CHATTAHOOCHEE HILLS Southeastern Schooling Show Championships - Class List September 29 30, 2018

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Rider Name: CHATTAHOOCHEE HILLS Southeastern Schooling Show Championships - Class List September 29 30, 2018 Horse Name: Championship Eventing & CT Classes * Check One 3-Phase Eventing * Sat Sun

under 21 $85 Adult $85 JR 14 & under $110 YR under 21 $110 (BN A / 2 6 ) Adult $110 $110 Training (Trng A / 3 3 ) $110 $110 Combined Training * Championship Classes Division Amoeba (Intro B / 18 ) JR

1 Rider Name: CHATTAHOOCHEE HILLS Southeastern Schooling Show Championships - Class List September 29 30, 2018 Horse Name: Championship Eventing & CT Classes * Check One 3-Phase Eventing * Sat Sun Championship Classes Division Sat Check Class Check Class Sun Amoeba (Intro B / 18 ) JR 14 & under $85 Amoeba (Intro B / 18 ) YR under 21 $85 Amoeba (Intro B / 18 ) Adult $85 JR 14 & under $85 YR under 21 $85 Adult $85 JR 14 & under $110 YR under 21 $110 (BN A / 2 6 ) Adult $110 $110 Training (Trng A / 3 3 ) $110 $110 Combined Training * Championship Classes Division Amoeba (Intro B / 18 ) JR 14 & under $50 Amoeba (Intro B / 18 ) YR under 21 $50 Amoeba (Intro B / 18 ) Adult $50 JR 14 & under $50 YR under 21 $50 Adult $50 JR 14 & under $60 YR under 21 $60 (BN A / 2 6 ) Adult $60 $60 Training (Trng A / 3 3 ) $60 Collegiate Championship Classes 4 riders from the same school may be at different levels Collegiate Team Award - 3 Phase Eventing 4 Riders Collegiate Alumni Team Award - 3 Phase Eventing 4 Riders Collegiate Dressage Collegiate Team Award - 4 Riders Collegiate Alumni Team Award - 4 Riders $60 Check One Sat Sun Check One Sat Sun Check One Sat Sun Championship Dressage Classes Dressage Championship Classes Division USDF Introductory C JR 14 & under $35 USDF Introductory C YR under 21 $35 USDF Introductory C Adult $35 Training Level Test 3 JR 14 & under $35 Training Level Test 3 YR under 21 $35 Training Level Test 3 Adult $35 First Level Test 3 Open $35 Second Level Test 3 Open $35 USDF TOC Open $35 Non-Championship / Schooling Show Classes Non-Championship Dressage Warm Up Classes Division USDF Introductory B Open $35 USDF Introductory C Open $35 Training Level Test 3 Open $35 First Level Test 3 Open $35 Second Level Test 3 Open $35 USDF TOC Open $35 FEI TOC Open $35 Non-Championship Division 3 Phase Eventing Classes Amoeba (Intro B / 18 ) Open $85 Tadpole (Intro C / 2 0 ) Open $85 Open $110 (BN B / 2 6 ) Novice (Nov B / 2 11 ) Open $110 Training (Trng B / 3 3 ) Open $110 P/T (Prelim B/ 3 7 / XC Open $110 Training 3 3 ) Sat Sun Non-Championship Division Combined Training Amoeba (Intro B / 18 ) Open $50 Tadpole (Intro C / 2 0 ) Open $50 Open $60 (BN B / 2 6 ) Novice (Nov B / 2 1 ) Open $60 Training (Trng B / 3 3 ) Open $60 Prelim (Prelim B / 3 7 ) Open $60 *If warranted due to number of entries, Eventing and CT classes my be held on Sunday Class List must be submitted with your Entry Form. Summarize all class fees, stabling and competitor information on the Entry Form. Attach a current negative Coggins and your Championship Eligibility document. Mailing, ing & Fax directions are on the Entry Form.

