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JUDGE Trenna Atkins TECHNICAL DELEGATE Tajie Major PROPRIETOR Dr. Nancy O’Reilly

SHOW MANAGER/SECRETARY Jennifer Nunes | 805.603.0309 | jennunes2360@yahoo.com VETERINARIAN West Coast Equine - On Call 805.386.7151 | www.westcoastequine.net 4310 Sand Canyon Road, Somis, CA 93066 FARRIER On Call - 805.551.1226

TRAINER James Lowe

MEDICAL PERSONNEL EMS Horse Show VIDEO Kingdom Video | 310.541.2299 CATERER On Grounds

MANAGER Jill Kramer

SOUTHERN CALIFORNIA EQUESTRIAN CENTER 4600 Sand Canyon Rd, Somis, CA 93066 USA Host to The Dressage Show August 3-4, 2019 Entries Due: Saturday October 12, 2019 *** Three Star Show | Recognized by USDF, USEF & CDS Please contact Jennifer Nunes for further information regarding entries and payment. Credit Card form available in prizelist or visit www.EquestrianEntries.com to enter online.

LOCATION & ACCOMODATIONS Southern California Equestrian Centre is located at 4600 Sand Canyon Road, just off the Hwy 118. Go almost to the end of Sand Canyon Road and turn right at the black 4600 mailbox. Go to the top of the hill and we are the last facility on the right. Please note that Southern California Equestrian Center staff permanently reside on the facility grounds, so please exercise courtesy and respect towards the staff and their home.

FROM THE 118 OR 23 Take the Los Angeles Ave Exit. Head West through Moorpark. Continue West about 7 miles. Turn right onto Sand Canyon Road.

FROM THE 101 NORTH Take the Rice Exit in Oxnard. Head East over the Freeway. Continue East for 18 miles. Turn left onto Sand Canyon Road.

FROM THE 101 SOUTH Take 23 Hwy N towards Fillmore. Exit Los Angeles Ave. past Moorpark. Continue West for 7 miles. Turn right onto Sand Canyon Road.

Hampton Inn & Suites | 50 Daily Drive, Camarillo | 805-389-9898 | www.hamptoninn3.hilton.com Best Western Camarillo Inn | 295 Daily Drive, Camarillo | 805-987-4991 | www.bestwestern.com Courtyard by Marriott | 4994 Verdugo Way, Camarillo | 800-321-2211 | www.courtyard.marriott.com Days Inn | 165 E. Daily Drive, Camarillo | 805-388-3467 | www.wyndhamhotels.com/days-inn Holiday Inn Express | 4444 Central Avenue, Camarillo | 805-485-3999 | www.hiexpress.com

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DIVISIONS: Introductory, Opportunity, Open, Adult Amateur, Junior and Young Rider Q - 2019 GAIG/USDF Regional Championship Qualifying Fee - Add $15 to each class fee and write Q on entry form

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ENTRY FORM | THE DRESSAGE SHOW AT THE SOUTHERN CALIFORNIA EQUESTRIAN CENTER ONLY ONE HORSE PER ENTRY FORM | Entries must be complete with signatures on reverse side. Must provide a copy of your USEF, USDF, CDS cards for the rider, horse, trainer and owner with entry form. ENTRY DUE: OCTOBER 12, 2019 - MAIL TO: Jennifer Nunes 543 Aileen St, Camarillo, CA 93010 - 805.603.0309 Current vaccination records must accompany all entries RIDER INFORMATION: Name: ____________________________________ Address: __________________________________ City: ______________________________________ State: ___________________ Zip: ______________ Phone: (____) ______________________________ E-mail: ____________________________________ USEF #: ___________________________________ USDF #: ___________________________________ CDS #: ____________________________________ OWNER INFORMATION: Name: ____________________________________ Address: __________________________________ City: ______________________________________ State: ___________________ Zip: ______________ Phone: (____) ______________________________ E-mail: ____________________________________ USEF #: ___________________________________ USDF #: ___________________________________ CDS #: ____________________________________ TRAINER INFORMATION: Name: ____________________________________ Address: __________________________________ City: ______________________________________ State: ___________________ Zip: ______________ Phone: (____) ______________________________ E-mail: ____________________________________ USEF #: ___________________________________ COACH INFORMATION: Name: ____________________________________ Address: __________________________________ City: ______________________________________ State: ___________________ Zip: ______________ Phone: (____) ______________________________ E-mail: ____________________________________ USEF #: ___________________________________ HORSE INFORMATION: Name: ____________________________________ Breed: ____________________________________ Sex: ____________________ Age: _____________ Color: _______________ Height: _______________ USEF #: _____________ USDF #: ______________ DASC #: ___________________________________



