Pacific Equestrian Center

P.E.C. Dressage ShowUSEF • USDF • CDS Recognition

Saturday, October 22, 2011Judge: Barbi Breen Gurley (S)

Pacific Equestrian Center

P.E.C. Dressage ShowUSEF • USDF • CDS Recognition

Saturday, October 22, 2011Judge: Barbi Breen Gurley (S)

P.E.C. Dressage ShowOctober 22, 2011

Closing Date: October 17, 2011USEF: 327047

Officials

Judges: Barbi Breen Gurley, “S” JudgeTechnical Delegate: Susan LombardiShow Manager & Secretary: Mari Naten, 916-687-8035Veterinarian and Farrier: On call. Posted in offfice.Photography and Videos: Smith Videography Da Vinci Pictures

CLASS List

Great American Insurance/ USDF Champsionship Qualifying Classes are the highest test of the level and the freestyles. If entering a qualifying class you must add “Q” to the class number.

**Horse and riders entered into opportunity classes are exempt from Federation (USEF, USDF), Affliate Organization membership (CDS), Horse ID requirements and non-member fees. Participants may cross enter into rated classes, but then membership and other fees are required.

P.E.C. Dressage Shows

USEF, USDF, CDS Recognized ShowsJuly 9-10th, J. Ashton Moore, “S”

October 22nd, Barbi Breen Gurley, “S”

PEC Schooling ShowsMarch 27th Linda Betts

May 8th, Dezanie MartinJune 19th, Wendy Rhea

August 14th, Susan Garmier

Sept 25th, Veronique Gillard

Entries available online:www.pecsporthorses.com

Class Class10A USDF Introductory, Test A 133 3rd Level, Test 3 Q10B USDF Introductory, Test B 141 4th Level, Test 110C USDF Introductory, Test C 142 4th Level, Test 2101 Training Level, Test 1 143 4th Level, Test 3 Q102 Training Level, Test 2 160 FEI Test of Choice Q103 Training Level, Test 3 Q 170 Freestyle of Choice Q111 1st Level, Test 1112 1st Level, Test 2 171 Para Equestrian113 1st Level, Test 3 Q 172 Pas de Deux /

Quadrille (Test of Choice)121 2nd Level, Test 1

122 2nd Level, Test 2

123 2nd Level, Test 3 Q 702 Training Level, Test 2, Opportunity Class**131 3rd Level, Test 1

132 3rd Level, Test 2 712 First Level, Test 2, Opportunity Class**

Directions: From Hwy 99; take Grant Line Rd exit; go east to Wilton Rd, Turn right. 1.8 miles on right. Address: 10992 Wilton Rd, Wilton, CA 95693.

Hotels/Food: Fairfield Inn & Suites by Marriott, Elk Grove. (15 min). Call: 916-681-5400. Morning coffee and lunch available on grounds.

RulesManagement reserves the right to arrange for additional judges, cancel, amend or combine any classes, and to refuse, accept conditionally, or cancel any entries, disqualify riders or exhibitors, prohibit exhibition of entries, without claim to damages and to interpret all questions and conditions in regard or arising out of or incident to the show, without claims for damage or recourse of any kind. All questions not covered by these rule and regulations shall be decided by the show management and such determinations will be final.

Helmet RuleEffective March 1, 2011: For dressage, anyone mounted on a horse must wear protective headgear except those riders age 18 and over while on horses that are competing only in FEI levels and tests at the Prix St. Georges level and above (including FEI Young Rider Tests, the USEF Developing Prix St. Georges Test and the USEF Bretina Cup Test.

NO DOGS, PLEASE.

Entries: Closing date is October 17, 2011. Entries must be complete, including copies of all required membership cards. Make checks payable to PEC. Entries must be received on or before the closing date. Fax: 916-687-8041 (see fees). No refunds after closing date.

Post entries, entry changes (rider, horse, class, etc.) and pre-closing date refunds $10 fee. Return check fee $25.

Freestyle, Pas de Deux and Quadrille entries must include a copy of test. Freestyle music must be on CD and given to show secretary upon arrival.

