Pinjarra Horse & Pony Club All Breed Spectacular 2013 Roe Avenue Pinjarra Start 8.30am 5 rings Sashes, Prizes, Garlands, Rugs Top 3 pony under 14.2hh Supreme of Supreme Pony sponsored by Top 3 Horse over 14.2hh Supreme of Supreme Horse sponsored by Supreme Ridden Exhibit Sponsored by Entries close Tuesday 19th November 2013 Entries will be accepted on the day with late entry fee $10.00 Enquiries Phone Melissa Arnold 0419 024 590 Conditions of Entry Pre Entry essential, a copy of Breed registration Certificate and Current membership to accompany entry form. Late Entries may be accepted at the discretion of the organisers, acceptance will depend upon numbers of entries received by closing date and payment of $10 late fee. The organisers/committee of Pinjarra Horse and Pony Club reserve the right to cancel, alter or combine any events they deem necessary on the day. If a ring is running behind time the committee reserve the right to move a breed to another ring. Stallions and Colts must be under control at all times. They must be wearing suitable and substantial head gear. The age of the handler must be as per each respective Breed Society regulation, notwithstanding this handlers may not be younger than 18 years for led classes and 16 years for ridden classes. If a Judge or the Show Committee deems an Exhibit to be unruly it will be required to leave the grounds. This rule is in the interest of the safety of all competitors, spectators and officials and must be abided by. All handlers must wear safe enclosed footwear and appropriate attire in accordance with Breed Society Regulation. Riders must wear a current approved safety helmet and riding boots at all times whilst mounted on their horse or pony. Proof of registration must accompany your entry and should be available if requested on the day. If required by your Breed, Height Certificates should be current and should be available if requested. Age of the rider and handler will be as at the day of the event. Proof of age may be requested. It is the responsibility of the competitor to ensure they are ringside in time to compete in their class. If classes clash it is the responsibility of the competitor to choose which event they will compete in. Classes will not be held up. The decision of the Judge is final. Poor sportsmanship will not be tolerated. Failure to abide by this and any of our other rules may lead to disqualification and forfeiture of entry fees. Exhibits with multiple registrations may compete in all eligible classes AND Other registered Breeds only if the registration is not covered in any of the other rings.. Refunds (less administration costs) will only be made on production of a Medical or Veterinary Certificate. A copy of the certificate must be supplied to the Organising Committee within 5 days of the event. Supreme of Supremes will be selected from the Supreme Champion of each section. The Supreme Unregistered Horse and Supreme Unregistered Pony are not eligible for the Supreme of Supremes. Pinjarra Horse & Pony Club, it’s Committee and Members do not accept any liability for any accident, loss, damage, illness or injury to horses, owners, riders, spectators or any other person or property whatsoever. No Dogs. Allowed on the grounds Day Insurance is payable by Non PCAWA members or EA members Exhibits may only be entered in either the Show Hunter Class or Show Hack – Not Both. Show Hunters must be shown in plain browband Please remember to thank your judges official’s and fellow competitors and have a great day Handler classes Junior Handler 10 years and under Intermediate 11 years to 17 years Senior Handler 18 years and over Ring 1 Judge: Anna Thompson Standardbred Thoroughbred Combined Warmblood Fresian Part Bred Fresian Combined Clydesdale & Heavy Draft Part Bred Clydesdale Show Hack Under 14.2h Show Hack 14.2h and Over Ring 2 Judge: Bayley Thomas Riding Ponies Arabian Arabian Derivative 14.2h & under Arabian Derivative over 14.2h Andalusisian Andalusisan Part Bred Palomino Ring 3 Judge: Mindi Thompson Australian Stock Horse Quaterhorse Appaloosa Paint Buckskin & Dun Cremello / Perlino Pinto Ridden Classes Ridden Ring Hacks- Judge-Sue-Ellen Kiesling Champion & Reserve Ridden Ring Western-Judge- Mindi Thompson