JR/YR Birthdate: _______________

STABLE WITH: ___________________________________ Day

Classes Entered - Specify O/A/JR/YR/Q/CB/Opp


Sat. Sun. TOTAL CLASS FEES Add $15 for each qualifying class Mandatory USEF Federation Fee


Mandatory Show Office Fee


Mandatory CDFA Drug Fee


Mandatory CDS Scholarship Fee


$15.00 Drugs & Medication; $8.00 USEF (GR301.8 & GR1401.12)

USEF Non-Member Show Pass Fee @ $45 USDF Non-Member Fee @ $35 Stabling - Full Service $185/stall Stabling - Stall Only $125/stall Stabling - Tack Stall $125/stall Stabling - Day Stall $60/stall Trailer-In Fee (No Stall) @ $30/day Shavings @ $12/bag or wheelbarrow Membership Internet Search Fee $10 Late Entry $50 Misc. _________________________________________ TOTAL FEES DUE & ENCLOSED - Note: All exhibitors must provide their own feed, including the Fulll Service Stabling Option. Please see Stabling Rule Section 21 - Checks payable to: Southern California Equestrian Center - Enter Online at www.EquestrianEntries.com - For More Information & Ride Times: Jennifer Nunes at 805.603.0309 or Jennunes2360@yahoo.com www.SouthernCaliforniaEquestrianCenter.com

FOR OFFICE USE ONLY Date Postmarked: ___________________________________ Show Number: ________________________________ Check Number: _____________________ Check Amount: ____________________ Balance: ____________________

FEDERATION ENTRY AGREEMENT FOR THE DRESSAGE SHOW AT THE SOUTHERN CALIFORNIA EQUESTRIAN CENTER A THREE STAR SHOW RECOGNIZED BY USEF · USDF · CDS 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 the competition at Mission Pacific Equestrian Centre. I agree to be bound by the Bylaws and Rules of the Federation and of the competition. I will accept as 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 laws of 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, 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 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 & 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. ENTRY FORM MUST BE SIGNED BY EACH EXHIBITOR, RIDER, DRIVER, HANDLER, COACH, AND TRAINER(S), OR HIS/HER AGENT(S). RIDER/DRIVER/HANDLER/EXHIBITOR/LONGUEUR (mandatory)

OWNER/AGENT (mandatory)

Signature: ______________________________________________

Signature: ______________________________________________

Print Name: _____________________________________________

Print Name: _____________________________________________

TRAINER (mandatory)

COACH (if applicable)

Signature: ______________________________________________

Signature: ______________________________________________

Print Name: _____________________________________________

Print Name: _____________________________________________

Parent/Guardian Signature: (Required if Rider/Driver/Handler/Exhibitor/Longueur is a minor): _________________________________________ Print Parent/Guardian Name: ____________________________________________________________________________________________ Emergency Contact Phone Number: ______________________________________________________________________________________ Is Rider/Driver/Vaulter a U.S. Citizen? ______YES ______ NO


Rider Name: _________________________

Horse Name: _______________________

Competitor Number: ___________________

Show Dates: ________________________

Cardholder - please complete the following section and sign/date below

Cardholder Name as it appears on the credit: ________________________________________ Cardholder Billing Address: ______________________________________________________ City: _________________________________ State: ____________ Zip: __________________ Phone: _________________________ Email: ________________________________________




Credit Card Number: ________________________________________________ Expiration Date: _____________ By signing below, I authorize Southern California Equestrian Centre to charge my credit card for all show, stabling and related fees incurred at Southern California Equestrian Centre. There will be a 4% processing fee for credit card payments.

