BETHANY LIONS CLUB & SLEEPING GIANT PONY CLUB present The 29th Annual BETHANY HORSE SHOW May 31st , 2015 8 AM Rain or shine Bethany Airport – 715 Amity Rd – Route 63, Bethany, CT CHSA - CHJA - NEHC - AHCC - CMHA New CHSA 2’3” Medal & THE BETHANY AIRPORT COOLER SERIES Hunters, Jumpers, Morgans, Arabians, Carriage Driving, English & Western Equitation & Pleasure SHOW OFFICIALS The following have been invited to officiate; The Committee reserves the right to add to or vary the names Co-Manager............................................................................. Cynthia Jensen Co-Manager/Course Designer ..................................................... Matt Belcourt Judges Hunter/Jumper, Hunt Equitation ............................ Carla Sharp, Easton, CT Breeds, Western, Driving, Pleasures ............................... Charles Ethier, RI Steward ...................................................................................... Stan Siniarski Announcer .................................................................................... Kevin Drew Paddock Master ........................................................................ Stephanie Vita EMT ......................................................................... Bethany Fire Department Farriier ........................................................................................ Nick Poulmas Veterinarian On Call ................................................. Connecticut Valley Equine ................................................................................................. 860-305-1377 Secretary .................................. Leslie Hutton day Before show: 860-621-6988 Day of Show: 860-620-4178 Email: [email protected] 1 SOUTH RING - Judge Charles Ethier 1. Color Breed In Hand 2. Adult English Pleasure 3. Adult English Pleasure 4. Adult English Pleasure 5. Junior English Pleasure 6. Junior English Pleasure 7. Junior English Pleasure 8. Color Breed Pleasure 9. Color Breed Pleasure 10. Color Breed Pleasure 11. Hunter Pleasure 12. Hunter Pleasure 13. Hunter Pleasure 14. Children’s Pleasure Pony 15. Children’s Pleasure Pony 16. Children’s Pleasure Pony 17 Quarter Horse Hunter Under Saddle 18. Quarter Horse Hunter Under Saddle 19. Quarter Horse Hunter Under Saddle 20. Junior Western Equitation 21. Junior Western Equitation Championship 22. NEHC Junior Western/Reining Medal 23. Open Western Pleasure 24. Open Western Pleasure Championship 25. Cynthia Jensen CHSA English Pleasure 26 Cynthia Jensen CHSA English Pleasure 27. Cynthia Jensen CHSA English Pleasure 28. CHSA Western Pleasure 29.. CHSA Western Pleasure 30 CHSA Western Pleasure 31. $100 English Pleasure Classic 47. 48. 49. 50. 51. 52 53. 54. 55. 56. 57. 58. 59. NEHC Junior Saddle Seat Medal Jr. Hunt Seat Equitation Flat- no CHSA pts Jr. Hunt Seat Equitation Flat Champion Arabian/Half Arabian Western Pleasure PB/HA Western Pleasure Champ Stake Open Gaited or Racking Horses Morgan Hunter Pleasure Morgan Hunter Pleasure Champ Stake $100 Western Pleasure Classic Open Pleasure Driving Open Pleasure Driving Championship NEHC Open Pleasure Walk/Trot/Jog Western & Saddle Seat Equitation 10 & Under 60. Walk/Trot/Jog West & Saddle Equit 10 & U 61 Walk/Trot/Jog West & Saddle Equit 10 & U 62. Walk/Trot/Jog West & Saddle Pleasure 10 & Under 63. Walk/Trot/Jog West/Saddle Pleas. 10/U 64. Walk/Trot/Jog West/Saddle Pleas. 