2 CHATTAHOOCHEE HILLS Southeast Schooling Show Championships Entry Form September 29-30, 2018 Closing Date: ++September 11, 2018 Rider: Address: Only 1 form per rider/horse entry Horse Name: Horse Age: Color: Horse Height: Breed: City/St/Zip: Telephone: Birthdate: Emergency Contact: Name: Phone Sex of Horse: (Circle one) G M S Coggins Date: (Attach Copy) Stable With: (Group/Rider) Trainer: (Must specify if you intend to enter the Trainer s Award.) Team: (Must specify if you intend to enter the Collegiate Class.) If you need/want to be placed on a team, please indicate preference. Show s Stall s: 1) Stall or Ship In required for each horse. 2) Please strip stall before leaving. Overnight Stall 1 night (Fri, Sat or Sun) includes 1 bag of shavings $ 65 Overnight Stall 2 nights (Fri PM until Sun) includes 2 bags of shavings $120 Overnight Stall 3 nights (Thurs PM until Sun) includes 2 bags of shavings $150 Day Stall (Sat or Sun) does not include shavings: Circle Day: SATURDAY SUNDAY $ 50 Shavings - Indicate how many: Tack Stall per night $25 Ship In (per day, only if no stall) $25 Non-Compete Grounds $20 Late ++ $20 Change $10 $ 8/bag RV/Camper (per night) Circle one: 50 amp or 30 amp $50 Office ($10 refund for a correctly completed and paid entry) $20 $20 Voucher: Chatt Hills Volunteer vouchers are valued at $35 for SESSC show fees. 1 per entry - $35 Total Class s: $ TOTAL SHOW FEES DUE: $ Competitor s Parts: 1 free admission per Rider. Additional tickets may be purchased in the show office for $5 each. Please indicate # of additional tickets. Payment Type: Check one Check: Payable to Chatt Hills Eventing Visa MasterCard Amex Card #: Exp Date: CW: Billing Zip Code: Print Name on Card: Signature: # of tickets: Be sure to attach your Championship Proof of Eligibility documents, Coggins and voucher (if used) or your entry will not be processed. REFUNDS: Scratches received in writing on or before Monday prior to show receive full refund less office fee. NO refunds or credits after Monday for any reason. WARNING: UNDER GEORGIA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT LIABLE FOR ANY INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES, PURSUANT TO CHAPTER 12 OF TITLE 4 OF THE OFFICIAL CODE OF GEORGIA ANNOTATED. Mail Entries to: Chattahoochee Hills Eventing SESSC ~ 9445 Browns Lake Road, Chattahoochee Hills GA Entries to: SeSSC@ChattHillsEventing.com FAX Entries to: Entries must be submitted before midnight on closing date. Entries submitted after closing date accepted only if space available and credit card information provided. Late entries accepted via or fax only.

3 Chattahoochee Hills Eventing 2018 Waiver and Release of Liability In consideration of the risk of injury while participating in any activities (the Activity ) on the property, and as consideration for the right to participate in any Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in any Activity, and do hereby release and forever discharge GAIA, LLC, doing business as Chattahoochee Hills Eventing, located at 9445 Browns Lake Road, Fairburn, Georgia 30213, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical or emotional loss, that I may suffer as a direct result of my participation in the aforementioned Activity, including traveling to and from an event related to this Activity. I am voluntarily participating in the aforementioned Activity and I am participating in the Activity entirely at my own risk. I am aware of the risks associated with traveling to and from as well as participating in this Activity, which may include, but are not limited to, physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and death. I understand that these injuries or outcomes may arise from my own or others negligence, conditions related to travel, or the condition of the location(s). Nonetheless, I assume all related risks, both known or unknown to me of my participation in this Activity, including travel to, from and during this Activity. I agree to indemnify and hold harmless GAIA, LLC against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought to me or anyone on my behalf, including attorney s fees and any related costs, if litigation arises pursuant to any claims made by me or by anyone else acting on my behalf. If GAIA, LLC incurs any of these types of expenses, I agree to reimburse GAIA, LLC. I acknowledge that GAIA, LLC and their directors, officers, volunteers, representatives and agents are not responsible for errors, omissions, acts or failures to act of any party or entity conducting a specific event or activity on behalf of GAIA, LLC. I acknowledge that this Activity may involve a test of a person s physical and mental limits and may carry with it the potential for death, serious injury, and property loss. The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, lack of hydration, condition of participants, equipment, vehicular traffic and actions of others, including but not limited to, participants, volunteers, spectators, coaches, event officials and event monitors, and/or producers of the event. I acknowledge that I have carefully read this waiver and release and fully understand that it is a release of liability. I expressly agree to release and discharge GAIA, LLC and all of its affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I otherwise have to bring a legal action against GAIA, LLC for personal injury or property damage. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence on the part of GAIA, LLC, its agents, and employees. In the event that I should require medical care or treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance. In the event that any damage to equipment or facilities occurs as a result of me or my family s willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any actions of neglect or recklessness. This Agreement was entered into at arm s-length, without duress or coercion, and is to be interpreted as an agreement between two parties of equal bargaining strength. Both the Participant and GAIA, LLC agree that this Agreement is clear and unambiguous as to its terms, and that no other evidence will be used or admitted to alter or explain the terms of this Agreement, but that it will be interpreted based on the language in accordance with the purposes for which it is entered into. In the event that any provision contained within this Release of Liability shall be deemed to be severable or invalid, or if any term, condition, phrase or portion of this agreement shall be determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall remain in full force and effect, so long as the clause severed does not affect the intent of the parties. If a court should find that any provision of this agreement to be invalid or unenforceable, but that by limiting said Chattahoochee Hills Eventing Waiver and Release of Liability Page 1 of 2

