Charles County 4-H Entry Form
HORSE AND PONY SHOW ONLY
Sunday, September 13, 2015
Entries Due by August 11, 2015
Name __________________________________________ 4-H age _________
4-H Office Use Only
4-H Exhibitor #____________
Horse Show Entry #____________
Coggins #____________
AHQA ____________
Date of Birth _______________________Phone # _______________________
Horse and Pony Card
County ___________________ Club__________________________________
Address_________________________________________________________
Y/N
HS Levels Passed ____R_____K
Rider is W – J/T
Jr. Sr.
City ____________________________________ State _____ Zip __________
Date Recorded ___________
Horse/Pony Name_________________________________________________
Initials recorded by ________
Horse Age ______(years)
Horse Hgt. _________(hands)
Use a separate form for each horse/rider combination
Please check () the classes you wish to enter
CLASS LIST
Show order/class number
Show order/class number
RING 1 START 8:30 am
RING 2 START 9:00 am (or after the last Conformation Class)
___53. Conformation Mares (Eng & Wes)
___54. Conformation Geldings (Eng & Wes)
___55. Conformation Ponies (Eng & Wes)
___56. Conformation Two Yr Olds & Under (Eng & Wes)
___57. Conformation Champion & Reserve
___01. JR English Showmanship
___02. Eng/Wes INT/SR Walk-Trot/Jog - Showmanship
___03. JR English Pleasure
___04. JR English Pleasure Park Hack
___ 58 Eng/Wes Trail In Hand (for 2 & under and Miniatures – 4 Obstacles)
___05. Eng/Wes INT/SR Walk-Trot/Jog - Trail (4 obstacles)
___06. Eng/Wes INT/SR Walk-Trot/Jog - Equitation
___07. Eng/Wes INT/SR Walk-Trot/Jog - Pleasure
___08. Eng/Wes INT/SR Walk-Trot/Jog - Programmed Ride
___09. JR English Equitation
___10. JR English Hunter Under Saddle
___11. JR English Equitation Pattern
___12. JR English Hunter Hack (2 fences @2’3”Pony / 2’6”Horse)
___13. JR English Pleasure Hack (2 fences @ 2’)
___14. JR English Command
___15. JR English Trail
___26.
___27.
___28.
___29.
___30.
___31.
___32.
___33.
___34.
___35.
___36.
___37.
___38.
___39.
___40.
___41.
SR Western Showmanship
Eng/Wes JR Walk-Trot/Jog - Showmanship
SR Western Horsemanship
SR Wes Horsemanship Pattern
Eng/Wes JR Walk-Trot/Jog - Horsemanship
Eng/Wes JR Walk-Trot/Jog - Pleasure
Eng/Wes JR Walk-Trot/Jog - Programmed Ride
Eng/Wes JR Walk-Trot/Jog - Trail (4 obstacles)
SR Western Pleasure
SR Western Riding
SR Western Command
SR Western Reining
SR Western Barrel Race
SR Western Figure 8 Stake Race
SR Western Pole Bending Race
SR Western Trail
Afternoon Classes
___16.
___17.
___18.
___19.
___20.
___21.
___22.
___23.
___24.
___25.
Afternoon Classes
NOTE: These classes will not start before 1:00 pm.
SR English Showmanship
___42. JR Western Showmanship
SR English Trail
___43. JR Western Trail
SR English Pleasure
___44. JR Western Horsemanship
SR English Pleasure Park Hack
___45. JR Western Horsemanship Pattern
SR English Hunter Under Saddle
___46. JR Western Pleasure
SR English Hunter Hack (2 fences@2’3”Pony / 2’6”Horse)
___47. JR Western Riding
SR English Pleasure Hack (2 fences @ 2’)
___48. JR Western Reining
SR English Equitation
___49. JR Western Command
SR English Equitation Pattern
___50. JR Western Barrel Race
SR English Command
___51. JR Western Figure 8 Stake Race
___52. JR Western Pole Bending Race
CONTINUED ON THE BACK
Horse Judging Contest will be held after both ring’s morning classes have finished and not before 11:30 am
Costume Class will be held at time TBD based on entries
OTHER CLASSES OFFERED:
PRETTY ANIMAL - 4H Section F
___090 Costume Class (please check category):
___Most Original
___Best Theme
___Funniest
Costume Class Champion will be awarded in each category. All participants receive participation awards. Awards presented at
conclusion of horse show.
JUDGING - 4W Section D
___1A. Horse Judging Jr. (4-H Ages 8-10)
___1B. Horse Judging Inter. (4-H Ages 11-13)
___1C. Horse Judging Sr. (4-H Ages 14-18)
Ribbons will be given throughout the day at the conclusion of classes that go with that particular division. Winners will be
notified by the Friday prior to Sunday’s Fair 4-H Awards Presentation if they are the recipient of a High-Point or Reserve
High-Point. Winners are encouraged to attend the County Fair 4-H Awards Presentation as sponsors are sometimes present
and enjoy seeing the awards being handed out.
All Special Awards will be presented on Sunday, September 20, 2015 at the 4-H Awards Presentation at the grand stand beginning at
4:00 p.m.
6 High Point & Reserve High Point overall awards will be presented for the following: Western Jr. Rider, Western Sr. Rider, English
Jr. Rider, English Sr. Rider, Jr. Walk-Trot/Jog Rider and Int./Sr. Walk-Trot/Jog Rider.
PARENT/VOLUNTEER INFORMATION:
*Times Parent available to work:
____8-10 a.m.
____2-4 p.m.
___10-12 p.m.
___4-6 p.m.
___12-2 p.m.
*Preferred Job: _________________________________________________________________________________________________
Please check if you are willing to allow us to use one of your horses for our judging contest_________
NOTE: THIS FORM MUST BE SIGNED BY BOTH PARENT AND 4-H’ER TO PARTICIPATE IN SHOW!
My signature below indicates that I have read, understand and will abide by the rules of the Charles County Fair 4-H Horse Show. I understand that I
enter and ride at my own risk. I agree by my signature below that I will not in any way hold the Charles County Fair Board, University of Maryland
Extension, Oak Ridge Park/Charles County Dept of Public Facilities, the 4-H Program nor any/all affiliates of the above mentioned liable for any loss
or injury occurring to or caused by other exhibitors and/or myself, my animals and my equipment.
___________________________________________
4-Her Signature
Date
_____________________________________________
Parent/Guardian Signature
Date
The University of Maryland, College of Agriculture and Natural Resources programs are open to all and will not discriminate against
anyone because of race, age, sex, color, sexual orientation, physical or mental disability, religion, ancestry, or national origin, marital
status, genetic information, or political affiliation, or gender identity and expression.