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Apr182019

MM Cowboy Dressage Schooling Show Entry Blank


Presents

Cowboy Dressage Schooling Show

June 1st and 2nd 2019 Start at 8AM both days

Judge: Sarah Larkin

5985 Hwy 95, Potlatch, ID 83855

 

Please fill out one form per horse-rider combination

Horses Registered Name:

 

 

Breed:

 

Name of Rider:

 

 

Youth 6-12

Youth 13-18

Lead line

Division (Circle one):

Amateur

Open

 

Mailing Address:

 

City:

 

State

 

Zip code

 

Phone

 

Email

 

Signature of Rider

(or Guardian)

 

Date

 
















 

Each horse is limited to 4 riding classes (CD) and 4 Partnership on the Ground (POG) tests each day. Enter Class # from the class list on the following pages

 

 

Saturday

Sunday

 

Riding

Ground

Riding

Ground

1st Class

 

 

 

 

2nd Class

 

 

 

 

3rd Class

 

 

 

 

4th Class

 

 

 

 

Total # Classes

 

 

 

 

 

Make checks payable to MM Connections, 5985 Highway 95, Potlatch ID 83855

Entries close May 24, 2019. $10 post entry fees will apply for entries received after May 24, 2019.

 

Per Class Fees ($15)

Number Riding Classes Entered                           x $15                           = $                  

Number Ground Classes Entered                                    x $15                           = $                  

 

Inside Stall (limited availability; bedding provided, please provide feed)

# Nights                         x $20               = $                  

Outside Stall (portable panels; on grass)

# Nights                         x $10               = $                  

Mandatory Office Fee (per rider)                                                                          = $       10.00

                                                                                                            Total    = $                  

Dry camping is available; please contact Marcia Moore for arrangements.

 

COWBOY DRESSAGE OFFICAL CLASS LIST 

 

OPEN DIVIDSION

 

 

AMATEUR DIVISION

1

W/J Test 1- Open

 

41

W/J Test 1 - Am

2

W/J Test 2 - Open

 

42

W/J Test 2 - Am

3

W/J Test 3 – Open

 

43

W/J Test 3 - Am

4

W/J Test 4 – Open

 

44

W/J Test 4 – Am

5

W/J/L Test 1 – Open

 

45

W/J/L Test  - 1 Am

6

W/J/L Test 2 – Open

 

46

W/J/L Test  - 2 Am

7

W/J/L Test 3 – Open

 

47

W/J/L Test  - 3 Am

8

W/J/L Test 4 – Open

 

48

W/J/L Test  - 4 Am

9

W/J/L Test 5 – Open

 

49

W/J/L Test  - 5 Am

10

W/J/L Test 6 – Open

 

50

W/J/L Test  - 6 Am

11

W/J/L Test 7 – Open

 

51

W/J/L Test  - 7 Am

12

W/W Challenge Test 1 – Open

 

52

W/W Challenge Test 1 - Am

13

W/J Challenge Test 1 – Open

 

53

W/J Challenge Test 1 - Am

14

W/J Challenge Test 2 – Open

 

54

W/J Challenge Test 2 - Am

15

W/J Challenge Test 3 – Open

 

55

W/J Challenge Test 3 - Am

16

W/J Challenge Test 4 – Open

 

56

W/J Challenge Test 4 - Am

17

W/J/L Challenge Test 1 – Open

 

57

W/J/L Challenge Test 1 - Am

18

W/J/L Challenge Test 2 – Open

 

58

W/J/L Challenge Test 2 - Am

19

W/J Vaquero Challenge Test 2 -Open

 

59

W/J Vaquero Challenge Test 2 - Am

20

W/J Vaquero Challenge Test 4 – Open

 

60

W/J Vaquero Challenge Test 4 - Am

21

W/JL Vaquero Challenge Test 1 – Open

 

61

W/J/L Vaquero Challenge Test 1 - Am

22

W/J/L Vaquero Challenge Test 2 – Open

 

62

W/J/L Vaquero Challenge Test 2 - Am

23

W/W Gaited Challenge Test 1 – Open

 

63

W/W Gaited Challenge Test 1 – Am

24

W/Int. Gait Challenge Test 1 – Open

 

64

W/Int. Gait Challenge Test 1 – Am

25

W/I Gaited Test 2 – Open

 

65

W/I Gaited Test 2 – Am

26

W/I Gaited Test 3 – Open

 

66

W/I Gaited Test 3 – Am

27

W/I/L Gaited Test 2 – Open

 

67

W/I/L Gaited Test 2 – Am

28

W/W Partnership on the Ground Test 1 - Open

 

68

W/W Partnership on the Ground Test 1 -Am

29

Partnership on the Ground Test 1 – Open

 

69

Partnership on the Ground Test 1 – Am

30

Partnership on the Ground Test 2 – Open

 

70

Partnership on the Ground Test 2 – Am

31

W/W Partnership Under Saddle Test 1 – Open

 

71

W/W Partnership Under Saddle – Am

32

Partnership Under Saddle – Open

 

72

Partnership Under Saddle – Am

33

Freestyle W/J/L - Open

 

73

Freestyle W/J – Am

 

 

 

74

Freestyle W/J/L – Am

 

Class list continued on next page

 

 

 

 

JUNIOR DIVISION

 

 

LEAD LINE (7 & UNDER)

81

W/J Test 1 - Jr

 

120

W/W Partnership Lead Line Test 1 - Jr

82

W/J Test 2 - Jr

 

 

  

83

W/J Test 3 - Jr

 

 

LIBERTY DIVISION (Open, Am, & Junior)

84

W/J Test 4 - Jr

 

150

Liberty Neck Rope Walk Walk Test 1

85

W/J/L Test 1 - Jr

 

151

Liberty Neck Rope Walk Walk Test 1

86

W/J/L Test 2 - Jr

 

152

Liberty Neck Rope Walk Jog Test 1

87

W/J/L Test 3 - Jr

 

153

Liberty Neck Rope Walk Jog Test 2

88

W/J/L Test 4 - Jr

 

154

Liberty Walk Walk Test 1

89

W/J/L Test 5 - Jr

 

155

Liberty Walk Walk Test 2 

90

W/J/L Test 6 - Jr

 

156

Liberty Walk Jog Test 1 

91

W/J/L Test 7 - Jr

 

157

Liberty Walk Jog Test 2 

92

W/W Challenge Test 1- Jr

 

158

Liberty Freestyle

93

W/J Challenge Test 1 -Jr

 

 

  

94

W/J Challenge Test 2 -Jr

 

 

 

95

W/J Challenge Test 3 -Jr

 

 

 

96

W/J Challenge Test 4 -Jr

 

 

 

97

W/J/L Challenge Test 1 -Jr

 

 

 

98

W/J/L Challenge Test 2 -Jr

 

 

 

99

W/J Vaquero Challenge Test 2 - Jr

 

 

 

100

W/J Vaquero Challenge Test 4 - Jr

 

 

 

101

W/J/L Vaquero Challenge Test 1 - Jr

 

 

 

102

W/J/L Vaquero Challenge Test 2 - Jr

 

 

 

103

W/W Gaited Challenge Test 1 - Jr

 

 

 

104

W/Int. Gait Challenge Test 1 – Jr

 

 

 

105

W/I Gaited Test 2 – Jr

 

 

 

106

W/I Gaited Test 3 – Jr

 

 

 

107

W/I/L Gaited Test 2 - Jr

 

 

 

108

W/W Partnership on the Ground Test 1 – Jr

 

 

 

109

Partnership on the Ground Test 1 – Jr

 

 

 

110

Partnership on the Ground Test 2 – Jr

 

 

 

111

W/W Partnership Under Saddle Test 1 – Jr

 

 

 

112

Partnership Under Saddle – Jr

 

 

 

113

Freestyle W/J - Jr

 

 

 

114

Freestyle W/J/L - Jr

 

 

 

 

 

 

 

MM Training and Consulting/MMConnections

Liability Waiver and Release of Photographic and Video Images

Page 1 of 2

 

 

Notice: Please carefully read this document before signing. Signing this document affirms that you have read, understand and agree to it in its entirety. This document is a release of liability for Property Damage, Personal Injury or Death.