10/U 65. Pro-Am Walk-Trot 66. Arabian & Half Arabian Hunter Pleasure 67. Arabian & Half Arabian Hunter Pleasure Championship Stake 68. Open Gaited or Racking Horse Champion 69. Junior Exhibitor Morgan English Pleasure 70. Jr. Exhib. Morgan Eng. Pleas. Chmp Stake 71. Pro-Am Class 72. Command Class 73.. Green Horse or Pony Walk, Trot/Jog, Canter/Lope 74. Green Horse or Pony Trot/J, Canter/Lope, 75. Green Horse or Pony Trot/J, Canter/Lope, 76. Pairs 77. Begin. 11 & Over Walk/Trot/Jog Equitation 78. Beginners 11 & Over Walk/Trot/Jog Equit 79 Beginners 11 & Over Walk/Trot/Jog Equit 80. Begin. 11 & Over Walk/Trot/Jog Pleasure 81. Beginners 11 & Over Walk/Trot/Jog Pleas 82. .Beginners 11 & Over Walk/Trot/Jog Pleas 83. Sit-A-Buck - Winner gets 1/2 of entry fees NOT TO START BEFORE 11 AM 32. 33. 34. 35 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. Pony In Hand Pony or Horse In Hand Purebred Arabian Halter Morgan In Hand Half Arabian Halter Open Carriage Pleasure Driving Carriage Pleasure Driving Championship Open Gaited or Racking Amateur Morgan English Pleasure Amat Morgan Eng Pleasure Champ Stake Adult Amateur Western Seat Equitation Adult Western Seat Equitation Champ NEHC Adult Western/Reining Medal Junior Saddle Seat Equitation Jr. Saddle Seat Equitation Champion Lead Rein Classes Held Close to Noon 200. Hunt Seat Lead Rein 201. Lead Rein Saddle & Western Seat 202. Open Lead Rein (All seats) 2 9 NORTH RING - Judge Carla Sharp BETHANY HORSE SHOW C/O Cynthia Jensen 195 Wildwood Drive Cheshire, CT 06410 Exit 47 Directions to Bethany Horse Show Grounds Route 63 (Amity Road) Bethany, CT From I 84: Exit 23, South on Route 69 about 8 miles. Right on Route 42 for 1 mile. Left on Route 63, 1 mile on right. From I 95: Exit 47 , north on route 34 to end, right on Ella Grasso Boulevard (Rt. 10), left onto Whalley Avenue; stay on Whalley Avenue until you get to route 63; take left fork onto Route 63 North; go about eight miles to Bethany airport on left. From State Route 8: Exit 26, South on Route 63 toward Bethany. 5 miles. 8 85. Low Training Jumpers - 2’6”-2’9” 86. Low Training Jumpers 87. Low Training Jumpers Stake 88. Adult Amateur/Children’s Jumper 3’3” 89. Adult Amateur/Children’s Jumper 90. Adult/Amateur/Children Jumper Stake 91. $160 Jumper Relay Race 92. $160 Three Bar Open Jumper Warm-Up B 2’3” -2’6” 93 CT Training Hunter C-2’3” D’2’6” 94. CT Training Hunter C&D 95. CT Training Hunter C&D 96. CT Training Hunter C&D U/ Saddle 97 Modified Adult Equitation - Flat 98. Modified Adult Equitation 99. Modified Adult Equitation 100. CHSA Modified Adult Medal 101. CHJA Modified Medal 102. Modified Adult Hunter - 2’6” 103. Modified Adult Hunter Stake 104. Modified Adult Am Hunter U/S 105. Adult Hunt Seat Equitation - Flat 106. Adult Hunt Seat Equitation -2’9” 107. Adult Hunt Seat Equitation 108. CHJA Adult Hunt Seat Medal 109. NEHC Adult Hunt Seat Medal 110. Adult Amateur Hunter - Fences 111. Adult Amateur Hunter Stake 112. Adult Amateur Hunter U/Saddle 113. Connecticut Hunter - Fences 3’ 114. Connecticut Hunter - Fences 115. Connecticut Hunter U/Saddle 116. Hunt Seat Equitation 15-17 Flat 117. Junior Equitation - Flat 118. Hunt Seat Lead Rein Warm-Up C 3’ 119. Hunt Seat Equitation 15-17 Fences 3’ 120. Junior Equitation - Fences 121. Junior Equitation - Fences 122. NEHC Junior Medal 3’ 123. CHJA Junior Medal 124. Walk-Trot Hunt Seat Equit. 10 & under 125. Walk-Trot Hunt Seat Equit. 10 & under 126. Walk-Trot Hunt Seat Equit. 10 & Under 127. Walk-Trot Hunt Seat Pleasure 10 & under 128. Walk-Trot Hunt Seat Pleas. 