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Horse Exhibit Premium Book 2017 August 31 – September 4

Publications title and number: South Dakota State Fair 2017 Horse Premium Book Issue Date: July 2017 Statement of Frequency: Published Annually Authorized Organizations: South Dakota State Fair Name and Address: 1060 3rd St. SW, Huron, SD 57350 Page: 2 General Index

Draft Horse- Belgian, Percheron, Clydesdale 5 Trick Riding 6 7 8 Barrels Gone Wild () 9-10 Sheep Dog Trials 11 SD State Fair Timed Event Championship 11 Rodney Yost Horsemanship Demonstration 12 Team Penning 13 Team Sorting 13 Ranch Rodeo 14 Entry Form for Draft 15 Waiver (MUST BE SIGNED BEFORE UNLOADING) 16

GENERAL INFORMATION STATE FAIRGROUNDS

The State Fairgrounds comprise 180.5 acres eight blocks from the business center of the City of Huron.

ADMISSIONS

Adult Daily Pass – $ 6 Adult Weekly Pass– $25 Children (6 – 15) Daily Pass– $ 4 Children (6 – 15) Weekly Pass- $15 5 years of age and under FREE Daily Family Value Pack - $20 Weekly Value Pack (4 passes) - $80 Feeding/unloading Pass $15

EXHIBIT BUILDINGS Open Daily — 9:00 A.M. to 8:00 P.M.

GATE LOCATIONS Gate 1 - 6th Street & Michigan Avenue Gate 2 - 5th Street & Nevada Avenue Gate 3 - 3rd Street & Nevada Avenue Gate 4 - Center Street & Nevada Avenue Gate 6 - Center Street & Lincoln Avenue Gate 7 - 3rd Street & Lincoln Avenue Gate 8 - 4th Street & Lincoln Avenue Page: 3 security number or federal tax ID number. Entries must be accompanied by Department 110 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 HORSE by telephone. Competition Open to World Superintendent: Michela Duxbury, SD 3. Please send copies of registration papers, membership cards with entries. The name of owner/owners as assigned on entry blank must correspond and Show Judging Schedule 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 Wednesday, August 30 should it prove to be otherwise, premiums awarded to them will be forfeited. NORTH ARENA Team Sorting 10:00 a.m. 4 .Exhibits which have been erroneously entered may, at the discretion of the Thursday, August 31 superintendent, be transferred to their proper class prior to judging. If such HIPPODROME classes have been judged, they shall not be re-judged. SD Stock Dog Association Ranch, Open and Intermediate Classes 10:00 a.m. 5 .ENTRY PROCEDURE: PLEASE SEND THE DESIGNATED ENTRY SD Stock Dog Association Intermediate Finals BLANK; COPIES OF REGISTRATION PAPERS AND MEMBERSHIP 4:00 p.m. CARDS AS REQUESTED; W-9 AND WAIVER OF LIABILIITY AFFAVIDIT; Make-A-Wish Trained Border Collie Auction STALL RESERVATION INFORMATION AND ENCLOSE ALL 5:00 p.m. APPLICABLE FEES. MAIL IN ENVELOPE MARKED “HORSE DEPT” Mutton Busting Remix AND THE BREED ENTERED TO SD STATE FAIR. POST ENTRIES WILL 5:30 p.m. BE ACCEPTED TWO CLASSES BEFORE CLASS BEING ENTERED. SD Stock Dog Association Open Finals The name of the exhibitor as printed on entry blank and fee sheet 6:30 p.m. must correspond and be the same name as on breed registration NORTH ARENA papers and must correspond with SSN or tax ID number Team Penning 10:00 a.m. 6. STALLING INFORMATION Friday, September 1 Stall Fees: $15/stall/day for all events excluding Timed Event & Draft Horse SOUTH OF HIPPODROME participants. Rodney Yost Horsemanship Demonstration 11:00 a.m. to 2:00 p.m Timed Event participants: $20/stall/day (includes 1 bag of shavings for HIPPODROME each stall) Team Roping 10:00 a.m. Draft Horse Stalling: Thursday-Sunday $15/stall; Monday $15/stall NORTH ARENA Shavings: $6/bag- each stall required to have at least 1 bag of shavings. Cowboy Mounted Shooting 1:00 p.m. There will be a stalling chart in the show office. Check with show Saturday, September 2 office for stall assignment and to have them unlocked. If arriving late SOUTH OF HIPPODROME contact show office for arrangements. Rodney Yost Horsemanship Demonstration 9:00 a.m. to 12:00 p.m. HIPPODROME 7. Stall bedding is the responsibility of the exhibitor. SD State Fair has Barrels Gone Wild (Barrel Racing Event) 1:00 p.m. bagged wood chips available for purchase. Straw is not allowed for Kids Stick Horse Competition 5:00 p.m. bedding. If you plan to arrive late in the evening, please be prepared to bring NORTH ARENA bedding with you as the Feed and Forage barn will be closed during the Timed Event Championship Rodeo 10:00 a.m. night.

