PHJASMALLPROGRAM Year End 2012

PHJA
9104 Tresanton Dr.
Charlotte, NC 28210
THANK YOU
to our generous Title Sponsors:
$2,000 Derby— Jim & Melode Burton
and The Tack Room
$250 Mini Prix— Palmetto Equine
$250 Beginner Rider Challenge—
Carolina Country Store
$250 Walk/Trot Challenge—
Britonne Saddle Savers
$100 Pleasure Challenge—
Carolina Country Acres
$2,000 Hunter Derby
$250 Mini Prix
$250 Micro Prix
Prizes for all Divisions
SCHJA & CEC Sanctioned
DOUBLE PHJA Points!!
Horse Show Officials
Congratulations!
To our beautiful
granddaughters.
Lindsey
And
Emilie
Judges................................................................................Eric Caleca
Linda Kanatzer
Lewis Pack
Michaela Young
Secretary..............................................................Janet Howard Black
Steward...........................................................................Kathryn Jolly
Lynn Conto (CEC)
Management & Course Design....................Kitt Murphy Kirchner
Farrier..........................................................................Harold Cassidy
EMT......................................Kershaw County Emergency Services
Stabling Reservations by Nov. 5th: Caroline Foto
704-649-5799 [email protected]
Show Fees
Mail or Fax Entries to: 704-887-9484
We love you
very much!
~ $25 late fee applies to entries received after Nov. 9th ~
NO EXCEPTIONS
Hunter, Equitation & Jumper Classes: $15
Classics & Challenges: $25
Micro & Mini Prix: $25
Hunter Derby: $75
Stall Fees: $75 - weekend
Jim and Melode
Burton
Shavings: $7.00 per bag
Grounds Fee: $25 - non stabled horses
Office Fee: $20
Non Showing Horse Fee: $10/day/horse
Best Child/Amateur Rider & Jumper Style Award: $5/entry
Horseless Horse Show: $5/class
Show Information
Stabling:
Permanent stalls with doors are available on a first come first
serve basis. Initial bedding not provided. Shavings available on site.
Please order shavings when reserving stalls.
Damage:
All owners and exhibitors shall be held responsible for any damage incurred by them, their agents or employees to buildings, stalls and
other properties on the show grounds, and shall be billed accordingly.
Refunds:
Full refunds will be given before 11/9/2012. After that date, stall
fees are not refundable. After the show starts, full refund will be given
minus fees for classes already held prior to notification to the horse show
secretary, whether exhibited or not. Scratches must be made in the horse
show office.
Schooling:
Schooling will be available after 3pm on Thursday in the Main
Hunter Ring. Schooling in Pony Ring and the Beginner/Jumper Ring will
be available for schooling on Thursday for hacking (jumping will be available if the rings are set). Pony Ring and the Beginner/Jumper Ring
schooling will be open all day Friday. Schooling on Friday in the Main
Hunter Ring will be available until 10am and then once the show is finished. Hacking only in the rings on show mornings.
Protective Headgear:
All exhibitors are required to wear properly fitting protective
headgear on the show grounds when mounted. Additionally, all exhibitors jumping must wear ASTM approved protective headgear with harness secured and properly fitted while mounted anywhere on the showgrounds. PHJA encourages all riders to wear protective headgear passing
or surpassing current applicable ASTM standards with harness secured
while riding anywhere on the show grounds. It is the responsibility of
the rider, parents, guardian, or trainer of the junior exhibitor to see to it
that the headgear worn complies with appropriate safety standards and is
properly fitted and in good condition.
Trainer Conflicts:
In order to keep the horse show running on time, the Main Hunter Ring
and the Pony Ring will NOT be held for trainer conflicts for flat classes.
Directions
I-20 to exit 101. Head south at top of ramp.
When road ends, turn left.
SCEP will be ahead on your left.