Signature: _________________________________________________________ Expiration Date: _____________

RULES & REGULATIONS 1. This show and every class offered herein which is covered by the rules and specifications of the current USEF Rule Book and will be conducted and judged in accordance therewith. 2. All entries close and must be postmarked by October 12, 2019. Correct fees and association numbers must accompany each of the entry forms. Entries will be accepted on a first-come, first-serve basis. No numbers will be issued without completed entries, full payment, signatures, fees and association numbers. Parents or guardians must sign entry blanks of minors. A current vaccination record must accompany all entries. EQUINE VACCINATION RULE GR845: 1. At Federation licensed competitions horses, more than 7 months of age, entering the grounds must be accompanied by documentation of Equine Influenza Virus and Equine Herpes Virus (Rhinopneumonitis) vaccinations within six months prior to entering the stables. Horses not in compliance with this rule may be required to leave the competition grounds upon request by Competition Management. Documentation should consist of one of the following methods mentioned below. The frequency of vaccine administration should be per the vaccine manufacturers’ or veterinarian’s recommendations. It is recommended that vaccines are administered by or under the direction of a veterinarian. 2. In the case of vaccines administered by a veterinarian, the exhibitor, upon request by Competition Management, must provide documentation from the veterinarian on documenting that the horse in question received the vaccinations; name of the vaccines and date of vaccine administration. 3. In the case of vaccines administered by a person other than a veterinarian, the exhibitor, upon request by Competition Management, must provide a receipt of the vaccine purchase which is signed by the owner, or agent with care, custody, and control of the horse; name, serial number and expiration date of the vaccine; and date of vaccine administration. 4. In the case of a horse that is unable to receive either of the vaccinations due to a history of adverse reactions, the exhibitor, upon request by Competition Management, must provide a letter from the veterinarian on official letterhead stating that the horse in question cannot be vaccinated due to medical concerns and a log of temperatures taken twice daily for the seven days prior to entering the competition grounds. These horses must also have their temperature taken and logged twice daily while on the competition grounds. The log of temperatures should be provided to the Competition Management, steward, or technical delegate when requested. 5. Competition Management may not amend or enhance vaccination requirements without prior approval of the Veterinary Committee. 3. All entries must be postmarked on or before the closing date or will be subject to a late fee of 50.00. 4. Scratches made prior to the closing date will be refunded for Class Fees and Association Fees. It is the exhibitor’s responsibility to inform the office of their intention to scratch before the start of

the first day of show. There will be no refunds after the closing date. Credit for classes only (does not include stabling, office fees, drug fees which are not refundable) will be given to VET CERTIFIED SCRATCHES towards any Mission Pacific Equestrian Centre rated show in the same calendar year and made prior to the start of the show. 5. Post entries will be accepted to fill scratches if the schedule permits. Horses already entered in the show will receive priority. 6. Entry changes at the request of the competitor made after ride times are published, will be subject to a fee of $25.00. 7. All checks returned by the bank will be charged an additional 10% penalty ($25.00 minimum). Accounts will be given 10 days to be paid in full with cash or equivalent or they will be turned over to the USEF for further disciplinary action . 8. 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 $45 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 (exception: Friesian performance FR222) 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. 10. Every horse entered for competition will be under the control of the Horse Show Management, but the Horse Show Management will, in no case, be responsible for any loss or damage that may occur, and it shall be a condition of entry that each exhibitor shall hold the Horse Show, it’s Directors, and Employees, Southern California Equestrian Centre, it’s Directors and Employees, harmless for any loss or accident to his horse, horses or equipment which may occur from accident, sickness, fire or otherwise. Management reserves the right to cancel, combine or divide classes, or to change officials as it deems necessary. The decision of Show Management is final.