Sunday, September 3 REFUND POLICY: HIPPODROME 8. A written request for entry fee and/or stall refund is needed before August Ranch Rodeo 11:00 a.m. 9th. A written request must be accompanied by a veterinarian’s signature NORTH ARENA after August 9th and prior to show. Timed Event Championship Rodeo 10:00 a.m. Trick Riding (New Event) 3:30 p.m. 9. Check stall assignments, entries and show schedule with superintendent upon arrival and before unloading horses. Monday, September 4 HIPPODROME 10. There is no limit on the number of head entered in each class by a Draft Horse Halter Classes 10:00 a.m. single exhibitor, except as specified by breed organizations. Draft Horse Driving Classes 1:00 p.m 11. 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 SPECIAL RULES was owned by exhibitor at the time entries closed. 1. ENTRIES can be mailed to the State Fair office @ 1060 3rd Street SW., Huron South Dakota 57350. 12. Exhibitors of livestock must inform themselves when their stock will be Mark envelope Horse Show entries when mailing your entries judged. Stock must be in the show ring promptly after being called. Judging NOTE: Entry fees are listed under each breed class. schedule is subject to change.

2. Entries must be made upon the printed entry forms, which may be secured 13. January 1 will be the date for computing age. Horses must be owned by from the State Fair Office and must show the class and lot numbers. the the exhibitor from the time of making entries. name, registry number, date of birth, sex, of each animal. Incomplete entries will be rejected. Entries must give exhibitor’s name and address, social Page: 4 14. All persons will be required to purchase admittance wrist bands for the time they are on the Fairgrounds. No vehicles can be driven on the grounds between 9 a.m. and 6 p.m. Vehicles must remain parked at the trailers during this time period.

15. Hippodrome Arena will be used for several events at specified times. No PREMIUM AWARDS horses will be permitted in the Arena at time of these scheduled events. The premium money in each lot where applicable will be paid on the following sliding scale. MUST BE A MINIMUM OF THREE PER CLASS 16. Trucks and trailers with a State Fair unloading permit will be allowed FOR PREMIUM PAYOUT. onto the grounds to unload and then MUST park in the designated parking 1 2 3 4 5 6 areas. 3 to 6 horses showing - $23 $15 $10 Ribbon Ribbon Ribbon 17. Any breed not having three or more exhibitors and showing less than 15 animals in all may be taken out of premium book next year. 7 to 10 horses showing – $38 $30 $23 $15 $8 Ribbon 18. 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 11 or more horses showing - contacting either the State Fair Office or the building superintendent. $53 $45 $38 $30 $23 Ribbon