Hotel Info
Comfort Inn & Suites: 803-425-1010 Holiday Inn Express: 803-424-5000
Camden Colony Inn: 803-424-0206 Bloomsbury Inn: 803-432-5858
Camden House Bed & Breakfast: 803-713-1013
Thank You to our Division Champion
Prize Bucket Sponsors:
Walk/Trot—Winning Awards
Walk/Trot/Canter—Winning Awards
Beginner Rider—The Peppler Family
Short Stirrup—Jim & Karoline Burton
Long Stirrup—Country Haze Farm
Pony Hunter—J. Ryder
Modified Pre-Child Hunter—Beth & Bob Boyd
Pre-Child/Adult Hunter—Jim & Melode Burton
Children’s Hunter—Country Haze Farm
Adult Hunter—Warren & Ellen Holland
Junior/Amateur Hunter—Britonne Saddle Savers
Open Hunter—Waxhaw Tack Exchange
Green Hunter—Carolina Country Store
Progressive Jumper—Double R Farm
Hopeful Jumper—Collins Cleaners
Child/Adult Jumper—Plum Crazy Stables
Low Schooling Jumper—Carolina Country Store
Classics & Challenges:
The second round over fences in your division the first day will count as the
first round of your Classic. Your second round will be held the following day after
your two over fences classes. Exception: Green and Open Hunter Classics will be run
the same day. Challenges will be held on Sunday for the respective divisions or classes.
Cuts may be made in the larger divisions for the challenges and classics. You must be
entered in the entire division before it starts in order to be eligible for the classic or challenge.
Special Awards:
Best Child Rider on a Pony and Horse, Best Amateur Rider and the Jumper
Style Award. You must display the correctly colored arm band (available in the office).
Winners are decided by the judges and trophies will be awarded to each winner. Please
enter the appropriate class number on your entry form.
Class #400: Best Child Rider (Pony)
Class #600: Best Amateur Rider
Class #500: Best Child Rider (Horse)
Class #700: Jumper Style Award
THERE WILL BE NO UNJUDGED ROUNDS IN
ANY OF THE RINGS DURING THE SHOW!!
Saturday is PINK day at PHJA!
Support Hunt for the Cure by entering
the Hunt For the Cure Handy Hack
to be held Saturday morning.
Open to all riders, does not count against class maximum. Entries to be judged upon
handiness based on a series of tests administered at the discretion of the judge.
Wear your best pink show shirt Saturday,
a portion of class entries in
the $2,000 Hunter Derby
will also benefit HFTC.
Cider &
Emilie
*All proceeds to benefit the Susan G. Komen Foundation *
Stop by the HFTC tent for more information.
Maplegate Farm
Rob & Cathy Dow
Weddington, NC 704/589-6253
Congratulations to all our riders for a fun and successful 2012. Highlights: Five
riders qualifying and successfully competing in the NCHJA Medal Finals, Four
riders qualifying and competing in the SCHJA Governor’s Cup, NAL, WIHS, Zone
Finals, a fabulous 2 weeks in Blowing Rock, plus much more!!
An Awesome Pair!
Emilie, In spite of all the issues you had to deal
with this season, you managed a great year with
your sweet pony Cider (the pony with a “face” J).
We couldn’t be any more proud of you. We love you
so much!!! Mom, Dad, Mary & Jimmy XOXOXO
Calisto, Alex Dow
Alicia Wilkinson,
Lynn Morgan and Chelsea Dressler
2634 Crane Road, Waxhaw, NC 28173
(704) 301-9537
ASK THE JUDGE
with us on Friday night
Join us in the Pavilion
at 7:00 PM Friday night
For dinner
&
an open Q&A session with our judges & staff.
Open to all exhibitors and professionals,
this is the perfect opportunity to ask those questions you’ve
always wondered about.
Get to know your fellow exhibitors, and learn more about
PHJA and Hunt for the Cure!
Country Haze Farm
$2,000 PHJA HUNTER DERBY CLASSIC
Thanks to Jim & Melode Burton
and The Tack Room
$75 entry fee - Offered at 2’, 2’6”, 3’ Ribbons through 8th place
1st: $600, 2nd: $450, 3rd: $300, 4th: $225, 5th: $150, 6th: $110, 7th: $90, 8th: $75
Open to all riders. Lines set on horse step - will not to be adjusted for ponies.
Conveniently located in Indian Trail
15 min from Charlotte, Monroe and
Waxhaw.
Riding instruction tailored to each
individual skill level.
Beginner to Advanced
Hunt Seat/ Dressage/Eventing
Contact Deb Hayes
(704) 307-3223
Palmetto Equine Clinic
Dr. Sam Tetterton, DVM
952 Field Trial Road, Camden, SC 29020
(803) 432-9525
COLLINS CLEANERS
HIS STALL IS CLEAN; HOW ABOUT HIS CLOTHES?
When your ready to store your horse blankets for the summer have them professionally cleaned and packaged first.
FREE PICK UP &
 Anti-microbial detergent
 Environmentally friendly process
DELIVERY
 Extends the life of your blankets
We will schedule pickups
more than 20 miles outside
of charlotte.
Collins Cleaners @ Brookshire
5647 Brookshire Rd
Charlotte NC 28216
(704)398-1525
Located on Brookshire Blvd.
@ Oakdale Rd.
Dry Cleaning at it's best.
 Each blanket folded and placed in it’s own
 FREE storage bag
 Repairs available upon request
Pricing:




Heavy Winter $20.00 (fiber fill)
Light Winter
$15.00 (no fill)
Saddle Pads
$5 - $10.00
Waterproofing $15.00
Collins Cleaners @ Matthews
15080 Idlewild Rd
Matthews NC 28104
(704)882-4699
E-mail:
[email protected]
Special Rider Awards $5 entry fee ‐ prizes for each winner Winners will be chosen by the judges vo ng during the show all weekend. Riders must pick up their armband in the office and wear it when they show in order to be judged. Class #400 ‐ Best Child Rider on a Pony Class #500 ‐ Best Child Rider on a Horse Class #600 ‐ Best Amateur Rider Class #700 ‐ Jumper Style Award PIEDMONT HUNTER JUMPER ASSOCIATION
2012 APPLICATION FOR MEMBERSHIP
I hereby apply for membership for the year and enclose payment of $________________ for such.
Renewal
New Member
$25 Individual Year
Date: _______
$150 Individual Lifetime
$300 Family Lifetime (3 riders)
____
$65 Family Year (3 riders)
$35 Farm Year
Member Name: ______________________________________________________________
Farm Name:
_________________
Address: ___
_____________________
________________ ___ _________________________
Phone Number:
___
Email Address:
_____________
Birthday:
________________
__________________
__________________________
APPLICATION FOR HORSE REGISTRATION
$20 Horse Lifetime $10 Name Change $10 Transfer Ownership $10 Lease/year
Horse/Pony Show Name: _________________________________ Size: _________ H
Owner/Lessee Name: ___________________________________________________
Owner/Lessee Address: _________________________________________________
In order to earn points in any Hunter division, horse and owner must be registered.
Return registration form and check payable to PHJA to:
PHJA c/o 8107 Waxhaw Oaks Court, Waxhaw, NC 28173
SCHJA 2012 Application for Membership
I hereby apply for membership for the year and enclose payment of $________________ for such.
Renewal
New Member
Dues: $30 Senior
Date: _______
$25 Junior
$40 Farm
____
$260 Life
Member Name: ______________________________________________________________
Address: ___
Phone Number:
Email Address:
________________ ___ _________________________
___
_____________
Birthday:
__________________
________________
__________________________
HORSE RECORDING FORM
$25 Life $20 Transfer Ownership $15 Name Change $15 Lease*
*If registering a lease, horse must be current lifetime member. Include previous owner for Leases.
Horse
Camden Equine Circuit—2012 Board Members
Heather Stier, President
Lynn Conto, Vice President
Katrina Hutto, Secretary
Candi Cocks, Treasurer/Points
Rebecca Hudson, Member at Large
Pony Name: __________________________________________________
Foaled: _________ Sex: ____Color: ___________Height: _______Breed: __________
Markings (if any): _______________________________________________________
Sire: ____________________________ Dam: _______________________________
USEF/USHJA Measurement Card (if available): _______________________________
Owner Name: ____________________________________Phone: ________________
Address: _________________________City:______________ St:____ Zip: _________
Return registration and check payable to SCHJA to:
SCHJA, P.O. Box 1143, Columbia, SC 29202
PHJA Year-End Class Schedule
Horseless Horse Show
Saturday Night in the
Beginner Ring / $5 per class
FRIDAY
Main Hunter Ring - 11:00 am Start
1.
2.
3.
4.
5.
Warm Up 2, 2’6”, 3’
Open Hunter O/F2’,2’6”, 3’
Open Hunter O/F2’,2’6”, 3’ *
Open Hunter CLASSIC
Green Hunter O/F2’6”
6.
7.
8.
9.
Green Hunter O/F2’6” *
Green Hunter CLASSIC
Open Hunter U/S
Green Hunter U/S
SATURDAY
Main Hunter Ring
7:30 am Start
Pony Ring
8:00 am Start
800. CEC Medal Finals
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42. 200.