 

LIABILITY RELEASE & ASSUMPTION OF RISK AGREEMEN

I/we agree that in consideration of this arena/stable, MM Training and Consulting/MM Connections, allowing participation in this activity, I, the student, for myself and on behalf of my child/or legal ward, heirs, administrators, personal representatives or assigns, do agree to release, hold harmless, and discharge THIS ARENA/STABLE, its owners, agents, employees, officers, directors, representatives, assigns, members, owners of premises and trails, affiliated organizations, an insurers, and others acting on their behalf (hereinafter, collectively referred to as “Associates”), of and from all claims, demands, causes of action and legal liability, whether the same be known or unknown, anticipated or unanticipated, due to THIS ARENA/STABLE’S and/or its associates ordinary negligence or legal liability; and I do further agree that except in the event of THIS ARENA /STABLE’S gross negligence and/or willful and/or wanton conduct, I shall not bring any claims, demands, legal actions and causes of action against THIS ARENA/STABLE and its associates as stated above in this clause, for any economic and non-economic losses due to bodily injury and/or death and/or property damage, sustained by me and/or my minor child or legal ward in relation to the premises and operations of THIS ARENA/STABLE, to include while riding, driving, training, handling, or otherwise being near horses owned by me or owned by THIS ARENA/STABLE, or in the care, custody or control of THIS ARENA/STABLE, whether on or off the premises of THIS ARENA/STABLE, but not limited to being on THIS ARENA/STABLE’S premises.

I/we, the undersigned, represent that I/we have read and do understand the foregoing liability release and assumption of risk agreement; I/we understand that by signing this document I am giving up rights to sue today and in the future.  I am signing this while of sound mind and not suffering from shock, or under the influence of alcohol, drugs or intoxicants.

_____________________________________________

Name (Please print)

_____________________________________________     __________________________

Signature                                                                    Date

_____________________________________________     ___________________________

Signature of Parent or Guardian     (if minor)                   Date

 

 

 

MM Training and Consulting/MM Connections

Liability Waiver and Release of Photographic and Video Images

Page 2 of 2

 

Release of Photographic and Video Images

 

______ I hereby give permission to MM Training and Consulting and those acting with its authority the unrestricted right and permission to use, publish and republish and photographic or video images of me and/or my horse for promotional and marketing purposes of MM Training and Consulting. I also permit the use of any printed material in connection therewith and relinquish any right to review or restrict its use or publication.

 

______ I have read and understood both the above Releases; my signature below signifies my acceptance to their terms and conditions. I agree these releases shall remain in full force and effect until they are specifically revoked by me in writing or superseded by new releases issued by MM Training and Consulting and signed by me.

 

MM Training and Consulting/MM Connections

Marcia Moore Harrison and Davalee Minden

5985 Highway 95, Potlatch, Idaho 83855

 

 

Participant’s Name _______________________________ DOB if under 18 _______________

                                                            (Print)

 

Participant’s Signature _____________________________________ Today’s Date __________________

 

Signer’s Home Address: ________________________________________________________

 

City ______________________________________State____________ Zip Code____________________

 

Email________________________________________________________________________________  

 

If Event participant is under 18 years of age, his/her parent must sign on his/her behalf below: (“Child”)

 

Parent’s Name __________________________________ Today’s Date __________________

                                                            (Print)

 

Parent’s Signature __________________________________________ Today’s Date ________________________

 

 

Cowboy Dressage® World Release       Page 1 of 2

 

 

Upon entering a Cowboy Dressage® World Show and signing this entry blank as the Owner, Lessee, Trainer, Manager, Agent, Coach, Driver, Rider or Handler, and on behalf of myself and my principals, representatives, employees and agents, I agree that I am subject to the Bylaws and Rules and the local rules of the competition. I agree to be bound by the Bylaws and Rules and 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 COWBOY DRESSAGE® WORLD LLC (DEBBIE AND EITAN BETH-HALACHMY, LYN RINGROSE MOE, GARN WALKER AND WYATT PAXTON) 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 COWBOY DRESSAGE® WORLD LLC (DEBBIE AND EITAN BETH-HALACHMY, LYN RINGROSE MOE, GARN WALKER AND WYATT PAXTON) and/or the competition may use or assign photographs, videos, audios, cablecasts, or other likenesses of my horse and/or myself taken during the course of the competition for the promotion, coverage or benefit of the competition, sport or the COWBOY DRESSAGE® WORLD LLC (DEBBIE AND EITAN BETH-HALACHMY, LYN RINGROSE MOE, GARN WALKER AND WYATT PAXTON) 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 Rules are governed by the laws of the State of California, and any action instituted against COWBOY DRESSAGE® WORLD LLC (DEBBIE AND EITAN BETH-HALACHMY, LYN RINGROSE MOE, GARN WALKER, AND WYATT PAXTON) must be filed in Sacramento County Superior Court, California.

