Royale Ranch Western Dressage Show October 25, 2014 1801 Lemen Rd, O’Fallon, IL 62269 Entries Close: October 15, 2015 Approved by USEF USEF Competition 334196 Intro and Basic Western Dressage Western Dressage Seat Equitation and Western Dressage Suitability ROYALE RANCH, LLC O’FALLON, IL One Day Show Officials Judge: Cindy Butler “r” Show Stewart: Jean Kraus Veterinarian: Greenville Vet Clinic/On call 618-664-0640 Nearest Equine Surgical Center: Mid-Rivers Equine Centre 636-332-5373 Medical Staff: Caseyville, IL Fire and Rescue Concessions Provided By: Andy’s Cowboy BBQ Competition Manager and Secretary: Mary Skittino 1801 Lemen Road O’Fallon, IL 62269 (618) 972-5042 mskittino@gmail.com Barn Manager: Dave Skittino (618) 972-5043 Please contact the barn manager for directions to the facility. Mail Entries to: Royale Ranch, LLC 1801 Lemen Rd, O’Fallon, IL 62269 The Judges & Stewards Commissioner is responsible for handling written and signed complaints relating to judges and stewards conduct when filed by exhibitors, show officials, or others, and when accompanied by a ten-dollar ($10.00) filing fee [Resolution 5-90]. Other comments, compliments, questions, inquiries are encouraged when appropriate (no filing fee required). Write: Judges & Stewards Commissioner, PO Box 440949, Aurora, CO 80044-0949; (303) 696-4537. GENERAL FEES Office Fee (Per Horse) $25.00 Box Stall—Includes 1 Bag Shavings—$35.00 (limited number of stalls available on first paid basis) (Stalls available after 2pm Saturday the 24th of October 2015) USEF Fee ($8 Drugs & Medication, $8 Adm.) $16.00 Return Check Charge $25.00 CLASS FEES: All Classes $20 or $50 per day unlimited showing plus $25 office fee All Classes 1st through 6th place rosette ribbons with no payback All checks for stalls & pre-entries must be filled out. Blank checks will not be accepted. CLASS LIST Ribbons Awarded 1st – 6th Place There will be no paybacks Judge: Cindy Butler “r” Dressage Rides not to start before 9:00am USEF Code Class#/Description 7501 1. Introductory Test 1 7501 2. Introductory Test 1 Junior Rider 7501 3. Introductory Test 4 7501 4. Introductory Test 4 for Gaited Horses 7501 5. Introductory Test 4 Amateur Rider 7502 6. Basic Test 1 7502 7. Basic Test 1 Junior Rider 7502 8. Basic Test 4 7502 9. Basic Test 4 for Gaited Horses 7502 10. Basic Test 4 Amateur Rider 7510 11. Western Dressage Suitability 7510 12. Western Dressage Suitability Junior Rider 7510 13. Western Dressage Seat Equitation Open 7510 14. Western Dressage Seat Equitation Junior Rider Dressage rides will be ridden in a small size arena 20m x 40m General Information Royale Ranch Horse Show Office Phone Number: (618) 972-5042. SHOW OFFICE: Located outside the main barn by the dressage arena. The show office will open Sunday morning at 7:30a.m and remain open the duration of the one day show. The show office will remain open throughout each session unless otherwise posted or announced. ENTRIES CLOSE: October 15, 2015. Entries are accepted on a first-come, first-serve basis. All entries must be postmarked by 15 October 2015. Each entry must complete the enclosed entry form including all required numbers and signatures. Mail entries complete with signed entry blank, fee payment (NO BLANK/TAB CHECKS) and all photocopies of membership cards and registration certificates to Show Secretary. THERE WILL BE AN ADDITIONAL $10.00 CHARGE FOR EACH INCOMPLETE ENTRY. Entries lacking any of the above mentioned, will be considered incomplete and may be returned. Exhibitor packets will not be given to exhibitors until entry is complete. All entries must be accompanied by a valid check or money order for the full amount of all fees made out to Royale Ranch, LLC. THERE WILL BE AN ADDITIONAL 25.00 CHARGE FOR ANY CHECK RETURNED FOR ANY REASON. THERE WILL BE A $25.00 FEE FOR STOP PAYMENT OF CHECK FOR ANY REASON. Entries will only be considered complete if copies of each of the following are sent with Entry Form: A. Horse's Registration Certificate (if applicable) Horse USEF and USDF Card (if applicable) B. Proof of Ownership (if applicable) C. USEF Membership Cards (owner, trainer, rider, driver & handler). D. USEF Amateur Certification (if applicable F. Check for Total Entry written to Royale Ranch, LLC--NO BLANK CHECKS ACCEPTED! *A copy of the current registration certificate of each horse entered must be sent along with the entry form to the Show Secretary. ** In the case of a sale or lease, it is required that a copy of the sale contract or lease, or statement from the owner be submitted with the copy of the current registration certificate. All entries must be made in writing on an official entry form for this show or photocopies of the same. Please use a ballpoint pen or typewriter to complete entry form. Every owner, trainer, rider, driver, handler and parent or guardian of a junior exhibitor must sign the entry form and must be a member of USEF pay the nonmember/single event fees. A horse may be entered in the name of his recorded owner or lessee only. The complete address and phone number of the recorded owner or lessee must be given, even if an agent enters the horse. No horses may be entered on more than one form. Post Entries: No post entries accepted for dressage rides except to fill scratches. Withdrawing Entries & Refunds Entries may be scratched from the show prior to October 15, 2015 with a total refund of all fees. After the entry closing date, no refunds of class fees will be made UNLESS written request accompanied by a veterinarian's certificate is received in the show office. INDEMNITY AND ASSUMPTION OF RISK All entries are made and accepted with the understanding that Royale Ranch, LLC will not be responsible for any loss, personal injury, or damage to any horse exhibited or for any article of any kind or nature that may be lost, destroyed or in any way damaged and each participant assumes the risk of any such injury and recognizes that participation in activities involving horses is inherently risky. Each exhibitor will be responsible for any loss, damage or injury to any person, or any animal, or any property occasioned by him, his agents or employees, or by any animal owned or exhibited by him and shall indemnify Royale Ranch, LLC against any and all loss, liability and damages of any kind or nature thus occasioned, including attorney fees, which may be incurred as a results thereof. The submitting of an entry form to the Show Secretary shall constitute an acceptance of each person signing same of the provisions herein set forth." Illinois State Health Requirements An official health certificate issued within 30 days of the show by a licensed veterinarian must accompany all horses not residing in the State of Illinois. A negative Coggins certificate issued within the past 12 months must accompany all horses. The health and original Coggins certificates must be available for inspection at the time of check in. Do not mail with your entry. In case of suspected unsoundness or as a safeguard against communicable disease, all horses are subject to physical inspection by the show veterinarian. Stabling: Those exhibitors wishing to be stalled together must send all entries, with the correct fees, together in the same envelope. Showing out of trailers is allowed. All stalls are permanent 10X10 stalls with doors and are under cover. No stalls will be reserved without payment. All horses stalled must be entered in the show. One bag of bedding is included in the price of the stall. Additional bags may be purchased if requested in advance. Limited stalls available on first paid for basis. Arrival Time: Horses not stabled overnight will be accepted 7:30 am. 10/25/2015. Anyone who wants to arrive before this time should advise the barn manager of your arrival date and time. There will be an additional charge of $25.00 per day per horse for early arrivals. The barn manager will advise of stall assignments upon arrival. Departure Time: All horses must depart the show grounds no later than midnight, Sunday, October 25, 2015. Exhibitors wanting to remain after this time must make special arrangements with the barn manager and will be charged an additional fee of $25.00 per day per stall. Parking: Gravel and grass parking will be available. Dogs: Please NO dogs permitted on the property. Arenas: The main show arena is a small 20m x 40m arena with a dirt/sand mixture footing. There are adjoining warm-up arena is 18m x 30m with a dirt/sand mixture footing. There is a 14m round pen for lunging with crushed limestone footing, 15m grass round pen also available. Exhibitors will be permitted to work horses in the indoor arena. There may be an occasional interruption in the warm up arena due to dragging and/or show preparation. Protests: Any protest must be filed in accordance with USEF Rules Code of Ethics rules. Officials: In the event that an official is unable to perform his duties, the Show Committee reserves the right to substitute an official according to USEF rules. Exhibitors are warned that any act of discourtesy or disobedience to the officials on the part of the owner, groom, rider, driver or handler will disqualify the horse from adjudication. The management reserves the right to remove the horse's owner, groom, rider, driver, and/or handler from the show without being liable for compensation or damages. DRESSAGE WDAA Western Dressage Tests will be used. Entries will be accepted on a first come/first served basis. Post entries for Dressage will be accepted only to fill scratched classes, and under the same rules as govern other performance classes. Dressage classes will not necessarily run in Prize List order. Post entries for Dressage will be accepted to fill scratched rides. Dressage classes will not necessarily in Prize List order. CLASS SPECIFICATIONS: These shows are conducted in accordance with the rules of the USEF and USDF. EVERY CLASS OFFERED HEREIN WHICH IS COVERED BY THE RULES AND SPECIFICATIONS OF THE CURRENT USEF RULE BOOK WILL BE CONDUCTED AND JUDGED IN ACCORDANCE THEREWITH. Any changes or corrections of the rules will be automatically become part of this premium list. Each participant in the show is responsible for knowledge of and is subject to the USEF Rules. Exhibitors are encouraged to read the USEF Rule book, and