Hunt for the Cure Handy Hack
Warm Up (open all day)
CEC Schooling Hunter O/F 2’3”
CEC Schooling Hunter O/F 2’3”
CEC Schooling Hunter U/S
CEC Pre-Green Hunter O/F 2’3”
CEC Pre-Green Hunter O/F 2’3”
CEC Pre-Green Hunter U/S
PHJA Mod Pre-Child/Adult O/F 2’3”
PHJA Mod Pre-Child/Adult O’F 2’3” *
PHJA Modified Pre-Child/Adult U/S
CEC Open Hunter O/F 2’6”-2’9”
CEC Open Hunter O/F 2’6”-2’9”
CEC Open Hunter U/S
CEC Scholarship Handy Hunter 2’6”
CEC Pre-Child/Adult O/F 2’6”
CEC Pre-Child/Adult O/F 2’6”
CEC Pre-Child/Adult U/S
PHJA Pre-Child/Adult O/F 2’6”
PHJA Pre-Child/Adult O/F 2’6”*
PHJA Pre-Child/Adult U/S
PHJA Children’s Hunter O/F 2’9”
PHJA Children’s Hunter O/F 2’9” *
PHJA Children’s Hunter U/S
PHJA Adult Hunter O/F 2’9”
PHJA Adult Hunter O/F 2’9”*
PHJA Adult Hunter U/S
CEC Child/Adult Hunter O/F 2’9”
CEC Child Adult Hunter O/F 2’9”
CEC Child Adult U/S
PHJA Junior/Amateur Hunter O/F 3’
PHJA Junior/Amateur Hunter O/F 3’ *
PHJA Junior/Amateur Hunter U/S $2,000 Hunter Derby 2’, 2’6”, 3’
- Sponsored by The Tack Room and
Jim & Melode Burton -
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
Warm Up
PHJA Pony Hunter O/F 2’,2’3”, 2’6”
PHJA Pony Hunter O/F 2’, 2,3”, 2’6”*
PHJA Pony Hunter U/S
PHJA Short Stirrup Hunter O/F 2’
PHJA Short Stirrup Hunter O/F 2’ *
PHJA Short Stirrup Hunter U/S
CEC Short Stirrup Equitation O/F 2’
CEC Short Stirrup Hunter O/F 2’
CEC Short Stirrup Hunter O/F 2’
CEC Short Stirrup Equitation Flat
CEC Short Stirrup Hunter U/S
PHJA Long Stirrup Hunter O/F 2’
PHJA Long Stirrup Hunter O/F 2’ *
PHJA Long Stirrup Hunter U/S
CEC Long Stirrup Equitation O/F 2’
CEC Long Stirrup Hunter O/F 2’
CEC Long Stirrup Hunter O/F 2’
CEC Long Stirrup Equitation Flat
CEC Long Stirrup Hunter U/S
CEC Hunter O/F 2’3”
CEC Hunter O/F 2’3”
CEC Equitation O/F 2’3”
CEC Equitation Flat
CEC Hunter U/S
* Denotes first round of Classic.
You must be entered in the Classic in the
show office before this round is ridden in
order to receive a score.
See the Special Events Page for more
information on the $2,000 Hunter Derby
and our Special Rider Awards.
PHJA Year-End Class Schedule
SATURDAY
Continued
Jumper Ring
10:00 am Start
Covered Ring
to start at the conclusion of CEC Medal
Finals
68. Leadline
69. Walk/Trot Leadline
70. PHJA Walk/Trot/Canter Equitation
71. PHJA Walk/Trot/Canter Pleasure
72. PHJA Walk/Trot/Canter U/S
73. X-rail Warm Up
74. PHJA Beginner Rider O/F 18’
75. PHJA Beginner Rider O/F 18’*
76. PHJA Beginner Rider Flat
77. PHJA Walk/Trot Equitation
78. PHJA Walk/Trot Pleasure
79. PHJA Walk/Trot U/S
80. CEC Walk/Trot Equitation
81. CEC Walk/Trot Pleasure
82. CEC Walk/Trot U/S
83. Walk/Trot Poles
84. Walk/Trot Poles
85. Walk/Trot Poles
86. CEC Walk/Trot no diagonals Eq
87. CEC Walk/Trot no diagonals Pleasure
88. CEC Walk/Trot no diagonals U/S
89. CEC Walk/Trot/Canter Equitation
90. CEC Walk/Trot/Canter Pleasure
91. CEC Walk/Trot/Canter U/S
92. CEC X-rail Hunter O/F18”
93. CEC X-rail Hunter O/F 18”
94. CEC X-rail Equitation O/F 18”
95. CEC X-rail Equitation O/F 18”
96. CEC X-rail Hunter U/S
97. CEC X-rail Equitation Flat
98. Future Hunter O/F 18” verticals
99. Future Hunter O/F 18” verticals
100. Future Hunter U/S
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
111.
