEF DR121.7 Waiving Jackets before Competition and Modified Dress Code when Jackets are Waived – USEF Rule Change effective 4/1/13 In locations with high average heat and humidity on the date of a competition, management can publish in their prize list that jackets will be waived for the duration of the competition. This waiver applies to all classes including FEI classes at National Competitions. However, competitors must wear protective headgear and a shirt with sleeves and collar, without neckwear, and without decoration except as described under DR120.14. T-shirts are not permitted. Members of the Armed Services or police units may wear summer uniforms. USEF DR120.8.


PLUS $8,000 in Prize Money for 2016 Championships!

NCDCTA Dressage Championships Rules Method: Horse/rider teams qualify by riding in NCDCTA recognized competitions. Awards: Prize money and neck sashes for Champions and Reserve Champions. To receive prize money, the Championship Average Score must meet the HOY point minimum: 60% Intro through 1st Level; 58% 2nd Level through 4th Level; 55% FEI Levels. Prize Money will be awarded in the Show Office directly following the Awards Ceremony to the Owner of Record. Ribbons awarded Third through Eighth (3rd - 8th) in all Divisions. Champion Prize awarded for each Division. Special sponsored awards may be added at the discretion of the show manager. Qualifying Rules: 1. A horse/rider team qualifies as a team, and only the same team may compete in any given Division at the Championships. 2. The rider must be a current member of NCDCTA and the horse must be currently NCDCTA registered at the time of qualification. 3. To qualify, the horse/rider team must have earned at least one (1) NCDCTA HOY point in the Division they wish to participate within the Qualifying Period. 4. All classes at NCDCTA recognized shows that count towards NCDCTA HOY points are qualifying NCDCTA Dressage Championship Classes – including Opportunity classes. 5. The Qualifying Period shall start on the first day of the NCDCTA HOY Year and end the second (2nd) Monday before the Championship show begins. 6. Competitors qualifying for the Championships on the final weekend of the Qualifying Period must submit a copy of their qualifying test to the Championship Show Secretary no later than 5pm on the final Monday of the Qualifying Period. 7. Competitions may not charge extra fees for qualifying rides. 8. Winning horse/rider teams at the Championships will be ineligible to win in the same Division in succeeding years, except for FEI and Musical Freestyles. However, past winners may earn special 'Honorable Mention' ribbons if they win their Division again.

Rules Governing the Championships: 1. Readers and whips are allowed in Championship Classes. 2. No horse/rider team may ride Hors de Concours in a Championship class. 3. Competitors may enter the Championships in anticipation of qualifying, but if the horse/rider team has not qualified by the end of the Qualifying Period, they shall be placed in corresponding non-championship classes. 4. Qualification for the Championships shall be solely determined by NCDCTA membership database. A list of those qualified shall be published on the internet both on the Championship show website and on the NCDCTA website. 5. All complete qualified entries received on or before the closing date of the designated Championship show must be accepted.

6. A horse/rider team may qualify at more than one level and all qualified horse/rider teams are permitted to compete in the Championships in consecutive qualified levels. 7. A horse may only compete in one Division per level. A horse may be entered in another level in the same or a different Division. 8. A horse may compete in the Championships with more than one rider providing that all qualifying requirements have been met by all horse/rider teams. 9. Membership Requirements for NCDCTA Dressage Championships participation (excluding the Intro Divisions - only NCDCTA membership for the rider and HOY registration for the horse is required for the Intro Divisions): a. Riders/Owners: NCDCTA members USDF members (GMO membership through NCDCTA) USEF member - or pay n/m fee b. Adult Amateur Riders: USEF AA membership c. Horse: NCDCTA registered USDF registered d. Trainer: USEF membership or pay n/m fee 10. Levels offered at the Championships: Intro, Training, First, Second, Third, Fourth, FEI PSG, FEI I-1, FEI I-2, FEI GP, JR/YR FEI, USDF Musical Freestyles, FEI Musical Freestyles. 11. Divisions offered at the Championships: Intro: JR/YR and Senior; MFS Levels: one Division for each MFS Level; at FEI levels Jr/Yrs will have one Division, all other FEI levels: Adult Amateur and Open Divisions; at all National Levels: Jr/YR, Adult Amateur and Open Divisions. 12. Adult Amateur status shall be determined according to USEF rules. 13. Tests to be ridden at the Championships: Two (2) designated Championships Classes – one per day at each Level. 14. Championship Scoring: The two Championship Classes must be entered and ridden at a level to qualify for awards. Winners at each level and division will be determined by averaging the percentage scores from each of the two rides. In the case of a tie, the winner is determined by the highest scoring second ride. 15. If possible, 50% of the hired judges for the Championship competition should reside outside of North Carolina and preference for judging the Championship Classes should be given to those judges residing outside of North Carolina. 16. The Championship competition is to be held within North Carolina only and at a NCDCTA licensed dressage competition. 17. The Show will be licensed by USEF as a Level 2 Competition and run in accordance with all applicable USEF rules for a Level 2 Competition as set forth in the USEF Rule Book. In addition, the Show shall be run in accordance with all applicable rules of the NCDCTA Dressage Championships as set forth herein. 18. A Mounted Awards Ceremony for Champions and Reserves in each Division will be held on the last day of competition. Saddlery for awards ceremonies should follow USEF rules, but black or white polo wraps are permitted. Horses should receive their ribbons prior to the ceremony. Any competitor may decline to be mounted or, if mounted, to participate in the victory round, for safety reasons, however the competitor must still appear properly attired for the ceremony. The Manager is responsible for the safe conduct of the awards. Safety is paramount. Any horse that the Manager deems unsafe should be excused in accordance with DR 123.10. In the event of inclement weather, awards ceremonies may be held unmounted and inside. 19. The Rules governing the NCDCTA Championships may be amended by the NCDCTA Competition Committee at their discretion.

