LOEC/TBEA Registration for Dancing Hearts Dressage Show February 25th 2024

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Event Timing: February 25th, 2024

Judge: Mary Richmond Brown USDF "L" with distinction/ USEF 'r" judging candidate
Event Address: Clip-Clop Farm (formerly Rolling Rock Farm) 24949 SW Baker Rd. Sherwood OR 97140
Contact us at (503)318-6890 or TBEAssociation@gmail.com

Please submit one form per exhibitor. If you are riding more than one horse, fill a form out for each horse.

Payment information:

*Mail cash or check made out to LOEC to 1119 SE 168th Ave Portland OR 97233

PayPal: info@loequestrian.org PLEASE ADD $5 TO TOTAL IF USING PAYPAL

Email *

Fees and Refund Policy

Classes: $35 per class

Office Fee: $20 (Waived for TBEA/LOEC/LOH Members on file)

Stabling: Limited Check with Show Manager for Pricing and Availability

PayPal Fee: Please add $5 to your total if using PayPal for payment

Refund Policy:

*100% Refund before Closing Date

*Refund minus $20 office fee with Vet Letter or Doctor Letter after Closing Date

*Refund minus $20 office fee if space can be filled from waitlist after Closing Date

*NO REFUND for Weather unless show is canceled or postponed and new date does not work

Name *

Adult or Junior *

Adult

Junior (18 and under)

Horse name *

Breed *

TIP # (only for Thoroughbreds)

TBEA or LOEC/LOH Membership (Office Fee waived) *

TBEA Member

LOH Member

Not a member of any

Classes: Please check all that you wish to enter (Limit to 2 tests unless lack of entries allows for a 3rd test) *

Intro A

Intro B

Intro C

Intro Thoroughbred/Half-Thoroughbred Test of Choice Test A

Intro Thoroughbred/Half-Thoroughbred Test of Choice Test B

Intro Thoroughbred/Half-Thoroughbred Test of Choice Test C

Training Level Test 1

Training Level Test 2

Training Level Test 3

Training Level Thoroughbred/Half-Thoroughbred Test of Choice Test 1

Training Level Thoroughbred/Half-Thoroughbred Test of Choice Test 2

Training Level Thoroughbred/Half-Thoroughbred Test of Choice Test 3

First Level Test 1

First Level Test 2

First Level Test 3

First Level Thoroughbred/Half-Thoroughbred Test of Choice Test 1

First Level Thoroughbred/Half-Thoroughbred Test of Choice Test 2

First Level Thoroughbred/Half-Thoroughbred Test of Choice Test 3

Second Level Test 1

Second Level Test 2

Second Level Test 3

Western Dressage: WDAA Basic Level Test of Choice

Western Dressage: WDAA Level 1 Test of Choice

Working Equitation Test of Choice

USEA Starter Test

USEA Beginner Novice Test A

USEA Beginner Novice Test B

USEA Novice Test A

USEA Novice Test B

USEA Training Test A

USEA Training Test B

USEA Modify Test A

USEA Modify Test B

USEA Preliminary Test A

USEA Preliminary Test B

USEA Intermediate Test A

USEA Intermediate Test B

Required

Western Dressage or Working Equitation Test of Choice:

Please record which test you plan on riding if signing up for one of these classes

Total amount due: *

Payment Options: *

Check made to LOEC mailed to 1119 SE 168th Ave. Portland OR 97233

Cash mailed to 1119 SE 168th Ave. Portland OR 97233

PayPal (add $5 to total please for service fee) info@loequestrian.org (Note Feb Show)

Email *

Phone number *

Trainer Name and Email

Emergency contact during show hours (name and phone number) *

Physician name *

Physician phone number *

Competitors allergies and medications (if none, enter "none") *

Emergency medical release and hold harmless agreement

EMERGENCY MEDICAL RELEASE

If emergency care is required for rider registered on this entry form in conjunction with a Lake Oswego Equestrian Center event, and if normal permission is not available in a timely manner, the undersigned authorizes appropriate emergency medical care as deemed necessary by emergency medical personnel.

HOLD HARMLESS AGREEMENT

I AGREE in consideration for my participation in this Event (Name of event / Date / Location) to the following:

I AGREE that “the Event” as used herein includes Lake Oswego Equestrian Center (LOEC) and Lake Oswego Hunt (LOH), as well as all of their officials, officers, directors, employees, agents, personnel, and volunteers. I AGREE that I choose to participate voluntarily in the Event with my horse, as a rider, handler, lessee, owner, agent, coach, trainer, or as a parent or guardian of a junior exhibitor. I am fully aware and acknowledge that horse sports and the Event involve inherent dangerous risks of accident, loss, and serious bodily injury including but not limited to broken bones, head injuries, trauma, pain, suffering or death (“Harm”).

I AGREE to hold harmless and release Event Management and the Event from all claims for money damages or otherwise for any Harm to me or my horse and for any Harm of any nature caused by me or my horse to others, even if the Harm arises or results, directly or indirectly, from the negligence of Event Management or the Event. I expressly AGREE to assume all risks of Harm to me or my horse, including harm resulting from the negligence of Event Management or the Event.

I AGREE to defend and to indemnify (that is, to pay any losses, damages, or costs incurred by) and to hold harmless Event Management and the Event with respect to claims for Harm to me or my horse and for claims made by others for any harm caused by me or my horse while at the Event.

I ACKNOWLEDGE 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 I AGREE to all of the above provisions and I AGREE to assume all of the obligations of this Release on the child’s behalf. I REPRESENT that I have the requisite training, coaching and abilities to safely compete in this Event.

BY SIGNING BELOW, I AGREE to be bound by all terms and provisions of this entry blank.

I have read the emergency medical release and hold harmless agreement above *

Yes

Signature of competitor or guardian (if competitor is under 18 years old) *

A copy of your responses will be emailed to the address you provided.

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