Horse Exhibitor & Participant Book 2021

South Dakota State Fair 1060 3rd Street SW, Huron, South Dakota 57350 Telephone: 605.353.7340 or 1.800.529.0900 Fax: 605.353.7348

Exhibitor books and entry forms are also available at sdstatefair.com.

TABLE OF CONTENTS:

Introduction …………………….…………………………………………… 3

Horse Department Schedule & General Rules…………………………. 4-5

Horse Health Regulations…………………………………………………. 5-6

Kids Stick Horse Competition……………………………………………… 6

Sheepdog Trial……….………………………………….…………………… 7

Team Sorting & Penning Jackpot………….……………………………… 8

Team Roping…………………………………………….…………………… 9

Turn & Burn Barrel Race……………………………………………………. 10

Timed Event Championship Rodeo………………………………………… 11

Rodney Yost Horsemanship Demonstration……………………………… 12

Ranch Rodeo……………….…………………………………………………. 13-14

Horse Soccer Tournament………………………………………………………15

Draft Horse Show………………………………………………. ………….. 16-19

Draft Horse Entry Form………………………………………………………. 20

W-9………………………………………………………………………………. 21

Waiver of Liability……………………………………………………………… 20

SOUTH DAKOTA DEPARTMENT OF AGRICULTURE AND NATURAL RESOURCES

STATE FAIR PARK DIVISION 1060 3RD St. SW Huron, SD 57350 Phone: 605.353.7340 Fax: 605.353.7348 sdstatefair.com

Thank you for being a part of the 2021 South Dakota State Fair!

After this past year, we’re all ready to get together with friends and family and carry on our beloved traditions at the South Dakota State Fair! You are important to our fair, whether you are a long-time exhibitor or a first-year competitor. We love to see the horse shows brimming with your accomplishments and talents for fairgoers of all ages to enjoy.

The South Dakota State Fair exists to showcase the best of South Dakota and bring people together. The State Fair has a rich history of livestock showmanship. Your entries highlight the showmanship skills of citizens across the state of South Dakota and beyond. Fairgoers of all ages enjoy seeing your accomplishments and talents.

Please review the guidelines for entering your animals and note the deadlines for entering! We thank you in advance for sharing your livestock and talents with us.

We will be looking for you at the 2021 SD State Fair.

Sincerely,

The South Dakota State Fair Staff and Commission

THANK YOU TO OUR SPONSORS!

DEPARTMENT 110: HORSE Competition Open to the World SUPERINTENDENT: Della Amdahl, Woonsocket

SHOW SCHEDULE Wednesday, September 1 9 AM Stock Dog Clinic Hippodrome 10 AM Team Sorting North Arena Thursday, September 2 9:30 AM SD Stock Dog Handler’s Meeting Hippodrome 10 AM SD Stock Dog Assn. Ranch, Open & Intermediate Classes Hippodrome 10 AM Team Penning North Arena 4 PM SD Stock Dog Assn. Intermediate Finals Hippodrome 5 PM Youth Agility Exhibition Hippodrome 6:30 PM SD Stock Dog Association Open Finals Hippodrome Friday, September 3 1 PM – 3 PM Rodney Yost Horsemanship Demonstration S of Hippodrome 10 AM Team Roping Hippodrome Saturday, September 4 10 AM Timed Event Championship Rodeo North Arena 12 PM Turn & Burn Barrel Race Hippodrome 5 PM Kids Stick Horse Competition Hippodrome 6 PM Horse Soccer Tournament Hippodrome Sunday, September 5 10 AM Timed Event Championship Rodeo North Arena 10 AM – 12 PM Rodney Yost Horsemanship Demonstration S of Hippodrome 11 AM Ranch Rodeo Hippodrome Monday, September 6 10 AM Draft Horse Halter Classes Hippodrome 1 PM Draft Horse Driving Classes Hippodrome GENERAL RULES 1. Refer to individual special events for information and rules that apply. 2. On-Grounds Parking: On-grounds parking is prohibited without proper and appropriate credentials. Parking passes issued to campers are valid only for the campsites. They are not an appropriate credential for anywhere else. If the vehicle does not fit within the boundaries of the campsite, the vehicle must be parked off grounds. 3. Parking Violations: Any vehicle found on-grounds without the proper credential for the area in which it’s parked is subject to towing. There will be zero tolerance for parking violations; we will no longer be making PA announcements or giving warnings. Violators will be towed. 4. Fire Lanes: For safety purposes, any vehicle blocking a fire-lane will be towed at owner’s expense. There will be zero tolerance. NO EXECEPTIONS AND WARNINGS! 5. Ticketing System: Admission and parking passes will have bar codes on them that will be scanned. Parking passes will be scanned upon entry and exit from the fairgrounds. Passes are only valid for the area and terms listed on the pass. 6. Feeding/Unloading Permit: A feeding/unloading permit may be purchased at the State Fair Administration Office or online upon submission of livestock entry form for $20 (only 1 permit per family/address allowed). This permit allows entry on the fairgrounds before 9 AM and after 6 PM to feed animals and then exit immediately. This is NOT A PARKING PERMIT and will be subject to towing if vehicle is left unattended for an extended amount of time. Permits will be scanned at gates and will only be valid during the designated hours.

7. Stalling Information • Stall Fees: $15/stall/day for all events excluding Timed Event & Draft Horse participants. • Timed Event participants: $20/stall/day (includes 1 bag of shavings for each stall). • Draft Horse Stalling: Thursday-Sunday $30/stall; Monday $15/stall. • Shavings: $7/bag- each stall required to have at least 1 bag of shavings.

There will be a stalling chart in the show office. Check with show office for stall assignment and to have them unlocked. If arriving late contact show office for arrangements. 8. Stall bedding is the responsibility of the exhibitor. South Dakota State Fair has bagged wood chips available for purchase. Straw is not allowed for bedding. If you plan to arrive late in the evening, please be prepared to bring bedding with you as the Feed and Forage barn will be closed during the night. Shavings are available in Hippodrome and can be purchased from the show office. 9. Check stall assignments, entries and show schedule with superintendent upon arrival and before unloading horses. 10. All persons will be required to purchase admittance wristbands for the time they are on the Fairgrounds. 11. Hippodrome Arena will be used for several events at specified times. No horses will be permitted in the Arena at time of these scheduled events. 12. Trucks and trailers with a State Fair unloading permit will be allowed onto the grounds to unload and then MUST park in the designated parking areas. 13. The South Dakota State Fair has adopted and will enforce the IAFE National Code of Show Ring Ethics. A copy of this code can be obtained by contacting either the State Fair Office or the building superintendent. 14. All dogs accompanying exhibitors must be left at the trailer. 15. Horses should enter the fairgrounds on the northeast side at the Gate 4 with the exception of Team Penning on Wednesday (use Gate 4.5), and Timed Event Rodeo on Friday (use 4.5). 16. Exhibitors do not need a release for horses to leave the fairgrounds. 17. State regulations prohibit smoking in all state-owned facilities. 18. A completed Certificate of Veterinary Inspection, listing individual animal official identification, must accompany all animals exhibited at the South Dakota State Fair. The Certificate of Veterinary Inspection must be issued within 30 days of fair entry. Certificates of Veterinary Inspection written for animals originating from outside the State of South Dakota must have a telephone import permit number listed on the certificate. The consignee must be listed as: South Dakota State Fair, 1060 3rd St. SW Huron, SD 57350

Notice: Certificate of Veterinarian Inspection (CVI) Collection Process Has Changed. 1) Exhibitor presents CVI to Livestock Superintendent, or their designee, at check-in to verify they have a CVI. NOTE: If exhibitor is showing multiple species, they need a separate CVI for each species. 2) Exhibitor gets stall assignment and is responsible for writing the stall number on the CVI and then puts the CVI in the CVI collection box. 3) AIB collects CVIs from the collection box several times throughout the day to inspect animals. 4) It is the exhibitor’s obligation and responsibility to ensure their animal(s) are healthy and that they have obtained a CVI within 30 days of bringing the animal(s) onto the fairgrounds. Any exhibitor found bringing an animal with obvious issues pertaining to animal health and well-being will be asked to leave immediately and will not be allowed to show at the 2022 South Dakota State Fair.

