DEVONWOOD IN THE SPRING APRIL 12-13, 2014

DEVONWOOD EQUESTRIAN CENTRE (SHERWOOD, OREGON) USEF/USDF #330596 (USEF LEVEL 2 SHOW) | ODS #1606 -OFFICIAL COMPETITION PRIZE LISTA qualifying competition for the 2014 ODS Championship Show & the Great American Insurance Group/USDF Regional Championship. Prize List Revision: 02 / Last Updated: 11-APR-2014 Competition management reserves the right to modify the contents of this prize list after initial publication. Per federation regulations, a change log will be posted with changes highlighted for new and existing competitors to see.

COMPETITION DETAILS Judge: Paula Lacy ("S") and Deborah Spence (“R”) Technical Delegate: Dianne Stanley ("R") Show Secretary: Evin Rattner - Email: [email protected] / Phone: 503.974.1667 Show Manager: Evin Rattner - Email: [email protected] / Phone: 503.974.1667 Opening Date: February 26, 2014 (entries postmarked before opening date will be penalized) Closing Date: March 26, 2014 (please call show secretary to see if we can accept your post entry) Recognized by: USEF/USDF #330596, Level 2 | ODS #1606 (a qualifying competition for the 2014 ODS Championship Show and the Great American Insurance Group/USDF Regional Championship) Competition Management: Evin Rattner / DevonWood Equestrian Centre, LLC Entry Form: Download a blank entry form from the competition website: http://spring.devonwoodec.com/ (please fill out electronically using Adobe Reader or other PDF application) Entry Instructions: Mail completed entries with payment to the address listed below: DevonWood in the Spring C/O Evin Rattner 25033 SW Pacific Hwy Sherwood, OR 97140-8800

CLASS LIST LEVEL / TEST NAME

SATURDAY

SUNDAY

FEE

USEF 2011 Training Level, Test 1

101

201

$45

USEF 2011 Training Level, Test 2

102

202

$45

USEF 2011 Training Level, Test 3*

103

203

$45

USEF 2011 First Level, Test 1

104

204

$45

USEF 2011 First Level, Test 2

105

205

$45

DEVONWOOD IN THE SPRING PRIZE LIST / PAGE 1

USEF 2011 First Level, Test 3*

106

206

$45

USEF 2011 Second Level, Test 1

107

207

$45

USEF 2011 Second Level, Test 2

108

208

$45

USEF 2011 Second Level, Test 3* Class 109 is Dover Medal Class

109

209

$45

USEF 2011 Third Level, Test 1

110

210

$45

USEF 2011 Third Level, Test 2

111

211

$45

USEF 2011 Third Level, Test 3*

112

212

$45

USEF 2011 Fourth Level, Test 1

113

213

$45

USEF 2011 Fourth Level, Test 2

114

214

$45

USEF 2011 Fourth Level, Test 3*

115

215

$45

FEI Test of Choice (specify test)*

116

216

$55

FEI Young Horse Tests (CL 117: 5 YR OLDS) / (CL 217: 6 YR OLDS)

117

217

$55

USDF Freestyle, (specify level)*

118

218

$45

FEI Freestyle (specify level)*

119

219

$55

Dressage Rider Tests, Test of Choice (specify test)

120

220

$45

*specify if Great American Insurance Group/USDF Regional Championship Qualifying

FEES, PAYMENTS & REFUND POLICY Class ! ! ! ! !

Fees: Training Level - Fourth Level, including Freestyles: $45.00 FEI Tests, including Freestyles: $55.00 Pas de Deux/Quadrille, per rider: --not offered-Great American Insurance/USDF Qualifying, per test, add $10.00 Post-entries, if space available, additional fee per test: $10.00

Miscellaneous Fees: ! USEF drug & admin. fees, required for each horse: $16.00 ! Office fee, required for each entry: $25.00 ! Number deposit: --no fee-USEF and/or USDF non-member, discipline, and/or affidavit fees will also apply unless copies of required documents are provided as specified under DOCUMENTATION in the general rules section. Facility Fees --- see "About the Facility" ! Upper barn stabling, per weekend: $125.00 ! Upper barn tack stall, per weekend: $125.00 ! Lower barn stabling E/F row: $55.00/day or $95.00/weekend ! Lower barn stabling 10 x 10: $45.00/day or $75.00/weekend ! Lower barn tack stall 10 x 10: $25.00/day or $40.00/weekend ! Reserved/premium parking: $50.00/weekend ! Haul-in fee (for horses not stabled on grounds) per day: --not permitted-Non-Refundable Fees ! Change fee, for each change made after closing date: $15.00 ! Membership Verification Fee, see "ENTRIES" for detailed info: $15.00 ! Returned check/NSF fee: $45.00 ! Declined credit/debit charge fee: $45.00 Payments DEVONWOOD IN THE SPRING PRIZE LIST / PAGE 2

Full payment is required for the balance of the entry for an entry to be processed. DevonWood accepts checks, money orders, and credit/debit card (all major cards accepted) for entry payments made prior to show. Do *not* send cash with mailed entries. All payments must be made in US Dollar. Foreign bank notes (checks) must specify USD. Passing a bad check is a crime. It is the competitor (or payee's) responsibility to ensure that there are sufficient funds to make payment for the total balance of the entry. Entries that arrive without payment will not be processed. Check payments should be made payable to "DevonWood Equestrian Centre." DevonWood reserves the right to convert check payments to electronic check/"EFT" payment. All check entry payments will be processed immediately at the time of receipt. Foreign competitors: checks must indicate payment in USD. Credit/debit card payments will be charged for the full amount listed on the entry at time of receipt. Refunds ! A $30.00 cancellation fee will be deducted from all refunds. ! Until closing date: all refundable fees returned, less cancellation fee. ! After closing date: all miscellaneous and stabling fees refunded; 50% of class fees refunded if doctor or vet note is provided and if we are able to fill your ride time. ! After April 5: No refunds.

ABOUT THE FACILITY Arenas & Footing. One indoor competition arena, 20M X 60M, with warm-up, both Equi-Base footing (sand mixed with Geotek fabric over rubber matting). One outdoor competition arena, 20M x 60M, with warm-up, both hydro-active sand arena footing. Lungeing area near lower stabling. No lunging in warmups or round pens. Children & Pets. Absolutely NO DOGS ALLOWED on show grounds (please see show management for certified service dog pass if applicable). Children must be supervised at all times. Food. Concessions will be available on show grounds. Stabling. Permanent box stalls with sliding doors, minimum 10x10, initial bedding included. Additional bedding available for purchase through show office. Directions. From I-5 south from Portland/north from Salem to Sherwood/Tualatin exit, #289. West on Nyberg Road (Nyberg Road becomes Tualatin/Sherwood Hwy) and go five miles to Hwy 99W. Turn south and go three miles to 25033 SW Pacific Hwy, on your right just past Brookman/Chapman Rd. Scheduling & Ride Times. Classes may be split or combined at show management's discretion. Ride times will be e-mailed at least one week prior to the show. Schedules and results will also be made available for download and viewing at the competition website, http://spring.devonwoodec.com/ Volunteers. Volunteers are needed. Please call 503.974.1667 to volunteer or check-in with show office at the event. Professional Services. Professional filming offered through Equine Video Productions. Sign-up will be available at show office. Show photography by Paul Henderson of Grand Prix Videography. Veterinarian and Farrier on call during show - contact information will be posted in the show office and stabling area. EMT will be on-site during show. Vendors. A limited number of vendor booths will be available at this event to be located in small barn courtyard. Contact the show secretary for vendor details.

DEVONWOOD IN THE SPRING PRIZE LIST / PAGE 3

2014 Entry Form USEF/USDF/ODS Licensed Dressage Competitions

For Office Use Only

Complete both sides - Enclose copies of all cards - SIGN all required boxes on page 2! Each Signer is responsible for knowledge of all Show Rules and of all applicable rules of organizations recognizing this competition

Name of competition:

Date of competition: 3. Owner information

1. Horse information Name

Name

Breed

Address

Sex

Height

Year born

Color

Class no.

HID

Life

USEF NUM

HID

Annual

State

Zip

Dam

USEF membership number

Dam's sire

ODS membership number

Country of birth

Other membership number (CDS/EI, etc)

For sale

At stud

2. Rider/Handler information

PM

Qualifying fees ($10 per qualifying ride): Total class fees:

(adult on grounds responsible for horse)

Name

Address

State

City Zip

Country

Phone Number Email

USEF Non-member fee ($30) Zip

Country

Email

Tack stall

USEF membership number

Haul-in

Name

NonM

6. Stall request

USEF membership number

Stall group

ODS membership number

Arrive

Other membership number (CDS/EI, etc)

Notes Phone:

Miscellaneous fees Office fee ODS Education Fund donation

USEF membership number

PM

Stabling fees Stall

(if coaching on grounds)

JR/YR DoB

USDF HID ($25 for horses not recorded with USDF)

(Applies to Rider, Owner, Trainer, Coach)

5. Coach information JR/YR

USDF non-member fee ($25, applies to rider, owner)

Phone Number

Citizenship AA

USDF/USEF fees

USEF Drug and Medication ($8 plus administration $8)

City

GM

Q

NonM

Address

Name

Volunteer:

GM

4. Trainer information

Breeder

USDF NUM

Division

Email

Life

USDF NUM

Open

Test

Country

Sire

Rider status

Level

Phone Number

USDF NUM

State

Class fees (Check Q for qualifying ride)

City

DoB if under 4 years

Breed reg #

to:

Depart

Camping fees Post-entry or late fees Other fees (specify)

Total fees: Email:

Fees

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 [ ] (Competition). I agree to be bound by the Bylaws and Rules of the Federation and of the competition. I will accept as DEVONWOOD IN THE SPRING 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 State of New York, and any action instituted against the Federation must be filed in New York State. See GR908.4.

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, 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 of any nature 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 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.

Sign all THREE lines, even if same person MANDATORY RIDER/DRIVER/HANDLER/VAULTER/LONGEUR (Parent sign for minor) 1. Signature: Print name: OWNER/AGENT

Emergency Contact Phone Nos. Who should we contact in the event of a RIDER emergency?

4. Signature:

Phone:

Print name:

Who should we contact in the event of a HORSE emergency? Name:

Print name:

Phone:

3. Signature: Print name:

COACH

Name:

2. Signature: TRAINER (adult on the grounds with responsibility for the horse)

SIGN IF APPLICABLE

PARENT/GUARDIAN (required if rider/handler/longeur is a minor) 5. Signature: Print name:

Citizenship: Is Rider/Driver/Vaulter a US Citizen? Yes

No

USEF Competition Name:

DEVONWOOD IN THE SPRING

Competition Division(s) and Rating(s):

USEF#:

330596

DRESSAGE LEVEL 2

UNITED STATES EQUESTRIAN FEDERATION The national governing body for equestrian sport

The official magazine of the USEF

shopUSEF.com Changing the way you look at equestrian sport

A fresh approach to classic equestrian style.

The United States Equestrian Federation was founded in the spirit of fair play and the safety and well-being of both human and equine athletes in competition. Join 84,000 members who love horses & equestrian sport. Visit usef.org for more information.

USEF Membership Statement 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 nonmember 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.

USEF Motorized Vehicles Statement 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. The parent(s), legal guardian(s), or individual who signs the entry blank as a parent or guardian of a minor operating a motorized vehicle in violation of this rule are solely responsible for any damages, claims, losses or actions resulting from that operation. 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 Chapter 6. Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this rule.

DEVONWOOD IN THE SPRING PRIZE LIST

2014 USEF MEMBERSHIP APPLICATION UNITED STATES EQUESTRIAN FEDERATION

The United States Equestrian Federation (USEF) membership year begins on December 1. All memberships (except Life) expire on November 30. The effective date of membership is the date on which the application and correct dues are received by the USEF office (exceptions see USEF Rule Book). To be eligible for USEF Awards including the USEF Horse of the Year Program, you must be a Senior, Junior, Life Member and USHJA Active Member (if applicable). By submitting this application, you agree all information is correct and you agree to abide by all USEF rules.

1. USEF MEMBERSHIP

5. PERSONAL INFORMATION TITLE:

USEF Competing Membership Competing members are those individuals who are eligible to participate in USEF Licensed Competitions as a rider, driver, handler, vaulter, longeur, owner, lessee, agent, coach, trainer, competition manager, or competition secretary or serving as a USEF committee member (Exceptions found in USEF Rule Book).