19. All dogs accompanying exhibitors must be left at the trailer.

20. STATE REGULATIONS PROHIBIT SMOKING in ALL STATE OWNED FACILITIES KIDS STICK HORSE . * * * * NEW HEALTH REGULATIONS* * * * COMPETITION A completed Certificate of Veterinary Inspection, listing individual animal SATURDAY, September 2 official identification must accompany all animals exhibited at the South Following the barrel racing in the Dakota State Fair. The Certificate of Veterinary Inspection must be issued Hippodrome 5:00 p.m. within 30 days of Fair entry. The consignee must be listed as: South Dakota

State Fair, 1060 3rd St. SW Huron, SD 57350 Contest Rules:  Exhibitors must have a separate Certificate of Veterinary Inspection (CVI) for each species of animal exhibited. 1. All kids up to age 8 are eligible to compete. Two age groups – 5 & under / 6-8 years old  Exhibitors with animals entering the State Fairgrounds between 7AM and 10PM must present a CVI to a representative of the 2. Bring your own stick horse!! Get him cleaned and shined up. South Dakota Animal Industry Board (AIB) at the gate. This CVI Wear your fanciest Western outfit. Prizes awarded for best is retained by the exhibitor and given to the show superintendent dressed cowgirl & cowboy. when the exhibitor receives stall assignments.  Stall assignment information should be written on the CVI. 3. Classes to be held: A.  Place the CVI in a designated collection area. B. Barrel Race Animals must be free of signs of communicable and infectious disease at the time of entry onto the Fairgrounds. Any determination of the health 4. Sign up in the Hippodrome Office between 4:00 to 5:00 p.m. status of an animal will be at the discretion of the State Veterinarian or official on Saturday, September 2, 2017. representative. 5. Stick horses will be provided to those without a mount Horses originating from outside the state of South Dakota must have a but we encourage you to bring your own stick horse. 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

Page: 5 ++10 Minute Break++ Halter Lots – Percheron 20. Weanling Stallions $9.00 21. Yearling Stallions $9.00 22. Two Year Old Stallions $9.00 23. Three Year Old Stallions $9.00 CLASSIC 6 DRAFT HORSE SHOW 24. Aged Stallion, 4 yrs/over $9.00 Grand Champion Stallion No Fee CLASS 1 Reserve Champion Stallion No Fee BELGIAN, PERCHERON, 25. Weanling Fillies $9.00 26. Yearling Fillies $9.00 CLYDESDALE & OPEN 27. Two Year Old Fillies $9.00 28. Three Year Old Fillies $9.00 CLASSES 29. Aged Mares 4 yrs/over $9.00 Trophy for "best horse of show" given in memory of Julie DuMarias Grand Champion Mare No Fee who won this award five times. Trophy provided by Tony and Brenda Reserve Champion Mare No Fee Miller. 30. Gelding 2 & Under $9.00 31. Gelding 3 & Over $9.00 South Dakota State Fair is the designated qualifying show for the Grand Champion Gelding No Fee Belgian Draft Horse Corp of America Merit program. Reserve Champion Gelding No Fee South Dakota State Fair is the qualifying Show for the "All 32. Best of Show No Fee American" contest sponsored by the Draft Horse Journal and the ++ 10 Minute Break++ Belgian Draft Horse Corp. HALTER LOTS - Clydesdale The Belgian Draft Horse Corp will provide certificates to all Junior 33. Weanling Stallions $ 9.00 entrants in both halter and driving. 34. Yearling Stallions $ 9.00 35. Two Year Old Stallion $ 9.00 Stall Fee – Monday only $15 per stall 36. Three Year Old Stallions $ 9.00 If you are going to stall all week (Thursday- Monday) each stall will be $30 37. Aged Stallion, 4 yrs/over $ 9.00 Any questions about stalls contact Michela Duxbury @ (605) 354-1633 Grand Champion Stallion No fee Monday, September 4 Reserve Champion Stallion No fee Halter Classes at 10:00 a.m. ---Driving Classes at 1:00 p.m. 38. Weanling Fillies $ 9.00 Show in the Hippodrome 39. Yearling Fillies $ 9.00 Judge – TBA 40. Two Year Old Fillies $ 9.00 Horses may arrive Sunday. September 4th after 6 pm 41. Three Year Old Fillies $ 9.00 Halter lots must be checked in at 8:00 a.m., Monday, September 4th In the 42. Aged Mares 4 yrs/over $ 9.00 Hippodrome. Grand Champion Mare No fee

