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Wellington Classic Dressage In The Tropics I & II

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WCD <strong>In</strong> <strong>The</strong> <strong>Tropics</strong> IDay SheetsRing: 1 Saturday, July 20, 2013Time Entry Rider Horse Test Stat/Div Q Term E H C M B Total %Class: FEIX FEI Young Horse Test of ChoiceJudge atC: Sue Madden Mandas7:41 AM 239 Britta C-Ashton USEF4Class: JT FEI Junior Riders Team TestJudge atC: Sue Madden Mandas7:51 AM 264 Maria Aponte Royal Angel JrT JR/YRClass: PA FEI Prix St. Georges AAJudge atC: Sue Madden Mandas8:00 AM 207 Lia Giliotti Caballero G PSG Adult Amateur Q8:09 AM 247 Lily C. Zilo Windsor's Aron PSG Adult Amateur Q8:18 AM 262 Janne H. Rumbough Winnie Too PSG Adult Amateur QClass: P FEI Prix St. GeorgesJudge atC: Sue Madden Mandas8:27 AM 265 Richard Don Ducati PSG Open Q8:36 AM 237 Franziska Seidl Winniepuuh PSG Open8:45 AM 203 Lisa Wilcox Zen PSG Open Q8:54 AM 235 Ralea Casperson Devil's Dusty Pink PSG Open9:03 AM 255 Heidi M. Degele Lakota PSG Open9:12 AM 209 Michele L. Hall Whimsical PSG Open Q9:21 AM 241 Christopher Schruefer De Feiner Star PSG Open9:30 AM 205 Jeffery Lord Gason Roslev PSG Open Q9:39 AM ***Break*** ***Break***9:49 AM 228 Dr. Michael Kohl Aguita PSG Open9:58 AM 249 Irina Moleiro De Muro Wilbur PSG Open10:07 AM 204 Jessica Kozel Revelin PSG Open Q10:16 AM 266 Dawn Bernardo Desperado PSG Adult Amateur Q10:25 AM 222 Gary F. Lane Titaan PSG OpenClass: I1A FEI <strong>In</strong>termediaire 1 AAJudge atC: Sue Madden Mandas10:34 AM 243 Merrilyn Griffin Epik I1 Adult Amateur QClass: I1 FEI <strong>In</strong>termediaire 1Judge atC: Sue Madden Mandas10:43 AM 238 Franziska Seidl Romano K I1 Open Q10:52 AM 258 Melissa Jackson Whirlpool I1 Open Q11:01 AM 254 Heidi M. Degele Lionwood Kinsales Lad I1 OpenClass: GA FEI Grand Prix de <strong>Dressage</strong> AAJudge atC: Sue Madden Mandas11:10 AM 261 Janne H. Rumbough Junior GP Adult Amateur11:19 AM 220 Chris Curiger Helios GP Adult AmateurClass: G FEI Grand Prix de <strong>Dressage</strong>Judge atC: Sue Madden Mandas11:28 AM ***Break*** ***Break***11:38 AM 248 Kelly Layne Von Primaire GP Open11:47 AM 208 Shannon Dueck Ayscha GP Open11:56 AM 202 Lisa Wilcox Denzello GP OpenClass: I2 FEI <strong>In</strong>termediaire 2Judge atC: Sue Madden Mandas12:05 PM 234 Franziska Seidl Sigalia I2 Open Q12:14 PM 250 Greta Friesen Wild One I2 Open12:23 PM 240 Christopher Schruefer De Facto I2 OpenClass: JT FEI Junior Riders Team Test cont.Judge atC: Sue Madden Mandas12:32 PM 263 Maria Aponte Haute Couture JrT JR/YRClass: FY6 FEI Six Year Old TestJudge atC: Mandas Poulin12:41 PM 253 Heidi M. Degele Don Fredo HD F6q Open


WCD <strong>In</strong> <strong>The</strong> <strong>Tropics</strong> IDay SheetsRing: 1 Saturday, July 20, 2013Time Entry Rider Horse Test Stat/Div Q Term E H C M B Total %Class: 13 USEF First Level Test 3Judge atC: Tom Poulin1:19 PM 267 Heather K. Bender Brioso <strong>In</strong>teragro 1-3 Open1:27 PM 232 Katherine Partynski Herr Peronte 1-3 Adult Amateur Q1:35 PM 217 Maria Anna Hallet Malbec 1-3 Open Q1:43 PM 212 Julie Quintrall Adiemus 1-3 Adult Amateur Q1:51 PM 215 Kasey Bedard Irie 1-3 Adult Amateur Q1:59 PM 236 Ralea Casperson Zaltana 1-3 Open Q2:07 PM 211 Cecilia Armas Spencer 1-3 OpenClass: T3 USEF Training Level Test 3Judge atC: Tom Poulin2:23 PM 206 Jeffery Lord Enamorada ADF T-3 Open Q2:30 PM 246 Suzanne Hall Prodigy T-3 Adult Amateur Q2:37 PM 230 Karissa Tolliver Divincci T-3 Adult Amateur Q2:44 PM 252 Lisa C. Tota De La Vinci T-3 Open2:51 PM 231 Laura Partynski Prada T-3 Adult Amateur QClass: 21 USEF Second Level Test 1Judge atC: Tom Poulin2:58 PM 267 Heather K. Bender Brioso <strong>In</strong>teragro 2-1 OpenClass: 11A USEF First Level Test 1 AA/Jr/YRJudge atC: Tom Poulin3:06 PM 216 Lori Sargeant Lights-N-Sirens 1-1 Adult Amateur3:13 PM ***Break*** ***Break***3:23 PM 212 Julie Quintrall Adiemus 1-1 Adult Amateur3:30 PM 215 Kasey Bedard Irie 1-1 Adult AmateurClass: 31 USEF Third Level Test 1Judge atC: Tom Poulin3:37 PM 226 Rebecca L. Bryan Sandra Dee 3-1 OpenClass: 23 USEF Second Level Test 3Judge atC: Tom Poulin3:45 PM 242 Christopher Schruefer Federer 2-3 Open QClass: 12 USEF First Level Test 2Judge atC: Tom Poulin3:53 PM 210 Rebecka Mcseveney Spencer 1-2 Adult Amateur4:01 PM 217 Maria Anna Hallet Malbec 1-2 Open4:09 PM 216 Lori Sargeant Lights-N-Sirens 1-2 Adult AmateurClass: 41 USEF Fourth Level Test 1Judge atC: Tom Poulin4:17 PM 268 Heather K. Bender Zairo <strong>In</strong>teragro 4-1 Open4:25 PM 251 Greta Friesen Weltina 4-1 Open4:33 PM 201 Jacqueline Shear Galant 4-1 Adult Amateur4:41 PM 229 Jeffery Lord