1-Year Junior (expires 11/30/2014)

$55

1-Year Senior (expires 11/30/2014)

$55

(Individuals who have not yet reached their 18th birthday on 12/01/2013) (includes automatic insurance* and MemberPerks)

(includes automatic insurance* and MemberPerks)

3-Year Junior or Senior (expires 11/30/2016)

$165

(includes automatic insurance* and MemberPerks)

Life Member . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,500 (includes automatic insurance* and MemberPerks)

REQUIRED

2. REQUIRED SIGNATURE

Every member is required to check the appropriate box denoting their status in the sport:

AMATEUR

PROFESSIONAL

JUNIOR

By signing below, I (or my guardian if under 18 years of age) have read and agree to the Federation Release, Assumption of Risk, Waiver and Indemnification (on the reverse side of this form). Further, I understand that to compete in amateur classes or divisions at USEF Licensed Competitions I am required to check the Amateur box above and confirm that I have not engaged in any activities described in GR1306.4 (Amateur Rule) of the USEF Rule Book Please Note: Any individual who has signed as a Professional with the USEF is required to complete the amateur reinstatement process in the USEF Rules prior to competing in any amateur classes or divisions. (Sign in ink)

REQUIRED FOR AMATEURS AND JUNIORS

3. DATE OF BIRTH (MM/DD/YY):

/

/

4. SUPPORT U.S. EQUESTRIANS EFFORTS Carry the Flag to NORMANDY in 2014 Now you can designate your contribution to go to your favorite U.S. team $25

$50

$75

$100

Dressage

Driving

Jumping

Para-Equestrian

Other

Endurance Reining

Eventing

Mr.

Mrs.

Ms.

Miss

Other

NAME: ADDRESS: CITY, STATE, ZIP: PHONE: MOBILE: FAX: E-MAIL: U.S. CITIZEN:

YES

NO IF NO, WHAT COUNTRY?

USEF MEMBER #: CHECK HERE IF THIS IS A NEW ADDRESS

REQUIRED

6. BREED/DISCIPLINE AFFILIATION

Please designate a primary breed/discipline affiliation. Please designate the primary breed/ discipline affiliation as (1). You may also select a secondary choice as (2). EXAMPLE: Hunter 1 Driving 2 Andalusian/Lusitano Dressage

Arabian/Half-Arabian/Anglo-Arabian

Driving

Friesian

Endurance

Hackney

National Show Horse

English Pleasure

Hunter

Jumper

ParaEquestrian

Reining

Roadster

Vaulting

Welsh

Parade

Saddlebred Western

Connemara Eventing Morgan Paso Fino

Saddle Seat

Shetland

Western Dressage

7. UNITED STATES HUNTER JUMPER ASSOCIATION MEMBERSHIP In order to compete as a rider, trainer, owner, or his/her agent(s) at non-breed restricted USEF-licensed competitions in any Hunter, Hunter Breeding, Jumper or Hunter Seat Equitation classes, a person must be an active member of the United States Hunter Jumper Association, Inc. (Exceptions found in USEF Rule Book).

USHJA 3-YEAR ACTIVE (competing membership) expires 11/30/2016. . . . . . . $195 USHJA ACTIVE MEMBER (competing membership) expires 11/30/2014 . . . . . . $70 USHJA LIFE MEMBER (competing membership) . . . . . . . . . . . . . . . . . $1,500 USHJA ASSOCIATE (non-competing membership) expires 11/30/2014 . . . . . . . $35 8. RENEWAL

Vaulting

No, I do not wish to receive a paper renewal form in 2015. I will renew online. Incomplete applications cannot be processed until all REQUIRED information is received. *See USEF General Information on reverse side.

MEMBERSHIPS ARE NON-REFUNDABLE.

PAYMENT (Total of 1, 4 and 7) Do not send cash. $ Check / Money Order (Payable to USEF) Card Number:

VISA

Exp. Date: MasterCard

AMEX

/

/

Billing Zipcode:

Card Holder Name (Print): Card Holder Signature:

UNITED STATES EQUESTRIAN FEDERATION : 4047 IRON WORKS PARKWAY : LEXINGTON, KY 40511 : 859.258.2472 : FAX 859.231.6662 : WWW.USEF.ORG

USEF GENERAL INFORMATION

FEDERATION RELEASE (required signature, see Section 3)

USEF annually pays a portion of your Life, Senior, Junior and USEF Equestrian dues to a third party insurance company for automatic insurance coverage. This coverage entitles you to $1 million in personal excess liability insurance for horse-related accidents that cause bodily injury or property damage to third parties. In addition, you are entitled to personal accident insurance that insures you for death or permanent disability resulting from horse-related accidents. The benefit amount is determined by where the accident occurred and the result, with a maximum benefit of $35,000. You can view the entire USEF Rule Book on our website www.usef.org/rulebook. By submitting this application, you agree all information is correct and you agree to abide by all USEF rules.

