Horse Exhibitor & Participant Book 2021 - South Dakota State ...
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Horse Exhibitor
& Participant Book 2021
South Dakota State Fair
rd
1060 3 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.
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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
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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!
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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.
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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.
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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.
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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 ducks@santel.net
HEALTH PAPERS REQUIRED
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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.
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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
11RODNEY 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.
1213
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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
Cash Prizes & Trophy Tumblers
15DRAFT 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
16CLASSIC 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
17HALTER 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
1859. 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
19South 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 ___________________________21
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: ______________________
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