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OLD DOMINION MORGAN HORSE ASSOCIATION LTD. (ODMHA)

2012 FUTURITY ENTRY FORM

 

October 6, 2012 at 1:00 PM

 

State Fair of Virginia, Doswell, VA 


 

ENTRY FEE —$10 PER HORSE PER ENTRY

FUTURITY CLASSES:

1.  Weanling Colts _____   2.  Weanling Fillies _____

3.  Yearling Colts & Geldings _____   4.  Yearling Fillies _____

5.  Two Yr Old Colts & Geldings _____  6.  Two Yr Old Fillies _____

7.  Three Yr Old Stallions & Geldings _____

8.  Three Yr Old Mares _____

(If entries warrant we will split stallions and geldings)

9.  Grand Champion Stallion (first & second place horses from classes 1, 3, 5, and 7 are expected to show back in the championship class; no entry fee)

10. Grand Champion Mare (first & second place horses from classes 2, 4, 6, and 8 are expected to show back in the championship class; no entry fee)

 

ALUMNI CLASSES:   A horse entering an ALUMNI class must have (A) been nominated as a two-year-old in 2008 (when the ODMHA Futurity was reinstated), maintained its eligibility in 2009, and be returning to show in its fourth year of age, OR

(B) participated in the ODMHA Futurity prior to 2005. There is no maximum age limit as       long as the horse maintained its eligibility when the ODMHA had a futurity program.

11.  In hand Alumni Stallions and Geldings horse age 4 thru 12_____

12.  In hand Alumni Stallions and Geldings horse age 13 and up_____

13.  In hand Alumni Mares horse age 4 thru 12_____

14.  In hand Alumni Mares horse age 13 and up_____

15.  Alumni Driving (any style carriage) horse age 4 thru 12_____

16.  Alumni Driving (any style carriage) horse age 13 and up_____

17.  Alumni Under Saddle (any seat) horse age 4 thru12_____ (walk, trot/jog, canter/lope)

18.  Alumni Under Saddle (any seat) horse age 13 and up_____ (walk, trot/jog, canter/lope)

There will not be a championship class for Alumni.

 

Stall Fee $25 ____ YES please reserve a stall for me

 

Please use one entry form per horse, indicating your desired class with a checkmark in the blank above.

Checks payable for entry AND stall fee to ODMHA.  Entries must be received at the Show Secretary’s home (Temple Joyce, 16463 W Crescent Lane Montpelier, VA 23192) by 5 p.m. Tuesday September 27, 2012 with a copy of a negative Coggins taken within twelve months of show date.  Release form MUST be signed and returned as well. No post entries, no day of show entries other than for the Alumni classes.

HORSE _________________________________________________________Foal Date_________

OWNER _________________________________________________________________

TRAINER/HANDLER _______________________________________________________

Liability/release statement (must be included with entry form, appropriate fees, and negative Coggins)

Horse’s name: _______________________________________________________

 

Owned by: _________________________________________________________

 

Liability/release statement:  I agree that I choose to participate voluntarily in the ODMHA 2012 Futurity with my horse as a handler, agent, coach, trainer or as a parent or guardian of a junior.  I am fully aware and acknowledge that horse sports and the ODMHA 2012 Futurity involve inherent dangerous risks of accident, loss, and serious bodily injury including broken bones, head injuries, trauma, pain, suffering and death (“Harm”).

I agree to release the ODMHA and the State Fair of Virginia from all claims for money damages or otherwise for any Harm to me or my horses and for any Harm caused by me or my horses to others, even if the Harm resulted, directly or indirectly, from the negligence of the ODMHA or the State Fair of Virginia.  I agree to expressly assume all risks of Harm to me or my horses, including Harm resulting from the negligence of the ODMHA or the State Fait of Virginia.  I agree to indemnify (that is, to pay any losses, damages, or costs incurred by) the ODMHA and State Fait of Virginia and to hold them harmless with respect to claims for Harm to me or my horses, and for claims made by others for any Harm caused by me or my horses at the Futurity.  I have read the United States Equestrian Federation (USEF)Rules about protective equipment, including GR801 and EV113, and I understand that I am entitled to wear protective equipment without penalty, and I acknowledge that the USEF strongly encourages me to do so while WARNING that no protective equipment can guard against all injuries.  If I am a parent or guardian of a junior exhibitor, I consent to the child’s participation and agree to assume all of the obligations of this Release on the child’s behalf.  I agree that the ODMHA and the State Fair of Virginia as used above includes all of their officials, officers, directors, employees, agents, personnel, volunteers and affiliated organizations.  I agree that if I am injured at the Futurity, the medical personnel treating my injuries may provide information on my injury and treatment to the ODMHA and the State Fair of Virginia on the official USET accident/injury report form.  I represent that I have the required training, coaching, and abilities to safely compete in this Futurity.

BY SIGNING BELOW, I AGREE TO BE BOUND BY ALL APPLICABLE USET RULES AND ALL TERMS AND PROVISIONS IN THE PRIZE LIST AND OF THIS ENTRY BLANK.

OWNER: print name _____________________________

Signature ____________________________________________________________ date_________

Name and signature is required for entry.

 

 

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