PRO-AM TEAM CHALLENGE SPONSORED BY M&M TACK Eligibility: One Professional plus two-three Amateurs, Juniors and/or Young Riders make up a Pro-Am Team. Any level may be ridden; levels may be combined. The 3 highest scores will be averaged to find the Team Score from the Saturday Rides of all Team Members. (Intro, MFS and DSE scores will not be included) Team members (Professionals, Amateurs, Juniors and Young Riders) are considered as a horse/rider combination – if a rider has more than one horse entered in the competition, she may ride on more than one team – the Pro-Am fee must be paid for each team and each team must have unique horse/rider combinations. AA Status is per NCDCTA rules for the Challenge. Awards: Trophy for all members of 1st Place Teams. All Team Members must be present at the Saturday Night Awards Ceremony to receive prizes. Entries: Teams must be named with all team members indicated and all fees paid ($20/team) by 9am Saturday. Competitors may indicate intention to compete on entry form (‘other fee’ section) or may sign up in show office.

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ENTRY DOCUMENTATION REQUIREMENTS Current USEF membership (or n/m fees) for Rider, Owner and Trainer, Coach Current USDF membership (or n/m fees, number) for Rider and Owner. Rider’s USDF membership may be either Participating or Group, Owner’s USDF membership may be Participating, Group or Business; if Rider/Owner’s USDF # is a nonmember ID #, the USDF n/m fee must be paid. USDF Horse ID. Current (1 Yr) negative coggins. For Adult Amateur classes - USEF membership card must declare Amateur Juniors and Young Riders must include birthdate. Freestyle entries - copy of a 60% + at the highest test of the MFS level or higher (exempt: FEI Jr /Yr/ Pony and Para).

FOR GAIG / USDF QUALIFYING CLASSES ALSO INCLUDE: Check "Qualifying" and add $10 per Qualifying class. Copies of USEF and USDF Horse Registrations (not HID #s). Rider must have current Participating USDF membership; Owner must have current Participating or Business USDF membership.  Rider, Owner must have current USEF membership. ALL ENTRIES must have THREE signatures - Rider, Owner and Trainer – by adult. Legal Guardian must sign for riders under 18 yrs. Trainer blank must be signed by person over 18 who assumes responsibility for horse. (Parents who sign as trainer are exempt from membership requirements). See www.usdf.org and www.usef.org and/or USEF Rule Book for further details on entry requirements.   

ON-LINE ENTRIES: Visit www.EquestrianSecretarialServices.com to enter on-line and pay via PayPal / major credit card - OR Print and Mail with your check. You do NOT need a PayPal account to use this service! You will choose the show you wish to enter and will be required to enter the class number(s) you wish to ride and the stabling you need. Your fees will be totaled automatically. You will click the “Pay via PayPal” button to pay for your entry. (or Print and Mail with check). You will have the opportunity to print your completed entry for your records and will receive an automated email receipt. You will be required to sign electronically.