Reserve Champion Mare No fee PREMIUMS WILL BE PAID IN HALTER CLASSES WITH ENTRY FEES 43. Gelding 2 & Under $ 9.00 ONLY. BANNERS AND RIBBONS WILL BE AWARDED. 44. Gelding 3 & Over $ 9.00 Halter lots may be combined depending on entries Grand Champion Gelding No fee REGISTRATION PAPERS REQUIRED Reserve Champion Gelding No fee HALTER LOTS - Belgians ENTRY FEE 45. Best of Show No fee 1. Weanling Stallions $ 9.00 ++10 Minute Break++ 2. Yearling Stallions $ 9.00 46. Grade Mares, All Ages $ 9.00 3. Two Year Old Stallion $ 9.00 47. Grade Geldings, All Ages $ 9.00 4. Three Year Old Stallions $ 9.00 48. Showmanship, 13 & under No Fee 5. Aged Stallion, 4 yrs/over $ 9.00 49. Showmanship, 14 - 18 No Fee Grand Champion Stallion No fee ++10 Minute Break++ Reserve Champion Stallion No fee

6. Weanling Fillies $ 9.00 PREMIUMS WILL BE PAID IN PERFORMANCE CLASSES. RIBBONS 7. Yearling Fillies $ 9.00 WILL BE AWARDED. WILL HAVE ADDED PRIZE MONEY FOR 8. Two Year Old Fillies $ 9.00 PERFORMANCE CLASSES. 9. Three Year Old Fillies $ 9.00 SPECIAL RULES 10. Aged Mares 4 yrs/over $ 9.00 1. Horses must never be left unattended while hitched Grand Champion Mare No fee to a vehicle. Reserve Champion Mare No fee 2. All multiple hitches must have a groom in the vehicle. 11. Weanling Geldings $ 9.00 3. All drivers under 14 years of age must be accompanied by an 12. Yearling Geldings $ 9.00 adult. 13. Two Year Old Geldings $ 9.00 Draft Horse Performance (Driving) Classes. & Light Horse Driving 14. Three Year Old Geldings $ 9.00 PERFORMANCE LOTS ENTRY FEE 15. Aged Geldings 4yrs/over $ 9.00 50. Six Horse Hitch $ 13.00 Grand Champion Gelding No fee 51. Farm Hitch $ 13.00 Reserve Champion Gelding No fee 52. Four Horse Hitch $ 13.00 16. Mare and Foal $ 9.00 53. Serpentine (timed event) $ 13.00 17. Produce of Dam $ 9.00 54. Unicorn Hitch $ 13.00 18. Get of Sire $ 9.00 55. Cloverleaf (timed event) $ 13.00 19. Best of Show No fee Page: 6 56. Team Hitch $ 13.00 57. Team Driving, Youth 14 & Over $ 9.00 58. Team Driving, Youth 13 & under $ 9.00 59. Obstacle Team Driving $ 13.00 60. Single Horse Cart - $ 13.00 61. Single Horse Cart - Open $ 13.00 62. Single Horse Cart $ 13.00 63. Single Horse Cart $ 13.00

Exhibitors DO NOT NEED a release for Trick Riding horses when leaving the show grounds. North Arena Sunday, September 3, 2017 at 3:30 pm HORSES SHOULD ENTER THE FAIRGROUNDS AT THE NORTHEAST GATE. APPROPRIATE HEALTH PAPERS ARE REQUIRED. Candice Aamot is the 9yo daughter of

Bjorn and Anne Aamot of rural DeSmet, SD. She has been trick riding NO SMOKING IN STATE FAIR BUILDINGS. for 2 years and has taken lessons with