Wonderfully Wiley 4-1 OpenClass: 33 USEF Third Level Test 3Judge atC: Tom Poulin2:15 PM 213 Lorie E. Kinney Carrera XP 3-3 Open4:49 PM 218 Lorie E. Kinne y Menzel 2 3-3 Open4:57 PM 225 Amy Swerdlin Scholastica 3-3 Adult Amateur Q5:05 PM 227 Rebecca L. Bryan Boxster S 3-3 Open Q5:13 PM ***Break*** ***Break***Class: T1A USEF Training Level Test 1 AA/Jr/YRJudge a tC: Tom Poulin5:23 PM 246 Suzanne Hall Prodigy T-1 Adult AmateurClass: T1 USEF Training Level Test 1Judge atC: Tom Poulin5:30 PM 224 Marcel van der Burgh Deva T-1 OpenClass: T2 USEF Training Level Test 2Judge atC: Tom Poulin5:37 PM 231 Laura Partynski Prada T-2 Adult Amateur5:45 PM 230 Karissa Tolliver Divincci T-2 Adult AmateurClass: 42 USEF Fourth Level Test 2Judge a tC: Tom Poulin5:53 PM 214 Maria Anna Hallet Don Merisse 4-2 OpenClass: 43 USEF Fourth Level Test 3Judge atC: Tom Poulin6:01 PM 268 Heather K. Bender Zairo <strong>In</strong>teragro 4-3 Open6:09 PM 233 Shannon R. Hendrix Bellini 4-3 Adult Amateur Q6:17 PM 244 Dr. Kristy Truebenbach Akvavit 4-3 Adult Amateur Q


WCD <strong>In</strong> <strong>The</strong> <strong>Tropics</strong> <strong>II</strong>Day SheetsRing: 1 Sunday, July 21, 2013Time Entry Rider Horse Test Stat/Div Q Term E H C M B Total %Class: MM4 Materiale Four or Five Year Old FilliesJudge atC: Tom Poulin7:50 AM 256 Heidi M. Degele Sonata MAT OpenClass: JI FEI Junior Rider <strong>In</strong>dividual TestJudge atC: Tom Poulin8:00 AM 264 Maria Aponte Royal Angel JrI JR/YRClass: I1A FEI <strong>In</strong>termediaire 1 AAJudge atC: Tom Poulin8:09 AM 243 Merrilyn Griffin Epik I1 Adult Amateur Q8:18 AM 245 Dr. Kristy Truebenbach Reel Adventure I1 Adult AmateurClass: I1 FEI <strong>In</strong>termediaire 1Judge atC: Tom Poulin8:27 AM 237 Franziska Seidl Winniepuuh I1 Open8:36 AM 266 Dawn Bernardo Desperado I1 Adult Amateur Q8:45 AM 258 Melissa Jackson Whirlpool I1 Open Q8:54 AM 254 Heidi M. Degele Lionwood Kinsales Lad I1 OpenClass: G FEI Grand Prix de <strong>Dressage</strong>Judge atC: Tom Poulin9:03 AM 240 Christopher Schruefer De Facto GP Open9:12 AM 260 Kelly Layne Udon P GP Open9:21 AM 208 Shannon Dueck Ayscha GP Open9:30 AM ***Break*** ***Break***9:40 AM 202 Lisa Wilcox Denzello GP Open9:49 AM 234 Franziska Seidl Sigalia GP OpenClass: GA FEI Grand Prix de <strong>Dressage</strong> AAJudge atC: Tom Poulin9:58 AM 261 Janne H. Rumbough Junior GP Adult Amateur10:07 AM 220 Chris Curiger Helios GP Adult AmateurClass: I2 FEI <strong>In</strong>termediaire 2Judge atC: Tom Poulin10:16 AM 250 Greta Friesen Wild One I2 OpenClass: FEI FEI Level Test of ChoiceJudge atC: Tom Poulin10:25 AM 255 Heidi M. Degele Lakota DH OpenClass: P FEI Prix St. GeorgesJudge atC: Tom Poulin10:31 AM 265 Richard Don Ducati PSG Open Q10:40 AM 204 Jessica Kozel Revelin PSG Open Q10:49 AM 222 Gary F. Lane Titaan PSG Open10:58 AM 249 Irina Moleiro De Muro Wilbur PSG Open11:07 AM 209 Michele L. Hall Whimsical PSG Open Q11:16 AM ***Break*** ***Break***11:26 AM 241 Christopher Schruefer De Feiner Star PSG Open11:35 AM 205 Jeffery Lord Gason Roslev PSG Open Q11:44 AM 228 Dr. Michael Kohl Aguita PSG Open11:53 AM 203 Lisa Wilcox Zen PSG Open Q12:02 PM 235 Ralea Casperson Devil's Dusty Pink PSG Open QClass: PA FEI Prix St. Georges AAJudge atC: Tom Poulin12:11 PM 207 Lia Giliotti Caballero G PSG Adult Amateur Q12:20 PM 247 Lily C. Zilo Windsor's Aron PSG Adult Amateur Q12:29 PM 262 Janne H. Rumbough Winnie Too PSG Adult Amateur QClass: I1 FEI <strong>In</strong>termediaire 1 cont.Judge atC: Tom Poulin12:38 PM 238 Franziska Seidl Romano K I1 Open QClass: JI FEI Junior Rider <strong>In</strong>dividual Test cont.Judge atC: Tom Poulin12:47 PM 263 Maria Aponte Haute Couture JrI JR/YRClass: FEIX FEI Young Horse Test of ChoiceJudge atC: Tom Poulin12:56 PM 239 Britta C-Ashton USEF4Class: FY6 FEI Six Year Old TestJudge atC: Mandas Poulin1:06 PM 253 Heidi M. Degele Don Fredo HD FEI 6 Open


WCD <strong>In</strong> <strong>The</strong> <strong>Tropics</strong> <strong>II</strong>Day SheetsRing: 1 Sunday, July 21, 2013Time Entry Rider Horse Test Stat/Div Q Term E H C M B Total %Class: 43 USEF Fourth Level Test 3Judge atC: Sue Madden Mandas1:44 PM 268 Heather K. Bender Zairo <strong>In</strong>teragro 4-3 Open1:52 PM 244 Dr. Kristy Truebenbach Akvavit 4-3 Adult Amateur Q2:00 PM 233 Shannon R. Hendrix Bellini 4-3 Adult Amateur QClass: 42 USEF Fourth Level Test 2Judge a tC: Sue Madden Mandas2:08 PM 214 Maria Anna Hallet Don Merisse 4-2 OpenClass: 31A USEF Third Level Test 1 AA/Jr/YRJudge atC: Sue Madden Mandas2:16 PM 225 Amy Swerdlin Scholastica 3-1 Adult Amateur QClass: 33 USEF Third Level Test 3Judge atC: Sue Madden Mandas2:24 PM 213 Lorie E. Kinney Carrera XP 