Juniors must have ADULT signatures in all blocks. You may upload your negative coggins (and, if applicable, your MFS documentation). Please NOTE – online entries are NOT accepted without payment – the email receipt from PayPal is your proof of payment. HEADGEAR: From the time horses are officially admitted to the competition grounds by competition management, anyone mounted on a horse at any time on the competition grounds, including non-competing riders, riders on noncompeting horses, and those competing in all classes and tests, including Para-Equestrian tests, must wear protective headgear as defined by this rule and otherwise in compliance with GR801. Any rider violating this rule at any time must immediately be prohibited from further riding until such headgear is properly in place. Protective headgear is defined as a riding helmet which meets or exceeds ASTM (American Society for Testing and Materials)/SEI (Safety Equipment Institute) standards for equestrian use and carries the SEI tag. The harness must be secured and properly fitted. Unless jackets are waived, while in the competition ring, exhibitors wearing protective headgear must wear a short, dark jacket, dark tailcoat (only permitted for tests above Fourth Level), or Armed Services or police uniform (if eligible), dark hatcovers (where applicable) and must otherwise conform to DR120 (see GR801).

Minors who do not have a valid driver’s license which allows them to operate a motorized vehicle in the state in which they reside will not be permitted to operate a motorized 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 who have a valid temporary license may operate the above described motorized vehicles as long as they are accompanied by an adult with a valid driver’s license. Violations of this rule will 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 the child, parent(s), guardian(s), and/or trainer(s) from the competition grounds for the remainder of the competition and charges being filed against any of the above individuals in accordance with Rule 6. Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this rule.

Life, senior active and junior active members shall be eligible to participate in all classes at Regular Competitions, Eventing Competitions at the Preliminary Level or above and Combined Driving Competitions at the Advanced Level, Dressage, Reining and Vaulting Competitions and Endurance Rides. A non-member may participate as a handler, rider, driver, owner, lessee, agent, coach or trainer at Regular Competitions, Eventing Competitions, Dressage Competitions, Reining Competitions and Combined Driving Competitions upon payment of a $30 Show Pass fee. Participants in the following 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 academy classes (academy classes are classes limited to horses used regularly in a lesson program); 6) USDF introductory level tests, pas de deux and quadrille classes; 7) NRHA Endorsed Reining Competitions. 8) Opportunity classes, 9) citizens of other nations who have proof, in English, of current membership in good standing of their own National Federation, 10) USEA beginner novice division; and 11) assistant handlers in Dressage Sport Horse Breeding classes. All questions not covered in these rules and regulations shall be decided by the show management whose decision shall be final. Every horse entered for competition will comply with the rules of the horse show management, but management will, in no case, be responsible for any loss or damage that may occur, and it shall be condition of entry

that each exhibitor shall hold this horse show and the officials and employees of the show blameless for any loss or accident to his horse, employees, equipment, which may occur from sickness, fire or otherwise. The management reserves the right to refuse, accept conditionally, or to cancel any entries, disqualify any 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; to change rings or rotate judges. Exhibitors are notified that any act of discourtesy or disobedience to the judges or officials, on the part of the owner, manager, rider, or groom shall disqualify the horse, and the owner shall forfeit his entry fee and other fees. Show management reserves to itself the power to prohibit any person from attending or showing a horse in the ring and to remove any groom or horse from the show without being liable for compensation. In accordance with the 1989 Federal Waste Tracking Act, which restricts the disposal of medical waste, biohazardous medical waste containers will be provided in the stable area. All exhibitors and their agents are responsible for the proper disposal of this waste. No person will be allowed in the show ring during the time of judging except the exhibitor and those having official or requested duties to perform. It is the tradition of the show that riders be correctly attired for the class 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 suitable presented to appear before an audience Federation 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 that I am subject to the Bylaws and Rules of The United States Equestrian Federation, Inc. (the “Federation”) and the local rules of NCDCTA Harvest Moon Dressage (Competition). I agree to be bound by the Bylaws and Rules of the Federation and of the competition. I will accept as final the decision of the Hearing Committee on any question arising under the Rules, and agree to release and hold harmless the competition, the Federation, their officials, directors and employees for any action taken under the Rules. I represent that I am eligible to enter and/or participate under the Rules, and every horse I am entering is eligible as entered. I also agree that as a condition of and in consideration of acceptance of entry, the Federation and/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 the competition 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 way as to jeopardize amateur status. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation. The construction and application of Federation rules are governed by the laws of the State of New York, and any action instituted against the Federation must be filed in New York State. See GR908.4

USDF Membership Benefits: USDF is dedicated to education, the recognition of achievement, and promotion of dressage. For details on member benefits, including educational programs, awards, and other opportunities, refer to the USDF Member Guide or the USDF website at www.usdf.org.

