Submit Entries Online | ShowGroundsLive.com OR Submit Entries by Email | SheriHurst42@gmail.com Pre-Entries Close June 20, 2025
Santa Barbara National Horse Show July 9 - 13, 2025
OWNER
RIDER ONE
TRAINER
Owner Name Address
Rider
Name
Trainer Name Address City/State/Zip Telephone USEF/USHJA ASPCA
Address
City/State/Zip Social Security # (if corporation see below) E- Mail USEF/USHJA
City/State/Zip Telephone USEF/USHJA ASPCA
Telephone
PCHA
PCHA
PCHA
PAYMENT INFO
Individual Name (one name only) or Corporation Name
Credit Card # Cardholder Name Signature Deposit Received $
Rider Name Address City/State/Zip USEF/USHJA PCHA
CVV#
Exp.
Social Security # Fed #
Telephone E- Mail
Billing Zip Date
Ck#
Address City/State/Zip
ASPCA
Closeout $
Ck#
Date
NAME OF HORSE
RIDER ONE
CLASSES
Bir thday
COLOR
SEX HEIGHT
AGE
RIDER TWO
USHJA#
Please circle below if applicable 1st Yr 2nd Yr Sm Med Lg
Bir thday
ASSOCIATON FEES
FEDERATION ENTRY AGREEMENT By entering a Federation-licensed Competition and signing this entry blank as the Owner, Lessee, Trainer, Manager, Agent, Coach, Driver, Rider, Handler, Vaulter or Longeur and on behalf of myself and my principals, representatives, employees and agents, I agree that I am subject to the Bylaws and Rules of The United States Equestrian Federation, Inc. (the “Federation”) and the local rules of the Riders Cup. I agree to be bound by the Bylaws and Rules of the Federation and of the competition. I will accept as final the decision of the Hearing Committee on any question arising under the Rules, and agree to release and hold harmless the competition, the Federation, their officials, directors and employees for any action taken under the Rules. I represent that I am eligible to enter and/or participate under the Rules, and every horse I am entering is eligible as entered. I also agree that as a condition of and in consideration of acceptance of entry, the Federation and/or the Competition may use or assign photographs, videos, audios, cable - casts, broadcasts, internet, film, new media or other likenesses of me and my horse taken during the course of the competition for the promotion, coverage or benefit of the competition, sport, or the Federation. Those likenesses shall not be used to advertise a product and they may not be used in such a way as to jeopardize amateur status. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation. The construction and application of Federation rules are governed by the laws of the State of New York, and any action instituted against the Federation must be filed in New York State. See GR908.4. I AGREE to hold harmless and indemnify the 19th DAA, the Competition, Santa Barbara National Horse Show at Earl Warren Showgrounds, its officials, officers, directors, employees,agents,personnel and volunteers. FEDERATION RELEASE, ASSUMPTION OF RISK, WAIVER, AND INDEMNIFICATION I HAVE CAREFULLY READ THIS DOCUMENT IN ITS ENTIRETY, UNDERSTAND ALL OF ITS TERMS AND CONDITIONS, AND KNOW IT CONTAINS AN ASSUMPTION OF RISK, RELEASE AND WAIVER FROM LIABILITY, AS WELL AS A HOLD HARMLESS AND INDEMNIFICATION OBLIGATIONS. By signing below, I (as the participant or as the Parent/Legal Guardian of the minor identified below) hereby accept and agree to the terms and conditions of this Agreement in connection with my (or the minor’s) participation in any USEF Event. If, despite this Agreement, I, or anyone on my behalf or the minor’s behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold harmless each of the Released Parties from any such Liabilities as the result of such claim. BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank and all terms and provisions of this Prize List. If I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force and effect as if I affixed my signature by my own hand.
USEF FEDERATION DRUG FEE CDFA DRUG FEE USHJA FEE USHJA SHOW PASS
$23.00 $14.00 $10.00 $30.00
HORSE SHOW FEES
STALL STALL After June 21 OFFICE/FACILITY/FIRST AID FEE
$250.00 $275.00 $150.00 $75.00 $75.00
NOMINATION LEVEL 1 NOMINATION LEVEL 2 NOMINATION LEVEL 3
OWNER/MANAGER (Mandatory)
TRAINER (Mandatory)
RIDER/HANDLER (Mandatory) Is Rider/Driver/Handler a U.S. citizen? (circle) Yes No Signature: Print Name: RIDER/HANDLER (Mandatory) Is Rider/Driver/Handler a U.S. citizen? (circle) Yes No Signature: Print Name:
$125.00 $100.00 $100.00 $30.00 3% CREDIT CARD FEE
SCHOOLING FEE (WARMUPS) HAUL IN (PER DAY/PER HORSE) MEDIA FEE
Signature: Print Name: PARENT/GUARDIAN (Mandatory if rider/handler is a minor)
Signature: Print Name:
COACH (If applicable)
Signature: Print Name:
Signature: Print Name:
SEND ONLY NOMINATION AND STALL/TACK FEES WITH ENTRY
TOTAL AMOUNT DUE:
STABLE WITH:
EMERGENCY CONTACT
ENTER ONLINE AT ShowGroundsLive.com
PHONE:
Name:
Please refer to the rules and regulations for complete details.
Submit Entries Online | ShowGroundsLive.com OR Submit Entries by Email | SheriHurst42@gmail.com Pre-Entries Close June 20, 2024
Santa Barbara National Outreach July 9 - 13, 2025
TRAINER
OWNER
RIDER ONE
Trainer Name
Owner Name
Rider Name Address City/State/Zip Telephone USEF/USHJA
Address
Address
City/State/Zip Telephone USEF/USHJA ASPCA
City/State/Zip Social Security # (if corporation see below) E-Mail USEF/USHJA
Telephon e
PCHA
ASPCA
PCHA
PCHA
PAYMENT INFO
Individual Name (one name only) or Corporation Name
Credit Card # Cardholder Name Signature Deposit Received $
Rider Name Address City/State/Zip USEF/USHJA PCHA
CVV#
Exp .
Telephon
Social Security # Fed #
e E-Mail
Billing Zip Date
Ck#
Address City/State/Zip
ASPCA
Date
Ck#
Closeout $
NAME OF HORSE
RIDER ONE
CLASSES
SEX HEIGHT
Birthday
AGE
COLOR
RIDER TWO
USHJA#
Please circle below if applicable 1st Yr 2nd Yr Sm Med
Birthday
Lg
FEDERATION ENTRY AGREEMENT By entering a Federation-licensed Competition and signing this entry blank as the Owner, Lessee, Trainer, Manager, Agent, Coach, Driver, Rider, Handler, Vaulter or Longeur and on behalf of myself and my principals, representatives, employees and agents, I agree that I am subject to the Bylaws and Rules of The United States Equestrian Federation, Inc. (the “Federation”) and the local rules of the Riders Cup. I agree to be bound by the Bylaws and Rules of the Federation and of the competition. I will accept as final the decision of the Hearing Committee on any question arising under the Rules, and agree to release and hold harmless the competition, the Federation, their officials, directors and employees for any action taken under the Rules. I represent that I am eligible to enter and/or participate under the Rules, and every horse I am entering is eligible as entered. I also agree that as a condition of and in consideration of acceptance of entry, the Federation and/or the Competition may use or assign photographs, videos, audios, cable - casts, broadcasts, internet, film, new media or other likenesses of me and my horse taken during the course of the competition for the promotion, coverage or benefit of the competition, sport, or the Federation. Those likenesses shall not be used to advertise a product and they may not be used in such a way as to jeopardize amateur status. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation. The construction and application of Federation rules are governed by the laws of the State of New York, and any action instituted against the Federation must be filed in New York State. See GR908.4. I AGREE to hold harmless and indemnify the 19th DAA, the Competition, Santa Barbara National Horse Show at Earl Warren Showgrounds, its officials, officers, directors, employees,agents,personnel and volunteers. FEDERATION RELEASE, ASSUMPTION OF RISK, WAIVER, AND INDEMNIFICATION I HAVE CAREFULLY READ THIS DOCUMENT IN ITS ENTIRETY, UNDERSTAND ALL OF ITS TERMS AND CONDITIONS, AND KNOW IT CONTAINS AN ASSUMPTION OF RISK, RELEASE AND WAIVER FROM LIABILITY, AS WELL AS A HOLD HARMLESS AND INDEMNIFICATION OBLIGATIONS. By signing below, I (as the participant or as the Parent/Legal Guardian of the minor identified below) hereby accept and agree to the terms and conditions of this Agreement in connection with my (or the minor’s) participation in any USEF Event. If, despite this Agreement, I, or anyone on my behalf or the minor’s behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold harmless each of the Released Parties from any such Liabilities as the result of such claim. BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank and all terms and provisions of this Prize List. If I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force and effect as if I affixed my signature by my own hand.
ASSOCIATON FEES
$14.00 $5.00
CDFA DRUG FEE USHJA FEE
HORSE SHOW FEES
$250.00 $275.00 $150.00 $75.00
STALL STALL After June 21 OFFICE/FACILITY/FIRST AID FEE NOMINATION FEE SCHOOLING FEE (WARMUPS) HAUL IN (PER DAY/PER HORSE) MEDIA FEE
$100.00 $100.00 $30.00 3% CREDIT CARD FEE
OWNER/MANAGER (Mandatory)
TRAINER (Mandatory)
RIDER/HANDLER (Mandatory) Is Rider/Driver/Handler a U.S. citizen? (circle) Signature: Print Name: RIDER/HANDLER (Mandatory) Is Rider/Driver/Handler a U.S. citizen? (circle)
Yes No
Signature: Print Name: PARENT/GUARDIAN (Mandatory if rider/handler is a minor)
Signature: Print Name:
COACH (If applicable)
Yes No
Signature: Print Name:
Signature: Print Name:
SEND ONLY NOMINATION AND STALL/TACK FEES WITH ENTRY
Signature: Print Name:
TOTAL AMOUNT DUE:
STABLE WITH:
EMERGENCY CONTACT
ENTER ONLINE AT ShowGroundsLive.com
PHONE:
Name:
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