3-3 OpenClass: 11A USEF First Level Test 1 AA/Jr/YRJudge atC: Sue Madden Mandas2:40 PM 215 Kasey Bedard Irie 1-1 Adult AmateurClass: T2 USEF Training Level Test 2Judge atC: Sue Madden Mandas2:47 PM 231 Laura Partynski Prada T-2 Adult Amateur2:55 PM 230 Karissa Tolliver Divincci T-2 Adult Amateur3:03 PM 257 Heidi M. Degele Haute Couture T-2 Open3:11 PM 224 Marcel van der Burgh Deva T-2 OpenClass: 21 USEF Second Level Test 1Judge atC: Sue Madden Mandas3:19 PM 216 Maria Anna Hallet Lights-N-Sirens 2-1 Open3:27 PM ***Break*** ***Break***Class: 23 USEF Second Level Test 3Judge atC: Sue Madden Mandas3:37 PM 267 Heather K. Bender Brioso <strong>In</strong>teragro 2-3 Open3:45 PM 242 Christopher Schruefer Federer 2-3 Open QClass: T3 USEF Training Level Test 3Judge atC: Sue Madden Mandas3:53 PM 231 Laura Partynski Prada T-3 Adult Amateur Q4:00 PM 206 Jeffery Lord Enamorada ADF T-3 Open Q4:07 PM 252 Lisa C. Tota De La Vinci T-3 Open4:14 PM 230 Karissa Tolliver Divincci T-3 Adult Amateur Q4:21 PM 246 Suzanne Hall Prodigy T-3 Adult Amateur QClass: 13 USEF First Level Test 3Judge a t C: Sue Madden Manda s4:28 PM 217 Maria Anna Hallet Malbec 1-3 Open Q4:36 PM 236 Ralea Casperson Zaltana 1-3 Open Q4:44 PM 267 Heather K. Bender Brioso <strong>In</strong>teragro 1-3 Open4:52 PM 211 Cecilia Armas Spencer 1-3 Open5:00 PM 212 Julie Quintrall Adiemus 1-3 Adult Amateur Q5:08 PM ***Break*** ***Break***5:18 PM 215 Kasey Bedard Irie 1-3 Adult Amateur Q5:26 PM 232 Katherine Partynski Herr Peronte 1-3 Adult Amateur QClass: 33 USEF Third Level Test 3 cont.Judge atC: Sue Madden Mandas5:34 PM 218 Lorie E. Kinney Menzel 2 3-3 OpenClass: 41 USEF Fourth Level Test 1Judge atC: Sue Madden Mandas5:42 PM 251 Greta Friesen Weltina 4-1 Open5:50 PM 201 Jacqueline Shear Galant 4-1 Adult Amateur5:58 PM 229 Jeffery Lord Wonderfully Wiley 4-1 OpenClass: 12 USEF First Level Test 2Judge atC: Sue Madden Mandas6:06 PM 217 Maria Anna Hallet Malbec 1-2 Open6:14 PM 210 Rebecka Mcseveney Spencer 1-2 Adult Amateur


ATTENTION COMPETITORSEach competitor is responsible for supplying managementwith correct applicable numbers (USDF andUSEF) for horse, owner, rider, and trainer, before theday(s) of the competition.<strong>The</strong> scores of competitors who fail to supply correctnumbers may not be counted toward national awards.USDF Statement on Animal Welfare<strong>The</strong> United States <strong>Dressage</strong> Federation, <strong>In</strong>c. (USDF), a federation of 125 independent organizations throughout the United States with a membership inexcess of 30,000 members, supports the concept of ethical treatment of animals.<strong>Dressage</strong> is a classical method of training horses, based upon the horse’s natural responses, as carried out in a gradual, planned program during whichthe horse’s athletic abilities are improved in a systematic manner. As a result, the horse becomes capable, comfortable, and responsive in partnershipwith the rider without the use of force. <strong>Dressage</strong> competition at various levels of achievement is the ultimate test of the training program to determinewhether the desired harmony between horse and rider has been achieved.<strong>The</strong> rules pertaining to dressage competition prohibit the use of artificial appliances, training aids, and drugs, which would force the horse to submit.<strong>In</strong>stead, the emphasis is upon training and a cooperative partnership with the rider. Major competitions are carefully monitored to assure that there isno 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 horseis three or four. <strong>The</strong> top levels of achievement require five or more years of progressive training and it is not unusual to see horses in internationalcompetition 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 <strong>Dressage</strong> Federation, <strong>In</strong>c., also recognizes that it is unrealistic toascribe 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 alonger 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 programof certifying instructors also emphasizes protecting the horse’s welfare in pursuit of dressage training.United States <strong>Dressage</strong> Federation4051 Iron Works Parkway, Lexington, KY 40511Phone: 859-971-2277, Fax: 859-971-7722, usdressage@usdf.org, www.usdf.org


