Southern Buckskin Assoc. & GAPOAC OPEN HORSE SHOW Saturday & Sunday Sept 15-16, 2012 Georgia International Horse Park 1996 Centennial Olympic Parkway, Conyers, GA 30013 1. 2 & Under Stallions Jr. Grand & Reserve Stallions 2. 3 & Over Stallions (51 & Under) 3. 3 & Over Stallions (51 to 54) 4. 3 & Over Stallions (Over 54) Sr. Grand & Reserve Stallions Overall Grand & Reserve Stallions 5. 2 & Under Geldings Jr. Grand & Reserve Geldings 6. 3 & Over Geldings (51 & Under) 7. 3 & Over Geldings (51 to 54) 8. 3 & Over Geldings (Over 54) Sr. Grand & Reserve Overall Grand & Reserve Geldings 9. 2 & Under Mares Jr. Grand & Reserve Mares 10. 3 & Over Mares (51 & Under) 11. 3 & Over Mares (51 to 54) 12. 3 & Over Mares (Over 54) Sr. Grand & Reserve Mares Overall Grand & Reserve Mares 13. 12 & Under Western Showmanship 14. 13-18 Western Showmanship 15. 19 & over Western Showmanship 16. ABRA Weanling Stallion 17. ABRA Yearling Stallion 18. ABRA 2 Yr. Old Stallion 19. ABRA 3 Yr. Old Stallion 20. ABRA Aged Stallion 21. ABRA Amateur Stallion Grand & Reserve Stallions 22. ABRA Weanling Gelding 23. ABRA Yearling Gelding 24. ABRA 2 Yr. Old Gelding 25. ABRA 3 Yr. Old Gelding 26. ABRA Aged Gelding 27. ABRA Amateur Gelding 28. ABRA Youth Gelding Grand & Reserve Geldings 29. ABRA Weanling Mare 30. ABRA Yearling Mare 31. ABRA 2 Yr Old Mare 32. ABRA 3 Yr. Old Mare 33. ABRA Aged Mare 34. ABRA Amateur Mare 35. ABRA Youth Mare Grand & Reserve Mares 36. ABRA Dun Factor 37. ABRA Youth Showmanship 38. ABRA Am Showmanship 39. ABRA Yrling Longe Line 40. ABRA 2 Yr. Longe Line 41. Challenged Rider Showmanship 42. Challenged Rider Walk Only 43. Challenged Rider Walk/Trot 44. Challenged Rider W/T Pattern 45. Challenged Rider W/T/C 1x 46. Challenged Rider Trail 47. 18 & Under Junior Horse HUS 48. 18 & Under Senior Horse HUS 49. 12 & Under HUS 50. 13-18 HUS 51. 19 & Over HUS 52. English Walk Trot 53. English Walk Trot Canter 1X ** 54. 12 & Under Huntseat Eq. 55. 13-18 Huntseat Eq. 56. 19 & Over Huntseat Eq. 57. Discipline on the Rail - Huntseat 58. ABRA Junior Horse HUS 59. ABRA Senior Horse HUS 60. ABRA Youth HUS 61. ABRA Amateur HUS 62. ABRA Youth Huntseat Eq. 63. ABRA Am. Huntseat Eq. 64. ABRA Hunter Hack 65. 12 & Under Hunter Hack (18”) 66. 13-18 Hunter Hack (2’) 67. 19 & Over Hunter Hack (2’) 68. ABRA Jr Horse West Pl 69. ABRA Sr West Pl 70. ABRA Youth WP 71. ABRA Amateur WP 72. 18 & Under Jr. Horse West Pl 73. 18 & Under Sr. Horse WP 74. 12 & Under Western Pleasure 75. 13-18 Western Pleasure 76. 19 & Over Western Pleasure 77. Western Walk /Jog 78. Western Walk/Jog/Lope 1X** 79. ABRA Youth Horsemanship 80. ABRA Amateur Horsemanship 81. 12 & Under Horsemanship 82. 13-18 Horsemanship 83. 19 & Over Horsemanship 84. Discipline on the Rail Western 85. ABRA Youth Trail 86. ABRA Amateur Trail 87. ABRA Open Trail 88. 12 & Under Trail 89. 13-18 Trail 90. 19 & Over Trail 91. ABRA Open Reining 92. 12 & Under Reining 93. 13-18 Reining 94. 19 & Over Reining 95. 12 & Under Single Pole 96. 13-18 Single Pole 97. 12 & Under Pole Bending 98. 13-18 Pole Bending 99. 12 & Under Cloverleaf Barrels 100. 13-18 Cloverleaf Barrels 101. 19 & Over Cloverleaf Barrels 102. 12 & Under Flags 103. 13-18 Flags 104. 12 & Under Texas Rollback 105. 13-18 Texas Rollback SHOW CONDUCTED RAIN OR SHINE - ALL JUDGES DECISIONS ARE FINAL - ABRA CLASSES DOUBLE JUDGED Jr. Horses and Ponies are 5 yrs and under, Sr. Horses and Ponies are 6 years and over. All 12 & Under classes will be shown in all three gaits. If you enter a canter class, you cannot enter classes 53 and 78 With that horse / rider combination Challenged rider classes open to any age rider with special needs. Riders may only enter classes 41-46 and halter classes Secured helmets and shirts with collars and sleeves are required for classes 95 -105 ABRA classes are ruled by the ABRA Rule book, POA classes by the POA rule book.