Pleaseread Beforecompletingapplication
GeneralInstructions
Pleaseread BEFOREcompletingapplication
ApplicationDeadline:March16,2018
SubmitALLApplicationsto: R
8108 238thSt SE Woodinville,WA98072
Thankyou foryourinterestinbecomingatrainerwithMYWY.Ourfinaleventthisyear isattheWASHINGTONSTATEHORSE PARK in CleElum,WA. Thisisthefirsttime wehaveheldaneventatthislocationandareveryexcitedaboutthe possibilitiesthatliebefore us. Thisyear for thefirsttime ever wehave threedivisions:Youthin-hand,adultin-handandadultriding.
Thereisoneapplicationthisyear for ALLTRAINERSwithdivisionstobeselectedontheapp.
1. ALLAPPLICATIONSmaybecompletedonline.Make suretosave theapplicationonce theinformation hasbeen entered.Allforms
can also beemailed backtousatthe listedemailaddressfor fastersubmissionandthe savingof postage. Youwillbesenta conformationemailoncetheapplicationshave been received. SAVEA COPYOFTHEFULLCOMPLETEDAPPLICATIONFOR YOUR
RECORDS(especiallyif itwasmailed).
2. RulesandRegulationsareaseparate documentfromtheapplication.Pleaseprinttheseandreadthroughthemso youhavea betterunderstandingoftheprogram andwhatisrequired.
3. The LETTEROFRECOMMENDATIONform isalso aseparatedocumentbutmustbeincludedwith theapplication.
4. The required BLMapplicationisalso aseparate document.
5. Costofadoptionthisyear is$125.00for ALL.Trainerswillnotneedtocompetewiththepublicfor adoptionoftheirMustang
shouldtheyelectto keep theirhorse.If youkeep yourhorse,attheend ofthecompetitiontherewillbe no furtherpaperwork
required.
6 Mustangpickup willbein Hines,Oregon on March 30thand31st,2018attheWildHorseCorrals.Theyouthtrainerandthe
personthatsignstheBLMadoptionagreementmustbepresentatthistimetocompletethefinaladoptionpaperworkrequiredby
theBLM.$125 willbecollectedatthistime aswellin conjunctionwiththefinalpaperworkfor alltrainers.
Thefinaleventthisyear isearlier.Finaleventisover the courseof threedays.July19th—21st,2018.
Questions?Please contactusvia ithyourquestionsandcontactinfoor via phoneat
206-755-8509.
Thankyoufor your interestinourprogram. Respectfully,
Boardof Directors
Mustang Yearlings/WashingtonYouth
Alladopters(orinthecaseof a youth,theparent/guardian/sponsor) mustadopttheassignedMustangbeforetakingpossession of
itbycompletingandsubmittinga BLMadoptionapplication,signinga PrivateMaintenanceandCareAgreement(PMACA),and providingtheresponsibleBLMofficewitha personalcheckintheamountof$125madeouttoUSDI/BLM(ortheeventmanager mayissuea singlechecktotheBLM.
***IFYOU AREAMYWY REPEAT TRAINER (includingyouthandnow an adult)youdo notneedtocomplete the reference forms,theparagraphonwhyyouwantto beselectedor the facilitydetailsunlessyouare changingthe locationwhere your Mustang willbe located.Youmuststillreturnthedigital
photo,an updatedbioandallotherfullycompleted forms.***
2018YouthAdult MustangChallenge
TRAINERAPPLICATION
ApplicationDeadline:March16,2018
Participationinthiseventis by selectiononly;therefore,theBoardofTrusteeshastheunqualifiedrighttodetermineeligibility andcan,atanytime,removea contestantfroma MustangHeritageFoundationandMustangYearling/WashingtonYouth programand/orcompetitionforanyorno reasonatall.
TRAINER INFORMATION:
*DivisionSelected□Youth□AdultIn-Hand□Adult Riding
*ClosestBLM CorralFacility
*TrainerName:
*TrainerEmailAddress:
*Birthdate: School Grade(YouthOnly)asof January1st,2018
*Age: Youthtrainers mustbe 10-17yearsof age attimeofapplicationtoenterthe program.
*MailingAddress:
*Physical HomeAddress(ifdifferent):
*City/State/Zip:
*Phone1 (Home):
_*Phone2(Cell):
YOUTH:
*ParentEmailAddress:
Fax:
*Parent/GuardianName: *Phone:
*Male□Female □T-Shirt size: [Pleaseindicate whethersizeis childoradult]
Wouldyou liketopurchasea“Trainer”Sweatshirtfor$40? (yes/no) Size_
Ifyes,pleaseincludea$40check madepayabletoMYWY.Checkwillbereturnedifapplicantisnot
acceptedinto theprogram.Thesewillnotbeavailableforpurchaseata latertime.
*Will you needanRV hook-upfor thefinal event ifyouareaccepted for theprogram?
*Mandatory Information
Mustang ChallengeTrainerApplication cont’d
Doyouoryour familyownthefacilitywherethemustangwillbekept?If *no* pleaseprovidethefollowing:
*PhysicalAddressWhereTheMustangWillBeKept:
*PropertyOwnerof AboveAddress (print/type)
*PropertyOwner’sPhone(s)*Email :
YOUTH ADOPTER INFORMATION:
MUSTANGS IN THEYOUTH & MUSTANG CHALLENGE MUST BEADOPTED BY SOMEONE 18-YEARS-OLDOR OLDER AT TIME OF PICK-UP.Theadopter must attend pick-up inorder to completerequired adoptionpaperwork. Pleaselist adopter information below:
*Adopter Name: *Phone:
*Address: *City/State/Zip:
*Email:
*Relationship to Youth Trainer:
*Areyoukeeping yourMustang?
*Mandatory Information
Questionnaire:Allquestionsmust be completed.
Pleasefeel freeto usethe reverseside and/or additionalpages ifnecessary.
1. Haveyou previouslyapplied foraMustang HeritageFoundation orMustangYearling/Washington
Youthprogram or competition? Ifyes, when and what program/competition?
2. How didyou hearaboutthisMustangTrainingProgram?
3. Doyou have anypersonal horse experience?Ifyes, pleasedescribe
4.Haveyou trained anuntamedMustang received directlyfrom theBLM?
5.How many yearshaveyou trained horses?
6. Areyouaprofessional trainerorhaveyoueverreceivedcompensationfortraining ahorse?
7. Doyoucompetein horse-related events? Ifyes, inwhich disciplines/breeds doyou compete?
8. Haveyouwonawards and/orrecognitionin thesedisciplines?_If yes, pleaselist:
9. Haveyoueverbeen accusedorconvictedof animalorhumanabuse/neglect/cruelty?
Ifyes, explain:
10.Haveyoueverhad anyanimal removed fromyourcarefor anyreason?
Ifyes, explain:
AdditionalInformation
On Separate pieces of paper (if thereis roomyoumayput morethan oneto apage. Just makesurethe each haveaseparate heading),pleaseprovide the following:
INCLUDEashort 7-10sentencepersonal biographyto be used forintroduction/promotionalpurposeson our websiteand at thefinalevent.
INCLUDEA 5-7 sentenceparagraph on why youfeelyou should beselected forthis competition.
INCLUDE(YOUTH ONLY) Details ofthelocationwhereyouwillkeep yourmustang.Besidesthenecessary
20’x20’pento initially begin;pleaseincludesizeofturnout area andtypeoffencingforthisareaoncethe horseis gentledand ableto becaught easily.Please includeoneormorephotosoftheareainwhichthe Mustangwillbekept and an additionalphoto ofthe turnout area. Ifselected, asitecheckofyourfacility MAYbe conductedpriortopickupofthe MustangbyanassignedMYWYorapprovedBLM volunteer.
INCLUDEaheadshot photo ofyourself to beused forpromotional purposes.Youmust send a digital photo ona discor email it to .Ifyou emailyour photoyoumust include the trainer nameinthebody oftheemail. Photomust bereceived prior tothe application deadline to beconsid- ered.This photo willbe forpublicpresentation purposes.
INCLUDETwoletterofReferenceForms. Oneis a character reference from someoneotherthan a
relative andyouth friend that knowsyou well.Onemustbe from anequine professional that can testifyto yourabilityto careforyour horse.
LetterofReferenceforms areincluded in thisapplication. Yourapplication willnot beconsidered until we are inreceipt oftwocompleted lettersofreference.It isyourresponsibilitytofollow upon thereferences to ensureatimelyapplicationprocess.
ACKNOWLEDGEMENTANDSIGNATUREPAGE
Bysigning belowIam stating that:
1)I agreeto and will abidebythe Mustang ChallengeRules and Regulations and
2)I amawareand in agreement that participation in this event is by selection/invitation only;therefore, the Event Coordinatoror theBoard ofDirectors ofMustangYearlings/Washington Youthhas theunqualified right to determineeligibilityandcan, atanytime,removeacontestantfromaMustangHeritageFoundation programand competition foranyornoreason atall. I amalso stating thatallquestions abovehavebeen answered honestlybythe trainer applying for this competition.
3)I hereby WAIVE, RELEASE ANDDISCHARGE,the Mustang HeritageFoundation, Mustang Year- lings/Washington Youthand Bureau of Land Management and their representatives and employeesof and from all liability, and anyand allpossible causes of action in law orin equitythatmayresult from an injury to me(including death),myfacilities, or anyonein my carecausedbythenegligenceor other actionable conduct ofthe MustangHeritageFoundation, MustangYearlings/WashingtonYouth or Bureau ofLand Management or their representatives or employees.
4)I further agreetoINDEMNIFYAND HOLDHARMLESS,MustangHeritageFoundation, Mustang Yearlings/Washington Youth and Bureau of Land Management and their representatives and employees for damages, attorneyfees and expense resulting from an injury to me(including death),myfacilities, or any- onein my care, even ifsuchinjury or damageis causedor claimed to be causedbythe negligenceor other actionable conduct of Mustang HeritageFoundation, MustangYearlings/Washington Youth and Bureauof Land Management or their representatives or employees.
Applicant’s Signature:
Date:
Parent/Guardian Signature: Date:
(YouthOnly)
MHF/MYWYAND BLMFACILITY REQUIREMENT FORM
(MYWY willretainthis form forour records)
TrainerName: _ Phone# :
AdopterInfo:
AdopterName:Phone#:
Drawa maptothelocationwhereanimalwillbekept
(fromthenearestmajorhighway).
N
Drawadetailedlayoutofallcorralsandshelters
N
Directionstofacility:
PhysicalAddress:_
Mustang Yearlings/WashingtonYouth and
Mustang Heritage FoundationHumane TreatmentPolicy
EveryMustangandallanimalsshall,atalltimes,betreatedhumanelyandwithdignity,respectandcompassion.Anypartici-
pantusingabusiveorexcessivetrainingtechniquesorbeinginhumanetoa Mustanginhis/hercare(determinedexcessiveor
abusivebya panelassignedbytheMustangHeritageFoundationandconsistingofa paneloflicensedequineveterinarian(s) and/orrespectedhorseindustryprofessionals)mayberemovedfromthecontestand/orall futurecontestsandtraining programs.Ifaparticipant’shorseentersthecontestorifthetrainer/participantatanytimepresentsa horsewithquestionable training/carerelatedinjuries(determinedexcessiveorabusivebya panelassignedbytheMustangHeritageFoundationor MustangYearlings/WashingtonYouthandconsistingofa paneloflicensedequineveterinarian(s)and/orrespectedhorse industryprofessionals)theparticipantmayberemovedfromthecontestand/orall futurecontestsandtrainingprograms.
Thefollowinglist includesbutisnotlimitedtoexamplesof unacceptablebehaviorandtrainingtechniques:
Nohorseappearingtobeemaciated,drawnorinjuredmaybeexhibited.
Useoforevidenceofinhumanetrainingtechniquesormethodssuchasstrikinghorsewithobjects,excessivespurring and/orexcessivejerkingofreins.
Anyinhumanetreatmentthatresultsinwounds.
Additionally,theMustangHeritageFoundationpromotesandencouragesthefollowingexamplesofsound,compassionate,and successfultrainingtechniquesandMustanghandlingmethods:
Horseandtrainerexhibitingsolidrelationshipbasedonrespectandunderstanding
Acalmandwillingpartnershipbetweenhorseandtrainer,regardlessoftheobstacleorenvironmentalchallengeduring competitionortrainingphases
Trainermaintainsa crediblelevelofdignityforthehorseduringallphasesoftraining,competition,andrepositioningif applicable.
Trainersareexpectedtoseekandemploymethodsofhorsemanshipinordertopromoteandencouragethepositive relationshipbetweenhorseandtrainer.
Trainingtechniquesshoulddemonstrateastrongbondbetweenhorseandtrainer
Throughmysignaturebelow,I certifythatI havereadandunderstandtheMustangYearling/WashingtonYouthandMustang HeritageFoundationHumaneTreatmentpolicy,andagreetoabidebytheseprinciplesasa participantintheMYWYandMHF events.I alsounderstandthatshoulda determinationbemade(asoutlinedabove)thatIhaveviolatedanypartofthispolicy, I maylosetheprivilegeofcompetingatanyMHF-sponsoredevents,andmayalsolosetheprivilegeofanyfutureadoptionsof Mustanghorses.
Name of Trainer (please print)
Trainer’s SignatureDateof Signature
Parent Signature(YouthOnly)Dateof Signature
MHFRepresentativeSignatureDateof Signature
PassiveConsent/MediaRelease
WrittenNoticeofPassiveConsentfor YouthParticipants:
Asa participantintheMustangHeritageFoundationand/orMustangYearlings/WashingtonYouthprogram,youandyoursonordaugh- termaybeasked to helpwiththeevaluationoftheprogram.Atthe endofeachfinalshowcasingculminatingtheendoftheprogram
year, wegenerallyconductbothaparentalandaparticipantevaluationtotellushowwell howprogramisworkingandaskforideas aboutchangesyou/theywouldmaketoimprovetheoverallprogram.Yoursonordaughtermaybeasked tocompleteawrittensurvey aboutwhathe/shemayhavelearnedfromparticipatingintheprogram.Weestimateno morethan10minutestocompletetheques- tionnairewithaslightlylongertimeforyoungerparticipantswithparentalassistance.Youtharenotrequiredto participateinthis writtenevaluation.Nonamesarerequired,justhonestanswers.
MediaRelease:
I,("Model"),forgoodandvaluableconsideration,thereceiptof whichisacknowledged,giveto theMustangHeritageFoundationand/orMustangYearlings/WashingtonYouth("PRODUCER"),itslegalrepresentatives,successors,
andallpersonsorcorporationsactingwithitspermission,unrestrictedpermissiontocopyrightand/oruse,and/orpublishphotographic portraitsorpicturesoftheModel,andthenegatives,transparencies,prints,ordigitalinformationpertainingtothem,instill,single, multiple,movingorvideoformat,orinwhichtheModelmaybeincludedinwholeorinpart,orcomposite,ordistortedinform,orre- productionsthereof,incolororotherwise, madethroughanymediainphotographer'sstudioorelsewhereforart,oranyotherlawful purpose.
I/Weunderstandthatphotos,videos,and/oraudiorecordingsofmysonordaughterormyfamilymaybemadeduringtheentiretyof thisprogram,fromyearlingpickup tothefinalshowcasingevent.It isalso understoodthatthismediamaybeusedinadvertisingand/or promotionalmaterialsthroughthisyear’sprogramand/orallfutureprograms.
I herebywaiveanyrightthatImayhave toinspectandapprovethefinishedproductorcopythatmaybeusedinconnectionwithan image thatMustangHeritageFoundationand/orMustangYearlings/WashingtonYouthhastakenofour son/daughterasayouthtrainer ortheuseto whichitmaybeapplied.