2013 USEF MEMBERSHIP APPLICATIONUNITED STATES EQUESTRIAN FEDERATION<strong>The</strong> United States Equestrian Federation (USEF) membership year begins on December 1. All memberships (except Life) expire on November 30. <strong>The</strong> effective date of membership is the date onwhich 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 mustbe a Senior, Junior, or Life Member. By submitting this application, you agree all information is correct and you agree to abide by all USEF rules.1. USEF MEMBERSHIPPlease select only one membership type from (a) or (b). Note: if you own a horse that competes atUSEF Licensed Competitions or you are a USEF Committee Member, you shouldselect a USEF Competing Membership (a).a. USEF Competing Equestrian MembershipCompeting members are those individuals who are eligible to participate in USEF LicensedCompetitions 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 11/30/2013) $55(<strong>In</strong>dividuals who have not yet reached their 18th birthday on 12/01/2012)(includes automatic insurance* and MemberPerks)□ 1-Year Senior (expires 11/30/2013) $55(includes automatic insurance* and MemberPerks)□ 3-Year Junior or Senior (expires 11/30/2015) $165(includes automatic insurance* and MemberPerks)□ Life Member . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,500(includes automatic insurance* and MemberPerks)b. USEF Equestrian MembershipFor members who do not participate in USEF Licensed Competitions. If you own a horse thatcompetes at USEF Licensed Competitions, please select a USEF Competing Membership (a).□ USEF Equestrian Plus (expires 11/30/2013) $35(includes automatic insurance* and MemberPerks)□ USEF Equestrian (expires 11/30/2013) $15(includes MemberPerks)□ Non-Member Amateur Status (Complete section 2) $30Not to be used as a Non-Member Application at a competition.(Non-Member Amateur status only.)2. REQUIRED SIGNATURE REQUIREDEvery member MUST sign & check the appropriate box below. If 18 years and older and you havenot participated in any professional activities as cited in USEF Rule Book, you are considered anamateur. Amateur status is also required for anyone who competes in amateur classes. PLEASENOTE: <strong>In</strong>dividuals who sign as a professional must complete the amateur reclassification processprior to being reinstated as an amateur. See USEF Rule Book for details of the process.TITLE: □ Mr. □ Mrs. □ Ms. □ Miss □ Other5. PERSONAL INFORMATIONNAME:ADDRESS:CITY, STATE, ZIP:PHONE:MOBILE:FAX:E-MAIL:U.S. CITIZEN: □YES □NOIF NO, WHAT COUNTRY?USEF MEMBER #:□ CHECK HERE IF THIS IS A NEW ADDRESS6. OLYMPIC/INTERNATIONAL EQUESTRIAN TEAM USAContribute to TEAM USA Success (Your contribution is tax deductible to the extent permitted by law.)____$25 ____$50 ____$75 ____$100 Other _______7. BREED/DISCIPLINE AFFILIATIONREQUIREDPlease designate a primary breed/discipline affiliation. This information will be used todetermine proportional representation on the USEF Board of Directors. Please designate theprimary breed/discipline affiliation as (1). You may also select a secondary choice as (2).EXAMPLE: Hunter 1 Driving 2Andalusian/Lusitano Arabian/Half-Arabian/Anglo-Arabian Connemara<strong>Dressage</strong> Driving Endurance English Pleasure EventingFriesian Hackney Hunter Jumper MorganNational Show Horse ParaEquestrian Parade Paso FinoReining Roadster Saddlebred Saddle Seat Shetland□ AMATEUR □ PROFESSIONAL □ JUNIORBy signing below, you or parent/guardian (required if member is under 18 years old) are inagreement with USEF Amateur Rule, and Federation Release, Assumption of Risk, Waiver and<strong>In</strong>demnification. (See reverse side)(Sign in ink)3. DATE OF BIRTH REQUIRED FOR AMATEURS AND JUNIORS(MM/DD/YY): / /4. USEF RULE BOOKYou can view the entire USEF Rule Book on our website, www.usef.org.□ I do not need the Rule Book and can access it online.I would like to receive the 2013 USEF Rule Book in the following format:□ Printed Version (loose leaf) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10□ Binder (3-ring to hold printed version) . . . . . . . . . . . . . . . . . . . . . $10Vaulting Welsh Western8. UNITED STATES HUNTER JUMPER ASSOCIATION MEMBERSHIP<strong>In</strong> order to compete as a rider, trainer, owner, or his/her agent(s) at non-breed restrictedUSEF-licensed competitions in any Hunter, Hunter Breeding, Jumper or Hunter Seat Equitationclasses, a person must be an active member of the United States Hunter Jumper Association,<strong>In</strong>c. (Exceptions found in USEF Rule Book).□ USHJA 3-YEAR ACTIVE (competing membership) expires 11/30/2015. . . . . . . $195□ USHJA ACTIVE MEMBER (competing membership) . . . . . . . . . . . . . . . . . $70□ USHJA LIFE MEMBER (competing membership) . . . . . . . . . . . . . . . . . $1,500□ USHJA ASSOCIATE (non-competing membership) . . . . . . . . . . . . . . . . . . $359. RENEWAL□ No, I do not wish to receive a paper renewal form in 2014. I will renew online.<strong>In</strong>complete applications cannot be processed until all REQUIRED information is received.