112.
113.
114.
115.
116.
117.
11 & Under Equitation O/F 2’3”
11 & Under Equitation Flat
12 -14 Equitation O/F 2’6”
12 – 14 Equitation Flat
Hopeful Jumper II2b 2’6”
Hopeful Jumper II2c 2’6”
Progressive Jumper II2b 2’6”
15-17 Equitation O/F 2’9”
15-17 Equitation Flat
SC Governor’s Cup
Low-Schooling Jumper II2b 2’9”-3’
Child/Adult Jumper II2b 3’
Child/Adult Jumper II2c 3’
Open Jumper II2b 3’6”
Open Jumper II2c 3’6”
High Open Jumper II2b 4’
High Open Jumper II2c 4’
CEC & PHJA Divisions are
EACH eligible for SCHJA
points.
Therefore, there will be
NO cross-entering
between CEC & PHJA
divisions.
PHJA Mid-Year Class Schedule
SUNDAY
Main Hunter Ring
7:30 am Start
Pony Ring
Start at the Conclusion of Medal Finals
300. PHJA PONY MEDAL FINALS
310. PHJA HORSE MEDAL FINALS
118.
119.
120.
121.
122.
123.
124.
125.
126.
127.
128.
129.
130.
131.
132.
133.
134.
135.
136.
137.
138.
139.
140.
141.
$100 Pleasure Challenge
Warm-up
PHJA Mod Pre-Child/Adult Eq O/F 2’3”
PHJA Mod Pre-Child/Adult Hu O/F 2’3”
PHJA Mod Pre-Child/Adult Hu O/F 2’3”
PHJA Mod Pre-Child/Adult Hu Classic
PHJA Mod Pre-Child/Adult Eq Flat
PHJA Pre-Child/Adult Eq O/F 2’6”
PHJA Pre-Child/Adult Hunter O/F 2’6”
PHJA Pre-Child/Adult Hunter O/F 2’6”
PHJA Pre-Child/Adult Hunter Classic
PHJA Pre-Child/Adult Eq Flat
PHJA Children’s Hunter O/F 2’9”
PHJA Children’s Hunter O/F 2’9”
PHJA Children’s Hunter Classic
PHJA Adult Equitation O/F 2’9”
PHJA Adult Hunter O/F 2’9”
PHJA Adult Hunter O/F 2’9”
PHJA Adult Hunter Classic
PHJA Adult Equitation Flat
Palmetto Jumior Medal
PHJA Junior/Amateur Hunter O/F 3’
PHJA Junior/Amateur Hunter O/F 3’
PHJA Junior/Amateur Hunter Classic
142.
143.
144.
145.
146.
147.
148.
149.
150.
151.
152.
153.
154.
155.
156.
157.
158.
Jumper Ring
Start at the Conclusion
of the Covered Ring schedule
Covered Ring
Start at the Conclusion of Medal Finals
159.
160.
161.
162.
163.
164.
165.
166.
167.
168.
169.
170.
171.
172.
173.
174.
175.
Leadline
Walk/Trot Leadline
Walk/Trot Equitation
Walk/Trot Pleasure
Walk/Trot U/S
$250 Walk/Trot Challenge
Walk/Trot Poles
Walk/Trot Poles
Walk/Trot Poles
Walk/Trot/Canter Equitation
Walk/Trot/Canter Pleasure
Walk/Trot/Canter U/S
$250 Walk/Trot/Canter Challenge
Warm-up
PHJA Beginner Rider O/F 18”
PHJA Beginner Rider O/F 18”
$250 Beginner Rider Challenge
Warm-up
Palmetto Pony Medal
PHJA Pony Eq O/F 2’,2’3”, 2’6”
PHJA Pony Hu O/F 2’,2’3”,2’6”
PHJA Pony Hu O/F 2’,2’3”,2’6”
PHJA Pony Hunter Classic
PHJA Pony Equitation Flat
PHJA Short Stirrup Eq O/F 2’
PHJA Short Stirrup Hunter O/F 2’
PHJA Short Stirrup Hunter O/F 2’
PHJA Short Stirrup Classic
PHJA Short Stirrup Equitation Flat
PHJA Long Stirrup Eq O/F 2’
PHJA Long Stirrup Hunter O/F 2’
PHJA Long Stirrup Hunter O/F 2’
PHJA Long Stirrup Classic
PHJA Long Stirrup Equitation Flat
176.