I have read the Cowboy Dressage® Competition Rules _____Yes _____No

www.cowboydressage.com/competition.html

COWBOY DRESSAGE® WORLD LLC (DEBBIE AND EITAN BETH-HALACHMY, LYN RINGROSE MOE, GARN WALKER AND WYATT PAXTON

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, COWBOY DRESSAGE® WORLD SHOW 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. 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 the COWBOY DRESSAGE® WORLD LLC (DEBBIE AND EITAN BETH-HALACHMY, LYN RINGROSE MOE, GARN WALKER, AND WYATT PAXTON)

and the Competition from all claims for money damages or otherwise from 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 the COWBOY DRESSAGE® WORLD LLC (DEBBIE AND EITAN BETH-HALACHMY, LYNRINGROSE MOE, GARN WALKER, AND WYATT PAXTON) 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 COWBOY DRESSAGE® WORLD LLC (DEBBIE AND EITAN BETH-HALACHMY, LYN RINGROSE MOE, GARN WALKER AND WYATT PAXTON), or the Competition. I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) the COWBOY DRESSAGE® WORLD LLC (DEBBIE AND EITAN BETH-HALACHMY, LYN RINGROSE MOE, GARN WALKER AND WYATT PAXTON) and the Competition and to hold them harmless with respect to claims of Harm to me or my horse, and for claims made by others for any Harm caused by me or my horse at the Competition. I have read the COWBOY DRESSAGE® Rules about protective equipment, and I understand that I am entitled to wear protective equipment without penalty (riders age 17and under are required to wear protective head gear while mounted on show grounds) and I acknowledge that the COWBOY DRESSAGE® WORLD LLC (DEBBIE AND EITAN BETH-HALACHMY, LYN RINGROSE-MOE, GARN WALKER, AND WYATT PAXTON) strongly encourages me to do so while WARNING that no protective equipment can guard against all injuries.


 

Cowboy Dressage® World Release       Page 2 of 2

 

 

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 the obligations of this Release on the child’s behalf. I AGREE that “the” COWBOY DRESSAGE® WORLD AND PARTNERS (DEBBIE AND EITAN BETH-HALACHMY, LYN RINGROSE MOE, GARN WALKER AND WYATT PAXTON) and “Competition” as used above includes all of their officials, officers, directors, employees, agents, personnel, volunteers and affiliated organizations. I represent that I have the requite training, coaching and abilities to safely compete in this competition.

BY SIGNING BELOW, I AGREE to be bound by all applicable COWBOY DRESSAGE® WORLD LLC (DEBBIE AND EITAN BETH-HALACHMY, LYN RINGROSE MOE, GARN WALKER AND WYATT PAXTON) Rules and all terms and provisions of this entry blank.

Rider (mandatory) Owner (mandatory)

Signature:____________________________ Signature:_______________________________

Print Name:___________________________ Print Name:______________________________

Parent/Guardian Signature: (Required if Rider is a minor)_________________________________________

Print Parent/Guardian Name:_______________________________ Emergency Phone ________________________

Is Rider a U.S. Citizen: _____Yes _____No

In addition to above, the rider/owner is aware that the Top Five of the Top Hand Open Competition will be required to switch horses. This switch will be determined by a draw. Rider and Owner in the open or amateur divisions agree to Release Cowboy Dressage World LLC, Debra and Eitan Beth-Halachmy, Lyn Ringrose Moe, Garn Walker, Wyatt Paxton and Murieta Equestrian Center from any and all liability resulting in injury or death of horse, rider or wrangler during Top Hand Competitions.

Rider (mandatory) Owner (mandatory)

Signature____________________ Date______ Signature________________ Date_____

Print Name___________________ Print Name_______________

Wrangler (mandatory)

Signature___________________ Date_______

Print Name_________________

 

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