Champion & Reserve Ridden Ring Ponies – Judge-Tia Turner Champion & Reserve Supreme Ridden Exhibit Sponsored by Combined Broken Coloured Horse Society WA Inc Ring 4 Judge: Neryl Simmons Shetland Australian Welsh A Welsh B Welsh C & D Part bred welsh Highland Connemara Part Bred APSB Ring 5 Judge: Sue-ellen Keisling Miniature Horse / Small Horse Miniature Pony/small pony Foundation Pony Any Other Registered Breed Unregistered Horse (14 hands & Over) Unregistered Pony (under 14 hands) Show Hunter 14.2h & Under Show Hunter over 14.2h Supreme of Supreme Top 3 - 14.2 Hands & under Supreme of Supreme 14.2 Hands & Under Sponsored by Shenae Brown Top 3 – Over 14.2 Hands Supreme of Supreme Over 14.2 Hands Sponsored by Kismet Park Judge: Anna Thompson Ring 1 Supreme Fresian Exhibit sponsored by Redfoto Standardbred 1. Best Presented Exhibit 2. Stallion 4 years and over 3. Colt 3 years and under Champion / Reserve 4. Mare 4 years and over 5. Filly 3 years and under Champion / Reserve 6. Gelding 4 years and over 7. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored by Redfoto Combined Clydesdale & Heavy Draft 29. Best Presented Exhibit 30. Stallion 4 years and over 31. Colt 3 years and under Champion / Reserve 32. Mare 4 years and over 33. Filly 3 years and under Champion / Reserve 34. Gelding 4 years and over 35. Gelding 3 years and under Champion / Reserve Thoroughbred 8. Best Presented Exhibit 9. Stallion 4 years and over 10. Colt 3 years and under Champion / Reserve 11. Mare 4 years and over 12. Filly 3 years and under Champion / Reserve 13. Gelding 4 years and over 14. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored By WA Equestrian Part Bred Clydesdale . Best Presented Exhibit . Colt / Stallion . Mare / Filly . Gelding . Champion / Reserve Supreme Champion Exhibit Combined Warmblood 15. Best Presented Exhibit 16. Stallion 4 years and over 17. Colt 3 years and under Champion / Reserve 18. Mare 4 years and over 19. Filly 3 years and under Champion / Reserve 20. Gelding 4 years and over 21. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored by Sylvania Farms Fresian 22. Best Presented Exhibit 23. Stallion 4 years and over 24. Colt 3 years and under Champion / Reserve 25. Mare 4 years and over 26. Filly 3 years and under Champion / Reserve 27. Gelding 4 years and over 28. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Show Hack 14.2h & Under 36. Best Presented Exhibit 37. Stallion 4 years and over 38. Colt 3 years and under Champion / Reserve 39. Mare 4 years and over 40. Filly 3 years and under Champion / Reserve 41. Gelding 4 years and over 42. Gelding 3 years and under Champion / Reserve Show Hack Over 14.2 hands 43. Best Presented Exhibit 44. Stallion 4 years and over 45. Colt 3 years and under Champion / Reserve 46. Mare 4 years and over 47. Filly 3 years and under Champion / Reserve 48. Gelding 4 years and over 49. Gelding 3 years and under Champion / Reserve Supreme Champion Show Hack Exhibit Sponsored by Judge: Bayley Thomas Supreme Champion Arabian Derivative Over 14.2hh Exhibit Sponsored by Endseby family Ring 2 Riding Ponies 50. Best Presented Exhibit 51. Stallion 4 years and over 52. Colt 3 years and under Champion / Reserve 53. Mare 4 years and over 54. Filly 3 years and under Champion / Reserve 55. Gelding 4 years and over 56. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored by Aussie Platinum Photos Arabian 57. Best Presented Exhibit 58. Stallion 4 years and over 59. Colt 3 years and under Champion / Reserve 60. Mare 4 years and over 61. Filly 3 years and under Champion / Reserve 62. Gelding 4 years and over 63. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Arabian Derivative 14.2h & Under 64. Best Presented Exhibit 65. Stallion 4 years and over 66. Colt 3 years and under Champion / Reserve 67. Mare 4 years and over 68. Filly 3 years and under Champion / Reserve 69. Gelding 4 years and over 70. Gelding 3 years and under Champion / Reserve Supreme Champion Arabian Derivative under 14.2hh Exhibit Sponsored by Arabian Derivative Over 14.2h 71. Best Presented Exhibit 72. Stallion 4 years and over 73. Colt 3 years and under Champion / Reserve 74. Mare 4 years and over 75. Filly 3 years and under Champion / Reserve 76. Gelding 4 years and over 77. Gelding 