177.
178.
179.
180.
181.
182.
183.
184.
185.
186.
187.
Hopeful Jumper II2b 2’6”
Progressive Jumper II2b 2’6”
Progressive Jumper II2c 2’6”
$250 Micro Prix 2’6”
Low-Schooling Jumper II2b 2’9”-3’
Low-Schooling Jumper II2c 2’9”-3’
Child/Adult Jumper II2b 3’
$250 Mini Prix 3’
Open Jumper II2b 3’6”
Open Jumper II2c 3’6”
High Open Jumper II2b 4’
High Open Jumper II2c 4’
PIEDMONT HUNTER JUMPER ASSOCIATION
Entries must be received by Nov.9 at noon to avoid late fee.
INCLUDE COPY OF NEGATIVE COGGINS
Checks must accompany all entries to avoid late fee.
M ail entries along with checks payable to PHJA to:
9104 Tresanton Dr., Charlotte, NC 28210
Office Use
Only
YEAR End HORSE
H
SHOW
Nov 9--11, 2012
SC Equine Pa
ark - Camden, SC
HORSE NAME
class numbers go under name
CO GGINS
Fence Height for Division:
Check where
appropriate:
2'
Check where
appropriate:
2'
2'6"
3'
Horse/Pony Size:
S
Fence Height for Division:
2'6"
3'
OWNER'S NAME
M
L
Horse/Pony Size:
S
M
L
I AGREE T HAT AS AN ENT RY, I AM FULLY AWARE T HAT HORSE SPORT S AND T HE COMPE
ET IT ION INVOL VE INHERENT
DANGEROUS RI SK OF SERIOUS INJURY OR DEAT H, AND BY PART ICIPAT ING T HE UNDERSI GNE
ED EXPRE SSLY ASSUME ANY
AND ALL RI SKS OF INJURY OR LOSS, AND T HEY AGREE T O INDEMNIFY AND HOLD T HE PHJA, T HE
H COMPET IT ION, AND T HEIR
OFFICIAL, DIRE CT ORS, EMPLOYEES AND AGENT S HARMLE SS FROM AND AGAINST ALL CL
LAIM S INCLUDING FOR ANY
INJURY OR LOSS SUFFE RED IN CONNE CT ION WIT H SAID COMPET IT ION. T HE CONST RUCT ION
N AND APPLICAT ION OF PHJA
RULE S ARE GOVE RNED BY T HE ST AT E OF NORT H CAROLINA, AND ANY ACT ION INST IT UT ED AGAINST T HE PHJA MUST BE
FILED IN NORT H CAROLINA.
"I further agree that if any damage shall be occasioned or loss occur, by fire or otherwise, to the horses exh
hibited, or to any vehicle or other
article that I may send with such horses that I will make no claim therefore; and I further agree to hold thiis Show harmless from any claim
or demand of whatsoever that may be occasioned by the horse or horses exhibited by me, the negligence of the persons in charge of such
horses, and to repay the Show, on demand, all damages it may sustain by reason of any claim or demand ass aforesaid."
Only one owner per form. Please enclose copies
of negative coggins test for all horses entered.
Every horse on the grounds, showing or not,
must be officially entered with an entry form.
S tall fees due with entry to hold reservation.
RIDER'S NAME
ENTRY FEE
Rider Age:
Rider Age:
SUBTOTAL
Late Fee (after 11/9) $25
Stabling $75/weekend
Shavings ______ bags $7/bag
Grounds Fee $25/horse/day
Non-Showing Horse $10/day/horse
Office Fee $20/horse
TOTAL DUE
$
Rider Name:_____________________________
__________________________
Telephone: ____________________________
Email:_______________________________
X ________________________________
__________
__________________
Address: ______________
_________________
City/State/Zip: __________
__________________
Telephone: ____________
__________________
Email:_______________
__________________
X __________________________________
Owner's or Agent's Signature Required
Trainer's Signatture Required
Rider or Parent/Guardian Signature Required if under 18
Owner Name:
_______________________________
Address: _____________________________
City/State/Zip:
Trainer Name:
Address: _______________________________
___________________________
_____________________________
Email: ________________________________
X __________________________________
City/State/Zip:
Telephone: