HORSE POWER FARM 233 Woodchuck Hill Road Canterbury, CT 06331 860-334-1772 * www.horsepowerfarm.info * CROSS COUNTRY DERBY April 30, June 25, July 30, Oct 15, 2016 RULES AND GENERAL INFORMATION 1. The cross country course will be judged according to the current USEA rules. Your 1st round will be your scoring round. An extra round may be added. Coaching by your trainer/coach is permitted and encouraged during “extra round”. Assistance by Event Management is also available on request. 2. Any horse/rider and division combination accepted. 3. Jump placement and courses will be changed for each derby. 4. All courses will open to walk on Friday at 3pm. Derby Day courses will be open 9 am and close at 4:00 pm. Scoring will be posted after the last ride of the day. Ribbons 1st – 6th will be mailed. Closest to Optimum Time ribbon will be awarded at each Derby. Series and special awards will be presented at the last Derby of the year. 5. Safety vests and ASTM-certified headgear must be worn when mounted. 6. $35 per division. Extra round $15. The event’s closing date is the 7th day prior to the event. Post closing-date entries will be accepted (with an additional fee of $10). 7. Management reserves the right to stop and excuse an unsafe horse/rider combination. Rider fall will result in elimination and you must leave the course. With the assistance of your trainer you can school an “extra round”. 8. Dogs must be leashed at all times. 9. A signed liability waiver must accompany each entry. 10. Current coggins & rabies certificates must accompany entry and will be kept on file for the year. CLASS LIST Elementary........................................2’ ......................................@ 300mpm Beginner Novice ...............................2’7” ..................................@ 325mpm Novice ................................................2’11” ................................@ 350mpm HORSE POWER FARM 233 Woodchuck Hill Road Canterbury, CT 06331 860-334-1772 * www.horsepowerfarm.info * CROSS COUNTRY DERBY– ENTRY FORM April 30, June 25, July 30, Oct 15, 2016 Rider: jr/sr (circle one ______________________________________ Please print clearly, I mail ribbons. Thank you! Mailing Address: ___________________________________________ _________________________________________________________ Phone: _______________ e-mail: ____________________________ Horse: ___________________________________________________ Owner: __________________________________________________ Trainer: __________________________________________________ Division(s): _______________________________________________ $35 per Division. Extra schooling within division $15 (see Event Secretary). Closing date is the 7th day prior to event. Add $10 for late entries. Post entries welcome, $10 fee. Total Enclosed: $___________________ Note: Enclose your signed check, liability waiver, a copy of your current coggins-rabies certificate, and Emergency Contact Information. Liability Waiver I_________________________________(riders name) hereby agree to release, indemnify and hold harmless Horse Power Farm, its instructors, officers, directors, agents, and volunteers from and against any and all loss, liability or damage arising from or because of, or in connection with, participation in this competition or related activities. I also hereby agree to release, indemnify and hold harmless the show management, show committee and members, officers, directors, agents, and volunteers from and against any and all loss, liability or damage arising from or because of, or in connection with, participation in the competition or related activities. Date: _______________________ Signature of rider over 18:_______________________________________________ Signature of Parent of rider under 18:______________________________________ Emergency Contact Information Name: ____________________________________________________________ Relation to rider: ____________________________________________________ Phone: ____________________________________________________________