3 years and under Champion / Reserve Andalusisian (must be member AHAA) 78. Best Presented Exhibit 79. Stallion 4 years and over 80. Colt 3 years and under Champion / Reserve 81. Mare 4 years and over 82. Filly 3 years and under Champion / Reserve 83. Gelding 4 years and over 84. Gelding 3 years and under Champion / Reserve Supreme Andalusian Exhibit Sponsored by Redfoto Andalusian Part Bred (must be member AHAA) 85. Best Presented Exhibit 86. Stallion 4 years and over 87. Colt 3 years and under Champion / Reserve 88. Mare 4 years and over 89. Filly 3 years and under Champion / Reserve 90. Gelding 4 years and over 91. Gelding 3 years and under Champion / Reserve Supreme Part Bred Andalusian Exhibit Sponsored by Blue Grass Stables Palomino 92. Best Presented Exhibit 93. Stallion 4 years and over 94. Colt 3 years and under Champion / Reserve 95. Mare 4 years and over 96. Filly 3 years and under Champion / Reserve 97. Gelding 4 years and over 98. Gelding 3 years and under Champion / Reserve Supreme Champion Ehibit Sponsored by Redfoto Judge: Mindi Thompson Ring 3 Australian Stock Horse 103. Best Presented Exhibit 104. Stallion 4 years and over 105. Colt 3 years and under Champion / Reserve 106. Mare 4 years and over 107. Filly 3 years and under Champion / Reserve 108. Gelding 4 years and over 109. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsoredby Redfoto Quaterhorse 110. Best Presented Exhibit 111. Stallion 4 years and over 112. Colt 3 years and under Champion / Reserve 113. Mare 4 years and over 114. Filly 3 years and under Champion / Reserve 115. Gelding 4 years and over 116. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored by Mandurah Stockfeeds Appaloosa 117. Best Presented Exhibit 118. Stallion 4 years and over 119. Colt 3 years and under Champion / Reserve 120. Mare 4 years and over 121. Filly 3 years and under Champion / Reserve 122. Gelding 4 years and over 123. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Paint 124. Best Presented Exhibit 125. Stallion 4 years and over 126. Colt 3 years and under Champion / Reserve 127. Mare 4 years and over 128. Filly 3 years and under Champion / Reserve 129. Gelding 4 years and over 130. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit sponsored by Redfoto Dilute – Buckskin & Dun 131. Best Presented Exhibit 132. Stallion 4 years and over 133. Colt 3 years and under Champion / Reserve 134. Mare 4 years and over 135. Filly 3 years and under Champion / Reserve 136. Gelding 4 years and over 137. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Pinto 138. Best Presented Exhibit 139. Stallion 4 years and over 140. Colt 3 years and under Champion / Reserve 141. Mare 4 years and over 142. Filly 3 years and under Champion / Reserve 143. Gelding 4 years and over 144. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored By Le Skelle Lodge Combined Broken Coloured Horse 152. Best Presented Exhibit 153. Stallion 4 years and over 154. Colt 3 years and under Champion / Reserve 155. Mare 4 years and over 156. Filly 3 years and under Champion / Reserve 157. Gelding 4 years and over 158. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Cremello/Perlino Best Presented Exhibit 159. Stallion 4 years and over 160. Colt 3 years and under Champion / Reserve 161. Mare 4 years and over 162. Filly 3 years and under Champion / Reserve 163. Gelding 4 years and over 164. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored By Redfoto Judge: Neryl Simmons Ring 4 Shetland 165. Best Presented Exhibit 166. Stallion 4 years and over 167. Colt 3 years and under Champion / Reserve 168. Mare 4 years and over 169. Filly 3 years and under Champion / Reserve 170. Gelding 4 years and over 171. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored By Shenae Brown Australian Pony 172. Best Presented Exhibit 173. Stallion 4 years and over 174. Colt 3 years and under Champion / Reserve 175. Mare 4 years and over 176. Filly 3 years and under Champion / Reserve 177. Gelding 4 years and over 178. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored By Welsh A 179. Best Presented Exhibit 180. Stallion 4 years and over 181. Colt 3 years and under Champion / Reserve 182. Mare 4 years and over 183. Filly 3 years and under Champion / Reserve 184. Gelding 4 years and over 185. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored by Kismet park Welsh B 186. Best Presented Exhibit 187. Stallion 4 years and over 188. Colt 3 years and under Champion / Reserve 185. Mare 4 years and over 186. Filly 3 years and under Champion / Reserve 187. Gelding 4 years and over 188. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored by Kismet Park Welsh C & D 189. Best Presented Exhibit 190. Stallion 4 years and over 191. Colt 3 years and under Champion / Reserve 192. Mare 4 years and over 193. Filly 3 years and under Champion / Reserve 194. Gelding 4 years and over 195. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored by Part-bred Welsh 196. Best Presented Exhibit 197. Stallion 4 years and over 198. Colt 3 years and under Champion / Reserve 199. Mare 4 years and over 200. Filly 3 years and under Champion / Reserve 201. Gelding 4 years and over 202. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored by Kismet Park Highland 203. Best Presented Exhibit 204. Colt / Stallion 205. Mare / Filly 206. Gelding Champion / Reserve Supreme Champion Sponsored by Redfoto Connemara 208. Best Presented Exhibit 209. Colt / Stallion 210. Mare / Filly 211. Gelding 212. Champion / Reserve Supreme Champion Connemara Sponsored by PH&PC Judge: Sue-ellen Kiesling Ring 5 Miniature Horse 213. Best Presented Exhibit 214. Stallion 4 years and over 215. Colt 3 years and under Champion / Reserve 216. Mare 4 years and over 217. Filly 3 years and under Champion / Reserve 218. Gelding 4 years and over 219. Gelding 3 years and under Champion / Reserve Miniature Pony 220. Best Presented Exhibit 221. Stallion 4 years and over 222. Colt 3 years and under Champion / Reserve 223. Mare 4 years and over 224. Filly 3 years and under Champion / Reserve 225. Gelding 4 years and over 226. Gelding 3 years and under Champion / Reserve Supreme Champion Miniature Pony Exhibit Sponsored by Foundation Horse/Pony 208. Best Presented Exhibit 209. Colt / Stallion 210. Mare / Filly 211. Gelding 212. Champion / Reserve Supreme Champion Exhibit Other Registered Breed 227. Best Presented Exhibit 228. Stallion 4 years and over 229. Colt 3 years and under Champion / Reserve 230. Mare 4 years and over 231. Filly 3 years and under Champion / Reserve 232. Gelding 4 years and over 233. Gelding 3 years and under Champion / Reserve Supreme Champion Exhibit Sponsored by PH&PC Unregistered Horse (Over 14h) 234. Best Presented Exhibit 235. Stallion 4 years and over 236. Colt 3 years and under Champion / Reserve 237. Mare 4 years and over 238. Filly 3 years and under Champion / Reserve 239. Gelding 4 years and over 240. Gelding 3 years and under Champion / Reserve Supreme Unregistered pony Sponsored by PH&PC Unregistered Pony (14h & Under) 241. Best Presented Exhibit 242. Stallion 4 years and over 243. Colt 3 years and under Champion / Reserve 244. Mare 4 years and over 245. Filly 3 years and under Champion / Reserve 246. Gelding 4 years and over 247. Gelding 3 years and under Champion / Reserve Supreme Champion Unregistered Exhibit Sposnored by J Metcalf Show Hunter 14.2 h & Under (To be Shown in a plain browband) 248. Best Presented Exhibit 249. Stallion 4 years and over 250. Colt 3 years and under Champion / Reserve 251. Mare 4 years and over 252. Filly 3 years and under Champion / Reserve 253. Gelding 4 years and over 254. Gelding 3 years and under Champion / Reserve Show Hunter Over 14.2h (To be shown in a plain browband) 255. Best Presented Exhibit 256. Stallion 4 years and over 257. Colt 3 years and under Champion / Reserve 258. Mare 4 years and over 259. Filly 3 years and under Champion / Reserve 260. Gelding 4 years and over 261. Gelding 3 years and under Champion / Reserve Supreme Champion Show Hunter Exhibit Sponsored by Kalista Park Browbands Ridden Events Ring 1 Judge – Sue-Ellen Kiesling Ridden Thoroughbred Ridden Standard bred Ridden Warmblood Ridden Arab Ridden Derivative over 14 hh Ridden Andelusion Ridden Any Other Breed Ridden unregistered breed over 14hh Ridden Stallion Ridden Mare Ridden Gelding Ridden Grey Ridden Bay Ridden Chestnut Ridden any other colour Hack 14hh to 15hh Hack over 15hh to 16hh Hack over 16hh Pleasure Hack Best combination Hack Champion & Reserve