I furtherreleaseMustangHeritageFoundationand/orMustangYearlings/WashingtonYouth,all photographers,orothersthatmay be actingonbehalfof saidorganizationfrom anyclaims for remunerationassociatedwithanyformofdamage,foreseenorunforeseen,
associatedwiththepropercommercialorartisticuseoftheseimagesunlessit canbe shownthatsaidreproductionwasmaliciously caused,produced,andpublishedforthesolepurposeofsubjectingtheyouthtrainer toconspicuousridicule,scandal,reproach,scorn, andindignity.
Iacknowledgethat allofthevideotaping/photographywasconductedina completelyproperandhighly professionalmanner,andthis release waswillinglysigned.I certifythatIamnot a minor,andifaminor,havepermissionfrommyparentorlegalguardiansigned below,andam freeandabletogivesuchconsent.
It isalso understandthatI/wehaveprovidedMustangYearlings/WashingtonYouthwiththenameofourlocalnewspaperencouraging theMYWYorganizationtocontactthemto promotetheavailabilityofthepotentialadoptionoftheyearlingthatwill beintrainingwith myson/daughterastheyouthtrainer.This may necessitatea visit toourhomeand/ortrainingfacility fromthe localmediaforthis writtenmediapromotiontooccur.
TrainerPrintedName
TrainerSignatureDate
Parent/GuardianSignature(YouthOnly)Date
MUSTANGPICKUPFORM
Pick Up Date: March 30th—31st,2018
Location:BLMWildHorseCorrals
28910Hiway 20West
Hines,Oregon97738
SELECTED TRAINER’S Name:
Phone#1:[_]Phone#2:[]
*****Pleaselist the phone numbersyou willbe usingwhilein transit.
PLEASENOTE:
This is aWildHorseCorrals and pick uplocationanddates aresetthesameas the adults
All trainersMUSTbeatpick up. MYWY representatives will beonsite to answerany questions andto pass outfinal paperworkand/or instructionsNO EXCEPTIONS!Ifyou cannotattendpick up—you cannotparticipate(YouthOnly).Thiswill bea timeforupdates, questions, andlast
minutes changes.
TrainerSignatureDate
Parent/Guardian Signature(Youth Only)Date
Pleasemakesure yourcalendariscleared for youtoattendpickup day. If you are unabletoattendandpick up yourown horse, we willbeunabletoprocessyourapplicationand select youasa trainer. Youmaytrailer-pool withsomeoneinyourlocalarea BUTtheyouthtrainerthathasbeenselectedMUSTbein attendancealong withthe personthathassignedthe original adoption application.Again –NO EXCEPTIONS!
YOURAPPLICATIONISCOMPLETEIFYOU HAVE INCLUDEDALLOF THEFOLLOWING:
1.Bothpagesof theApplication.
2. Completedquestionnaire.
3. Acknowledgementand signaturepage.
4. Yourtwo(2) completedlettersofrecommendation (ifapplicable).
5. Signed HumaneTreatmentPolicy.
6. Signed PassiveConsent/MediaReleaseform.
7. Facility Requirement Form.
8. Yourpersonalbiography.
9. Yourparagraph on why youshould beselected.
10. Digitalheadshot photo.
11. Facilitydetailswithphotos(youthonly).
12. Completed Mustangpick up form.
13. COMPLETEDBLMAPPLICATIONBYPARENT/GUARDIAN. DONOTPLACE YOUR DRIVER’SLICENSEOR SOCIAL SECURITY NUMBERSONTHIS APPLICATION. Thisis due to privacyand sensitivityof this information.This infowill beobtained bythe BLMat alatertime.ADOPTER MUST BEOVER THE AGEOF18.
14. CheckpayabletoMYWY forsweatshirt if ordered.
15. Thischecklistatthefront ofthepacketwithitemscheckedoffasyouattachthemintheabove order.
Please donotinclude the GeneralInstruction Letterwith your application.Itshouldbe keptby youforreference.