*See USEF General <strong>In</strong>formation on reverse side.PAYMENT (Total of 1, 4, 6, and 8) Do not send cash. $□Check / Money Order (Payable to USEF) □VISA □MasterCard □AMEXCard Number:Exp. Date: / / 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 INFORMATIONUSEF annually pays a portion of your Life, Senior, Junior and USEF Equestrian Plus dues to athird 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 ridinginjury or property damage to third parties. <strong>In</strong> addition, you are entitled to personal accidentinsurance that insures you for death or permanent disability resulting from horse-relatedaccidents. <strong>The</strong> benefit amount is determined by where the accident occurred and the result,with a maximum benefit of $35,000.By submitting this application, you agree all information is correct and you agree to abide byall USEF rules.USHJA GENERAL INFORMATIONIf you want to join World Champion Hunter Rider (WCHR), please visit www.ushja.org. A benefitof your USHJA Membership is a one-year subscription to <strong>In</strong> Stride magazine and $9 of yourUSHJA membership dues include this subscription. For USHJA Outreach, Affiliate, Collegiateand Farm memberships go to www.ushja.org.From time to time, USHJA sends important information to their membership about associationhappenings and other promotional news from sponsors. By submitting this application youagree to abide by all the USHJA rules and agree to uphold the USHJA Ethics Statement.MEMBER PERKSAs a USEF member, you’ll reap the rewards all year long with the MemberPerks FreeEnrollment Program featuring a special collection of companies that support equestrian sport.See current MemberPerks list at www.usef.org.PRIVACY INFORMATIONUSEF reserves the right to share member data (including but not limited to membershipnumbers, horse ID numbers, horse recording numbers) with those Breed and DisciplineAffiliates that have entered into Data Sharing Agreements with USEF for purposes of betterserving their joint members.UNITED STATES OLYMPIC COMMITTEE REQUESTED INFORMATION<strong>The</strong> United States Olympic Committee is required to submit data to Congress and the Presidentconcerning the participation of women, individuals with disabilities and racial and ethnicminorities 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 requiredreporting to the United States Olympic Committee. This data is for analysis only. Submissionis voluntary. Failure to supply this information will not jeopardize or adversely affect yourmembership status with USEF. <strong>The</strong> 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 <strong>In</strong>dian 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 □ NoGender:□ Female□ MaleFEDERATION RELEASE (required signature, see Section 3)FEDERATION RELEASE, ASSUMPTION OF RISK, WAIVER AND INDEMNIFICATION. THISDOCUMENT WAIVES IMPORTANT LEGAL RIGHTS. READ IT CAREFULLY BEFORE SIGN-ING.I AGREE in consideration for my participation in any and all Federation licensed and/orendorsed competitions (“Competition”) to the following:I AGREE that “the Federation” and “Competition” as used herein includes the Licensee andCompetition 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 guardianof a junior exhibitor. I am fully aware and acknowledge that horse sports and the Competitioninvolve inherent dangerous risks of accident, loss, and serious bodily injury including brokenbones, head injuries, trauma, pain, suffering, or death (“Harm”).I AGREE to hold harmless and release the Federation and the Competition from all claims formoney damages or otherwise for any Harm to me or my horse and for any Harm of any naturecaused 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 resultingfrom the negligence of the Federation or the Competition.I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) the Federationand the Competition and to hold them harmless with respect to claims for Harm to me or myhorse, and for claims made by others for any Harm caused by me or my horse while at theCompetition. I have read the Federation Rules about protective equipment, including GR801and, if applicable, EV114, and I understand that I am entitled to wear protective equipmentwithout penalty, and I acknowledge that the Federation strongly encourages me to do so whileWARNING that no protective equipment can guard against all injuries. If I am a parent orguardian of a junior exhibitor, I consent to the child’s participation and AGREE to all of theabove provisions and AGREE to assume all of the obligations of this Release on the child’sbehalf. I represent that I have