11. The Horse Show Management reserves the right to interpret all questions and conditions in regard to or arising out of any incident in the show without claims for damages or recourse of any kind. All questions not covered in these rules and regulations shall be decided by the Horse Show Management and their decision will be final. The Horse Show Management reserves the right to refuse, accept conditionally, or to cancel any entries, disqualify riders or exhibitors, prohibit exhibition of entries and to cancel award prizes, without claim to damage, to change, cancel or combine any classes, to reschedule classes after due notice to exhibitors, or to change rings or substitute officials. The judge’s decisions are strictly their own and the Management accepts absolutely no responsibility for those decisions. 12. All tests will be ridden in 20 x 60 meter sand arenas. Only those horses entered in the show are permitted to use the show facilities, warm-up arenas and show arenas. No one on foot is allowed in designated warm-up arenas. All horses in the sand warm-up arena must wear their competition numbers. All arenas must be vacated while equipment is being used. Horses are not to be left unattended in the arenas at any time. 13. Horses are not permitted in competition arenas on a show day at any time other than scheduled riding times. violation will be cause for elimination. 14. Absolutely no lungeing in the warm-up arenas. Lungeing in designated areas only. 15. Preliminary ride times will be available online a few days prior to the show at www.foxvillage.com. THE FINAL SCHEDULE WILL BE POSTED BY 12:00 NOON ON THE FRIDAY BEFORE THE SHOW. YOU WILL BE RESPONSIBLE FOR KNOWING YOUR SCHEDULED TIME. If you do not have internet access, call Jennifer Nunes 805-603-0309. It is the rider’s responsibility to inform the management of any time conflicts at least 72 hours prior to the scheduled rides. Failure to enter the ring by the specified time will result in elimination from the class. 16. Current USEF, USDF and/or FEI Tests will be ridden. USDF and FEI Musical Freestyles are offered. 17. GAIG/USDF Qualifying Requirements, See Page 9 18. Tests will be given only to riders or their agents and only after the class is placed. Check all scores upon receipt of test. 19. Ribbons will be awarded to third place in dressage classes. There will be High Point ribbons for Adult/Amateur, Junior, Open, and FEI divisions for the show. 20. In the unlikely event the show officials, show management and

facility managers feel the footing is unsafe for horses and riders to compete due to weather or other acts of nature no refunds will be given for stalls, shavings or office fees. Only class fees will be refunded. It is the responsibility of each exhibitor to contact the Show Manager to determine whether the show is canceled. 21. Stabling is as follows; 12 x 14 stalls with solid, permanent doors are available at the cost of $185 per stall for full service care or $125 per unfurnished stall or tack stall. FULL SERVICE: The Southern California Equestrian Center staff will feed hay provided by stabling entrants, clean and bed the stall. Please place feed outside of stall. STALL ONLY: Please provide your own feed, cleaning and shavings for unfurnished stalls. Tack stalls are available at $125 per stall. Please provide your own lock. Stabling is limited and priority will be given according to entry postmark or online submission date. For Stabling you must bring your own feed. 22. Parking of cars, trucks and trailers is allowed in designated areas only. 23. Coffee, cold drinks and snacks will be available on grounds throughout the show. 24. Absolutely no dogs will be permitted on the grounds. By signing the entry form, you agree to these terms. 25. 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. 26. Each competitor is responsible for supplying management with correct association 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

PARTNERS IN PERFORMANCE 11943 Discovery Ct, Moorpark, CA 93021 800-303-7849 www.dressageextensions.com

Dressage at Southern California Equestrian Center 320450 *** Three Star Level Two Show | Recognized by USDF, USEF & CDS


Active Membership ....................$70.00 Additional Family Member........ $60.00 Life Membership ...................$1,000.00

Name ___________________________________________

Address _________________________________________ City ____________________________________________

State ____________ Zip ___________________________ Telephone (______ ) _______________________________

Email ___________________________________________ Chapter Preference ________________________________ Would you like to use your Visa or MC? Card # ______________________________________________ Exp Date ________________ V code ______

❑ visa

❑ mastercard

Signature ____________________________________________ Group membership in the United States Dressage Federation (USDF) ($20) included with CDS membership. All CDS memberships go from December to December. Anyone joining after October 1 will be a member for the following year.

Please check any of the following that apply: ❑ Renewing Member ❑ New Member ❑ Junior Rider ( / / ) ❑ Amateur ❑ Instructor/Trainer ❑ Judge ______ ❑ T.D. ❑ EMT ❑ Qualified Riding Member ❑ Nominate for Regional Adult Amateur Competition (add $25) ❑ Nominate for CDS Championship (add $25) ❑ Nominate for JR/YR Championship (add $25) ❑ Patron of Dressage Donation $ __________

CALIFORNIA DRESSAGE SOCIETY P O Box 417 • Carmel Valley, CA 93924 831/659-5696 • (fax) 831-659-2383 www.california-dressage.org


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The Dressage Show at the Southern California Equestrian Center  

The Dressage Show at the Southern California Equestrian Center