147 Warehouse RoadAiken, SC 29801

Return Service Requested

INTERESTED IN SPONSORING AYEAR-END AWARD FOR 2016?

FOR MORE INFORMATION ON THIS ANDOTHER SPONSORSHIP OPPORTUNITIES,CONTACT PSJSHOWS87@GMAIL.COM

Through our partnership withEnglish Riding Supply we willbe awarding a Pessoa Gen XSaddle for our High Point ShortStirrup Equitation & HunterPSJ Member!

Thanks to Mountain Horse,our Year End HunterChampions will receive thiswonderful Mountain HorseNovak Jacket!

Thank you to Oak ManorSaddlery & Ovation for theircontinued sponsorship of our2’6” Hunter Derby Series!

MANY THANKS TO OUR 2015 ELITE SPONSORS!

Management, Facilities and JumpsRichard Cram - Manager

Progressive Show Jumping, Inc. &Highfields Event Center, LLC

147 Warehouse Road, Aiken, SC 29801803.649.3505 / 803.649.3577 fax

www.psjshows.com psjshows87@gmail.com

JUDGESOtis Brown

Claudia Roland

STEWARDRobert Obermiller, Starr, SC

SECRETARYWanda Shepard, Aiken, SC

COURSE DESIGNERSRick Cram, Aiken, SCCathy Cram, Aiken, SCUSEF “R” Course Designer

BLACKSMITHMichael Grant (803.646.6880)

ON-CALL VETSabrina Jacobs (803.640.9282)

GOLF CARTSMike Kramer / E Z Rental

(803.643.7368)PHOTOGRAPHER

Barry Koster Photographyhttp://barrykosterphotography.com

Officials,Sanctioning

&ScholarshipInformation

Officials,Sanctioning

&ScholarshipInformation

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SSOUTHOUTH CCAROLINAAROLINA HHUNTERUNTER/J/JUMPERUMPER AASSOCIATIONSSOCIATION1357 Turnersburg Hwy, Statesville, NC 28625 Date: ___________________

[ ] $25, Juniors [ ] $30, Senior [ ] $40, Farm [ ] $260, Lifetime

Name(s) _________________________________________________________________

Address _________________________________________________________________

City/State/Zip ______________________________________ D/O/B _________________

Phone/Email ______________________________________________________________

APPLICATION FOR HORSE REGISTRATION

[ ] $25, Lifetime [ ] $20, Owner Transfer [ ] $15, Name Change [ ] $15, Lease

Name of Horse ________________________________ Height _____________________

Owner____________________________________________________________________

(owner must be current member, must be registered at shows under this owner)

PPROGRESSIVEROGRESSIVE SSHOWHOW JJUMPINGUMPING, I, INCNC..147 Warehouse Road, Aiken, SC 29801 Date: ________________________

[ ] Junior $20 [ ] Senior $25 [ ] Farm $45 (includes 2 members and the farm)

Farm Name _________________________________________________________________

Name(s) ___________________________________________________________________

Street Address _______________________________________________________________

City __________________________________ State __________ Zip _________________

Phone _______________________ E-mail _______________________________________

Application for Horse Registration

[ ] FOR LIFE $25 [ ] NAME CHANGE $15 [ ] OWNER TRANSFER $15

Show Name: _________________________________________________________________

Owner’s Name: ______________________________________________________________

(owner must be current member) www.psjshows.com -- 803-649-3505

BBLUELUE RRIDGEIDGE HHUNTERUNTER/J/JUMPERUMPER AASSOCIATIONSSOCIATIONBRHJA, P.O. Box 752, Tryon, NC 28782 Date: ___________________________

[ ] $25, Adult [ ] $20, Junior [ ] $45, Farm [ ] $150, Indiv. Life [ ] $300, Family Life

Name(s) ____________________________________________________________________

Address ____________________________________________________________________

City/State/Zip ______________________________________________ Jr DOB ___________

Phone ________________________ E-mail ___________________________________

[ ] $30, Horse Lifetime RecordingHorse Name _________________________________________________________________

Owner (MUST be a member) ____________________________________________________

Year Foaled ________ Sex ______ Color ____________ Height ________ Breed ___________

Association

Mem

bershipForm

sAssociation

Mem

bershipForm

s

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PSJ SCHOLARSHIP$500 Scholarship Bonus to the Junior Medal

& Pony Medal Finals Champions

We'd like to recognize a friend of Mary Ann Parmelee thathas doubled our scholarship award until 2018. Both the pony

and junior medal winners will each receive $1,000 towardsequestrian or academic advancement.

$500 Trainer Bonus for the top placing finalistsin the Adult, Junior & Pony Medals

$1,000

PSJ Medal FinalsPSJ Medal FinalsOctober 30 - November 1, 2015Sanctioned by: SC, NC, BR

Closing Date: October 19, 2015

$2,000.00 Child/Adult and Jr/Amt Mini Prix - Entry Fee: $125.00Prize Money: $520, 400, 320, 230, 200, 160, 100, 70

Entries must be declared the day before by the end of the day. (Guaranteed paybackwith 12 entries). To be eligible, you must enter in the respective division. Child/Adult andJr/Amt Prix may be combined if section does not meet the required number of entries.Open Level V, Jr/Am Level IV, Ch/Ad Level III

204. $2,500 SCHJA Hunter Derby - Entry Fee $125Prize Money: 750,550,300,225,200,175,160,140

Two round format. First round is a regular hunter course and the second round is ahandy course. Horse, Owner & Rider MUST be current SCHJA Members.For more details go to www.schja.com. Minimum of 15 competitors required to fill.Fences 2’9” - 3’ w/ 3’3” options. Horses entered in this class must compete in at least oneclass before the start of the derby or pay a nominating fee not exceeding the cost ofone division at that show. See schja.org for more info.

Negative Coggins Required.

Class Feesn/c Finals

$20.00 per class/htr and eq$14.00 per class W-T, W-T-C

$20.00 Medalsn/c Leadline

$35.00 Jumper & Performance Classes($20 paid back in add back money)

Stalls & Other Fees$90.00 stalls per weekend

$25.00 service fee$20.00 ship in per day

$30.00 non-showing fee$25.00 late fee

$80.00 RV per weekend$100.00 Paddock per weekend

Show

Fees,SpecialC

lassSpecs

Show

Fees,SpecialC

lassSpecs

33

ChampionshipsDivisions with 3 or more entries are eligible for Champion and Reserve Champion awards. Points forthe top 4 riders over fences will be combined with their Under Saddle points and the rider with themost points will be awarded the Championship, with the second highest point winner recieving theReserve Championship. In the case of a tie, the rider with the most points over fences will receivethe Championship.

Point QuestionsAll point audits must be on the official PSJ audit form andreceived in the office no later than October 26, 2015. After thisdate, all points will stand as posted.

Current point standings and the official PSJ audit form can befound in the Points section of our website: www.psjshows.com

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The PSJ scholarship program rewards the winners of both the PSJ Junior Medal and PSJ PonyMedal Finals. Each winner may use their $500 scholarship award towards either equestrianimprovement, academic advancement (an accredited institution) or a combination of both.Winners must submit their request for funds to be transferred in writing within six months of theirwin. All checks will be made payable to the equestrian program or the academic institution. Nocheck will be made payable to the winner or any member of their family. Submit request to PSJ,Inc. by fax: 803.649.3577 or by email: psjshows87@gmail.com. Congratulations!

Trainers, we didn’t forget about you! To ensure that you are rewarded for all your hours of hardwork as instructors, we will continue to award $500 in trainer bonuses to each of the three PSJMedal Finalists. (1st - 200, 2nd - 150, 3rd - 100, 4th - 50)

Adult Medal Winners1996 - Cramberry StablesJennifer Johnson / Jimmy Wofford1997 - Cramberry StablesJennifer Patterson / Jimmy Wofford1998 - Why Not An American ArkJennifer Robbins / Mary Ann Parmelee1999 - McGhee's MileKasey Taylor / Judy Young2000 - Aiken Horse ParkKasey Taylor / Judy Young2001 - Aiken Horse ParkMelissa Johnson / Lee Cone2002 - Aiken Horse ParkSusie Carlson / Mary Jackson2003 - Aiken Horse ParkSusie Carlson / Mary Jackson2004 - HighfieldsCourtney Truluck / Mary Jackson

2005 - HighfieldsSarah Daniel / Lee Cone2006 - HighfieldsSally Kay / Sarah Floyd2007 - HighfieldsSally Kay /Sarah Floyd2008 - HighfieldsDrew Coster / Jeanne Smith2009 - HighfieldsAmelia Smith / Karen Kelley2010 - HighfieldsWesley Mercer / Mary Jackson2011 - HighfieldsEliza Hay / Irene Reed2012 - HighfieldsAley Russell / Cathy Geitner2013 - HighfieldsElizabeth Melton / Natasha McCarthy2014 - HighfieldsCourtney Truluck / Elizabeth Grove & Jennifer St. John

Pony Medal Winners1998 - Why Not An American ArkSarah Lowe / Mary Ann Parmelee1999 - McGhee's MileKatie McDaniel / Judy Young2000 - Aiken Horse ParkKate Johnson / Mary Ann Parmelee2001 - Aiken Horse ParkBailey Cone / Lee Cone2002 - Aiken Horse ParkAlex Foster / Mary Ann Parmelee2003 - Aiken Horse ParkRenee Huesca / Judy Young2004 - HighfieldsArden Cone / Lee Cone2005 - HighfieldsKatherine Chrysostum / Rose M. Landrum

2006 - HighfieldsMary Meghann Huitt / Robin Huitt2007 - HighfieldsAshley LeCroy / Jeanne Smith2008 - HighfieldsSuzannah Loftin / Jeanne Smith2009 - HighfieldsAngela Pollex / Molly Gough2010 - HighfieldsAnnie Walters / Irene Reed2011 - HighfieldsNatalie West / Lee Cone2012 - HighfieldsMichelle Kunz / Sandra McCarthy2013 - HighfieldsMatthew Bravo / Karen Kelley2014 - HighfieldsJessica West / Lee Cone

Junior Medal Winners1992 - SC State FairgroundsElizabeth Cate / Mary Jackson1993 - SC State FairgroundsLauren Bright / Leslie Krieger1994 - Cramberry StablesBrook Walton / Lee Cone1995 - Cramberry StablesEmilie Frolich / Betsy Pack1996 - Cramberry StablesTayloe McConnell / Rhonda Tockmakis1997 - Cramberry StablesJennifer Jones / Judy Young1998 - Why Not An American ArkElizabeth McDaniel / Jimmy Wofford1999 - McGhee's MileRebecca Landrum / Rose Marie Landrum2000 - Aiken Horse ParkAngela McFawn / Debbie White2001 - Aiken Horse ParkHaley Sturgis / Maureen Sturgis2002 - Aiken Horse ParkSarah Beth Spainhour / Judy Young

2003 - Aiken Horse ParkKate Johnson / Mary Jackson2004 - HighfieldsEleanor Kibler / Mary Jackson2005 - HighfieldsLuci Laffitte / Missy Roades2006 - HighfieldsAlexandra Foster / Mary Ann Parmelee2007 - HighfieldsMelanie Carraway / Mary Ann Parmelee2008 - HighfieldsKaylee Sheppard / Eleanor Ellis2009 - HighfieldsEliza Hay / Irene Reed2010 - HighfieldsCaroline Roberson / Missy Roades2011 - HighfieldsBrette Tennison / Irene Reed2012 - HighfieldsCharles Smith / Charles Hairfield2013 - HighfieldsAnsley Robertson / Mary Ann Parmelee2014 - HighfieldsDarby Pease / Charles Hairfield

ADD BACK JUMPERS/PERFORMANCE HTRSPaid back to top six places. Breakdown as follows: 30%, 25%, 20%, 10%, 10%, 5%. If there are less thansix horses in a class, the entry fee drops to $20.00 with no prize money paid back.

ADD/SCRATCHNo slip, no trip. You must enter your classes by 5:00pm the day prior to showing so that our Daily Agendacan be as accurate as possible. If you are not on the class sheet, you must add in the show office andbring the slip to the ingate. If you are scratching, you must also do this in the show office and bring yourslip to the ingate. No adds on Sunday.

ATTIREJackets will be worn for the hunter and equitation classes in the show rings. Rider will be allowed to showin tucked in polo shirts in the jumper ring. Inclement weather may affect attire requirements.

DOGSAll dogs must be under control at all times while on the show grounds. Unrestrained dogs create a serioussafety hazard for exhibitors and their horses. Loose dogs will not be tolerated in the show ring area. Theywill be impounded and the owner will be charged a $100 fine added to their entry fee which will bedonated to the SPCA.

ELECTRICAL/FIRE REGULATIONSAll electrical installation and connections must meet all state and county codes. Aisles shall be maintainedclear for a minimum of six (6) feet wide by eight (8) feet high. No obstructions or projections shall beallowed in these aisles. No class I Flammable liquids, such as gasoline, are allowed inside the buildings.Cooking is not permitted within any stable area. Anyone found in violation shall be subject to dismissal fromfurther participation in the Horse Show without recourse.

FARRIER/VETERINARIAN/PHOTOGRAPHERNo farrier/veterinarian/photographer other than those contracted with the official competition will be permitted to practice on the grounds without express permission of the management. Exhibitors wishing to useanother farrier/veterinarian/photographer must request a permit at the Horse Show Office.

FOODFood service will be available on the grounds beginning the day of the show through Sunday.

LUNGINGNo lunging permitted in the show rings. Lunging only in designated areas.

MINOR EXHIBITORSParent(s) or guardian(s) of a minor child shall hold the horse show management and the facility harmlessfor any injury to such minor. No minor child’s entry will be accepted or number issued unless entry issigned by a parent or LEGAL guardian. The signature of unrelated persons WILL NOT be accepted.

MOTORIZED VEHICLES/GOLF CARTSUnlicensed drivers are not permitted to operate any motorized vehicles, ATVs, motorcycles, golf carts, etc.on the show grounds. failure to abide by these regulations will subject the exhibitor to suspension from thehorse show.

PADDOCKAvailable first come, first served. $100 per show weekend. Limit 1 per trainer.

PARKINGFire regulations prohibit all vehicles, including trailers, vans and campers from being parked in thestable areas. Vans and trailers will be allowed in the stable area only to load or unload. PARKINGAREAS WILL BE DESIGNATED AND VIOLATORS WILL BE TOWED AWAY AT OWNER’S EXPENSEAND FINED $100.

POLING AND OFFSETSManual poling and use of bamboo offsets are prohibited for all horses competing. Any rider, trainer, groom,or any other person who is in violation of the rules set forth above will be fined $500 for each incident andmay be suspended from further competition for the duration of the scheduled competition starting from thetime of the incident. Any horse upon which a violation of the manual poling and/or use of bamboo offsetsrules is perpetrated will be suspended from competition for the duration of the scheduled competition. Allentry fees for the classes entered during the suspended period of the horse in question will be forfeited.

PRIZE MONEYThe owner of any horse or pony exhibited in classes where prize money is awarded MUST provide a SocialSecurity or Federal ID number on the entry. Foreign Exhibitors must fill out a W-8ECI or W-8BEN form priorto receiving any winnings. Prize money will be applied as a credit on your account at the show office.Checks will be mailed within 30 days after the show.

PROTECTIVE HEADGEAREveryone must wear properly fitting ASTM protective headgear with harness secured and properly fittedwhile riding in the designated schooling and exercise areas, the show ring and while jumping anywhere onthe show grounds. It is the responsibility of the rider, or the parent or guardian or trainer of the juniorexhibitors to see to it that the headgear worn complies with appropriate safety standards and is properly fitted and in good condition.

RV HOOK-UPSFirst come, first served, $80 for the show weekend. No nightly rates.

SCHOOLINGSchooling in the show rings without permission is prohibited at all times. $100 fine for anyone caught inthe rings before or after the show if rings have been closed. Some rings will be available for schoolingafter the show each day. Closing times will be announced each day. The rings will be available in the mornings until 30 minutes before start time. Management may restrict schooling in any ring if conditions warrant.

Horses and poniesmay not entermore than 7 classes over fences, including equitation and all special classes.

Rules

&Regulations

Rules

&Regulations

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MedalFinalsHistory&ScholarshipInfo

MedalFinalsHistory&ScholarshipInfo

44

CChhaammppiioonnss rreecceeiivvee aa mmoonnooggrraammmmeedd jjaacckkeett!!

The top 15 riders who have accumulated points throughout the year will be eligible to com-pete in the finals. Invitations for those qualified for 2015 will be posted on our site the weekafter the Octoberfest Show and will be listed under the points section of our site:www.psjshows.com. The BRHJA Show on October 24-25 will not count towards medalpoints.

22001144 PPSSJJ MMEEDDAALL FFIINNAALL CCHHAAMMPPIIOONNSS

PSJ Junior Medal ChampionDarby Pease

Mt. Pleasant, SCTrainer: Charles Hairfield

PSJ Adult Medal ChampionCourtney TruluckColumbia, SC

Trainers: Elizabeth Grove &Jennifer St. John

Darby & Jessica each received the PSJ Medal Finals Scholarship.

Wooten, Mary 7Parmelee, Mary Ann 7Cone, Lee 7Young, Judy 6Reed, Irene 4Smith, Jeanne 3Wofford, Jimmy 3Floyd, Sarah 2Landrum, Rose Marie 2Roades, Missy 2Kelley, Karen 2Hairfield, Charles 2

Huitt, Robin 1Gough, Molly 1Kreiger, Leslie 1Pack, Betsy 1Sturgis Maureen 1Tockmakis, Rhonda 1White, Debbie 1Grove, Elizabeth 1St. John, Jennifer 1McCarthy, Sandra 1Geitner, Cathy 1McCarthy, Natasha 1Ellis, Eleanor 1

Medal Finals Wins by Trainer:

Mary Ann Parmelee Pony Medal Champion

Jessica WestCharlotte, NC

Trainer: Lee Cone

ENTRIESMail stall fees with the enclosed entry form to : 147 Warehouse Road, Aiken, SC 29801Make checks payable to : PSJ Closing dates for stalls and entries : See Entry Blank. After this date there will be a $25.00 late fee.

Numbers will not be issued without a signed open check lodged with the horse show secretary.The entry form must include:• Horses’ name & complete description. • All classes or divisions entered.• Organization membership numbers. • Social Security or Federal ID number of owner.• All mandatory signatures, including legal guardian in the case of a minor exhibiting.

STABLINGStall reservations must be guaranteed with a check. Stabling will be available the day before the show. Stalls are available first come, first served. Reserve stalls early! For reservations, please call 803.649.3505 ore-mail psjshows87@gmail.com. STALL FEES ARE NON-REFUNDABLE.

CHECK OUTAny horse show bills not checked out at the conclusion of each show will be assessed a $25.00 FEE for checkout. Any mistakes at check out must be resolved within 24 hours. Check your bills carefully.

COMPETITION OFFICE HOURSCompetition days - Opens one hour before the start of the first class and closes at 5pm.Non Competition days - 12 p.m. to 5 p.m.

DAMAGEAll owners and exhibitors shall be held responsible for any damage incurred by them, their agents or employees to stalls, buildings, and other properties on the show grounds, and shall be billed accordingly. (This includes screweyes or nails in stalls.)

DAY EXHIBITORS/NON STABLINGHorses entered but not stabled must use the designated area for day exhibitors. $20.00 grounds fee per horse and a $25.00 service fee per horse per show.

FEED AND BEDDINGHay, grain and bedding may be purchased on the grounds. For same day delivery, orders must be received priorto 12 noon. No Sunday deliveries. For feed and bedding reservations prior to arrival, please call (803.649.3505)fax (803.649.3577) or e-mail psjshows87@gmail.com. Deliveries other than that made through the horse show office are not permitted. You may bring your own.

NON NEGOTIABLE CHECKSChecks returned by the bank for any reason will be assessed a penalty of $25 or 10% of the check amount, whichever is greater. Upon notification of a returned check, accounts will be given three (3) days to make full payment, including the penalty, which must be paid in certified funds, cashier’s check or money order. Overnight mailservice is advised in order to avoid notification of the sanctioning organizations for disciplinary action.

NON SHOWING HORSEAll non showing horses must have a signed entry blank in the office, $30.00 non showing fee and $25.00 servicefee per horse per show.

REFUNDSFull refunds will be given before the closing date of the stalls. After the closing date of stalls, stall fees are notrefundable. After the show starts, with the official vet’s certificate only, full refund will be given minus the stablingfee and a $20.00 scratch fee and fees for classes already held prior to notification of horse show secretary, whether exhibited or not. Scratches must be made in the horse show office on the official form. Refunds will be mailed within 30 days after the horse show.

SERVICE FEEAll horses, showing or non showing, will be assessed a fee of $25.00. This fee allows the horse UNLIMITED add/scratches from classes, access to schooling areas and rings at designated time and defers all charges for parking passes.

SPLITTING OF TACK STALLSThe horse show office will split the tack stalls per the Trainers instructions among his/her customers up to each Saturday at 12:00 noon. At that point, the total amount will be billed to the trainers barn account.

SCRATCH FEE$20 Scratch Fee for cancellations after the start of the show.

CANADIAN EXHIBITORSThe legend “US Fund” must be pre-printed on the face of all Canadian checks drawn on Canadian banks used to pay entry fees.

The Horse Show Committee reserves the right to itself to interpret all questions and conditions in regard to or arising out of, orincident to the show without claims for damages or recourse of any kind. All questions not covered in these Rules and Regulationsor PSJ Rules listed on our website shall be decided by the Horse Show Management; its decision to be final. The Horse ShowManagement reserve to itself the right to limit entries in any class, section or division, to refuse, accept conditionally, or to can-cel any entries, disqualify any riders or exhibitors, prohibit exhibition of entries, and cancel award prizes, without any claim fordamages; to change any course, to add a dotted line, to cancel or combine any unfilled classes, or to reschedule classes, afterdue notice to exhibitors; to change rings or rotate judges, to change specifications in jumper classes as competitions warrants.

Show Management will in no case be responsible for any loss or damage that may occur, and it shall be a condition of entry thateach exhibitor shall hold the horse show and the officials, employees, directors, officers, sponsoring entities of the horse showand the facilities at which the horse show is held blameless for any loss or accident to his horse(s), employee(s), or equipmentwhich may occur from sickness, fire or other cause.

Rules & Regulations

Rules & Regulations

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NNEEWWBBEERRRRYY HHAALLLLBanquet Reservation Form

Join us for the PSJ Year End Banquet & Awards Ceremony downtown at

NN ee ww bb ee rr rr yy HH aa ll ll117 Newberry Street S.W. - Downtown Aiken

Friday ~ October 30, 2015

7:00 pm - Dinner8:00 pm - Awards Ceremony

Name: _________________________________

Reserving _______ Seats

Total Enclosed: ______ x $40 = $ ____________After Closing Date, tickets available for $45.00

Please list below all persons being paid for under this account:

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________________________________________________

_________________

Please dress for the occasion. No jeans or flipflops.Phone: __________________ Email: ___________________

Reservations must be received and paid for by October 23, 2015

147 WAREHOUSE ROADAIKEN, SC 29801

THANKS FOR A GREAT 2015 SHOW SEASON!

American Pharoah!American Pharoah!

Host Hotels - Pet FriendlyHotel Aiken Quality Inn & Suites803-648-4265 803-641-1100

Sleep Inn803-644-9900

Directions to Highfields: 198 Gaston St, Aiken, SC 29801I-20 to SC Exit 22 US Hwy 1. Go towards Aiken. Follow to 7-8 milesuntil in Aiken. At second light in town, go left on 118 (Sunoco Gas onleft). At first light go right onto Beaufort Street. Go through one light.Before second light, go left on Barnwell Avenue.

At stop cross over dirt road onto gravel driveway. Horse show on left. Toaccess Barns 2 & 3, use our North entrance at Willow Run Road, oneblock North from Barnwell. Tip: DO NOT USE MAPQUEST.

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888800003333 ---- 666644446666 ---- 6666888888880000A I K E N , S C

F A R R I E R

Directions &

Lodging InfoDirections &

Lodging Info

77

Carriage House InnClarion InnCountry Inn & SuitesDays Inn DowntownFairfield Inn & SuitesGreen Boundary Club

Guest House at HoundslakeHampton Inn Knights Inn Rose Hill Estate Town & Country B&BWillcox Inn

NNORTHORTH C CAROLINAAROLINA H HUNTERUNTER J JUMPERUMPER A ASSOCIATIONSSOCIATION PO Box 2874 | Huntersville, NC 28070 Date: _______________________

Renewal __________ New Member ___________[ ] $40, Seniors [ ] $30, Juniors [ ] $50, Farm (Life) [ ] $300, Life

Name ______________________________________________________________

Address_________________________________________________________________

City, State, Zip__________________________________________________________

Telephone __________________________ E-mail _____________________________________

If a Senior, please check one: [ ] Professional [ ] Amateur

If an Amateur, please indicate age group: [ ] 18-35 [ ] 36-45 [ ] 46+

If a Junior, MUST have BIRTHDATE _________________________

Farm ______________________________________________________________________

Please mail this application and your remittance to the above address. If you are interested in receiving

points toward NCHJA Year-End Awards, your horse must be recorded with the NCHJA - please fill out form

below.

Horse Recording Form Fee: $25 for Life(Horse)(Pony) Name ______________________________________________________

Foaled _________ Sex ______ Color __________ Height __________ Breed ________________

Markings (if any) ______________________________________________________

Sire ________________________________ Dam ____________________________________

If a pony, do you have a USAE or VHSA measurement card? _________________________________

Owner’s Name __________________________________ Phone __________________________

Address ______________________________________________________________________

Need gift ideas for your trainer?For that hard-to-shop-for equestrian?

PSJ offers quality new & used standards, rails,gates, planks, walls & flower boxes.

Call the PSJ Office today to place your order!

Orders made and paid before Thanksgiving areguaranteed to be ready in time for Christmas!

803-649-3505 / psjshows87@gmail.com

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PSJ MEDALSOpen to Junior Riders who have not yet reached their 18th birthday, exceptfor Adult Medal. To be shown over a course of not less than eight obstacleswhich must include an oxer and two changes of lead after the first obstacle.A test may be included in the initial round or at the judge’s discretion addition-al testing on the flat may be used for Pony Medal, tests 1-18 for Junior andAdult and will count 25%. Any exhibitor who does not participate in the test-ing is placed last of those exhibitors called back to test. Only one rider perhorse/pony. To fill a class, three competitors must complete the course. Mustbe a member.83.,183. PSJ Pony Medal Sm - 2’, Med - 2’3”, Lrg - 2’9”85.,185. PSJ Adult Medal 2’9”84.,184. PSJ Junior Medal 3’

NCHJA MEDALSOpen to Junior Riders who have not yet reached their 18th birthday, exceptfor Adult Equitation. To be shown over a hunter type course of not less thaneight fences and one-third of the obstacles must be oxers. Judges may askcontestants to perform tests 1-19. Only one rider per horse/pony. Four com-petitors required to fill the class, and three must complete the course. TheNCHJA Children’s Equitation may be combined with the NCHJA AdultEquitation if there are less than 4 entries in either. Must be a member. 90.,190. NCHJA Pony Equitation Sm - 2’, Med - 2’3”, Lrg - 2’9”89.,189. NCHJA Adult Equitation 2’9”88.,188. NCHJA Children’s Equitation 2’9”

PALMETTO MEDAL CLASSOpen to Junior riders who have not yet reached their 18th birthday. Horsesto jump 3’, ponies to jump 2’ for small, 2’3” for medium, 2’9” for large over amodified hunter course. Only one rider per horse or pony. Junior & Ponymedal to be held only once each per weekend. To be judged on seat, hands,guidance and control of the horse or pony. Three riders needed to fill theclass. One fourth of the exhibitors, or no less than 2 exhibitors, must returnfor testing. The testing shall count 25%. Must be a member.186. Palmetto Junior Medal 3’187. Palmetto Pony Medal Sm - 2’, Med - 2’3”, Lrg - 2’9”

Palmetto Adult Class 2’9”Open to Senior members of the SCHJA, to run in conjunction with AdultEquitation classes at rated shows. The top 20 riders who accumulate themost points in the Adult Equitation Division by Year-End will be invited to com-pete in the Palmetto Adult Medal finals at the Palmetto Finals Year End HorseShow.

BRHJA MEDAL CLASSOpen to all BRHJA Junior or Amateur Members. Fences are to be set at 2’6”for ponies and riders 13 years and under. Fences for horses and riders 14-17 years shall be set at 3’, Fences for adults to be set at 2’6”. The top six rid-ers over fences shall return to be judged on the flat. Jumping portion shallcount 70%, flat portion to count 30%. Must be a member.91.,191. BRHJA Junior Medal Class 2’6” + 3’97.,197. BRHJA Adult Medal Class 2’6”

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PSJ Medal Finals Horse Show October 30 - November 1, 2015CLOSING DATE OCTOBER 19, 2015

MAKE CHECKS PAYABLE TO PSJE-Mail Entries to: psjshows87@gmail.com

Mail Entries to: PSJ147 Warehouse RoadAiken, SC 29801

# OFFICE ONLY HORSE OR PONY NAME (ONLY ONE PER BLANK) COLOR SEX HEIGHT HORSE/PONY AGE

NAME OF FIRST RIDER

NAME OF SECOND RIDER

DOB

DOB

CLASSES (SCHEDULE CAN BE FOUND AT PSJSHOWS.COM)

SM MD LG

GREEN

1 2

CLASSES (SCHEDULE CAN BE FOUND AT PSJSHOWS.COM)

PSJ Entry AgreementUnder penalty of perjury, I certify that (1) the number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me) and (2) I am not subject to backup withholdingeither because I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends or IRS has notified me that I am nolonger subject to backup withholding (does not apply to real estate transactions, mortgage interest paid, the acquisition or abandonment of secure property, contributions to an individual retirement arrangement (IRA),and payments other than interest or dividends). I agree to indemnify and save harmless The Progressive Show Jumping, Inc. (PSJ) all and singular, the directors, officers, members, employees and agents thereoffrom and against any and all loss, costs or expenses, or any claim thereof, of whatever nature arising or to arise, for an account, or by reason of entry or entries hereby made thereby represent agree in the eventthat the entries hereby made are made for and on behalf of an exhibitor under the age of 21 years, that I am one of the parents of such minor, or duly appointed legal guardian of such minor, and as such, entitle tomake this entry for and on behalf of such minor, and I further hereby represent and agree that in the event that the entry hereby made for and on behalf of another person other than a minor under the age of 21years, I have full authority and privilege from such other person to make such entry for and on behalf of such other person.

Under South Carolina law, an equine activity sponsor or equine professional is not liable for an injury to, or the death of, a participant in anequine activity resulting from an inherent risk of equine activity. Pursuant to Article 7, Chapter 9 of Title 47, Code of Laws of South Carolina,1976.

Every person who participates in the show is responsible for knowledge of and is subject to the rules of the sanctioning associations. EMERGENCY CONTACT INFORMATIONNAME: ____________________________________PHONE: ___________________________________

Show Stall $90

Ship-in/day $20

RV Hook-up/Show $80

Service Fee $25 $25

Late Fee $25

Non-Showing Fee $30

Paddock $100

CHECK #

TOTAL

Owner _________________________________________________

Street Address __________________________________________

City/State/Zip ___________________________________________

SS/TIN __________________________ Corporation? ___Y ___N

Name Associated with SS/TIN ______________________________

Phone _________________________________________________

Email __________________________________________________

Owner/Agent Signature __________________________________

Trainer ________________________________________________

Street Address __________________________________________

City/State/Zip ___________________________________________

SS/TIN __________________________ Corporation? ___Y ___N

Name Associated with SS/TIN ______________________________

Phone _________________________________________________

Email __________________________________________________

Trainer Signature ________________________________________

Rider #1 _______________________________ DOB ___________

Street Address __________________________________________

City/State/Zip ___________________________________________

Rider/Agent Signature ___________________________________

Rider #2 ______________________________ DOB ____________

Street Address __________________________________________

City/State/Zip ___________________________________________

Rider/Agent Signature ___________________________________

STABLE WITH: _______________________________ARRIVAL DATE: ______________________________

1