the requisite training, coaching and abilities to safely competein this competition.I AGREE that if I am injured at any Competition, the medical personnel treating my injuriesmay provide information on my injury and treatment to the Federation on the official USEFaccident/injury report form.BY SIGNING IN SECTION 2 ON PAGE ONE, I AGREE to be bound by all applicable FederationRules and all terms and provisions of this Federation Release, Assumption of Risk, Waiver and<strong>In</strong>demnification document.UNITED STATES EQUESTRIAN FEDERATION MISSION STATEMENTWe are the National Governing Body (“NGB”) of Equestrian Sport in the United States. Weprovide leadership and vision for equestrian sport by regulating competitions and promotingthe safety and welfare of horses and riders while encouraging interest, participation, andexcellence at every competitive level. We embrace the Olympic movement and the spirit of fairplay 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.DIGITAL SURVEY1. Do you use a smart phone? □YES □NOIf yes, is it an: □iPhone □Android □Blackberry □Other2. Do you own a tablet device? □YES □NOIf no, do you plan to own one in the next year? □YES □NO3. Do you use any digital resources for learning more about your discipline or careof your horse? □YES □NO


CompetitionEntry No.orBridle No.2013 Participating Membership • Business MembershipThis form must be completed in full. (please print)Competition <strong>In</strong>formation (please print)Competition Name:Competition Secretary:Competition Number:Competition Date:Personal <strong>In</strong>formationName: USDF #:Date of Birth (required for youth members): / / USEF #:Address:City, State, Zip:Primary Phone: ( ) - E-mail:Published Phone (If you are a USDF official whose number we publish, please provide your preferred number for public lists): ( ) -Please do not mail me the following. I will access the online version at www.usdf.org: USDF Participating Membership card USDF Connection magazine USDF Member GuideMembership Options 1-year Participating Membership ................................. $75 1-year Youth Participating Membership ....................... $60(<strong>In</strong>dividuals who have not reached their 21 st birthday by 12/1) 5-year Participating Membership ................................. $300 Life Participating Membership ...................................... $1500 1-year Business Membership ........................................ $200 Postage outside the U.S ................................................ $15TOTAL $________No portion of membership dues or contributions is used forlobbying.USDF may require fees for replacement cards for errors reportedafter 45 days, or non-receipt of card reported after 60 days ofapplication.Payment Options USDF does not issue refunds Check – US funds only (make payable to USDF) Visa MasterCard/Card #EXP. DATECardholder’s NameCardholder’s Address with ZipCardholder’s SignatureI certify that I have read and understand the terms and conditions of this USDF Participating Membership/Business MembershipForm, and understand that falsifying any information on this form may result in disciplinary action.***SIGNATURES REQUIRED***SignatureDATESecretary SignatureDATEPlease see page 2 of this form for important information on USDF Participating, Business Membership, and applying for USDFmembership at a USEF-licensed/USDF-recognized competition.A copy of the Participating Membership/Business Membership Form may be used as verification of membership/horse registration forup to 60 days. Online verification of membership is available at www.usdf.org.Page 1 of 24051 Iron Works Parkway, Lexington, KY 40511Phone: (859) 971-2277 • Fax: (859) 971-7722 • Web: www.usdf.org Member Services /rev. 7/10


USDF Membership Requirements for USEF-licensed/USDF-recognized CompetitionsOwners or riders, including foreign riders and owners who are not residents of the US, wishing to participate in a USEFlicensed/USDF-recognizedcompetition as a rider or owner/lessee, must have either a current USDF Group Membership (GM), aUSDF Participating Membership (PM), or have a USDF Non-Member (NM) number and pay the NM fee. Horses competing at USEFlicensed/USDF-recognizedcompetitions must have either a USDF Horse Identification (HID) number or a USDF Lifetime HorseRegistration (LHR). Proper credentials or verification certificates must be presented to the competition secretary.Exceptions to USDF Membership, Non-Member Fee, and Horse Registration RequirementsHorses competing only in <strong>In</strong>dividual Breed Classes (IBCs) at DSHB competitions, sires and dams of horses in DSHB groupclasses, where those