Light Horse Show Entry Registration Form PDF

Berwick Gala Days Light Horse Show September 7th, 2015 Kings County Area, Kings Mutual Century Centre, Berwick, NS This is a fun show meant to give everyone a chance to show in a safe and fun environment. Show office will open 7am Monday. ENTRY FORM/CLASS LISTS: The Entry forms, including payment, are due Saturday September 5th, 2015. Class fee is $5.00/class. Entries received after this date will be considered as post entry. Post entries will be an additional $2 per class fee ($7 class). Ribbons will be awarded up until 6th place. Money will be awarded up to 4th place: 1st‐$10, 2nd‐$8, 3rd‐$6, 4th‐$4 High Point Awards: Trophies will be awarded to the rider with the most points between showmanship, equitation/horsemanship, pleasure and command classes. To qualify the rider must take part in all the named classes. If there is a tie, the decision will be made by the rider who places the highest in Equitation/Horsemanship class. The point system will be as follow: 1st= 7 pts., 2nd= 6 pts, 3rd= 5 pts, 4th=3 pts, 5th= 2 pts, 6th= 1 pts. Patterns will be posted at the announcer’s booth by 8:00am. There must be at least 3 entries per class or the class will be canceled and money refunded. The gymkhana games at the end of the day are for fun, no prize money. SAFETY: The ring is a small ring, with sand footing. The ring will be available for riding at 7am the day of the show. There is no warm up ring available while the show is running, therefore the show committee will allow for a few minutes while the class is being organized for riders to w/t‐j/c‐l around before their class starts. Please note the with the ring size, the gaming dimensions may not be met. Helmets with a fixed harness must be worn by all riders. All exhibitors must have and provide proof of insurance (NSEF). This must be presented to show office. The Gala Days Horse Show Committee reserves the right to review all entries. Any unsafe riding or abuse at any time, rider will be asked to leave. Please help the show committee by putting all manure in designated spot. There will be forks and wheelbarrows available. OTHER: Washrooms will be available in the Apple Dome. We ask all Grand and Reserve Champions to sign thank you cards before leaving at the end of the day so that we can thank our sponsors for their generous contribution and support. Any question or concerns contact Nichole Gilbert by phone at (902)680‐2614. All entry forms can be sent to: Please make cheque payable to Berwick Gala Days. Email: [email protected] Dropped off at: Berwick Town Office FAX (902) 538‐3724 Thank you for supporting our show on behalf of Berwick Gala Day Horse Show Committee *Berwick Gala Days 2015* Office Use Only Light Horse Show Entry Form Back Number: _________ Name: _________________________ Birth date:__________________ NSEF #: ______________________ Phone#: __________________________ Address: ________________________________________ Horse’s Name: _______________________________________ Horse Owners Name (if different): ________________________________ Owners NSEF #: ________________________ Age Categories (check one): Senior (18 & Over) _____ Junior (17 & Under) _____ Beginner _____ (13 & under) *walk/trot/jog only Novice _____ (14 & over) *walk/trot/jog only Leadline ______ (both Western & English) Beginning at 9:00am
Leadline: 0. Leadline Equitation 00. Leadline Pleasure English: 1. Beginner Showmanship 2. Novice Showmanship 3. Jr. Showmanship 4. Sr. Showmanship 5. Beginner Equitation 6. Novice Equitation 7. Jr. English Equitation 8. Sr. English Equitation 9. Beginner Pleasure 10. Novice Pleasure 11. Jr. English Pleasure 12. Sr. English Pleasure 13. Beginner Command 14. Novice Command 15. Jr. Command 16. Sr. Command Western: 17. Beginner Western Horsemanship 18. Novice Western Horsemanship 19.
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Jr. Western Horsemanship Sr. Western Horsemanship Beginner Western Pleasure Novice Western Pleasure Jr. Western Pleasure Sr. Western Pleasure Beginner Western Command Novice Western Command Jr. Western Command Sr. Western Command Games: Beginner/Novice Bare Back ‘Fiver’ Jr. Bareback ‘Fiver’ Sr. Bareback ‘Fiver’ Beginner/Novice Egg and Spoon Jr. Egg and Spoon Sr. Egg and Spoon Beginner/Novice Pole Bending Jr. Pole Bending Sr. Pole Bending Beginner/Novice Barrels Jr. Barrels Sr. Barrels Class Entry fee: ________ classes x $5.00 = ___________
Back # (will be refunded when returned) $5.00
Post Entry fee: ________ classes x $2.00 = ___________
Total= ___________
Waiver and Release Form Berwick Gala Days Light Horse Show September 7, 2015 By signing this document, you will give up any legal rights you may have to sue the Berwick Gala Days Committee in the event that you suffer any loss, injury, or damage as a result of your participation in the Berwick Gala Days Light Horse Show. The participant must sign this waiver to hereby remiss, release, and forever discharge Berwick Gala Days Committee and its present, as well as former directors, members, and volunteers. This form states that Berwick Gala Days is not responsible for any loss, injury, or damage to personal property or personal injury of any nature whatsoever, as well as death alleged to have resulted from participating in the Berwick Gala Days Light Horse Show. The Releaser understands and agrees that his/her participation in the Berwick Gala Days Light Horse Show in voluntary. The Releaser freely accepts and fully assumes responsibility for using reasonable judgment in all aspects of his/her participation in the competition, and for any injuries or damage resulting in participating in the show. The Releaser acknowledges that he/she has read and understands this entire waiver and release and agrees to be legally bound by it. IN WITNESS WHEREOF the Releaser has executed this waiver and release: DATED this _______________________________ of 2015 (Day/Month) SIGNED: In the presence of: _____________________________ Witness: ___________________________________ Releaser’s Printed Name: _______________________________________ Releaser Signature: ______________________________________ Parent/Guardian Printed Name (if under 18 years of age) _________________________________________ Parent/Guardian Signature (if under 18 years of age) _________________________________________