Ring 2 Judge- Tia Turner Ridden Australian Pony Ridden Riding Pony Ridden Welsh A Ridden Welsh B Ridden Welsh C & D Ridden Derivative under 14 hh Ridden Highland Ridden Any Other Breed under 14hh Ridden Unregistered breed under 14hh Ridden Stallion Ridden Mare Ridden Gelding Ridden Grey Ridden Bay Ridden Chestnut Ridden any other colour Pony up to 12.hh Pony 12hh to 13hh Pony 13hh to 14hh Pleasure Pony Best combination Pony Champion & Reserve Ring 3 Judge – Mindi Thompson Beginner Pleasure Novice pleasure Junior Pleasure horse under 6yrs Senior pleasure horse 6yrs and over Amateur Owner Pleasure Beginner Horsemanship Novice Horsemanship Junior Horsemanship Senior Horsemanship Amateur Owner Horsemanship Western Hunter Hack Beginner Working Class Hunter Novice Working Class Hunter Junior Working Class Hunter Senior Working Class Hunter Amateur owner Working Class Hunter Beginner Hunter Novice Hunter Junior Hunter Senior Hunter Amateur Owner Hunter Beginner Seat Equitation Novice Seat Equitation Junior Seat Equitation Senior Seat Equitation Amateur Owner Equitation Beginner Western Trail Novice Trail Junior Trail Senior Trail Amateur Owner Trail Champion & Reserve Supreme Champion Ridden Exhibit Sponsored by Entry Form Pinjarra Horse and Pony Club All Breeds ALL DAY FEE per Horse $60.00 (PH&PC) Members only $40.00 Entry per Class $8 ---(PH&PC) Members only $5 per class Class No. Exhibit Handler Breed Reg no. Amount Total Classes Amount or All Day Fee $ Non Member of EA or Pinjarra Horse & Pony club must pay $10.00 Fee for PH&PC Day Member and fill in form Ground Fee Compulsory per horse $5.00 Late Entry Fee $10.00 Please enclose Copy of Direct deposit Payment and Copies of Breed Papers and Membershipand/or Make Cheques payable to: Pinjarra Horse & Pony Club PO Box 3077 Mandurah WA 6210 $ Total Amount Payable Name of Owner/ Rider/ Handler: .................................................................................................................................................................... Address: .................................................................................................................................................................................... .................. Telephone #: Home: ........................................................................ Mobile: ............................................................................................ Email: .................................................................................................................................................................................... ...................... Name of Rider/Handler: .........................................................................................Age & Date of Birth (if under 18 years): ...................................... Rider: EFA #: ...................................................... SHC #: ......................................................................... Send Entries to Pinjarra Horse & Pony Club P O Box 3077 MANDURAH WA 6210 Entries Close Tuesday 19th November 2013 Enquiries please phone Melissa Arnold 0419 024590 Direct Deposit Bank Details : Pinjarra Horse and Pony Club BSB: 306-072 ACC# 0353363 Member Release and Waiver of Liability Full Name of participant (and of guardian if under 18 years)........................................................ ... ............................................................................................................................. ........................... Address........................................................................................................................................... State ………………………………..Post Code............................Date of birth.................................. Name of Club/Organisation Insured with......................................................................................... Membership No. .............................................................................................................. ................ Address of Event / Activity Pinjarra Pony Club Championship Hack Show Roe ave Pinjarra W.A 6208 25th November 2012 In consideration for being permitted to participate in any way in horse sport activities, I, the undersigned, understand, acknowledge and accept that: Horse sports are a dangerous recreational activity and horses can act in a sudden and unpredictable (changeable) way, especially if frightened or hurt. There is a significant risk that serious INJURY or DEATH may result from horse sport activities. I knowingly and freely assume all such risks, both known and unknown, and I voluntarily PARTICIPATE at my OWN RISK and assume sole responsibility for any injury, death or property damage I may suffer that arises from my participation in horse sport activities. I understand and acknowledge the dangers associated with the consumption of alcohol or any mind altering drugs before and during the activities and I take full responsibility for any injury, loss or damage associated with their consumption. I agree not to drink alcohol or take drugs prohibited by law before or during any horse sports activities. I agree to follow the directions of any event organiser or official and that any misconduct or refusal by me to follow any direction of any organiser or official can result in the CANCELLATION of my participation in the activities and my immediate removal from my horse NO MATTER where that may occur. I understand that any such non-compliance may result in injury, death and/or permanent disability as a result of my failure to comply. I agree to wear a helmet at all times whilst participating in the sport where this is required under the relevant EWA and FEI rules and regulations, and agree that I am solely responsible for ensuring that whilst participating I wear a suitable helmet at all times where required under the relevant EWA and FEI rules and regulations, and take sole responsibility for my actions. I have had sufficient opportunity to read this assumption of risk agreement, fully understand its terms and sign it freely and voluntarily. Dated: ___/___/___ Signature of rider ……………………………………………………. For Participants of Minority Age (Under Age 18) This is to certify that I, as a parent/guardian with legal responsibility for this participant, acknowledge, understand and accept ALL OF THE ABOVE and consent and agree to my minor child's involvement or participation in horse sport activities. Dated: ___/___/___ Signature of guardian ………………………………………………… PINJARRA HORSE & PONY CLUB INC. APPLICATION FOR DAY MEMBERSHIP 2013 Post Office Box 3077 Mandurah WA 6210 Rider’s Full Name: ……………………...…………………… ADDRESS: ……………………………………………….…………………………………. TELEPHONE: ……………….. MOBILE: ………………. E MAIL: ……………………….……………. MOUNT’S NAME: …………………..………AGE: ………… HEIGHT:………………. In consideration for being permitted to participate in any way in horse sport activities, I, the undersigned, understand, acknowledge and accept that: Horse sports are a dangerous activity and horses can act in a sudden and unpredictable (changeable) way, especially if frightened or hurt. There is a significant risk that serious INJURY or DEATH may result from horse sport activities. I understand and acknowledge the dangers associated with the consumption of alcohol or any mind altering drugs and agree not to drink alcohol or take drugs prohibited by law before or during any horse sports activities. I agree to follow the directions of any event organiser or official and that any misconduct or refusal by me to follow any direction of any organiser or official can result in the CANCELLATION of my participation in the activities and my immediate removal from my horse NO MATTER where that may occur. I agree to wear an approved helmet at all times whilst participating in the sport where this is required under the relevant PCAWA, EA, SHCWA and FEI rules and regulations. I have had sufficient opportunity to read this Dangerous Activity Acknowledgement and fully understand its terms and sign it freely and voluntarily. Dated: ___/___/___ Signature of rider _______________________________ For Participants of Minority Age (Under Age 18) This is to certify that I, as a parent/guardian with legal responsibility for this participant, acknowledge, understand and accept ALL OF THE ABOVE and consent and agree to my minor child's involvement or participation in horse sport activities. Dated: ___/___/___ Signature of guardian____________________________