sires or dams are not actually competing in the same competition, horses competing only in breedrestricted dressage or DSHB classes at regular competitions (e.g. all Arabian, all Friesian, all Morgan classes, etc.), or in USDF<strong>In</strong>troductory Level tests, pas de deux, quadrille, FEI Para-Equestrian classes, are exempt from this requirement. Also exemptare horses ridden in leadline, exhibitions, games and races, classes for 4-H members, walk-trot, academy and opportunityclasses. For foreign-owned horses competing in a CDI, USDF accepts copies of the horse identification pages from an FEIpassport in lieu of a USDF HID or LHR number.Riders and owners/lessees competing only in classes which are exempt from the USDF HID requirements are also exemptfrom the USDF Non-Member (NM) identification number and NM fee requirements. Also exempt are handlers of horsescompeting in DSHB in-hand or Group classes.Participating Membership (PM)/Business Membership (BM) <strong>In</strong>formation<strong>The</strong> USDF PM and BM year begins December 1. All memberships (except Life PM) expire on November 30.Business members can own horses, but cannot compete as riders with their USDF BM. If riding, a business member will need aPM, GM, or NM identification number.Once your USDF application has been processed, you will be able to access your membership card on the USDF website. Thisonline printout should be presented to the show secretary and the USDF number should be provided on every competition entryform.For information on USDF PM and BM benefits or rider/handler/owner/horse eligibility for specific programs, please visit the USDFwebsite.Applying for USDF PM or USDF BM at a USEF-licensed/USDF-recognized Competition<strong>The</strong> effective date of membership is the date the form and correct fees are accepted by the competition secretary, provided theapplication is signed and dated by the competition secretary, and the member (or representative of member), on that same day.If the application is submitted with incomplete information, signatures, and/or fees, the membership will not become effectiveuntil the information, signatures, and/or fees are received in the USDF office.Page 2 of 24051 Iron Works Parkway, Lexington, KY 40511Phone: (859) 971-2277 • Fax: (859) 971-7722 • Web: www.usdf.org Member Services /rev. 7/10


USDF Membership Benefits: USDF is dedicated to education,the recognition of achievement, and promotion of dressage. Fordetails on member benefits, including educational programs,awards, and other opportunities, refer to the USDF MemberGuide or the USDF website at www.usdf.org.Thiscompetitionis recognizedby USDFfor 2013Membership Requirements for USEF-licensed/USDF-recognized Competitions: Owners andriders, including foreign riders and owners who are not residents of the US, wishing to participate ina USEF-licensed/USDF-recognized competition as a rider or owner/lessee, must have either aUSDF 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 horsesbut cannot compete as riders with their USDF BM.) <strong>In</strong>dividuals cannot compete at a USEFlicensed/USDF-recognizedcompetition with a USDF Education Membership.Horses competing at USEF-licensed/USDF-recognized competitions must have either a USDFHorse Identification (HID) number or a USDF Lifetime Horse Registration (LHR). Proper credentialsor verification certificates must be presented to the competition secretary.Riders and owners wishing to participate in a USEF-licensed/USDF-recognized competition, andnot able to present the competition secretary with verification of a USDF membership or NMidentification, and USDF LHR or USDF HID, must complete a USDF Competition Affidavit Formand pay the $5 affidavit filing fee. A copy of a completed affidavit form from another competitionmay also be used for verification purposes for up to 60 days. (Exception: Affidavits cannot be usedat Great American <strong>In</strong>surance Group/USDF Regional <strong>Dressage</strong> Championships.)Exceptions:• Horses competing only in <strong>In</strong>dividual Breed Classes (IBCs) at DSHB competitions, siresand dams of horses in DSHB group classes, where those sires or dams are not actuallycompeting in the same competition, horses competing only in breed restricted dressageor DSHB classes at Regular Competitions (e.g. all Arabian, all Friesian, or all Morganclasses), or in USDF <strong>In</strong>troductory Level tests, pas de deux, quadrille, FEI Para-Equestrian classes, are exempt from this requirement. Also exempt are horses ridden inleadline, exhibitions, games and races, classes for 4-H members, walk-trot, academyand opportunity classes.