10 & under 129. Walk-Trot Hunt Pleasure 10 & Under 130. Short Stirrup Pleasure (No CHSA pts) 130a. Short Stirrup Pleasure Champ (no pts) 131. Short Stirrup Equitation - Flat Warm-Up D - Cross Rails 18” 3 132. Short Stirrup Equitation X Rails 133. Short Stirrup Equitation X Rails 134. Short Stirrup Equitation X Rails 135. CHSA Short Stirrup Medal 136. Short Stirrup Hunter - X Rails 137. Short Stirrup Hunter - X Rails 138. Short Stirrup Hunter - X Rails 139. Short Stirrup Hunter U/ Saddle 140. Long Stirrup Equitation Flat 141. Long Stirrup Equitation Fences 18” 142. Long Stirrup Equitation 18” 143. Long Stirrup Hunter 18” 144. Long Stirrup Hunter 18” 145. Long Stirrup Hunter Under Saddle 146. CT Training Hunter ‘A’ 18”/ B 2’ 147. CT Training Hunter ‘A’ 18”/ B 2’ 148. CT Training Hunter ‘A’18”/B 2’ 149. CT Training Hunter U/ Saddle Warm Up E - 2’ 150. Maiden Hunt Equitation - Flat 151. Maiden Hunt Seat - Fences 2’ 152. Handy Hunter Challenge 2’ 153. Pre-Children’s Equitation Flat 154. Pre-Children’s Equitation - 2’ 155. Pre-Children’s Equitation 156. Pre-Children’s Equitation 157. CHSA Pre-Children’s Medal 2’ 158. Pre-Children’s Hunter 159. Pre-Children’s Hunter 160. Pre-Children’s Hunter Stake 161. Pre-Children’s Hunter U/ Saddle 162. CHSA Children’s 2’3” Hunt Medal 163. Children’s Equitation - Flat 164. Children’s Equitation - Fences 165. Children’s Equitation - Fences 166. Children’s Equitation - Fences 167. CHSA Children’s Medal 2’6” 168. CHJA Children’s Medal 2’6” 169. Modified Children’s Hunter 2’6” 170. Modified Children’s Hunter 171. Modified Children’s Hunter Stake 172 Mod Children’s Hunter U/Saddle 173. Hunt Seat Equitation U/ 15 Flat 174. Hunt Seat Equitation U/15 - 2’6” 175. Low Hunter - 2’6” 176. Low Hunter - Stake 177. Low Hunter U/Saddle 178. Children’s Hunter - Fences - 2’/2’6”/3’ 179. Children’s Hunter 180. Children’s Hunter Stake 181. Children’s Hunter U/Saddle RULES & REGULATONS Every class offered is conducted and judged in accordance with the rules and specifications of the current CHSA, CHJA and NEHC rule books. In order to compete for annual awards in these organizations membership is required. Membership is required to enter CHJA & NEHC Medal classes. Membership forms, rule books and class specs are available at Secretary’s Stand and at chsaonline.com, ch and nehc.net. 1. Please Pre-Enter: All entries received by mail or fax prior to 6:00 PM, the Friday, before the show will cost as listed. Payment not due until day of the show. After 6:00 pm. Friday a $20 post entry fee will charged for the day. No payment due until picking up number. 2. Open to all riders. It is not necessary to be a CHSA, CHJA or NEHC member, however, to compete for those Annual Horse Awards, the horse or pony must be registered by a member of the respective Association. All ages are as of 12/1/14. Juniors under 18. 3. Management may cancel/combine/add/divide classes or alter the schedule, or not delay classes due to conflicts with exhibitors or trainers. It is the exhibitor’s responsibility to notify management of conflicts in advance to institute reasonable holds. No refunds. 4. Decision of Judges is final. No one may approach a Judge regarding a decision or check a Judge's Card unless s/he first obtains permission from the Steward 5. Proper attire required. In hunters, hunt equitation and jumpers hard hats with full harness required for all jumping, in competition or in schooling. 6. Entry Fees must be paid or an open check left before numbers are issued. 