USHJA GENERAL INFORMATION If you want to join World Champion Hunter Rider (WCHR), please visit www.ushja.org. A benefit of your USHJA Membership is a one-year subscription to In Stride magazine and $9 of your USHJA membership dues include this subscription. For USHJA Outreach, Affiliate, and Collegiate memberships go to www.ushja.org. From time to time, USHJA sends important information to their membership about association happenings and other promotional news from sponsors. By submitting this application you agree to abide by all the USHJA rules and agree to uphold the USHJA Ethics Statement.

MEMBER PERKS As a USEF member, you’ll reap the rewards all year long with the MemberPerks Free Enrollment Program featuring a special collection of companies that support equestrian sport. See current MemberPerks list at www.usef.org.

PRIVACY INFORMATION USEF reserves the right to share member data (including but not limited to membership numbers, horse ID numbers, horse recording numbers) with those Breed and Discipline Affiliates that have entered into Data Sharing Agreements with USEF for purposes of better serving their joint members.

UNITED STATES OLYMPIC COMMITTEE REQUESTED INFORMATION The United States Olympic Committee is required to submit data to Congress and the President concerning the participation of women, individuals with disabilities and racial and ethnic minorities in the amateur athletic and administration activities of national governing bodies. As a result, we have included the following questions so that we may fulfill our required reporting to the United States Olympic Committee. This data is for analysis only. Submission is voluntary. Failure to supply this information will not jeopardize or adversely affect your membership status with USEF. The following categories are defined and named by the U.S. Government.

Please check one: Race / National Origin: (check all that apply): White (not of Hispanic origin)

American Indian or Alaskan Native

Black (not of Hispanic origin)

Native Hawaiian or Pacific Islander

Hispanic or Latino

Asian

Other: I elect not to identify my racial origin or ethnicity. Disability Status: Are you an individual with a mental or physical disability? Yes

No

Gender: Female

Male

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 any and all Federation licensed and/or endorsed competitions (“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 any 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 IN SECTION 2 ON PAGE ONE, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this Federation Release, Assumption of Risk, Waiver and Indemnification document.

UNITED STATES EQUESTRIAN FEDERATION MISSION STATEMENT We are the National Governing Body (“NGB”) of Equestrian Sport in the United States. We provide leadership and vision for equestrian sport by regulating competitions and promoting the safety and welfare of horses and riders while encouraging interest, participation, and excellence at every competitive level. We embrace the Olympic movement and the spirit of fair play while supporting all breed and discipline affiliates within the Federation family equally. We celebrate the equestrian lifestyle and the benefits of good health and outdoor exercise.

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 2014

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, Participating Membership (PM), or have a USDF Non-Member (NM) identification number and pay the USDF NM fee. (Note: USDF business members can own horses but cannot compete as riders with their USDF BM.) Individuals cannot compete at a USEFlicensed/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, quadrille, FEI Para-Equestrian classes, 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 and a USDF NM form 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 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 member 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.

06/13

USDF Statement on Animal Welfare The United States Dressage Federation, Inc. (USDF), a federation of 125 independent organizations throughout the United States with a membership in excess of 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 domestication, 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 Federation 4051 Iron Works Parkway, Lexington, KY 40511 Phone: 859-971-2277, Fax: 859-971-7722, [email protected], www.usdf.org

2014 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. 6/7/2013

ATTENTION COMPETITORS Each competitor is responsible for supplying management with correct applicable numbers (USDF and USEF) 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 national awards.

