SPRINGTIME OPEN HORSE SHOW ENTRY FORM

1 SPRINGTIME open HORSE SHOW ENTRY FORM (One HORSE & Rider per ENTRY Form) Ex. No. Pre- ENTRY Closing Date: April 20, 2019 (Must be postmarked by this date & entered in at least 1 class) ENTRY Secretary: Laura Berg, 205824 334 PR SE, Kennewick, WA 99337 (509) 308-6973 Pre- ENTRY HORSE : WSH Permanent No. Primary Breed: Registration No. Secondary Breed: Registration No. Age: Color: Height: Sex: OWNER: WSH No. Address: City: State: Zip: Phone: ( ) Email: RIDER: WSH No. Age Group: 13/Under 14-17 18-49 50/Over Amateur/Non-Pro Card No. & Association: 4-H Club or WAHSET/OHSET Team: Stable with: Arrive: Depart: RV Hook-Up: Fri. Night Sat. Night Dry Camp: Fri. Night Sat. Night Haul-In: Sat. Sun. Emergency Contact Name & Phone No. Circle numbers of classes entered (Don t block out numbers!)

2 1m 2a 3 4 5a 6 7 8 9 10 11 12 13 14 15m 16 17 18a 19 20 21 22a 23* 24a 25* 26 27 28 29 30 31 32 33 34m 35 36 37a 38 39 40 41 42 43 44 45 46 47 48 49b 50b 51b 52b 53 54 55 56 57 58 59 60a 61m 62 63* 64 65 66 67 68 69* 70 71 72b 73b 74b 75b 76 77 78 79 80 81a 82m 83 a = Amateur/Non-Pro Card required (Sr. Ex.) | b = Registration papers required | m = 4H/WAHSET/OHSET | * = Leadline, Walk/Whoa, W/T 10 /Under | [bold] = Equitation/Horsemanship/Showmanship Office Use WSH Cards Amateur Card Reg. Papers Signatures Cash Chk #_____ Paid: $ Owes: $ Refund: $ Other Entries: Leadline, Walk/Whoa, 10/Under Class ENTRY Fees - $7 per Class (23, 25, 63, 69) $ 4-H/WAHSET/OHSET Class ENTRY Fees - $8 per Class (1, 15, 34, 61, 82) $ Breed, Pleasure, Equitation, Driving Class ENTRY Fees - $9 per Class $ Post ENTRY Fee - $10 per HORSE * $ Stall 1 Bag of Shavings - 1 Night $35 / 2 Nights $45 $ Tack Room (Feed/Tack only) - $30 $ Extra Shavings - $10 per Bag $ Haul-In Fee - $6 per Day / $10 Weekend (Horses not stabled) $ RV Hook-Up (30amp electric/water) - 1 Night $30 / 2 Nights $45 $ RV Hook-Up (20amp electric/water) - 1 Night $25 / 2 Nights $40 $ Dry Camp (No hook-up) - 1 Night $15 / 2 Nights $25 $ WSH Non-Member Fee (Owner) - $3 $ WSH Non-Member Fee (Non-Owner Equitation Rider/Showmanship Handler)

3 - $3 $ Office Fee - $5 per ENTRY ( HORSE & Rider combination) * $ Annette Koontz Custom Portrait Drawing 1 Ticket $1 / 6 Tickets $5 $ TOTAL PAYABLE TO SPRINGTIME open (STO) $ * Office & Post ENTRY Fees are waived for Exhibitors competing only in Classes 23, 25. 63. 69 PLEASE SEE OTHER SIDE FOR IMPORTANT INFORMATION SIGNATURES ARE REQUIRED! I AGREE in consideration for my participation in this Competition ( SPRINGTIME open ) to the following: I 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.

4 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 release Washington State Horsemen and the Competition from all claims for money damages or otherwise for any Harm to me or my HORSE and for any Harm caused by me or my HORSE to others, even if the Harm resulted, directly or indirectly, from the negligence of Washington State Horsemen or the Competition. I AGREE to expressly assume all risks of Harm to me or my HORSE , including Harm resulting from the negligence of Washington State Horsemen or the Competition. I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) Washington State Horsemen 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 at the Competition.

5 I have read the Washington State Horsemen Rules about protective equipment, and I understand that I am entitled to wear protective equipment without penalty, and I acknowledge that Washington State Horsemen strongly encourages me to do so while WARNING that protective equipment cannot 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 AGREE that Washington State Horsemen and Competition as used above includes all of their Officials, Officers, Directors, Employees, Agents, Personnel, Volunteers, and affiliated organizations. The construction or application of WSH Rules is governed by the laws of the State of Washington (RCW ).

6 Failure to Sign This ENTRY Will Constitute a Fine of $50 per WSH Rules Signature of Owner or Authorized Agent (sign & print name) Date Signature of Non-Owner Driver/Handler/Rider (sign & print name) Date Coach, Manager or Trainer (sign & print name) Date Signature of Parent or Guardian of Jr. Exhibitor (sign & print name) Date IMPORTANT NOTES FOR ALL EXHIBITORS (Please read!): Riders sharing the same HORSE must each be entered in the Show on a separate ENTRY Form. Exhibitor Numbers are assigned to single HORSE & Rider combinations and may not be shared; this applies to WSH Permanent Numbers as well.

7 Entries not postmarked by ENTRY Closing Date and pre-entered in at least one class must pay the Post ENTRY Fee. This fee is waived for Leadline, Walk/Whoa, and Walk/Trot 10/Under Exhibitors. All applicable fees (Class ENTRY , Post ENTRY , Office, Haul-In or Stall, Camp or RV, WSH Non-Member) are due and payable with your e ntry. open Checks cannot be used to enter the Show. Please circle only the Classes you are submitting payment for. Please pay only one Stall and/or Tackroom, Dry Camp or RV Hook-Up per ENTRY Form; do not split fees or pay another Exhibitor s fees on your ENTRY . Signatures of all Owners/Agents, Drivers/Handlers/Riders, Coaches/Managers/Trainers, and Parents/Guardians of Jr. Exhibitors are mandatory! Exhibitor Numbers will not be released until all parties have signed.

8 Please include a photocopy of your current Washington State Horsemen Membership Card. A photocopy of your current ABRA, AMHA, APHA, ApHC, AQHA, PtHA, NRHA, USEF, WSH Amateur, Non-Pro, Novice Youth or Youth 18 Yrs. & Under Card, or a completed application for a WSH Amateur Card with fee paid, is required to enter any Amateur designated class and must be on file in the Show Office before you can be entered in the class. Presenting your original Amateur/Non-Pro Card for review is no longer accepted. A photocopy of your HORSE s registration papers is required to enter any Breed class and must be on file in the Show Office before you can be entered in the class. Presenting original registration papers for review is no longer accepted. Horses with multiple Breed registrations entering any All Other Breeds class as a second Breed must have photocopies of all registration papers on file before you can be entered in the class.

9 Due to insurance liability issues, Exhibitors may not be on the grounds before Noon Friday. Only Horses entered in the Show are permitted on the show grounds at any time.