4 provision it would become valid and enforceable, then said provision shall be deemed to be written, construed and enforced as so limited. In the event of an emergency, please contact the following person(s) in the order presented: Emergency Contact Contact Relationship Contact Telephone Participant s Name: Participants Address: Address: I, the undersigned participant, affirm that I am of the age of 18 years or older, and that I am freely signing this agreement. I certify that I have read this agreement, that I fully understand its content and that this release cannot be modified orally. I am aware that this is a release of liability and a contract and that I am signing it of my own free will. Signature: Date: PARENT / GUARDIAN WAIVER FOR MINORS In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows: I hereby certify that I am the parent or guardian of, named above, and do hereby give my consent without reservation to the foregoing on behalf of this individual. Parent/Guardian Name: Relationship to Minor: Parent/Guardian s Address: Parent/Guardian s Phone: Signature: Date: WARNING Under Georgia law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to Chapter 12 of Title 4 of the Official Code of Georgia Annotated. Chattahoochee Hills Eventing Waiver and Release of Liability Page 2 of 2

2018 GDCTA Hold Harmless Clause The undersigned competitor and all signors below hereby (1) agrees to release the management of this show, their officers, directors, employees, members, or agents,

5 2018 GDCTA Hold Harmless Clause The undersigned competitor and all signors below hereby (1) agrees to release the management of this show, their officers, directors, employees, members, or agents, and the owners or managers of the grounds where this event is held, from any loss, damage, liability, or injury arising out of or resulting from this show or competitors participation therein; (2) agrees to indemnify, hold harmless and defend the Georgia Dressage and Combined Training Association, Inc., the organizer, facility owner, and the management of this show from and against any and all claims for loss, damage, liability, or injury, however caused, resulting directly or indirectly from competitors entry or participation in this show or from acts or omissions of competitor or competitor s agents; and (3) acknowledges that activities with and around horses and horse shows involve inherent risks that are understood by the persons signing and are expressly assumed. In the event of injury to competitor or to competitor s animals permission is hereby granted to management for emergency medical treatment. Every entry at a Georgia Dressage and Combined Training Association, Inc. (GDCTA) recognized competition shall constitute an agreement and affirmation that all participants (which include, without limitation, the owner, lessee, trainer, manager, agent, coach, driver, handler, and the horse), for themselves, their principals, representatives, employees, and agents: (1) shall be subject to the constitution and rules of the GDCTA and the local rules of the competition; (2) represent that every horse, rider, driver, and handler is eligible as entered; (3) agree to be bound by the constitution and rules of the United States Equestrian Federation (USEF) and of the competition, and will accept as final the decision of the hearing committee on any question arising under said rules, and agree to hold the competition, the GDCTA, their officials, directors and employees harmless for any action taken; (4) agree that as a condition of and in consideration of acceptance of entry, they authorize the GDCTA and the competition management to market, transfer, assign, or otherwise make use of any photographs, likenesses, films, broadcasts, cablecasts, audiotapes, or videotapes taken of the horse(s) and participant(s) while on the grounds, incident to, or in transit between the stabling facility and the event site, in any way they see fit for the promotion, coverage, or benefit of the event, sport, or the GDCTA, without compensation to any of them, so long as the use neither jeopardizes amateur status nor endorses a specific product or service, and hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to invasion of privacy, right of publicity, or to misappropriation; and (5) agree that they participate voluntarily in the competition fully aware that horse sports and the competition involve inherent dangerous risk of serious injury or death, and by participating they expressly assume any and all risks of injury or loss, and they agree to indemnify and hold harmless the GDCTA, the competition, and the officials, directors, employees, and agents from and against all claims including for any injury or loss suffered during or in connection with the competition, whether or not such claim, injury, or loss resulted, directly or indirectly, from the negligent acts or omissions of said officials, directors, employees, or agents of the GDCTA or competition. The construction and application of USEF Rules are governed by laws of the State of New York, and any action instituted against USEF must be filed in New York State, see Article WARNING Under Georgia law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to Chapter 12 of Title 4 of the Official Code of Georgia Annotated. PRINT: (Rider/Driver/Handler) (Mandatory) (Horse Owner/Agent) (Mandatory) (Trainer) (Mandatory) (Parent/Guardian) (If rider is under age 18) (Coach) (If applicable)

USEA EDUCATIONAL ACTIVITIES AND SCHOOLING SHOWS RELEASE FORM NAME OF ACTIVITY/SCHOOLING SHOW: USEA AREA: DATE(S) HELD: LOCATION: STATE: I have applied to participate in this USEA sponsored

6 USEA EDUCATIONAL ACTIVITIES AND SCHOOLING SHOWS RELEASE FORM NAME OF ACTIVITY/SCHOOLING SHOW: USEA AREA: DATE(S) HELD: LOCATION: STATE: I have applied to participate in this USEA sponsored educational activity. I agree that my participation is subject to the Conditions in this release and to those set by the organizer of this activity, the regulations and requirements of the USEA and, where applicable, the U.S. Equestrian Federation Rules for Eventing. I agree to wear protective headgear when riding. When jumping, I agree to wear protective headgear passing or surpassing the ASTM/SEI standards with harness attached that meets standards currently imposed by the U.S. Equestrian Rules for Eventing. I understand that the USEA mandates that all riders participating in cross-country activity wear body-protecting vests that meet or exceed current USEF rules and the wearing of an approved medical armband or bracelet. I understand that the sport of eventing is a high risk sport, and that my participation in this educational activity may also involve participation in an equine activity as defined by applicable laws and is solely at my own risk. I understand that my participation involves all inherent risks associated with the dangers and conditions which are an integral part of equine activities, including, but not limited to, the propensity of equines to behave in ways which may result in injury, harm or even death to humans or other animals around or near them; the unpredictability of equine reaction to sounds, sudden movements, smells and unfamiliar objects; persons or other animals; hazards related to surface and subsurface conditions; collisions with other equines or objects; and, the potential of a participant to act in a negligent or unskilled manner which may contribute to injury to the participant or others, including failing or inability to maintain control over the animal. By participating in this activity I agree to assume responsibility for those risks, and I release and agree to hold harmless the activity organizer, organizing committee, officials, the USEA, USEF, their officers, agents, employees and the volunteers assisting in the conduct of this USEA educational activity and the owners of any property on which it is to be held, from all liability for negligence resulting in accidents, damage, injury or illness to myself and to my property, including the horse(s) which I may ride. I understand and agree that the organizer of this USEA educational activity has the right to cancel this activity; to refuse any entry or application; to require and enforce the wearing of safety or other attire and the conduct of riders, horses and visitors; and to prohibit, stop or control any action during the activity deemed by the organizer to be improper or unsafe. THIS FORM MUST BE FILLED OUT COMPLETELY AND SIGNED IF YOU WISH TO PARTICIPATE IN THIS ACTIVITY. PARTICIPANT S NAME (Please Print): ADDRESS: CITY: STATE: ZIP: PHONE: CELL PHONE: EMERGENCY CONTACT PHONE: FAX: TRAINER S NAME (AT THIS EVENT): PHONE: NUMBER OF HORSES I WILL BE RIDING DURING ACTIVITY (if applicable): Current Riding Level (if applicable): Novice Training Preliminary Intermediate Advanced Check appropriate box: I am a USEA member and my number is #: I am not a USEA member I am not a USEA member. I wish to join and have enclosed my membership form and dues. Check here if participant is under 18 years old. SIGNATURE: Date: (If participant is under 18, Release must be signed by parent or legal guardian, not by trainer or instructor. This release form is valid only when signed personally by the participant. Signatures of all others, with the exception of a parent or legal guardian of a minor, will not be accepted in the event a claim is filed.) Rev. 1/16

CHATTAHOOCHEE HILLS Southeastern Schooling Show Championships - Class List September 29 30, 2018

Rider Name: CHATTAHOOCHEE HILLS Southeastern Schooling Show Championships - Class List September 29 30, 2018 Horse Name: Championship Eventing & CT Classes * One 3-Phase Eventing * Sat Sun Championship