2014 Great American Insurance Group/USDF Regional Dressage Championships A single Regional Dressage Championship program organized by the United States Dressage Federation (USDF), and recognized by the United States Equestrian Federation, Inc. (USEF), will be held in each of the nine USDF regions. In addition, Alaska and Hawaii may each hold state championships if an official request from a Group Member Organization (GMO) is received by April 1 of the prior year. The Regional Championship Program Rules can be found on the USDF website at www.usdf.org. Please refer to the 2014 USDF Member Guide for the comprehensive list of rules and requirements for this program. Membership/Registration Requirements for Qualifying and Championships Rider: Must have a USDF Participating* Membership (PM) at the time qualifying scores are earned and at the time of the championships. Must have a USEF membership (Junior Active, Senior Active, or Life) at the time the qualifying scores are earned and at the time of the championships. Horse: Must have a USDF Lifetime Horse Registration (LTR) at the time qualifying scores are earned and at the time of the championships. Must have a USEF (Annual or Lifetime) Membership recorded at the time qualifying scores are earned and at the time of the championships. USDF horse registration and USEF horse/recording must be in the name(s) of the current owner(s) or lessee(s) of record. A horse is not required to have breed registry papers. Owner: Must have a USDF membership (PM* or Business Member (BM)) at the time the qualifying scores are earned and at the time of the championships. Must have a USEF membership (Junior Active, Senior Active, or Life) at the time qualifying scores are earned and at the time of the championships. * PMs are USDF members who join USDF directly. USDF Group Members (GM) are ineligible. Minimum Qualifying Scores. One set of nationally-standardized qualifying scores has been established for all USEF/USDF Regional Championships, for levels through Grand Prix, in three divisions: open, adult amateur and junior/young rider. FEI Junior and FEI Young Rider classes have only one respective division. Freestyles have only open divisions. Effective January 1, 2014, for the Intermediate II level, a rider can use either Intermediate II or Intermediate B scores to qualify, HOWEVER the test to be ridden at Regionals and Finals will be the Intermediate B test. The minimum percentages are as follows: Training Level (Test 3) First Level (Test 3) Second Level (Test 3) Third Level (Test 3) Fourth Level (Test 3) FEI Junior (Team Test) FEI Young Rider (Team Test) Prix St. Georges Intermediate I Intermediate II/B Grand Prix

OPEN 68% 66% 64% 62% 62% — — 60% 60% 60% 60%

AA 63% 62% 61% 60% 60% — — 60% 60% 60% 60%

JR/YR 63% 62% 61% 60% 60% 60% 60% 60% 60% 60% 60%

FREESTYLE First Level Second Level Third Level Fourth Level Intermediate I Grand Prix

OPEN 63% 63% 63% 63% 63% 63%

AA — — — — — __

JR/YR — — — — — __ Rev Jan 2014

2014 Membership Application The 2014 USDF membership year begins December 1, 2013 and ends November 30, 2014. After December 1, the effective date of membership is the date the form and correct dues are received in the USDF office. Please complete this form and mail or fax it to the USDF office. Applications can also be submitted online at www.usdf.org. Applications submitted online will be processed the following business day. Name (please print)

USDF Number

Address

City/State/Zip

Date of Birth (required for youth members)

Email (Your email is necessary in order to send you a confirmation of your membership)

Primary Phone

USEF Number

Published Phone (If you are a USDF Official whose number we publish, please provide your preferred number for public lists)

Yes, please send me important electronic member information, such as renewal notices, member news and competition updates. Please do not mail me a membership card. I will print one from the USDF website. Please do not send me the USDF Connection magazine. I will access my magazine online.

MEMBERSHIP OPTIONS

IMPORTANT INFORMATION USDF Group Membership (GM) can be obtained by joining a USDF Group Member Organization (GMO). A complete listing of GMOs can be found online at www.usdf.org. USDF Business Membership (BM) applies to ownership requirements only. Business members can own horses but cannot compete as riders with a USDF BM. USDF Education Membership (EM) can be obtained by joining online at www.usdf.org. st Only members renewed by December 31 will receive the Yearbook. For information on rider/handler/owner/horse eligibility for specific programs, please visit the USDF website.

1-Year Participating - $75 1-Year Youth Participating - $60 Individuals who have not reached their 21st birthday by 12/1/13

5-Year Participating - $300 Lifetime Participating - $1500 Business - $200 Tax-deductible gift to the Circle of Friends Please add $15 for addresses outside the US (postage)

TOTAL

PAYMENT OPTIONS Check or Money Order (US funds made payable to USDF)

Visa

MasterCard

Card Number

Expiration Date

Billing Address

City, State, Zip

Name of Cardholder

Signature of Cardholder

USDF is not responsible for late, delayed, or misdirected mail. USDF may require fees for replacement cards for errors reported after 45 days or non-receipt of cards reported after 60 days. No portion of membership dues or contributions is used for lobbying.

Page 1 of 1

4051 Iron Works Parkway, Lexington, KY 40511 Phone: (859) 971-2277    •    Fax:  (859)  971-7722    •    Web:  www.usdf.org

Member Services /rev. 8/22/13