7. Judges or Show Committee may excuse any horse, rider or spectator considered un-sound, unmanageable or discourteous. Entry fees will forfeited. 8. Dogs must be leashed for safety purposes. A $25 fee will be charged for loose dogs. 9. To be eligible for Championship and/or Stake classes, the exhibitor or horse must have shown in at least one qualifying class in that division. 10. Class fees: $25; Stake classes $30. Medals $30.00. 11. No alcohol permitted on the grounds. LEAD REIN - CHSA , CHJA Children under 7 (Hunt Seat) or under 8 (Stock and Saddle Seat) as of 12/1/14 who have not competed in other than lead rein classes. To be led by an adult. WALK, TROT / JOG - CHSA, CHJA, NEHC ‘B’ Open to riders 10 and under as of 12/1/14, who have not shown in classes requiring them to canter or jump. May not enter into any other classes. Hunt Seat, Saddle and Western Seat SHORT STIRRUP EQUITATION - CHSA , CHJA, NEHC ‘B’ (Equitation) Riders 12 and under as of 12/l/14 who have never competed over fences exceeding 18" in a recognized show. 18” X rails. Riders may not enter into any other classes except Short Stirrup Hunter and Pleasure. Classes. BEGINNER RIDERS 11 AND OVER (as of 12/1/14) - CHSA, NEHC ‘B’ Juniors and Amateurs in their first years of showing and who have not cantered or jumped at any recognized show. Riders are not eligible for any other divisions. To be shown at a Walk, Trot or Jog only. Will divide English & Western/ Adults and Juniors if entries warrant. MAIDEN HUNT SEAT - No Points - Open to all ages Riders who have not won a blue ribbon in Hunt Seat Equitation at a recognized show.- 2’ PRE-CHILDREN’S HUNT SEAT EQUITATION - CHSA, CHJA Junior riders eligible for Limit Equitation and who have never shown over fences exceeding 2’6” at a recognized horse show. At the same show riders may not cross-enter into Children’s Equitation, Children’s Hunter Pony, Pony Hunter, any medal class over 2’ or any classes where fences exceed 2’6”. Horses or ponies - fences 2’0” CHILDREN'S HUNT SEAT EQUITATION - CHSA , CHJA, NEHC ‘B Exhibitors not to have shown over 3’. Fences 2' for small and medium ponies. Large ponies and horses to jump 2' 6" . No combinations. Riders may not cross enter into Junior Equitation or any classes with fences over 3’ . LONG STIRRUP HUNT SEAT EQUITATION - CHSA Riders 13 and over in their first years of showing. Riders not eligible for any other classes other than Pleasure. Fences 18” - 24”. JUNIOR EQUITATION - CHSA , CHJA Riders under 18. May not cross-enter into Children’s Equitation at same show. 3’ 4 GREEN HORSE OR PONY PLEASURE (unrated) Open to horses and ponies in their first years of showing. English or Western Walk, trot/jog, canter/lope. CHILDREN'S PLEASURE PONY - CHSA - NEHC ‘C’ English or Western. Must be ridden by Juniors. Walk, trot/jog, canter/lope. AFFILIATION PLEASURE CLASSES Open to all, horses and ponies. Not necessary to be a member CHSA English Pleasure . NEHC Open Pleasure CHSA Western Pleasure DRIVING DIVISIONS - CHSA - NEHC ‘C’ (Carriage Driving only) Open Carriage Pleasure Driving: Open to all horses/ponies of any breed, color or size. Shown at Walk, Slow trot, Working trot, Strong trot. Should halt and rein back. Open Pleasure Driving: Open to both horses and ponies. Manners paramount. May be shown to any two or four wheeled vehicle, type of harness optional. Not NEHC BREED DIVISIONS ARABIAN AND HALF ARABIAN - CHSA (NEHC ‘C’ Halter & Hunter classes) Will