Current date is: 2012-10-04
Late Fee applied after: 2012-07-29
Entry Form MAIL IN Payment
for August 5, 2012 CT
- Please submit one for each entry per horse/rider combination.
- Please complete all fields and submit. Your entry will be submitted online, then you need to mail your check as per instructions
below.
- Check the website for entry status. Times will be available the Wednesday
before the show.
- Shaded fields with * are required fields.
- You will receive a copy of the your entry to the email you provide.
Owner/Rider Information
Rider Status
This helps us with placing entrants into a division and designation for
special awards. Check all that apply.
Eligibility limited to horse and/or rider not having shown at a level above
the level being entered.
Junior
(18 & Under)
Professional
Active Pony Club
Member:
Horse Info
Horse's Show Name
Coggins Ascession Number:
/ Date Drawn:
You can upload your coggins at the end or mail or email it separately.
Combined Test Divisions
Level |
Not
Selected |
Regular
Entry Fee $60 |
PC
Entry Fee $50 |
Eligibility for CT Divisions (check one or both if you are eligible)
Horse
Rider
Dressage Schooling Rounds:
$30 each. (Second of any duplicate tests to be ridden HC). Dressage only tests ridden instead of CT, or in addition to CT dressage if CT division is selected.
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Stadium Jumping Schooling Rounds
$20 each round, unjudged only. ("Two Rounds" means you will do 2 rounds at that level)
NOTE: If competing in CT, then jumping schooling rounds to be at CT level or higher
Summary
Electronic Signature:
I understand that this is a high risk sport and I am participating at my own risk. I hereby assume this risk and further hereby release and hold harmless Middleburg Orange County Pony Club, its officers, members, volunteers, show committee members and volunteers, and judges, as well as the owners, leasers and/or managers of Glenwood Park from all liability for negligence resulting in accident, damage, injury, or illness to myself and to my property, including the horse or horses which I will be participating with at this event.
Paying For::
Submit then Mail In Payment
Late Registration Fee: $
(automatically assigned after July 29, 2012)