Entry Complete

 

Office Use Only

Signatures

 

Coggins Test

 

Class Fees  Pre Entry $12.00 /

Post entry $15.00

$

Entry #

EMT Fee

$5.00

Schooling Fee $5/ session

$

TOTAL

$

   

                2008

                    ENTRY FORM

                    HOPEFUL HUNTER SHOW SERIES

                    START TIME

                    8:00 AM SHARP

                        

 

   

__  April 5  ~ Tomorrow’s Dream Farm           

__  May 10  ~ Top Notch Farms    

__  June 28  ~ Blue Goose Stable, LLC        

__  Sept 20 ~ Breaking Point Stable, LLC           

__   November 2 ~ Thorncroft Equestrian Center             

 

Warm Up Open Green Low Handy Medium Schooling Hunter
1; 2; 3; 4:  5:  6: 7:  8:  9:  10;  11:  12:  13:  14:  15;  16:  17;  18 19:  20:  21
               
Open English Low & Slow Leadline Beginner Jr Mini-Short Short Stirrup Equitation  
22;  23;  24  25  26  27  28  29    30  31   32  33  34   35  36  37  38  

Realease: I understand that horseback riding is a high risk activity and am participating at my own risk.  I hereby assume the risk and further do hereby release and hold harmless the organizer, organizing committee, officials, officers, agents, employees, volunteers, the host of this event , and the owners of the property on which it is held from all liability for negligence resulting in accidents, damage, theft, injury or illness to myself, my child, / ward ( if parent or guardian of rider) and to my property, including the horse or horses that I will ride at this activity.

________________________     ___________________________   _____________________    _____________________

Signature of rider                            Signature of parent/guardian if under 18      Signature of owner                         Signature of Trainer

 

 

Horses Name: ________________________________________________Color ___________  Age:____

 

Breed:____________    Height:_________ Sex::   M / G / S   I am a Jr. Rider / Adult Rider (circle one)

 

Riders Name: _____________________________________    Date of Birth:_____________________

 

Address: __________________________________________________________________________

 

City: _______________________________________ State: ______________ Zip: ______________

 

Telephone #______________________________ Fax: ___________________ Email:______________

 

Barn Name: ________________________________   Trainer Name:____________________________

 

Rider’s Awards Program Number: ______________