Animals must be free of signs of communicable and infectious disease at the time of entry onto the Fairgrounds. Any determination of the health status of an animal will be at the discretion of the State Veterinarian or official representative.

Horses originating from outside the state of South Dakota must have a negative EIA test within the past twelve (12) months prior to entry to any South Dakota State Fair Horse event. The applicable testing information must appear on the Certificates of Veterinary Inspection. At the direction of the State Fair Commission, all animals will be subject to testing for foreign substances by the State Veterinarian.

KIDS STICK HORSE COMPETITION Saturday, September 5 Contest Rules 1. All kids up to age 8 are eligible to compete. Two age groups: 5 & under/6-8 years old 2. Bring your own stick horse! Get him cleaned and shined up. Wear your fanciest western outfit. Prizes awarded for best dressed cowgirl and cowboy. 3. Classes to be held: a. Western Pleasure b. Barrel Race 4. Sign up in the Hippodrome Office between 4 PM and 5 PM on Saturday, September 5 5. Stick horses will be provided to those without a mount, but we encourage you to bring your own stick horse.

SOUTH DAKOTA STATE FAIR SHEEPDOG TRIALS Hippodrome

Wednesday, September 1, 2021 9 AM - Stock Dog Clinic

Thursday, September 2, 2021 9:30 AM - Handler’s Meeting 10 AM - Ranch, Open and Intermediate Classes 4 PM - Intermediate Finals 5 PM - Youth Agility Exhibition 6:30 PM - Open Finals

PIPESTONE LIVESTOCK AUCTION MARKET ACE HARDWARE-MILLER AND REDFIELD PLATTE LIVESTOCK | KIMBALL LIVESTOCK PRANGER FEED MILL

For more contact Dale Duxbury (605) 354-2656 or [email protected]

HEALTH PAPERS REQUIRED

SOUTH DAKOTA STATE FAIR TEAM SORTING & PENNING JACKPOT

Team Sorting: Wednesday, September 1, 2021 • 10 AM Team Penning: Thursday, September 2, 2021 • 10 AM Registration 9 AM (office closes at 9:30 AM) North Arena

Sponsored in part by Garbe Cattle & Gravel Olinger Trucking

ADDED MONEY $1,000 Guaranteed

Payout 60%

Entry Fee $35 per man, per run 5 Run Limit Pick 4, Draw 1; Pick 1, Draw 4: Draw All 5 Top Money all-around earns Saddle

USTPA Rules No Trash Rules, Fresh Beef Cattle

Questions Contact: Gary Garbe (605) 461-3924 or Clinton Olinger (605) 770-1157

HEALTH PAPERS REQUIRED Stalls will be available in the Hippodrome Limited camping available on west side of Hippodrome No reservations, 1st come, 1st serve For availability contact Della Amdahl at 605.350.0955 or in Hippodrome office the day of event.

SOUTH DAKOTA STATE FAIR TIMED EVENT CHAMPIONSHIP RODEO

Saturday, September 4, 2021 • 10 AM Sunday, September 5, 2021 • 10 AM North Arena

Sponsored in part by:

Double D Western Wear • Panhandle Slim LG Seeds  Farm Credit Services of America

Questions Contact: Steven Birkholtz 605.625.3437 Contact: Jason Edleman 605.350.5000

More information Visit: http://sdtimedeventchampionship.webs.com/

Entries due August 20, 2021 HEALTH PAPERS are REQUIRED

RODNEY YOST HORSEMANSHIP South of the Hippodrome Friday, September 3, 2021 ⚫ 1 PM – 3 PM Sunday, September 5, 2021 ⚫ 10 AM – 12 PM

Rodney Yost is a 4th generation South Dakota rancher who has been involved with the ranching and horse customs his entire life. He's been horseback since he was a baby in diapers on his family’s ranch, started training ponies at the age of 10, and trained his first horse at the age of 13. Since then, he has become one of the top horse trainers and clinicians in South Dakota and throughout the Midwest.