This competition is recognized by USDF for 2017

Membership Requirements for USEF-licensed/USDF-recognized Competitions: Owners and riders, including foreign riders and owners who are not residents of the US, wishing to participate in a USEF-licensed/USDF-recognized competition as a rider or owner/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 as riders 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 USDF Lifetime Horse Registration (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 competition secretary with verification of a USDF membership or NM identification, and USDF LHR or USDF HID, must complete a USDF Competition Affidavit Form and pay the $5 affidavit filing fee. A copy of a completed affidavit form from another competition may also be used for verification purposes for up to 60 days. (Exception: Affidavits cannot be used at Great American Insurance Group/USDF Regional Dressage Championships.) Exceptions:  Horses competing only in Individual Breed Classes (IBCs) at DSHB competitions, sires and dams of horses in DSHB group classes, where those sires or dams are not actually competing in the same competition, horses competing only in breed restricted dressage or DSHB classes at Regular Competitions (e.g. all Arabian, all Friesian, or all Morgan classes), or in USDF Introductory Level 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 from the USDF NM identification number and NM fee requirements. Also exempt are handlers of horses competing in DSHB In-Hand or Group classes. Memberships Defined Participating Membership (PM): A membership issued to an individual directly by USDF. The membership year is December 1 through November 30. PMs are available for 1-year ($75), 5-years ($300), or life ($1,500). A USDF Youth Participating Membership (YPM) is available for individuals who have not reached their 21st birthday by December 1 of the current membership year ($60). A PM allows the member to compete at USEF-licensed/USDF-recognized competitions and to participate as a rider and/or owner/lessee for all Adequan®/USDF Year-End Awards, Great American Insurance Group/USDF Breeders Championship Series Finals and the Great American Insurance 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 USDF through an affiliate Group Member Organization (GMO). The GM year begins December 1 and ends November 30. A GM allows the member 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 organization directly 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 expires 12 months after the date joined. This membership type does NOT allow an individual to compete at a USEF-licensed/USDF-recognized competition. Non-Member (NM) Identification Number: For each USDF NM owner/lessee and USDF NM rider there will be a USDF NM fee of $25 per competition 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 riders exempt from the NM number requirements are also exempt from paying the USDF NM fee. If there are multiple owners of a horse and all are 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 is no NM fee assessed. Competition management will be invoiced for all applicable USDF NM fees not received with the USDF post competition paperwork, along with a report listing all USDF NMs. Competition management is then required to submit the NM fees within 30 days to the USDF. An individual with a USDF NM identification number is not eligible for any USDF membership benefits. Once a USDF NM 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 be recorded, but will NOT be counted towards Adequan®/USDF Year-End Awards. A horse with an HID number is not eligible to compete in Great American Insurance Group/USDF Regional qualifying or championship classes or Great American Insurance Group/USDF Breeders Championship Series Finals. An HID number can be upgraded to a Lifetime Horse Registration (LHR) for a fee of $70. If a horse has a USDF 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 compete at Great American Insurance Group/USDF Breeders Championship Series Finals and Great American Insurance Group/USDF Regional qualifying and championship classes, assuming requirements for the owner and rider are met. If a horse has an LHR it does not need an HID number. An LHR does not need to be renewed. How to Join USDF Applications for USDF Participating Membership (PM), Business Membership (BM), Horse Identification (HID) number, and Lifetime Horse 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 USDF office.  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 date accepted by the competition secretary, provided the application is signed and dated by the competition secretary, member, and/or horse owner on that same day.


2016 USDF/Dover Saddlery Adult Amateur Medal Program The USDF/Dover Saddlery Adult Amateur Medal Program is designed to specifically recognize and encourage adult amateurs riding at Second Level. Awards 1. USDF/Dover Saddlery Medal Recipient The eligible rider with the highest score of 60 percent or better in the designated Second Level Test Three class or applicable test of choice USDF/Dover Saddlery Adult Amateur Medal class at a participating competition will receive a handcrafted USDF/Dover Saddlery pewter medal and neck ribbon. Winners will receive a $20 Dover Saddlery gift certificate for the first three USDF/Dover Saddlery Medals they win during the competition season. 2. USDF/Dover Saddlery National Merit Award A USDF/Dover Saddlery National Merit Award will be awarded to riders winning three USDF/Dover Saddlery Medals in the same competition year. 3. Year-End Awards The USDF/Dover Saddlery Medal National Champion and Reserve Champion are determined from the average of the top three winning ride scores during the competition year. The champion receives a $1000 Dover Saddlery gift certificate and the reserve champion receives a $500 Dover Saddlery gift certificate. Rider Eligibility 1. Rider must have a current USDF Participating or Group Membership and be a member in good standing of USDF when the scores are earned. 2. Rider must be an adult amateur in accordance with Article GR1306 of the USEF rules and be designated with USEF as an adult amateur at the time the scores are earned. Owner & Horse Eligibility 1. Horse and owner must meet minimum competition eligibility requirements at the time scores are earned. Additional Information For additional information and an updated list of competitions offering the USDF/Dover Saddlery Adult Amateur Medal Program, please visit http://www.usdf.org/awards/performance/adultmedalprogram.asp.