divide Purebred & Half Arabian if entries warrant. Qualifying Class, $25.00; Stake Class, $30.00; Distribution - $25, $20 $10, $5. Purebred & Half Arabian Halter, Hunter Pleasure, Western Pleasure OPEN COLOR BREED- CHSA - NEHC ‘C’ Open to Appaloosas, Buckskins, Paints, Pintos, & Palominos. If no color showing, papers may be requested. MORGAN - CHSA ‘B’ (Double CHSA points) - NEHC ’C’ (Hunter Pleasure only) Qualifying Class $25.00; Stake Class $30.00; Distribution: $25, $20, $10, $5. Morgan In Hand, Amateur Morgan English Pleasure, Morgan Hunter Pleasure and Junior Exhibitor Morgan English Pleasure. WALKING HORSES (Unrated) Open to all walking/racking /gaited horses. Must be flat or plantation shod. Open Walking/Racking Gaited Horses Open Walk/Racking Gaited Horse Championship MISCELLANEOUS Sit-A-Buck - $25.00 entry fee: Cash back - Winner gets 1/2 of all entry fees Pony or Horse In Hand Pony In Hand - NEHC ‘C’ Pro-Am Pleasure Classic: Open to all seats. Professional (trainer) to ride first way of the ring. - Amateur second way Entry fee $25.00 per entry. Command Class Entry fee $25.00 . Pairs Class: - English or Western - Walk, Trot/Jog only. Entry $25.00 per pair THE BETHANY AIRPORT COOLER SERIES TO BE AWARDED FOR THE HIGHEST POINTS ACCUMULATED FROM THE BETHANY HORSE SHOW ON MAY 31ST & THE ST. PETER'S CHURCH CHARITY HORSE SHOW ON SEPTEMBER 20TH HIGH POINT ENGLISH PLEASURE HORSE OR PONY & HIGH POINT HUNTER OR JUMPER 7 LONG STIRRUP HUNTERS CHSA Must be eligible for Long Stirrup Equitation. Ages 13 and over. Not to exceed 2’ LOW HUNTERS - Unrated Open to all - fences about 2’6” CHILDREN’S HUNTER - CHSA , CHJA, NEHC ‘B’ Open to horses and ponies ridden by a Junior eligible for intermediate equitation over fences as of 12/1/14. Same combination rider and mount are not eligible for any other recognized division except equitation and pleasure. Will be divided horses and ponies if entries warrant. Small & medium ponies 2’, large ponies 2’6”, horses 3’ MODIFIED ADULT AMATEUR HUNTER - CHSA, CHJA, NEHC ‘C’ Adult amateur riders who are eligible for Modified Equitation. Fences 2'3" -2'6. ADULT AMATEUR HUNTER- CHSA, CHJA, NEHC ‘C’ Open to amateurs 18 and older. Fences about 2’9”. OPEN HANDY HUNTER CHALLENGE Entry fee $30 - Open to all - 2’3” Special Course . NON-JUMPING HUNTER - CHSA - NEHC ‘C’ Open Hunter Pleasure: Open to all horses of a hunter type ordinarily used for pleasure purposes with no limitations as to the status of the rider. Quarter Horse Hunter Under Saddle: Open to Junior and adult riders. All horses must be registered with the AQHA, papers to be presented if requested. JUMPER DIVISIONS Regular classes $25; Stake = $30 Stake Distribution $25, $20, $10, $5 LOW TRAINING JUMPER - CHSA , CHJA Open to horses/ponies; riders any age. Fences 2'6". LOW AMATEUR ADULT/CHILDREN' JUMPER - CHSA, CHJA, NEHC ’B’ Open to juniors and adult amateurs. Fences 3'. - 3’3” $ 160 JUMPER RELAY RACE - 2’6” Entry fee $40 per pair. Payout $75, $50, $25, $10. Table II sec. 2 a.. 86. Pairs of riders jump a combined course of 16 jumps - First rider jumps 1-8, 2nd Rider jumps 9-16. Pair with least faults and fastest time wins. No more than one pro allowed in each team. $160 THREE BAR JUMPER CHALLENGE Entry fee $40.00 Payout: $75, $50, $25, $10 Three obstacles set in a straight line. Beginning at 2’9”. Those going clean will return for next round at raised height. Must have 4 to run. There will be a 50% additional cash add-back for entries over