(/www.poac.org/resources/poac-rules/) All pets must be kept on a leash at all times. City of Conyers Ordinance. Pets are not allowed inside restrooms. GIHP requires a minimum of 2 bags of shavings per stall. Bring your own or order and pay by credit card through Queen Shavings at 770-860-9111 or 678-416-1424 or at the show grounds at Queen Shavings Building. All Challenged Classes are FREE and no OFFICE FEE will be charged if only participating in the challenged classes!!! Southern Buckskin Assoc. & GAPOAC Back # OPEN HORSE SHOW ENTRY FORM Please complete one form per Horse / Pony rider Combination Horse Name: ___________________________________ Registration #_________Year Foaled:_________ Coggins #: ______________________ Coggins Date & Location: ___________________________________ Sex: M G S POA: Height: ____________PHC: Y / N JPFC Health Certificate Date and number:___________________________________________________________ Exhibitor Name:__________________________ Address:__________________________________________ Phone Number:____________________ E Mail Address: _________________________________________ Date of Birth: ____________ ABRA Number: ____________ Youth / Amateur Number:_____________ Owner Name:__________________________ Address:__________________________________________ Phone Number:____________________ E Mail Address: _________________________________________ ABRA Number___________________ Circle the Classes you want to enter: 1 16 31 46 61 76 91 2 17 32 47 62 77 92 3 18 33 48 63 78 93 4 19 34 49 64 79 94 5 20 35 50 65 80 95 6 21 36 51 66 81 96 7 22 37 52 67 82 97 8 23 38 53 68 83 98 9 24 39 54 69 84 99 10 25 40 55 70 85 100 11 26 41 56 71 86 101 12 27 42 57 72 87 102 13 28 43 58 73 88 103 14 29 44 59 74 89 104 15 30 45 60 75 90 105 Total # of Classes: __________ # of Stalls _____x days _____x $27= ________ Weekend Stall Special $ 45.00 GHIP Grounds Fee ________x $22 = ________ Office fee per horse $15 = ________ POAC fee (POAs only) $5 = ________ Pre entry open class ______ x $6 = ________ Post entry open class_______ x $8 = ________ Pre entry ABRA class ______ x $15 = _________ Post entry ABRA class______ x $20 = ________ Pre entry All Day Open class $80 = ________ Post entry All Day Open class $100 = ________ RV Site (nights) _______x $25 = _______ Challenged Rider Classes ______ x = FREE* Challenged Rider Office Fee ______x = Free* I hereby enter the above horse(s) at my own risk and agree to release the Southern Buckskin Association and GAPOAC and Georgia International Horse Park, its agents, employees and/or any landholder, of all liabilities or responsibilities in case of accident, loss, or injury in any way connected with the show, and agree to indemnify and hold harmless SBA and GAPOAC and Georgia International Horse Park in the event of any such liability or responsibility to any owner, lessee, trainer, agent, employee, rider/driver, or any other person representing the same in case of accident, loss or injury in any way connected with the show. WARNING: Under Georgia Law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in activities resulting from the inherent risk of equine activities, pursuant to Chapter 12 of Title 4 of the Official Georgia Annotated. SIGNATURE BELOW INDICATES THAT THE WAIVER AND WARNING HAVE BEEN READ AND UNDERSTOOD. NO ONE WILL BE ALLOWED TO PARTICIPATE IN OUR EVENT WITHOUT THIS SIGNATURE. Signature _____________________________________________________ (Rider/Parent/Guardian) Date ________________________________ (If 18 or under, or if parent or guardian not available, trainer must sign) (*Only for horses used exclusively by challenged riders) TOTAL_____________ Pre-entries must be post marked one week prior to show to receive reduced fees. Send to: Cheryl Pritchard, 2730 Bethel Rd NE, Conyers, GA 30012 PAYMENT is Open Check or payment in full at sign up. If check is not closed out at end of day what we show will be deemed correct and check will be filled in accordingly. NO EXCEPTIONS. SCRATCH/ADD Changes must be accomplished 2 classes prior to the class that is scratched or added. This MUST be done at the show office. You will be charged for classes scratched without following this procedure. Please email Cheryl@TheHorseBusiness.com or terriemoore@comcast.net with any questions.