Professional Trick Riders Madison ALL DOGS ACCOMPANYING EXHIBITORS MUST MacDonald and Roz Beaton. Candice BE LEFT AT THE TRAILER

has performed at the Tri State Horse

Expo, Willow Creek Rodeo Bible Camp, and Estelline Rodeo. She has

also competed in two trick riding

competitions. One in Rapid City, SD

and another in Carthage, Mo. Candice Rodney Yost competes on her buckskin horse

Dusty and white pony Jewel. She is Horsemanship thrilled to be showcasing trick riding

at the South Dakota State Fair and Demonstration hopes you enjoy the show.

South of the Hippodrome Friday, September 1, 2017-11:00 am to 2:00 pm Saturday, September 2, 2017-9:00 am to 12:00 pm

See page 11 for more information.

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South Dakota State Fair

CMSA Sanctioned Cowboy Mounted Shooting

Friday, September 1, 2017 1:00 p.m. In the North Arena

ADDED MONEY

$500 Guaranteed

CMSA Double Points

- 4 Stage Pistol - 2 Stage Rifle

Shooters Meeting @ 12:30 pm More Information Visit: www.daktms.com or www.dakotarunningirons.webs.com

Questions Contact: Brett Borkowski (605) 280-7630

HEALTH PAPERS are REQUIRED Page: 10

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South Dakota State Fair

Timed Event Championship Rodeo

Sponsored in part by: Iverson Featherlite Producers Hybrids Double D Panhandle Slim

Saturday, September 2, 2017 10:00 a.m. Sunday, September 3, 2017 10:00 a.m. In the North Arena

Questions Contact: Steven Birkholtz (605) 625-3437 Contact: Jason Edleman (605) 352-2842

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

Entries due August, 1st 2017

HEALTH PAPERS are REQUIRED

South Dakota State Fair Sheepdog Trial Thursday, August 31, 2017 Rancher Class Meeting at 8:00 a.m. In the Hippodrome Questions Contact: Tim Naasz 605-337-3503 or e-mail - [email protected]

Entry application: www.southdakotastockdog.com

HEALTH PAPERS are REQUIRED Page: 13

RODNEY YOST HORSEMANSHIP South of the Hippodrome Friday, September 1, 2017- 11:00 a.m. to 2:00 p.m. Saturday, September 2, 2017- 9:00 a.m. to 12:00 p.m.

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 5-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 natural 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.

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South Dakota State Fair

Team Sorting & Penning Jackpot

Sponsored in part by: Garbe Cattle & Gravel

Olinger Trucking

Team Sorting: Wednesday, August 30, 2017 10 a.m. Team Penning: Thursday, August 31, 2017 10 a.m. Registration 9 a.m., office closes at 9:30 a.m. In the North Arena

ADDED MONEY $500 Guaranteed in Team Sorting $500 Guaranteed in Team Penning Payout 60%

Entry Fee $30 per man, per run 4 Run Limit Pick 2 Draw 2 Pick 1 Draw 1 Draw All 4 USTPA Rules No Trash Rules, Fresh Beef Cattle

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

HEALTH PAPERS are 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 Michela Duxbury @ (605) 354 -1633 or in Hippodrome Office the day of event

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Page: 16 South Dakota State Fair 890 3rd Street SW, Huron, SD 57350 (605) 353-7340 or (800) 529-0900 www.sdstatefair.com Draft Entries August 31-September 4, 2017 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) $2.00 Grand Total of Fees: $ ______Form of payment: _____ Cash ______Check ______Master Card ____ Visa Card # ______- ______- ______- ______Exp. Date (Month/Year) ______/______CVV_____ Signature ______Date ______

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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/ Owner/Agent Trainer Vaulter/Longeur

Signature:______Signature:______Signature:______

Print Name:______Print Name:______Print Name:______

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

Print Parent/Guardian Name:______Emergency Contact Phone No.______