Fees: USDF Introductory Level $40/test, Training thru Fourth Levels $50/test; Freestyle/Pas de Deux/Quadrille $55/test, FEI $65/test. Add $10 for USDF Qualifying classes. $25 office fee. $10 fax / change fee.

Note: No haul-in fees. Non-competing horses $50/day.

Additional fees: $15 per horse USEF Drug, Medication and Administration fee, $5 CDFA fee, and $2 per horse CDS travel fund.

Memberships: If rider, owner or trainer is not a member of CDS or USEF see entry form for non-member fees. Horse HID or Lifetime Membership number is mandatory - HID can be applied for at show. Classes / Awards: First award, ribbons through 5th place. High score award for Open, Amateur and Junior divisions.

Ride Times: Times available Wednesday evening prior to the show. Times, premium and results will be available at www.pecsporthorses.com. It is exhibitor’s repsonsibility to verfiy ride times at the show.

Arenas: Two sand competition courts, indoor warm-up with Airfoot and sand. Covered lunging arena.

Stabling: Limited Stabling available. Permanent box stalls with gates(12’ x 12’). Pre-bedded with shavings. $35 per day.

2011 Great American Insurance Group/

USDF Regional Dressage Championships A single Regional Dressage Championship program organized by the United States Dressage Federation (USDF), and recognized by the United States Equestrian Federation, Inc. (USEF), will be held in each of the nine USDF regions. In addition, Alaska and Hawaii may each hold state championships if an official request from a

Group Member Organization (GMO) is received by April 1 of the prior year. The Regional Championship Program Rules can be found on the USDF Web site at: http://www.usdf.org/Programs/RegionalChampionships/index.asp. Please refer to the USDF Competitor and Member Guide for the comprehensive list of rules and requirements for this program. Membership/Registration Requirements for Qualifying & Championships: Rider: • Must be a USDF Participating* Member (PM) at the time qualifying

scores are earned and at the time of the championships. • Must be a USEF member (Junior Active, Senior Active, or Life) at the

time the qualifying scores are earned and at the time of the championships.

Horse: • Must be USDF Lifetime Registered (LTR) at the time qualifying scores

are earned and at the time of the championships. • Must be USEF (Annual or Lifetime) recorded at the time qualifying

scores are earned and at the time of the championships. • USDF horse registration and USEF horse/recording must be in the

name(s) of the current owner(s) or lessee(s) of record. • A horse is not required to have registry papers.

Owner: • Must be a USDF member (PM* or Business Member (BM)) at the time

the qualifying scores are earned and at the time of the championships. • Must be a USEF member (Junior Active, Senior Active, or Life) at the

time qualifying scores are earned and at the time of the championships. *PMs are USDF members who join USDF directly. USDF Group Members (GM) are ineligible.

Sports Programs/Competitions Revised 9/10 Sports Programs/Competitions Revised 9/10

Minimum Qualifying Scores One set of nationally-standardized qualifying scores has been established for all USEF/USDF Regional Championships, for levels through Grand Prix, in three divisions: open, adult amateur, and junior/young rider. FEI Junior and FEI Young Rider classes have only one respective division. Freestyles have only open divisions. OPEN AA JR/YR Training Level (Test 3) 68% 63% 63% First Level (Test 3) 66% 62% 62% Second Level (Test 3) 64% 61% 61% Third Level (Test 3) 62% 60% 60% Fourth Level (Test 3) 62% 60% 60% FEI Junior (Team Test) — — 60% FEI Young Rider (Team Test) — — 60% Prix St. Georges 60% 60% 60% Intermediate I 60% 60% 60% Intermediate II 60% 60% 60% Grand Prix 60% 60% 60% Freestyle OPEN AA Jr/YR First Level 65% — — Second Level 65% — — Third Level 65% — — Fourth Level 63% — — Intermediate I 63% — — Grand Prix 63% — —

I certify that I have read and understand the terms and conditions of this USDF Participating Membership/Business Membership Form, and understand that falsifying any information on this form may result in disciplinary action.

***SIGNATURES REQUIRED*** Signature DATE Secretary Signature DATE

2011 Participating Membership Business Membership This form must be completed in full. (please print)

Personal Information

Name: 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): ( ) -

I will be glad to support USDF in its efforts to go green by accessing the following information on the USDF Web site:

Please do NOT mail my USDF Participating Membership card Please do NOT mail my USDF Connection

A hard copy of the USDF Competitor & Member Guide (including USDF, USEF, and FEI Dressage Tests, awards, program, and championship information) can be purchased for $3. All information in the USDF Competitor & Member Guide can be found online.

Please see page 2 of this form for important information on USDF Participating, Business Membership, and applying for USDF

membership 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 for

up to 60 days. Online verification of membership is available at www.usdf.org.

Competition Information (please print)

Competition Name: Competition Number:

Competition Secretary: Competition Date:

Membership Options 1-year Participating Membership ................................. $75 1-year Youth Participating Membership ....................... $60

(Individuals who have not reached their 21st birthday by 12/1) 5-year Participating Membership ................................. $300 Life Participating Membership ...................................... $1500 1-year Business Membership ........................................ $200 Mailed copy of USDF Competitor & Member Guide...…. $3 (Free for USDF Life Members) Postage outside the U.S ................................................ $15 TOTAL…………………………………………. $________

No portion of membership dues or contributions is used for lobbying.

USDF may require fees for replacement cards for errors reported after 45 days, or non-receipt of card reported after 60 days of application.

Payment Options USDF does not issue refunds Check – US funds only (make payable to USDF) Visa MasterCard / Card # EXP. DATE

Cardholder’s Name Cardholder’s Address with Zip Cardholder’s Signature

Competition Entry No.or Bridle No.

09/10

UUSDF Membership Benefits:U USDF is dedicated to education, the recognition of achievement, and promotion of dressage. For details on member benefits, including educational programs, awards, and other opportunities, refer to the USDF Competitor & Member Guide or the USDF Web site at www.usdf.org.

UMembership Requirements for USEF-licensed/USDF-recognized Competitions:U Owners and riders, including foreign riders and owners who are not residents of the US, wishing to participate in a USEF-licensed/USDF-recognized competition as a rider or owner/lessee, must have either a USDF 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 horses but cannot compete as riders with their USDF BM.) Individuals cannot compete at a USEF-licensed/USDF-recognized competition with a USDF Education Membership.

This competition is recognized

by USDF for 2011

Horses competing at USEF-licensed/USDF-recognized competitions must have either a USDF Horse Identification (HID) number or a USDF Lifetime Horse Registration (LHR). Proper credentials or verification certificates must be presented to the competition secretary.

Riders and owners wishing to participate in a USEF-licensed/USDF-recognized competition, and not able to present the competition secretary with verification of a USDF membership or NM identification, and USDF LHR or USDF HID, must complete a USDF Competition Affidavit Form and pay the $5 affidavit filing fee. A copy of a completed affidavit form from another competition may also be used for verification purposes for up to 60 days. (Exception: Affidavits cannot be used at Great American Insurance Group/USDF Regional Dressage Championships.) Exceptions:

• Horses competing only in Individual Breed Classes (IBCs) at DSHB competitions, sires and dams of horses in DSHB group classes, where those sires or dams are not actually competing in the same competition, horses competing only in breed restricted dressage or DSHB classes at Regular Competitions (e.g. all Arabian, all Friesian, or all Morgan classes), or in USDF Introductory Level tests, Pas de Deux, Quadrille, FEI ParaEquestrian classes, are exempt from this requirement. Also exempt are horses ridden in leadline, exhibitions, games and races, classes for 4-H members, walk-trot, academy and opportunity classes. For foreign-owned horses competing in a CDI, USDF accepts copies of the horse identification pages from an FEI passport 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 exempt from the USDF NM identification number and NM fee requirements. Also exempt are handlers of horses competing in DSHB In-Hand or Group classes.

Memberships Defined Participating Membership (PM): A membership issued to an individual directly by USDF. The 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 for individuals who have not reached their 21st birthday by December 1 of the current membership year ($60). A PM allows the member to compete at USEF-licensed/USDF-recognized competitions and to participate as a rider and/or owner/lessee for all Adequan®/USDF Year-End Awards, Great American Insurance Group/USDF Breeders’ Championship Series Finals and the Great American Insurance Group/USDF Regional Dressage Championship program. Group Membership (GM): A membership issued to an individual by USDF when the member name and dues are submitted to USDF through an affiliate Group Member Organization (GMO). The GM year begins December 1 and ends November 30. A GM allows the member to compete at USEF-licensed/USDF-recognized competitions and participate in the USDF Rider Awards program. Business Membership (BM): A membership that runs December 1 through November 30 and is issued to a business or organization directly by USDF. The USDF BM ($200) offers a wider variety of advertising benefits. BMs satisfy requirements of horse ownership only. Education Membership (e-Membership): A membership issued to an individual directly by USDF. This online education only membership expires 12 months after the date joined. This membership type does 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 rider there will be a USDF NM fee of $25 and a USDF NM form per competition that must be collected by the show secretary and submitted to USDF along with the USDF Report of Fees document and the $5 affidavit fee if the person cannot provide a copy of their USDF NM card. Owners/lessees or riders exempt from the NM number requirements are also exempt from paying the USDF NM fee. If there are multiple owners of a horse and all are NMs, only one of the owners must pay the NM fee. If the horse has at least one owner who is a current USDF member there is no NM fee assessed. Competition management will be invoiced for all applicable USDF NM fees not received with the USDF post competition paperwork, along with a report listing all USDF NMs. Competition management is then required to submit the NM fees within 30 days to the USDF. An individual with a USDF NM identification number is not eligible for any USDF membership benefits. Once a USDF NM number has been assigned, a USDF NM card can be obtained from the USDF Web site. Horse Identification (HID) Number: A one-time tracking number for horses ($25). Scores earned by a horse with an HID number will be recorded, but will NOT be counted towards Adequan®/USDF Year-End Awards. A horse with an HID number is not eligible to compete in Great American Insurance Group/USDF Regional qualifying or championship classes or Great American Insurance Group/USDF Breeders’ Championship Series Finals. An HID number can be upgraded to a Lifetime Horse Registration (LHR) for a fee of $70. If a horse has a USDF LHR it does not need an HID 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®/USDF Year-End Awards, and eligible to compete at Great American Insurance Group/USDF Breeders’ Championship Series Finals and Great American Insurance Group/USDF Regional qualifying and championship classes, assuming requirements for the owner and rider are met. If a horse has an LHR it does not need an HID number. An LHR does not need to be renewed.

How to Join USDF Applications for USDF Participating Membership (PM), Business Membership (BM), Horse Identification (HID) number, and Lifetime Horse Registration (LHR) may be found in the following locations:

• On the USDF Web site: www.usdf.org. You can submit the application online or download the form and fax or mail it to the USDF office. • In the show office at USEF-licensed/USDF-recognized competitions classified by USEF as Dressage 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

The effective date of membership is the date the form and correct fees are received in the USDF office or, if applying at a competition, the date received by the competition secretary, provided the application is signed and dated by the competition secretary, member, and/or horse owner on that same day.

The United States Dressage Federation, Inc. (USDF), a federation of over 125 independent organizations throughout the United Stateswith a membership in excess of 33,000 members, supports the concept of ethical treatment of animals.

Dressage is a classical method of training horses, based upon the horse’s natural responses, as carried out in a gradual, planned pro-gram during which the horse’s athletic abilities are improved in a systematic manner. As a result, the horse becomes capable, comfort-able, and responsive in partnership with the rider without the use of force. Dressage competition at various levels of achievement is theultimate test of the training program to determine whether the desired harmony between horse and rider has been achieved.

The rules pertaining to dressage competition prohibit the use of artificial appliances, training aids, and drugs, which would force thehorse to submit. Instead, the emphasis is upon training and a cooperative partnership with the rider. Major competitions are carefullymonitored to assure that there is no 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 begununtil the horse is three or four. The top levels of achievement require five or more years of progressive training and it is not unusual tosee horses in international competition in their late teens. This, in itself, places a premium on good care and soundness throughout thehorse’s life.

While supporting the concept of animal welfare in its broadest form, the United States Dressage Federation, Inc., also recognizes thatit is unrealistic to ascribe human emotions and responses to the horse which in its wild state is a creature of flight, living a hard andprecarious existence. Under domestication, the horse is assured of ample food, water, and shelter, as well as protection against infec-tious diseases and damaging parasites, thus leading a longer 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 meth-ods. A program of certifying instructors also emphasizes protecting the horse’s welfare in pursuit of dressage training.

USDF Statement on Animal Welfare

United StatesDressage Federation

4051 Iron Works Parkway, Lexington, KY 40511

Phone: 859/971-2277, Fax: 859/971-7722, Email: usdressage@usdf.org, Website: www.usdf.org

CALIFORNIA DRESSAGE SOCIETY - STATEMENT ON ANIMAL WELFARE

The California Dressage Society, an organization of approximately 5,000 individual members, supports the concept of humaneand ethical treatment of all animals.

Dressage is a classical method of the training of horses in which the horse’s natural responses and athletic abilities becomea capable responsive partnership with the rider.

To this end the California Dressage Society is committed to ensuring that owners, trainers, exhibitors and their agents useresponsible care in the training, handling, transportation and exhibition of horses.

The California Dressage Society supports scientific research on equine health and stress.

The California Dressage Society is committed to the continuous review, revision and development of competition rules andregulations to protect the welfare of horses.

The California Dressage Society firmly believes that horses are a vital part of its members’ life experience and as such deserveour protection and compassion. Humans have an inseparable relationship with the natural world and animals. Furthermore,humanity is accountable to a set of laws and concepts that is uniquely a product of human society. Animals cannot be subjectto those laws and concepts and therefore do not have the rights of humans.

Humans are responsible for providing adequate food, water and shelter for horses. CDS supports management and trainingpractices which promote health, prevent disease and protect horses from unnecessary pain and injury.

CDS believes that Dressage Competition is the ultimate test of training to determine the development of harmony betweenhorse and rider. All sanctioned CDS competitions and events will be conducted under the organization’s rules regarding thewell-being and welfare of horses.

The United States Dressage Federation, Inc. (USDF), a federation of over 125 independent organizations throughout the United Stateswith a membership in excess of 33,000 members, supports the concept of ethical treatment of animals.

Dressage is a classical method of training horses, based upon the horse’s natural responses, as carried out in a gradual, planned pro-gram during which the horse’s athletic abilities are improved in a systematic manner. As a result, the horse becomes capable, comfort-able, and responsive in partnership with the rider without the use of force. Dressage competition at various levels of achievement is theultimate test of the training program to determine whether the desired harmony between horse and rider has been achieved.

The rules pertaining to dressage competition prohibit the use of arti�cial appliances, training aids, and drugs, which would force thehorse to submit. Instead, the emphasis is upon training and a cooperative partnership with the rider. Major competitions are carefullymonitored to assure that there is no 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 begununtil the horse is three or four. The top levels of achievement require �ve or more years of progressive training and it is not unusual tosee horses in international competition in their late teens. This, in itself, places a premium on good care and soundness throughout thehorse’s life.

While supporting the concept of animal welfare in its broadest form, the United States Dressage Federation, Inc., also recognizes thatit is unrealistic to ascribe human emotions and responses to the horse which in its wild state is a creature of �ight, living a hard andprecarious existence. Under domestication, the horse is assured of ample food, water, and shelter, as well as protection against infec-tious diseases and damaging parasites, thus leading a longer 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 meth-ods. A program of certifying instructors also emphasizes protecting the horse’s welfare in pursuit of dressage training.

USDF Statement on Animal Welfare

United States DressageFederation4051 Iron Works Parkway, Lexington, KY 40511

Phone: 859/971-2277, Fax: 859/971-7722, Email: usdressage@usdf.org , Website: www.usdf.org

2011 CDS MEMBERSHIP FORM

Active Membership ....................$70.00Additional Family Member........ $60.00Life 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 ❑ Amateur ❑ Instructor/Trainer ❑ Junior Rider ( / / ) ❑ Judge _____ ❑ T.D. ❑ EMT ❑ Qualified Riding Member (QRM)❑ Nominate for Regional Adult Amateur Competition (add $25)

CALIFORNIA DRESSAGE SOCIETYP O Box 417 • Carmel Valley, CA 93924

831/659-5696 • (fax) 831-659-2383

2011

The new CDS membership form must be included in your prize lists.

No smaller than the ones provided.

2011 CDS MEMBERSHIP FORMActive Membership ............................................$70.00 Additional Family Member................................ $60.00Life Membership ...........................................$1,000.00

Name ______________________________________________________ Address ____________________________________________________ City _______________________________________________________ State ______ Zip ______________ Telephone (______ ) ____________Chapter Preference _____________email _________________________

Would you like to use your Visa or MC?Card # _____________________________________________Exp Date ________________ V code _______ ❑ visa ❑ mastercardSignature ___________________________________________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)

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

Motorized Vehicle Statement No motorized vehicles are permitted on property.In accordance with GR1301.7: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. 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.

UNITED STATES EQUESTRIAN FEDERATION

GR901.0 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 $30 nonmember registration 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 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. EC 7/21/08 Effective 12/1/08

2011 USEF MEMBERSHIP APPLICATIONUNITED STATES EQUESTRIAN FEDERATION

The United States Equestrian Federation (USEF) membership year begins on December 1. All memberships (except Life) expire on November 30. The effective date of membership is the date on which the application and correct dues are received by the USEF office (exceptions see GR203). To be eligible for USEF Awards including the USEF Horse of the Year Program, you must be a Senior Active, Junior Active, or Life Member. By submitting this application, you agree all information is correct and you agree to abide by all USEF rules.

USEF : 4047 IRON WORKS PARKWAY : LEXINGTON, KY 40511 : PHONE (859) 258-2472 : FAX (859) 231-6662 : www.usef.org ©2010 USEF

PLEASE USE A SEPARATE APPLICATION FOR EACH MEMBER

© 2010 by United States Equestrian Federation® All rights reserved. Reproduction without permission is strictly prohibited.

1. PERSONAL INFORMATION

TITLE: □ Mr. □ Mrs. □ Ms. □ Miss □ Other

NAME:

ADDRESS:

CITY, STATE, ZIP:

PHONE:

MObILE:

FAX:

E-MAIL:

U.S. CITIZEN: □YES □NO IF NO, WHAT COUNTRY?

USEF MEMbER #:

□ CHECK HERE IF THIS IS A NEW ADDRESS.

2. DATE OF BIRTH (required for juniors and amateurs)

(MM/DD/YY): / /

3. BREED/DISCIPLINE AFFILIATION (required)

Please designate a primary breed/discipline affiliation. This information will be used to determine proportional representation on the USEF board of Directors (GR202.2). Please designate the primary breed/discipline affiliation as (1). You may also select a secondary choice as (2). EXAMPLE: Hunter 1 Driving 2

Andalusian/Lusitano Arabian/Half-Arabian/Anglo-Arabian Connemara

Dressage Driving Endurance English Pleasure Eventing

Friesian Hackney Hunter Jumper Morgan

National Show Horse ParaEquestrian Parade Paso Fino

Reining Roadster Saddlebred Shetland Vaulting

Welsh Western

4. REQUIRED SIgNATURE

Every member MUST sign and check the appropriate box below. Under 18 yrs, please check the Junior box and and have parent/guardian sign below. If 18 yrs and older and you have not participated in any professional activities as cited in GR1306, you are considered an amateur. Amateur status is also required for anyone who competes in amateur classes. PLEASE NOTE: Individuals who sign as a professional must complete the amateur reclassification process prior to being reinstated as an amateur. See GR1308 for details of the process.

□ AMATEUR □ PROFESSIONAL □ JUNIOR

By signing below, you or parent/guardian are in agreement with USEF gR1306-gR1308,and Federation Release, Assumption of Risk, Waiver and Indemnification. (See reverse side)

(Sign in ink)

5. RENEWAL

□ No, I do not wish to receive a paper renewal form in 2012. I will renew online.

PAyMENT (Total of 6,7,8, 9 and 10) (Do not send cash) . . .$__________________

□Check/ Money Order (Payable to USEF) □VISA □MasterCard □AMEX

Card Number:

Exp. Date: / / billing Zip Code:_____________________

Card Holder Name (Print)

Card Holder Signature

6. UNITED STATES EQUESTRIAN FEDERATION MEMBERSHIPSelect only one membership type. Note: If you own a horse that competes at USEF Licensed Competitions, you should select a USEF Competing Membership.

COMPETINg MEMBERSHIPCompeting members are those individuals who are eligible to participate in USEF Licensed Competitions as a rider, driver, handler, vaulter, longeur, owner, lessee, agent, coach, trainer, competition manager, or competition secretary. (Exceptions found in GR901.9) Competing membership benefits include automatic insurance, a subscription to equestrian magazine, and MemberPerks.

□ 3-YEAR ACTIVE (Junior or Senior — expires 11/30/2013). . . . . . . . . . .$150

□ 1-YEAR JUNIOR ACTIVE (expires 11/30/2011) . . . . . . . . . . . . . . . . . . . . . . . $55 (Individuals who have not yet reached their 18th birthday on 12/01/2010)

□ 1-YEAR SENIOR ACTIVE (expires 11/30/2011) . . . . . . . . . . . . . . . . . . . . .$55 □ LIFE MEMbER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2,500

OTHER MEMBERSHIPSFor members who do not participate in USEF Licensed Competitions as a rider, driver, vaulter, owner, lessee, trainer, coach, handler, longeur, agent, competition manager, or competition secretary.

□ USEF EQUESTRIAN (includes automatic insurance and MemberPerks) . . . . . . . . . . .$35 □ COLLEGIATE EQUESTRIAN (includes MemberPerks and 4 issues of equestrian) . . . . .$25 College/ University □ CLUb EQUESTRIAN (includes MemberPerks) . . . . . . . . . . . . . . . . . . . . . . . . . .$15

□ NON-MEMBER AMATEUR CARD (Complete section 4) . . . . . . . . . . . . . . . . . . . $30

7. UNITED STATES HUNTER JUMPER ASSOCIATION MEMBERSHIPIn order to compete as a rider, trainer, owner, or his/her agent(s) at non-breed restricted USEF Licensed Competitions in any Hunter, Hunter breeding, Jumper or Hunter Seat Equitation classes, a person must be an active member of the United States Hunter Jumper Association, Inc. Exceptions: Local competitions and the exceptions in GR202.1 and GR901.9. If you want to join WCHR, please visit www.ushja.org.

□ USHJA 3-YEAR ACTIVE (competing membership) expires 11/30/2013. . . . . . . . .$150 □ USHJA ACTIVE MEMbER (competing membership). . . . . . . . . . . . . . . . . . . . . $55 □ USHJA LIFE MEMbER (competing membership) . . . . . . . . . . . . . . . . . . . . $1,500 □ USHJA ASSOCIATE (non-competing membership) . . . . . . . . . . . . . . . . . . . . . . $35

8. EQUESTRIAN MAgAZINE

USEF Competing Members with U.S. addresses receive a subscription to equestrian. □ I prefer to view equestrian on the USEF website and do not need a mailed copy. □ My household receives duplicate copies of equestrian and I do not need a copy.

□ Foreign addresses add international postage . . . . . . . . . . . . . . . . . . . . . . . . . . . $20

9. USEF RULE BOOK

You 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 2011 USEF Rule book in the following format: □ USb drive (if none received in 2009 or 2010) . . . . . . . . . . . . . . . . . . . . . . . . $0 □ USb drive (if purchasing an additional one) . . . . . . . . . . . . . . . . . . . . . . . . $20 □ Printed Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10 □ binder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10

10. OLyMPIC/INTERNATIONAL EQUESTRIAN TEAM USA

Contribute to EQUESTRIAN TEAM USA Success (Your contribution is tax deductible to the extent permitted by law.)

____$25 ____$50 ____$75 ____$100 Other _______

PEC Dressage Show 327047Dressage “N”