Touch Point Farm, Culpeper, VA
Dressage & CT Schooling Show Series - 2016
Sunday May 15 (Closing 5/6)
FEES
● Combined Test: $65 per entry (A Horse/Rider combination may compete in up to 2 consecutive level CT’s, or do Dressage + CT)
CT Divisions (Check level here.) TESTS JUMP
£ Baby Green / 2015 USDF Intro Test B / 18”£ Green as Grass / 2015 USDF Intro Test C / 2’ 0”
£ Beginner Novice / 2014 USEF Beginner Novice Test B / 2’ 7”
£ Novice / 2014 USEF Novice Test B / 2’ 11”
£ Training / 2014 USEF Training Test B / 3’ 3”
£ Preliminary / 2014 USEF Preliminary Test B / 3’ 7”
● Dressage-Only: $25 per Test. Pick any current dressage tests used at USDF shows or USCTA events. Check box & circle test numbers below.
¨ Intro A B C ¨ Training 1 2 3 ¨ First Level 1 2 3 ¨ Second Level 1 2 3 ¨ Other ______
Name of Rider ______Age if Jr. ______
Rider’s Address ______
# Street City Zip
Rider’s e-mail address ______Please print clearly.
Daytime Phone ______Evening Phone ______
Name of Horse ______AMOUNT ENCLOSED $______
Name of Trainer ______Note: If your trainer is the Judge, you must ride HC.
RELEASE (Must be signed)
I, the undersigned, understand that there are risks of injury and death inherent in all equine activities, including this Event. Such risks include, but are not limited to: (i) the propensity of an equine to behave in dangerous ways which may result in injury to or death of participants in such activities; (ii) the inability to predict an equine’s reaction to sound, movements, objects, persons or animals; and (iii) the hazards of surface or subsurface conditions. I assume all risks of injury, death, and/or injury or damage to property, including equines, associated with participation in equine activities. I waive all rights to sue Touch Point Farm, LLC, and/or any of their officers, directors, volunteers, employees and agents, the judges at this event, the owner or lessor of the facilities where the event is held, owners of horses, and/or any sponsor of this event, for injury to or death of me, or where applicable, the junior rider named below, and/or for injury or damage to property, including equines. I agree to indemnify and hold harmless the foregoing parties from and against any and all such claims of injury, death, or damage. This Liability/Release form is to be construed in accordance with, & to be as broad as permitted by, the Equine Activity Liability Act set forth in the Virginia Code.
I represent that I have the requisite training, coaching and abilities to safely compete in this competition.
SIGNATURE______
Parent or guardian must sign if competitor is under 18 years of age.
Check and Current Negative Coggins must accompany this application. Please leave dogs at home!
------" ------.------Clip here and save ê for reference------"- -
Please use one entry form for each horse/rider combination. No phone, fax or e-mail entries accepted. NO DOGS, please.
CHECKS: Make checks payable to Touch Point Farm.
JUDGES: TBA Please check our web site. www.touchpointfarm.com
SHOW MANAGER: Meredith Jones phone: 540-547-4677 e-mail:
SECRETARY: Jan Schwenke phone: 540-547-2031 e-mail:
MAIL APPLICATION, CHECK AND COGGINS TO: Touch Point Farm 16251 Dark Horse Trail Culpeper, VA 22701-7218 TIMES: www.touchpointfarm.com Click on Show Schedules
If you do not have Internet access, call the Secretary only from 5 PM - 8 PM the Thurs or Fri before the show.
RULES & DIRECTIONS: Complete rules & directions to the farm are available on our website: www.touchpointfarm.com Click on Show Schedules.Include $5 late fee if mailed after closing. Refund less $5 after closing, only if time can be filled from a waiting list.