particularly the complete dressage rules, class descriptions and judging specifications. The show committee will decide questions not covered by the USEF Rules, and its decision will be final. Make Checks payable to Royale Ranch, LLC and mail to: 1801 Lemen Rd, O’Fallon IL 62269 Dressage Classes: All Day Sunday Dressage Arena ATTENTION DRESSAGE EXHIBITORS Each competitor is responsible for supplying management with correct applicable numbers USEF for horse, owner, rider, and trainer, before the day of the competition. The scores of competitors who fail to supply correct numbers may not be counted toward USEF or WDAA recognition. Protective Headgear: Riders in all classes must wear protective headgear. Refer to current USEF Rule Book Starting 1 January 2013, the use of a properly fastened Protective Headgear will be mandatory while riding on the show grounds (article 140.1, General Regulations). USEF GR801 RULES AND REGULATIONS EVERY CLASS OFFERED HEREIN WHICH IS COVERED BY THE RULES AND SPECIFICATIONS OF THE CURRENT USEF RULE BOOK WILL BE CONDUCTED AND JUDGED IN ACCORDANCE THEREWITH. All questions not covered in these rules and regulations shall be decided by the show management whose decision shall be final. Every horse entered for competition will comply with the rules of the horse show management, but management will, in no case, be responsible for any loss or damage that may occur, and it shall be condition of entry that each exhibitor shall hold this horse show and the officials and employees of the show blameless for any loss or accident to his horse, employees, equipment, which may occur from sickness, fire or otherwise. The management reserves the right to refuse, accept conditionally, or to cancel any entries, disqualify any riders or exhibitors, prohibit entries and cancel award prizes without claims for damages; to cancel or combine unfilled classes, or to reschedule classes after due notice to exhibitors; to change rings or rotate judges. Exhibitors are notified that any act of discourtesy or disobedience to the judges or officials, on the part of the owner, manager, rider, or groom shall disqualify the horse, and the owner shall forfeit his entry fee and other fees. Show management reserves to itself the power to prohibit any person from attending or showing a horse in the ring and to remove any groom or horse from the show without being liable for compensation. In accordance with the 1989 Federal Waste Tracking Act, which restricts the disposal of medical waste, bio-hazardous medical waste containers will be provided in the stable area. All exhibitors and their agents are responsible for the proper disposal of this waste. No person will be allowed in the show ring during the time of judging except the exhibitor and those having official or requested duties to perform. It is the tradition of the show that riders be correctly attired for the class in question, that attendants be neatly dressed and the horses properly presented. Management may in its discretion bar any person from entering the ring if not suitable presented to appear before an audience. USEF 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 Revised February 28, 2012 MOTORIZED VEHICHLES NO MOTORIZED VEHICLES ARE ALLOWED ON ROYALE RANCH GROUNDS. (Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this). Any minor operating a vehicle on the competition grounds must have a valid driver's license issued by their State of residence. 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 Rule 6. Wheelchairs and other mobility assistance devices for individuals with disabilities are exempt from this rule. SHARPS CONTAINERS Competition management may fine any individuals including trainers, owners, exhibitors, or their agents up to $100 for improper disposal of needles or other sharp disposable instruments. Sharps container will be available at the front of the barn. There will be a minimum of one sharps container for the disposal of needles and other disposable sharp instruments in convenient locations in barns housing competition horses. Numbers must be worn at all times when a horse is being exercised or ridden. Directions to the Royale Ranch One Day Show ROYALE RANCH 1801 LEMEN RD O’FALLON IL. 62269 ANY QUESTIONS CONTACT: Dave Skittino 618-972 -5043 FROM ST. LOUIS: I-64/US-40 EAST CROSSING INTO ILLINOIS TAKE IL-159 EXIT TOWARD COLLINSVILLE TURN LEFT TURN RT ONTO BETHEL MINE RD STAY ON THIS ROAD NAME WILL CHANGE TO BETHAL RD/ County Hwy-45 THEN TURN LEFT ONTO LEMEN ROAD. TRAVEL ABOUT 0.5 MILES AND DRIVEWAY WILL BE ON THE LEFT. FROM SPRINGFIELD IL: TAKE I55 SOUTH TO 159 EXIT 15A TOWARDS COLLINSVILLE. TAKE 159 THRU COLLINSVILLE TURN LEFT ONTO BETHEL MINE RD STAY ON THIS ROAD NAME WILL CHANGE TO BETHEL RD STAY ON THIS ROAD NAME WILL CHANGE TO BETHEL RD/County Hwy-45 THEN TURN LEFT ONTO LEMEN ROAD. TRAVEL ABOUT 0.5 MILES AND DRIVEWAY WILL BE ON THE LEFT. Royale Ranch, LLC Sponsorship Form Sponsor Name: ___________________________________________________________ Address: _________________________________________________________________________________ _________________________________________________________________________________ ____ Message to be announced (Limited to 200 keystrokes): _______________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _______________________ Regular Class Sponsor will receive name announcement during breaks $25.00 ____ Display poster or banner provided by sponsor. Display or Sales booth with name announcement during breaks $25________ Display poster or banner provided by sponsor. “Ride With Pride” at Royale Ranch http://royalerancharabianhorses.com/ USEF Competition Name: Royale Ranch Western Dressage Show USEF#: 334196 Competition Division(s) and Rating(s): Western Dressage UNITED STATES EQUESTRIAN FEDERATION The national governing body for equestrian sport Equestrian The official magazine of the USEF shop ZIP .com USEF NETWORK.COM Preser.d bY SMARTPAK Changing the way you look at equestrian sport A fresh approach to classic equestrian style. The United States Equestrian Federation was founded in the spirit of fair play and the safety and well-being of both human and equine athletes in competition. Join 84,000 members who love horses & equestrian sport. Visit usef.org for more information. Royale Ranch Western Dressage Show October 25, 2015 Entries Close – October 15, 2015 PLEASE TYPE OR PRINT ONLY ONE HORSE PER ENTRY FORM. USEF Horse’s Name Sire Rider 1 # 334196 Local competition Breed and Reg. No. Dam DOB MM/DD/YY Sex Horse USEF ID# TOTAL FEES DOB MM/DD/YY Amateur Certificate Yes No Junior/Amateur Relationship to horse owner USEF/EC# US Citizen: City State Yes No Zip TOTAL FEES Class number _ $ Entry Fees / Name DOB MM/DD/YY USEF/EC# Address Amateur Certificate Yes No USDF# Junior/Amateur Relationship to horse owner US Citizen: City State Yes No Zip TOTAL FEES Class number $ Entry Fees / Name DOB MM/DD/YY Amateur Certificate Yes No Junior/Amateur Relationship to horse owner USEF/EC# Address US Citizen: City State Yes No Zip Each person signing this entry form acknowledges that he/she has read the front and reverse of this Entry Form and agrees to the applicable terms, conditions, waivers ALL OWNERS, TRAINERS, RIDERS, DRIVERS & HANDLERS MUST SIGN ON THE BACK. Minor entrants must also have parent/guardian signature(s) on the releases, indemnification and consent as set forth herein. Each person agrees that the information is accurate to the best of his/her knowledge. SEND ENTRIES TO: THE FOLLOWING MUST BE SENT WITH YOUR ENTRIES Photo copies of USEF Membership cards for each Rider/Driver/Handler/ Trainer/Owner, Horses Registration papers & Purchase contract if applicable and Stall Reservation Forms ROYALE RANCH, LLC OWNER INFORMATION Owner name as it appears on registration papers/purchase contract 1801 LEMEN RD Name________________________________________________________________________ O’FALLON IL 62269 USEF/EC# _______________________ USDF#______________________________________ Farm/Ranch _____________________________________________________________ USEF Farm#______________ Current Address __________________________________________________________ Phone Total Class Entry Fees $_______ City ___________________________________________________________ ST ___________ Zip Email TRAINER INFORMATION (must be filled out, if there is no trainer, owner may write same in trainer information) __Office Fee (per horse) @ $25 $________ Name_________________________________________________________________________ USEF/EC# ________________________ USDF#______________________________________ Address ________________________________________________________________ Phone City _____________________________________________________________ST __________ Zip __USEF Fee @ $8 Drug $8 Admin $ 16.00 Email____________________________________________________________________ SEND ENTRIES TO: ROYALE RANCH, LLC _ $ Entry Fees Address Rider 3 Horse USDF ID# Class number Name Rider 2 Color ____ Box Stalls @ $35 $________ Total Entry Fees $_______ 1801 LEMEN RD O’FALLON IL 62269 ALL FORMS MUST BE SIGNED : _ FEDERATION ENTRY AGREEMENT 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 _________________ (Competition). 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 harm- less 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 import ant 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 and 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. RIDER/DRIVER/HANDLER/ OWNER/AGENT VAULTER/LONGEUR(mandatory) OWNER/AGENT (mandatory) Signature: ______________________________________ Signature: ______________________________________ Print Name: _____________________________________ Print Name: _____________________________________ TRAINER (mandatory) Signature: ______________________________________ COACH (if applicable) Signature: ______________________________________ Print Name: _____________________________________ Print Name: _____________________________________ Parent/Guardian Signature: (Required if Rider/Driver/Handler/Vaulter/Longeur is a minor) _________________________________ Print Parent//Guardian Name: _______________________________ Emergency Contact Phone No.______________________________ Is Rider/Driver/Vaulter a U.S. Citizen: Yes No