Competitions/rev. 5/7/2015

NCDCTA Harvest Moon Dressage USEF Competition Name: Competition Division(s) and Rating(s):



Dressage - C


Make your results count toward the USEF Horse of the Year Awards and Silver Stirrup Awards Programs 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]

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/OMNIBUS FOR FULL DETAILS *****Not to be used for CDI*****

Show Name:________________________

Check #

Show Date(s):_______________________

Check Amt

Office Use Only



Local GMO #


Year Foaled:

Required Horse Information: Horse Name:


Date Of Coggins:







Country where Bred:


Check One:

Required Rider/Handler Information: Name:



Email: Address:



Local GMO #


DOB if Jr/YR:





Classes Day Class #

Class Name (& Test if TOC)

Also indicate any qualifying status (other than GAIG/USDF) with class name

GAIG Q (+$10)

Class Fee

Required Owner Information: Name:




Local GMO #


Required Trainer Information (Adult responsible for Horse) Name:



Stabling/Day Park/Camping



Regular Stall – Duration of Show Tack Stall – Duration of Show Day Parking

# of days _______

Extra Nights Stabling

# of nights _______


All Fees:


Office Use

Total Class Fees plus Q Fees: Total Stabling & Camping Fees: Office Fee Required per Entry: USEF Fee Required per Horse (D&M=$8+Adm=$8):

Other Stable (if offered – dbl stall, paddock, etc.)

USEF show pass ($30/participant) – see Rules/Prizelist:

State Type of Other stabling:________________________ Camping: # hookups _____ # nights _______ Rig Size: _______________ Amp. needed: ____________

USDF n/m Fee ($25/participant) – see Rules/Prizelist:


Other Fees if Applicable: Description of Other Fee(s) if included:

Extra Bedding:

Total Fees Enclosed: Stable With (ONE name for group):________________________________________________

2016 Dressage Show Entry Form – Page 2 Horse:





Emergency Contact: ________________________________________________________________________ Stable With: ______________________________________________ Arrival Day/Time: ______________________________ Special Requests: __________________________________________ Staying at: ____________________________________

Under NC,VA,SC,GA and TN 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 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, 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 any and all loss, liability or damage arising from or because of, or in connection with, participation in this competition or related activities. I also hereby 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 with, participation in this competition or related activities.

United States Equestrian Federation, Inc. Entry Agreement I have read the United States Equestrian Federation, Inc. (the “Federation”) Entry Agreement (GR906.4) as printed in the Prize List for [insert name here] (“Competition”) and agree to all of its provisions. I understand and agree that by entering this Competition, I am subject to Federation Rules, the Prize List, and local rules of the competition. I agree to waive the right to the use of my photos from the competition, and agree that any actions against the Federation must be brought in New York State. Federation Release, Assumption of Risk, Waiver, and Indemnification 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 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 any Harm 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 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 the Competition. I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) the Federation and the Competition and to hold them harmless 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 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 strongly encourages me to do so while 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 to assume all of the obligations of this Release on the child’s behalf. I represent that I have the requisite training, coaching and abilities to safely compete in this competition. I AGREE that if I am injured at this competition, the medical personnel treating my injuries may provide information on my injury and 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 and all terms and provisions of this Prize List. If I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force and effect as if I affixed my signature by my own hand. Parent/Guardian Signature (REQUIRED if Rider/Handler is a minor):_________________________________________________ Parent/Guardian – PRINT NAME: _____________________________________________________________________________ Rider/Handler (Mandatory)

Owner/Agent (Mandatory)

Trainer (Mandatory - Adult)

Coach (If Applicable)











Print: Rider/Handler – US Citizen?

Print: Yes __ No __

No entry is valid without original signatures from the above individuals; writing “same” is not acceptable. ALL signatures: MUST be from Adult; Parent/Legal Guardian may sign for minor under minor’s USEF membership.