Over the past few years, Rodney has instructed many horsemanship clinics and demonstrations for all ages and riding levels. His unique training style and sense of humor have made him a sought-after horsemanship clinician throughout the United States and Canada. He is the first and only five-time champion of the Crosswinds Ranch Colt Training Challenge that is held at Michigan State University every Spring and has won multiple Ranch Horse Colt Futurity competitions. He has become known for creating a relationship with his horses to produce extremely supple, well-mannered, and responsive horses that are capable of many disciplines.

Growing up in the heart of cattle-country in South Dakota, Rodney developed a love for the land and livestock at an early age. Over the years, this partnership with the ranching lifestyle has blossomed into a progressive mindset regarding his family-owned and operated Broadaxe Ranch, along with its expansive commercial cattle herd, and American Quarter Horse breeding and training program.

What started out as a necessity of the Broadaxe Ranch operation, breeding and training their own horses for ranch use, Rodney Yost Horsemanship developed most naturally through many years of on-the-job learning and real-life experiences of utilizing horses for everyday ranch work. For a horseman or horsewoman of any level to have the opportunity of an enjoyable and successful experience while horseback, Rodney believes it is clearly essential to have the correct tools and philosophy to enable all riders the ability to develop a horse that can pull the throttle back to sit, relax, and go slowly at times, while likewise having the ability to step down on the gas pedal when needed in the heat of the action. Horses that have the training, foundation, and ability to make that distinction easily rise to the top and become the cream of the crop in all disciplines.

Rodney Yost Horsemanship Demonstrations and Ride-Along Clinics aim to demonstrate, teach, and enable everyone to have a variation of hypothetical tools, a common-sense training mindset, combined with the most elite training techniques. Along with Rodney's personal learning experiences over the years, Rodney Yost Horsemanship works tirelessly to give all individuals insight regarding the instinct, thinking process, and behavior of a horse in an effort to "help the horse to teach itself".

For more information on how to schedule a Rodney Yost Horsemanship Clinic or Demonstration in your area, please contact Rodney Yost at (605) 680-0004, go to www.broadaxeranch.com to check out his family's Broadaxe Ranch website, or follow “Rodney Yost Horsemanship” on Facebook. You can also follow “Rodney Yost Horsemanship” by going to @ryhorsemanship on Twitter. Also search for and follow "Broadaxe Ranch" or "Rodney Yost" on Facebook.

SD State Fair

Saturday

Sept 4 at 6 PM in the Hippodrome *Teams of three * $20 per team *Contact Nicki to sign up. Text or Call 605-520 -3787

15 Cash Prizes & Trophy Tumblers DRAFT HORSE 1. Entries can be mailed to the State Fair office at 1060 3rd Street SW, Huron, SD 57350. Mark envelope Horse Show entries when mailing your entries. NOTE: Entry fees are listed under each breed class. 2. Entries must be made upon the printed entry forms, which may be secured from the State Fair office and must show the class and lot numbers, the name, registry number, date of birth, sex, of each animal. Incomplete entries will be rejected. Entries must give exhibitor’s name and address, social security number or federal tax ID number. Entries must be accompanied by the applicable waiver forms and W-9 form. Additional entry forms may be obtained from the State Fair office or duplicated. Entries may not be made by telephone. 3. Please send copies of registration papers, membership cards with entries. The name of owner/owners as assigned on entry blank must correspond and be the same name as on breed registration papers. No animal shall be entered in the name of any other than the BONA FIDE owner or owners, and should it prove to be otherwise, premiums awarded to them will be forfeited. 4. Exhibits which have been erroneously entered may, at the discretion of the superintendent, be transferred to their proper class prior to judging. If such classes have been judged, they shall not be re-judged. 5. REFUND POLICY: The fair may refund entry fees paid by an exhibitor if the exhibitor requests the refund in writing two weeks prior to the opening day of the fair and states the reason for requesting the refund. Following that timeframe, NO refunds will be issued.

