October 18, 2014 Harmony in Hooves CLASS REGISTRATION FORM Exhibitor________________________________________ Horse__________________________________________ Address_________________________________________ Phone________________________________ City/State/Zip___________________________________ *SEPARATE FORM FOR EACH HORSE BEING SHOWN! 26. 2'6" WARM- UP 7:45 AM - 8:00 AM - X-Rail Schooling Only 27. Intermediate Hunter I 2'6” 8:00 AM Show Starts 28. Intermediate Hunter II 2'6” 18” 29. Intermediate Equitation O/F 2'6" 2. X-Rail Rider Hunter II 18” 30. Intermediate Hunter Under Saddle 3. X-Rail Rider Equitation O/F 18” 31. Intermediate Equitation on the Flat 4. X-Rail Rider Hunter Under Saddle 32. 2'9" WARM- UP 5. X-Rail Rider Equitation on the Flat 33. Low Hunter I 2'9”-3' 18” 34. Low Hunter II 2'9”-3' 7. Beginner Rider Hunter II 18” 35. Low Equitation O/F 2'9"-3' 8. Beginner Rider Equitation O/F 18” 36. Low Hunter Under Saddle 9. Beginner Rider Hunter Under Saddle 37. Low Equitation on the Flat 6. Beginner Rider Hunter I 10. Beginner Rider Hunter Equitation/ Flat 11. 2' WARM- UP EMERGENCY CONTACT NUMBER EMAIL___________________________ 7:00 AM - 7:45 AM - General Schooling 18" and Up 1. X-Rail Rider Hunter I Date__________ The undersigned hereby understands that this entry for the participation in this AHJA show is made at his/her own risk. The owners of the showgrounds, AHJA and its predecessor organizations CAHJA and GAHJA, accept no responsibility for any accidents, theft, injuries, damage or loss of property or animals, or illness to horses, riders, spectators, or to any other person in connection with this show. Furthermore, the undersigned understands that under Arkansas Law, an Equine activity sponsor is not liable for any injury to, or the death of, a participant in Equine activities resulting from the inherent risk of Equine activities. In addition, the undersigned authorizes and consents to the use and reproduction by AHJA of any and all photographic material taken of the undersigned for promotional material, educational activities, exhibition or for any other use for the benefit of AHJA. Exhibitor Signature:________________________________________ If exhibitor is under 18-parent or guardian MUST sign. JUMPERS NOT TO START BEFORE 2PM Legal Guardian Signature:____________________________________ 38. Hopeful Jumper I 2'6"-2'9" 12. Green Horse Hunter I 2' 39. Hopeful Jumper II 2'6”-2'9" AHJA Membership - Single $20 /Family $25 13. Green Horse Hunter II 2' 40. Low Schooling Jumper I 2'9”-3' Number of Classes_______X $10 Member 41. Low Schooling Jumper II 2'9”-3' Number of Classes_______X $14 Non-Member 14. Green Horse Under Saddle 15. Limit Rider Hunter I 2' 42. High Schooling Jumper I 3'3"-3'6” USHJA Affiliate Membership - $15 per Member 16. Limit Rider Hunter II 2' 43. High Schooling Jumper II 3'3"-3'6” Office Fee/EIA Verifier fee - $5 per horse 17. Limit Rider Equitation O/F 2' 44. COSTUME CLASS!!! 18. Limit Rider Hunter Under Saddle USHJA Affiliate Award 19. Limit Rider Hunter Equitation on the Flat 20. 2'3" WARM- UP 21. Schooling Hunter I 2'3” 22. Schooling Hunter II 2'3” 23. Schooling Equitation O/F 2'3" 24. Schooling Hunter Under Saddle 25. Schooling Equitation on the Flat Send hard copy of entry to: 5313 North Cedar, North Little Rock, AR 72116 c/o Ellen Cother or email pdf copy to: [email protected] Year End Equitation Award given to high point riders that are AHJA members and also USHJA Affiliate or USHJA Regular Members Facility Fee - $10 per horse $10.00 Friday Schooling - $10 Day Stall - $15/ Overnight stall - $25 Post Entry Fee - $10.00 TOTAL PAID AHJA Mini-Medal: Awarded at year end banquet to riders earning highest cumulative points in classes #8 or #17 AHJA Medal: Top ten riders based on cumulative points in classes #23, #29 and #35 will be invited to participate in a special Equitation Over Fences class at our last show to determine the final winner (riders will show at either 2'3", 2'6" or 2'9") CHECK # Make Checks Payable to AHJA CREDIT CARD # Expiration: Billing Zip Code: $5.00 CVC: