HEARTHSTONE DRESSAGE SCHOOLING SHOW Saturday, October 16, 2010 Hearthstone Riding Stables Judge: TBD 3500 Longhorn, Houston, Texas 77084 Scores from this show may be applied to 281-398-1665 Houston Dressage Society Year-End Awards. Rain Date: TBA Show Manager/Secretary: Rebekah Wesatzke – Make checks payable to “Hearthstone Riding Stables”. Mail Entries with copy of Negative Coggins for trailered in horses dated within 12 months of show date to Hearthstone Riding Stables. Questions? Call Rebekah at 281.398.1665 or email email@example.com or Jerry Lyons at 713-516-0211 or email firstname.lastname@example.org ENTRY FORM (one rider/horse combination per entry). Closing Date: October 10, 2010 or when Ride Times are Full. Rider’s Name Address Telephone 1 Telephone 2 Email Address (Please provide email address to expedite the receipt of ride times.) Division □ Junior/YR □ Adult Amateur □ Open Horse’s Name Age Breed ● 60 x 20 meter sand footing outdoor arena will be used. ● There are a very limited number of day stalls available, please call in advance for availability. ● Championships at levels GAG through Second will be based on the average of two scores one of which must be the top test of that level. ● This show will be run similar to USEF/USDF recognized shows; however, this show is un-rated and therefore unregulated by the USEF. Show Management reserves the right to make adjustments and allowances while maintaining the spirit of USEF competition rules. CLASS DESCRIPTION FEES (2007 USDF & USEF Tests) Please circle applicable classes. $15.00/Class 1. HDS Green As Grass 1 2 3 2. USDF Introductory Test A Test B 3. Training Level 1 2 3 4 4. First Level 1 2 3 4 5. Second Level 1 2 3 4 Office Fee (mandatory) 12.00 Grounds Fee (For horses trailering in but not stabled). 15.00 Day Stall Fee (For horses with day stalls, please call early for availability). 25.00 Use of Hearthstone Lesson Horses at $10.00 per ride. TOTAL- - $ In addition to the following Liability Release, all riders must sign the Hearthstone Riding Stables Liability Release before mounting. BASIC LIABILITY RELEASE As a condition of entry and right to enter the show grounds Hearthstone Riding Stables and Houston Dressage Society, their officers, members, employees, judges and volunteers may not in any way be held responsible for any lost, stolen, or damaged articles nor liable for an injury sustained by any horse, participant or spectator. Rider’s Signature (if under 18, signature of parent or guardian) Horse Owner’s Signature WARNING: UNDER TEXAS LAW [CHAPTER 87, CIVIL PRACTICES AND REMEDIES CODE] AN EQUINE PROFESSIONAL IS NOT LIABLE FOR ANY INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES.