(Participants will be grouped by county, whenever possible)
Name of Adult Supervisor: _________________________________________________
Phone Number of Adult Supervisor: __________________________________________County you wish to be grouped with: __________________
Note: All instruction is at the Intermediate Level (except Novice). Sign up for four intermediate classes OR one Novice class.
Sign up for 4 classes in order of preference. Each rider will participate in 4 classes.
_____ Jumping _____ Showmanship
_____ Trail/Ring Etiquette _____ BARRELS Non-Trotting/Saddleseat
_____ Pattern Class _____ Dressage
_____ POLE BENDING _____DRILL TEAM
OR
_____ Novice (Will be divided by experience and age, all 5-8 year olds will be in this class)
| | Cost | Number Needed | Total |
| Registration Fee* | $80.00 | ~~~~ | $80 |
| Tack Stall | $27.00 | | |
| Shavings | $5.50 | | |
| RV Parking | 12.00 per night | | |
| | | Grand Total: | |
* $80.00 includes instruction, Horsemanship Clinic Show Classes & 2 nights stall rental
Make checks payable to the Currituck County
Please send registration form, a copy of horse’s current negative Coggins (within the past 12 months), copy of Medical Release form, and a check to cover all fees postmarked by March 20 to:
Vanessa Spiron
2009Application Form
April 3-5
Please complete the application with your club leader’s assistance and obtain your County 4-H Extension Agent’s signature. Application must be completed and postmarked by March 20, 2009 along with your completed registration packet. Incomplete applications will not be processed and will be returned. Include a $80.00 check made payable to the Currituck County 4-H Foundation and mail, postmarked by March 20 to Vanessa Spiron, Pitt County Cooperative Ext., 403 Government Circle, Suite 2, Greenville, NC 27834. If horsemanship school reaches full capacity, applicants will be notified and will receive a full refund. In filling out this application, be as complete as possible and feel free to attach additional pages as necessary.
Check your riding area: ___Stock Seat ___Hunt Seat ___Saddle Seat ___Novice
Name:
Age: ________________ Phone #: (Day) _________________ (Night) ______________
Mailing Address: _________________________________________________________
Horse’s Name (that you will bring): __________________________________________
Horse’s Age: _________________ How many year’s have you shown horses? ________
Years showing horse you’re bringing: _____ Have you been to
before? ________________ If yes, what division? ____________________________
Name/phone number of the chaperone/leader accompanying you during the school:
Name: _____________________________ Phone #: ______________________
How often do you ride your horse when preparing for a show (#days/week): __________
List some Show Records with any of your horses. Please include what type of shows, include classes shown in, and success/awards.
Explain any previous riding instruction you have received:
Please list training needs for your horse that you are bringing that you would like to gain from the school:
Please list what you would like to learn as an exhibitor during the school:
Why do you want to attend horsemanship school?
How do you plan to use the knowledge you gain from the school?
Please note all horses must have proof of a current Negative Coggins Test within the past twelve months for admittance into the horse complex. A copy of your horse’s negative Coggins test must be displayed on the stall door while on the show grounds. Feed and hay must be provided by each 4-H’er. Shavings will be available at $5.50 per bag.
Horses may check into stalls during the following: Friday, April 3 between 4pm-8pm.
Note: Stalls will not be available until 4:00pm
We verify that this youth is an enrolled
Leader’s Signature: __________________________________ Date: ________________
*Agent’s Signature: _________________________________ Date: ________________
* REQUIRED___________________________________________________________________________
Equipment and horses are not insured against loss or damage. Riders are not insured for injury. Any loss or damage to equipment or injury to the horse or rider/volunteer is at the owner’s/parent’s/volunteer’s expense.
As a parent/guardian of a participant/rider who will attend the
Parent/Guardian Signature: _______________________________ Date: ____________
For more information, contact Vanessa Spiron at 252-902-1712 or
Lisa Briley at 252-531-6106 or Gerda Rhodes, 252-793-2163
- Cloverbuds, 4-H age 5-8 must sign up for the Novice Class
- Novice Exhibitors ONLY sign up for the Novice class
- You can bring more than 1 horse, but must pay for stall fees
- Responsible adults must be on site with youth participant at all times
- Boots with heels are required
- All hunt seat and gaming riders are required to wear their helmets
- No riding is permitted on Friday evening in the coliseum
- Bring riding gear appropriate for hot or rainy weather
- Class sizes are limited to 12 horses
- Must pre-register by March 20!
- Ask for horse event rate at your hotel
- Remember to send your horse’s Negative COGGINS & your MEDICAL RELEASE FORM
- Open show is open to everyone! Adults, parents, siblings, everyone is invited to participate. Classes specifically for
Northeast District 4-H
Sen. Bob Martin Ag Center , Williamston , NC
FRIDAY, April 3
4:00pm Check-in begins
7:00pm Orientation
8:00am-8:45am Prepare for first class
8:45am-10:00am Session 1
10:00am-10:45am Break and prepare for next class
10:45am-12:00pm Session 2
12:00pm-1:00pm Break for lunch
1:15pm-2:30pm Session 3
2:30pm-3:15pm Break and prepare for next class
3:15pm-4:30pm Session 4
4:30pm Dinner Break & Prepare for
7:00 pm Gaming classes
8:00am Open Horse Show Begins.
(Class locations subject to change based on weather conditions)
Northeast District 4-H
Jumping – Jumping class will focus on jumping techniques for hunter riders.
Trail/Ring Etiquette – Class will teach 4-H’ers etiquette relating to showing and
working in an arena. It will also teach participants how to maneuver their horse through a
variety of obstacles. Class will be for all riding disciplines.Pattern Class – Class will focus on completing a pattern, especially for classes
such as Western Horsemanship and Hunt Seat Equitation. All disciplines are invited to this class.Showmanship – This class will teach 4-H’ers how to compete in a Showmanship
class, including pattern execution. Class will be for all riding disciplines.
Gaming – This class will teach youth how to prepare and compete in barrel racing and pole
bending classes.
Dressage – Class will introduce the horse and rider to the basic principles of dressage competition and the newly introduced sport horse versatility discipline and competition.
Non-Trotting/Saddleseat--To work on your equitation and developing your natural aids to help your horse to collect and become more properly engaged.
Novice – This class will teach beginner or inexperienced riders about riding
horses. All disciplines are included in this class. Class will be divided based on
age and skill of the rider. Riders will remain in this class throughout the day and will receive instruction on various aspects of riding.
The NED Horsemanship School Committee reserves the right to alter the schedule as
needed.
Spring Down East Open Horse Show
Name of Horse/Pony ______________________________________ Number _________
Rider __________________________________________ Barn/Farm _______________
Owner ___________________________________________________________________
Rider’s Address ___________________________________________________________
Phone # _______________________ Class Fee $7.00/class _______________
Classes ____________________________ Stall Rental $45.00 ea _______________
Classes ____________________________ Shavings $6.50/bag _______________
Classes in italics are for HorsemanshipClinic Participants Only Grounds Fee $15.00 ________________
Mail in entries must be postmarked Per horse if showing from trailer
By April 1, 2009
Camper Hook up $15.00/day ____________
Please make checks payable to: Total ________________
NC Dist. 4-H Open Horse ShowMail to: Tina Farmer
Additional Contact:
Beth Tew (252) 753-8069; btew2@nc.rr.com
Barbara Davis (252) 341-9475; davisb@ecu.edu
<!--[if !supportLists]-->· <!--[endif]-->Those exhibitors wanting to reserve stalls together please be sure to specify below who you’d like to stall with and barn / farm name if applicable.
<!--[if !supportLists]-->· <!--[endif]-->The arena will be open for schooling late Saturday afternoon and evening, after the clinic is over.
<!--[if !supportLists]-->· <!--[endif]-->Negative Coggins Required – coggins will be checked upon entry to show grounds.<!--[if !supportLists]-->· <!--[endif]-->All dogs must be kept tied up or on a leash. No dogs allowed in the indoor arena.
<!--[if !supportLists]-->· <!--[endif]-->Scratches must be done on a Scratch form, at least 3 classes before the class, to receive a refund.
<!--[if !supportLists]-->· <!--[endif]-->No entries will be accepted without Payment or Open Check
UnderNeither the staff of the NC District 4-H Horsemanship Clinic and Open Horse Show or the
Signature Rider/Guardian (riders under 18) __________________________________________
NO REFUNDS GIVEN WITHOUT A VET’S CERTIFICATE