four. PLEASURE DIVISIONS Championships & Reserves awarded on Points accumulated ENGLISH PLEASURE - CHSA Adult English Pleasure: English tack and attire Junior English Pleasure: Under 18 as of 12/1/14 WESTERN PLEASURE - CHSA Open Western Pleasure: Will be divided Adult and Junior if entries warrant PLEASURE CLASSICS (Must have 3 to run) $100 English Pleasure Classic: Open to all who have shown in at least one English pleasure class division at this show. $50, $25, $15, $10. Entry fee $35.00. $100 Western Pleasure Classic: Open to all who have shown in at least one Western pleasure class division (including breeds) at this show. $50, $25, $15, $10. Entry fee $35.00. 6 MODIFIED ADULT AMATEUR HUNT SEAT EQUITATION - CHSA, CHJA, NEHC ’B’ For those who have not won 6 blue ribbons in any recognized adult equitation class excluding Modified Equitation. For those who have won 6 blue ribbons they are still eligible for Modified if as of 12/1of the current show year they have not shown in classes with fences 3’ or higher at more than 3 recognized shows within the past two years. Fences 2’6”. ADULT AMATEUR HUNT SEAT EQUITATION - CHSA, CHJA, NEHC ‘B’ Open to amateur adults 18 years of age and over as of 12/1/14. JUNIOR SADDLE SEAT EQUITATION - CHSA - NEHC ‘B’ Open to Juniors 17 and under as of 12/1/14 WESTERN SEAT EQUITATION - CHSA - NEHC ‘B’ Junior Western /Reining Seat juniors 17 and under as of 12/1/14. Adult Western/Reining Seat Amateur Adults 18 and over as of 12/1/14 MEDAL CLASSES NEHC EQUITATION MEDAL CLASSES Entry fee $30 per class Riders must be NEHC members – may join at the show NEHC Junior Western/Reining Seat Medal NEHC Adult Hunt Seat Medal NEHC Adult Western/Reining Seat Medal NEHC Junior. Hunt Seat Medal NEHC Junior Saddle Seat Equitation Medal CHSA HUNT SEAT EQUITATION MEDAL CLASSES - Entry Fee $30 per class Open to members and non-members, but only CHSA members will accrue points. At least 3 riders must complete the class. May only compete in one CHSA medal class per show. CHSA Modified Adult Hunt Medal 2’6” CHSA Pre-Children’s Hunt Medal 2’ CHSA Short Stirrup Hunt Seat Medal: 18” CHSA Children’s Hunt Seat Medal 2’6” CHSA Children’s Hunt Seat 2’3” Medal CHJA HUNT SEAT EQUITATION MEDAL CLASSES In all CHJA Medal Classes all riders must be CHSA members. Membership forms available at the secretary’s stand. At least four riders must complete both the flat and fences phase of class - 50% for each phase. The same horse/rider combination. Riders may only enter one Medal class. CHSA Pre-Children’s Medal - 2’ CHJA Children’s Medal - 2’6” CHJA Modified Medal - 2’6” CHJA Junior Hunt Seat Medal - 3’ CHJA Amateur Adult Medal - 3’ HUNTER DIVISIONS Regular classes $25; Stake = $30 Stake Distribution $25, $20, $10, $5 SHORT STIRRUP HUNTER CHSA, CHJA, NEHC ‘C’ Riders 12 and under as of 12/1/13. Must be eligible for Short Stirrup equitation. Fences not to exceed 18”, cross rails or verticals. CT TRAINING HUNTER LEVEL A - 18”; B – 2’; C – 2’3”; D - 2’6” CHSA, CHJA Open to all riders and horses/ponies, no restrictions of horse/pony/rider into other divisions if otherwise eligible. Simple lead changes or trotting in corners permitted. Classes may be combined/divided if entries warrant. Hunter type course. SHORT STIRRUP HUNTER - CHSA, CHJA, NEHC ‘B’ Riders 12 and under eligible for Short Stirrup Equitation Fences 18” cross rails or verticals PRE-CHILDREN’S HUNTER CHSA, CHJA, NEHC ‘C’ Junior riders -horses or ponies. Fences 2’0. At same show horse/pony and rider combination may not cross enter into Children’s Equitation, Children’s Hunter Horse/Pony, Modified Children’s Hunter or classes where fences exceed 2’6”. . MODIFIED CHILDREN’S HUNTER - CHSA, CHJA Junior exhibitors eligible for Children’s Equitation. Horses or ponies – fences 2’6”, Same horse/pony/rider combination may not enter other classes exceeding 2’6” 5 BETHANY HORSE SHOW MAY 31, 2015 ONE HORSE TO EACH ENTRY BLANK—PLEASE PRINT CLEARLY Owner ___________________________________________________________________ Address __________________________________________________________________ Phone: Email:___________________________________________________________________________________ _ HORSE Pony Seat (If pony, indicate (S)mall, (M)edium or (L)arge S,M,L H, W, EXHIBITOR (A)dult Or Age (If Walk-Trot Jog, Indicate Seat (H)unt, (W)estern, (S)addle 12/01/14 If member - # Name MAIL OR FAX ENTRIES TO: LESLIE HUTTON MAIL OR FAX ENTRIES TO: 66 LONGBOTTOM ROAD LESLIE HUTTON SOUTHINGTON, CT 06489 FAX 860-620-1739 66 LONGBOTTOM ROAD EMAIL: [email protected] Name Class Total Class All completed and signed entries received by mail or fax prior to 6:00 PM, Friday, May 29, will be charged as listed. After 6:00 PM, May 29, all entrants will be charged an additional $20.00 post entry fee for the show. Name Total Cash or open check due when numbers are picked up. All entered for competition shall be under the control of the Committee and subject to the constitution and rules of the Associations and the local rules of the competition. Should any dispute or question arise, it shall be referred to the Show Committee, whose decision shall be final. I, THE UNDERSIGNED, agree that I choose to participate voluntarily in the competition with my horse, as a rider, driver, handler, lessee, owner, agent, coach, trainer, or as parent or guardian of a junior exhibitor, and 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. I agree to indemnify (that is, to pay any losses, damages or costs incurred by) the competition, the show management, the Bethany Lions Club, the Sleeping Giant Pony Club, CHSA, CHJA, NEHC, AHCC CMHA, the Town of Bethany, and to hold them harmless with respect to claims for harm to me or my horse and from any harm caused by me or my horse to others, at the competition. If I am a parent, guardian or trainer of a junior exhibitor, I consent to the child’s participation and agree to all the above provisions X X______________________________ X Trainer’s Signature Rider’s Signature (parent/guardian ifCity/St/Zip___________________________ under18) Trainer’s Signature Rider’s Signature (parent/guardian if under18) Trainer’s signature if parent/guardian unavailable Print Name__________________________ TOTAL ENTRY FEES CLASS SPONSOR FEE $10.00 POST ENTRY FEE ($20 after deadline of MAY 29) OFFICE FEE PER HORSE 15.00 TOTAL AMOUNT DUE CREDITS/WINNINGS BALANCE DUE Tainer’s signature if parent/guardian unavailable Telephone__________________________ Print Name Print Name Street Street City/St/Zip City/St/Zip Street ______________________________ X___________________________ Telephone Telephone Print Name__________________________ Street______________________________ CLASS PRICES Class Prices: Regular $25 Regular Classes: ............................................$25.00 Special and Stake $30 Special & Stake Classes ................................$30.00 Medal $30 Warm-Up $15
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