• Riders and owners/lessees competing only in classes which are exempt from the USDFHID requirements are also exempt from the USDF NM identification number and NM feerequirements. Also exempt are handlers of horses competing in DSHB <strong>In</strong>-Hand orGroup classes.Memberships DefinedParticipating Membership (PM): A membership issued to an individual directly by USDF. <strong>The</strong>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 forindividuals who have not reached their 21 st birthday by December 1 of the current membershipyear ($60). A PM allows the member to compete at USEF-licensed/USDF-recognized competitionsand to participate as a rider and/or owner/lessee for all Adequan ® /USDF Year-End Awards, GreatAmerican <strong>In</strong>surance Group/USDF Breeders’ Championship Series Finals and the Great American<strong>In</strong>surance Group/USDF Regional <strong>Dressage</strong> Championship program.Group Membership (GM): A membership issued to an individual by USDF when the membername and dues are submitted to USDF through an affiliate Group Member Organization (GMO).<strong>The</strong> GM year begins December 1 and ends November 30. A GM allows the member to compete at07/12


USEF-licensed/USDF-recognized competitions and participate in the USDF Rider Awardsprogram.Business Membership (BM): A membership that runs December 1 through November 30 and isissued to a business or organization directly by USDF. <strong>The</strong> USDF BM ($200) offers a wider varietyof advertising benefits. BMs satisfy requirements of horse ownership only.Education Membership (EM): A membership issued to an individual directly by USDF. Thisonline education only membership expires 12 months after the date joined. This membership typedoes 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 riderthere will be a USDF NM fee of $25 and a USDF NM form per competition that must be collectedby the show secretary and submitted to USDF along with the USDF Report of Fees document andthe $5 affidavit fee if the person cannot provide a copy of their USDF NM card. Owners/lessees orriders exempt from the NM number requirements are also exempt from paying the USDF NM fee. Ifthere are multiple owners of a horse and all are NMs, only one of the owners must pay the NMfee. If the horse has at least one owner who is a current USDF member there is no NM feeassessed. Competition management will be invoiced for all applicable USDF NM fees not receivedwith the USDF post competition paperwork, along with a report listing all USDF NMs. Competitionmanagement is then required to submit the NM fees within 30 days to the USDF. An individualwith a USDF NM identification number is not eligible for any USDF membership benefits. Once aUSDF 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 earnedby a horse with an HID number will be recorded, but will NOT be counted towards Adequan ® /USDFYear-End Awards. A horse with an HID number is not eligible to compete in Great American<strong>In</strong>surance Group/USDF Regional qualifying or championship classes or Great American <strong>In</strong>suranceGroup/USDF Breeders’ Championship Series Finals. An HID number can be upgraded to aLifetime Horse Registration (LHR) for a fee of $70. If a horse has a USDF LHR it does not need anHID 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 ® /USDFYear-End Awards, and eligible to compete at Great American <strong>In</strong>surance Group/USDF Breeders’Championship Series Finals and Great American <strong>In</strong>surance Group/USDF Regional qualifying andchampionship classes, assuming requirements for the owner and rider are met. If a horse has anLHR it does not need an HID number. An LHR does not need to be renewed.How to Join USDFApplications for USDF Participating Membership (PM), Business Membership (BM), HorseIdentification (HID) number, and Lifetime Horse Registration (LHR) may be found in the followinglocations:• On the USDF website: www.usdf.org. You can submit the application online ordownload the form and fax or mail it to the USDF office.• <strong>In</strong> the show office at USEF-licensed/USDF-recognized competitions classified by USEFas <strong>Dressage</strong> 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<strong>The</strong> effective date of membership is the date the form and correct fees are received in the USDFoffice or, if applying at a competition, the date accepted by the competition secretary, provided theapplication is signed and dated by the competition secretary, member, and/or horse owner on thatsame day.


Revised 11.01.11

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