6. Entry Procedure: Please send the designated entry blank; copies of registration papers and membership cards as requested; W-9 and Waiver of Liability Affidavit; Stall reservation information and enclose all applicable fees. Mail in envelope marked “Horse Department” and the breed entered to South Dakota State Fair. Post entries will be accepted two classes before class being entered. 7. The name of the exhibitor as printed on entry blank and fee sheet must correspond and be the same name as on breed registration papers and must correspond with SSN or tax ID. 8. January 1 will be the date for computing age. Horses must be owned by the exhibitor from the time of making entries. 9. Substitution of animals within class already entered will be permitted prior to the opening day of the fair provided the animal asked to be substituted was owned by exhibitor at the time entries closed.

PREMIUM AWARDS The premium money in each lot where applicable will be paid on the following sliding scale. MUST BE A MINIMUM OF THREE PER CLASS FOR PREMIUM PAYOUT. 1 2 3 4 5 3 to 6 Horses Showing $23 $15 $10 7 to 10 Horses Showing $38 $30 $23 $15 $8 11+ Horses Showing $53 $45 $38 $30 $23

CLASSIC 6 DRAFT HORSE SHOW CLASS 1: BELGIAN, PERCHERON, CLYDESDALE & OPEN CLASSES A trophy for "best horse of show" is given in memory of Julie DuMarias who won this award five times. Trophy provided by Tony and Brenda Miller. South Dakota State Fair is the designated qualifying show for the Belgian Draft Horse Corp of America Merit program. The Belgian Draft Horse Corp will provide certificates to all Junior entrants in both halter and driving. STALL FEE – Monday only $15 per stall. If you are gong to stall all week (Thursday – Monday) each stall will be $30. Any questions about stalls contact Della Amdahl at 605.350.0955.

Monday, September 6, 2021 Halter Class – 10 AM Driving Class – 1 PM Show in the Hippodrome Judges – Darrell Vik and Danelle Beck Halter lots must be checked in at 8 AM, Monday, September 6 in the Hippodrome Premiums will be paid in halter classes with entry fees only. Banners and ribbons will be awarded. Halter lots may be combined depending on entries. REGISTRATION PAPERS REQUIRED

HALTER LOTS – BELGIANS ENTRY FEE HALTER LOT – PERCHERON 1. Weanling Stallions $ 9.00 20. Weanling Stallions $9.00 2. Yearling Stallions $ 9.00 21. Yearling Stallions $9.00 3. Two-Year-Old Stallion $ 9.00 22. Two-Year-Old Stallions $9.00 4. Three-Year-Old Stallions $ 9.00 23. Three-Year-Old Stallions $9.00 5. Aged Stallion, 4 yrs/over $ 9.00 24. Aged Stallion, 4 yrs/over $9.00 • Grand Champion Stallion No Fee • Grand Champion Stallion No Fee • Reserve Champion Stallion No Fee • Reserve Champion Stallion No Fee 6. Weanling Fillies $ 9.00 25. Weanling Fillies $9.00 7. Yearling Fillies $ 9.00 26. Yearling Fillies $9.00 8. Two-Year-Old Fillies $ 9.00 27. Two-Year-Old Fillies $9.00 9. Three-Year-Old Fillies $ 9.00 28. Three-Year-Old Fillies $9.00 10. Aged Mares 4 yrs./over $ 9.00 29. Aged Mares 4 yrs./over $9.00 • Grand Champion Mare No Fee • Grand Champion Mare No Fee • Reserve Champion Mare No Fee • Reserve Champion Mare No Fee 11. Weanling Geldings $ 9.00 30. Gelding 2 & Under $9.00 12. Yearling Geldings $ 9.00 31. Gelding 3 & Over $9.00 13. Two-Year-Old Geldings $ 9.00 • Grand Champion Gelding No Fee 14. Three-Year-Old Geldings $ 9.00 • Reserve Champion Gelding No Fee 15. Aged Geldings 4yrs/over $ 9.00 32. Best of Show No Fee • Grand Champion Gelding No Fee NOTE: 10 Minute Break • Reserve Champion Gelding No Fee 16. Mare and Foal $ 9.00 17. Produce of Dam $ 9.00 18. Get of Sire $ 9.00 19. Best of Show No Fee NOTE: 10 Minute Break

HALTER LOTS – GYPSY VANNER 33. Weanling Stallions $ 9.00 34. Yearling Stallions $ 9.00 35. Two-Year-Old Stallion $ 9.00 36. Three-Year-Old Stallions $ 9.00 37. Aged Stallion, 4 yrs./over $ 9.00 ⚫Grand Champion Stallion No Fee ⚫Reserve Champion Stallion No Fee 38. Weanling Fillies $ 9.00 39. Yearling Fillies $ 9.00 40. Two-Year-Old Fillies $ 9.00 41. Three-Year-Old Fillies $ 9.00 42. Aged Mares 4 yrs./over $ 9.00 ⚫ Grand Champion Mare No Fee ⚫ Reserve Champion Mare No Fee 43. Gelding 2 & Under $ 9.00 44. Gelding 3 & Over $ 9.00 ⚫ Grand Champion Gelding No Fee ⚫ Reserve Champion Gelding No Fee 45. Best of Show NOTE: 10 Minute Break

ALL DRAFT BREED HALTER LOTS – HORSE CAN NOT BE ENTERED IN BELGIAN OR GYPSY VANNER LOTS

46. Open All Draft Breeds - All Ages

SUPREME CHAMPION 47. Grand and Reserve Supreme Champion No Fee

YOUTH SHOWMANSHIP 48. Showmanship, 13 & under No Fee 49. Showmanship, 14 - 18 No Fee Note: 10 Minute Break

ALL BREEDS DRIVING PERFORMANCE

Premiums will be paid in Performance Classes. Ribbons will be awarded. Will have added prize money for performance classes.

GENERAL RULES 1. Hoses must never be left unattended while hitched to a vehicle, nor tied to another hitch’s vehicle. 2. All multiple hitches must have a groom in the vehicle. 3. All drivers under 12 years of age must be accompanied by an adult.

PERFORMANCE LOTS ENTRY FEE 50. Mens Draft Cart $13.00 51. Ladies Draft Cart $13.00 52. Open Draft Cart $13.00 53. Draft Six Up Hitch $13.00 54. Six Up Hitch, Light Horse, or Pony no Large Drafts $13.00 55. Mens Cart light Equine or pony over 56” $13.00 56. Ladies Cart light Equine or pony over 56” $13.00 57. Four Up Draft Hitch $13.00 58. Four Up Light Horse or Pony Hitch (No Large Drafts) $13.00

59. Ladies Single Mini horse or pony 56” & under $13.00 60. Men’s Single Mini horse or pony 56” & under $13.00 61. Draft Unicorn Hitch $13.00 62. Light Horse or Pony Unicorn Hitch (No Large Drafts) $13.00 63. Open Light Horse & Pony Cart (No Large Drafts) $13.00 64. Open Draft Team Hitch $13.00 65. Open Light Horse or Pony (No large Drafts) Team Hitch $13.00 66. Youth Team Hitch 12 yr and under $ 9.00 67. Youth Team Hitch 14 yr-18 yr $ 9.00 68. Youth Cart 13 yr -18 yr $ 9.00 69. Youth Cart 12 yr - under $ 9.00 70. Farm Team Hitch $13.00 71. Ladies Light Horse or Pony (No Large Drafts) Team Hitch $13.00 72. Mens Team Hitch Drafts $13.00 73. Mens Light Horse or Pony (No Large Drafts) Team Hitch $13.00 74. Team Obstacle $13.00 75. Single Obstacle $13.00 76. Team Cloverleaf $13.00 77. Single Cloverleaf $13.00 78. Team Poles $13.00 79. Single Poles $13.00

South Dakota State Fair 1060 3rd Street SW, Huron, SD 57350 605.353.7340 or 800.529.0900 • sdstatefair.com Draft Entries September 1-6, 2021 Complete one form per OWNER. Please print.

OWNER (as on registration papers): Name: ______Mailing Address: ______City: ______State: ___ Zip: ______Phone: ______Home or Cell E-mail address: ______PAYBACK TO (if not owner): Name: ______Mailing Address: ______City: ______State: ___ Zip: ______Phone: ______Home or Cell E-mail address: ______

Animal Information Horse’s Name: ______Reg.#: ______Sex:______Sire:______Dam:______Birth Year:______Class #’s: [______]______]______]______]______]______]______]______]______]______]

Exhibitor Showing______on behalf of Owner

Horse’s Name: ______Reg.#: ______Sex:______Sire:______Dam:______Birth Year:______Class #’s: [______]______]______]______]______]______]______]______]______]______]

Exhibitor Showing______on behalf of Owner

Horse’s Name: ______Reg.#: ______Sex:______Sire:______Dam:______Birth Year:______Class #’s: [______]______]______]______]______]______]______]______]______]______]

Exhibitor Showing______on behalf of Owner

Horse’s Name: ______Reg.#: ______Sex:______Sire:______Dam:______Birth Year:______Class #’s: [______]______]______]______]______]______]______]______]______]______]

Exhibitor Showing______on behalf of Owner

Entry Fees, Stalling, Admission Halter Classes: ______(# of classes) @ $9.00= $______Youth Performance Classes: ______(# of classes) @ $9.00= $______Open Performance Classes: ______(# of classes) @ $13.00= $______Stalls: ______(# of Stalls) x ______(# of Days) @ $15.00 = $______Shavings: ______(# of bags) @ $6.00 = $______Adult Weekly: ______(# of passes) @ $25.00 = $______Youth Weekly ______(# of passes) @ $15.00 = $______Weekly Value Pack (4 adult passes) ___ (# of passes) @ $80.00 = $ ______Feeding/Unloading Pass (1 per family) ______1____ @ $15.00 = $ ______Processing Fee (required) $5.00 Grand Total of Fees: $ ______Form of payment: _____ Cash ______Check ______Master Card ____ Visa 20 Card # ______- ______- ______- ______Exp. Date (Month/Year) ______/______CVV_____ Signature ______Date ______

WAIVER OF LIABILITY, IDENTIFICATION AND MEDICAL RELEASE

I am aware of the dangers involved in participating in the horse shows at the South Dakota State Fair.

On behalf of myself, my executors, administrators, heirs, next of kin, successors, and assigns, I hereby:

a. waive, release and discharge the South Dakota State Fair, the State of South Dakota and its officers, agents and employees from any and all liability for participant’s death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to participant and his/her estate; and

b. indemnify and hold harmless the South Dakota State Fair, the State of South Dakota, and its officers, agents and employees from and against any and all liabilities and claims made by other individuals or entities as a result of participant’s participation or actions during the activity or event or use of any State Fair facility.

c. certify that I am signing in the capacity of either agent or principle of any party with an interest in the horse(s) and will bind those parties to this agreement.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident or illness during this activity or event.

This release and waiver shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I, the undersigned participant, acknowledge that I have read and understand the above release.

Rider/Driver/Handler/Vaulter/Longeur Owner/Agent

Signature: ______Signature: ______

Print Name: ______Print Name: ______

Trainer

Signature: ______

Print Name: ______

Parent/Guardian Signature (required if Rider/Driver/Handler/Vaulter/Longeur is a minor): ______

Print Parent/Guardian Name: ______Emergency Contact Phone Number: ______