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Entry Form – Doubletree Fall 2019 HT/CT

Doubletree Fall 2019 HT/CT Entry Form
November 10, 2019 8:00am - 6:00pm
246 Meador Road
Cumberland, VA 23040
(804) 624-1142

THIS IS THE RAIN DATE FOR THE OCT 20th SHOW

Rider's Name:*

First

Last

Rider Date of Birth:*

Email address:*

Rider Phone Number:*

Emergency Contact Name:*

First

Last

Emergency Contact Phone:*

Horse's Name (as apperas on Coggins):*

Division Entered:*

Tadpole HT ($85.00) (poles on ground)

Tadepole CT ($65.00) (poles on ground)

Tadpole Stadium Round Only ($25.00) (poles on ground)

Green HT ($85.00) (18")

Green CT ($65.00) (18")

Green Stadium Round Only ($25.00) (18")

Advanced Green HT ($85.00) (2'3")

Advanced Green CT ($65.00) (2'3")

Advanced Green Stadium Round Only ($25.00) (2'3")

Beginner Novice HT ($85.00) (2'7")

Beginner Novice CT ($65.00) (2'7")

Beginner Novice Stadium Round Only ($25.00) (2'7")

Novice HT ($85.00) (2'11")

Novice CT ($65.00) (2'11")

Novice Stadium Round Only ($25.00) (2'11")

Training HT ($85.00) (3'3")

Training CT ($65.00) (3'3")

Training Stadium Round Only ($25.00) (3'3")

Preliminary CT ($65.00) (3'7")

Preliminary Stadium Round Only ($25.00) (3'7")

Leadline Dressage Test ($25.00)

Friday/Saturday Schooling ($25.00)

Dressage Only ($25.00 per test)

Horse/Rider Costume Contest (to be held throughout the day) ($10.00)

Dog Costume Class (to be held at 12:00pm) ($5.00)

How will you be paying? (Entries will only be assigned ride times upon receipt of payment)*

Paying Via Venmo (@Elizabeth-Brown-378)

Mailing check (see above note about ride time assignment)

Does your horse have a current Coggins:

YES

Please scan, and upload your current Coggins. If you do not upload your current Coggins, you will be required to supply it on the day of the show.

Upload your Coggins: (If not uploaded you must bring it with you)

Please download the waiver, sign, scan, and upload. If you do not upload the waiver you will be required to supply it on the day of the show. You can CLICK HERE to download the waiver.

Upload your Waiver: (If not uploaded you must bring it with you)

Dressage Only - enter name(s) of tests to be ridden:

Human Verification:

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Entry Form – Doubletree Fall 2019 HT/CT

Doubletree Fall 2019 HT/CT Entry FormNovember 10, 2019 8:00am - 6:00pm246 Meador RoadCumberland, VA 23040(804) 624-1142THIS IS THE RAIN DATE FOR THE OCT 20th SHOW

Doubletree Fall 2019 HT/CT Entry Form
November 10, 2019 8:00am - 6:00pm
246 Meador Road
Cumberland, VA 23040
(804) 624-1142

THIS IS THE RAIN DATE FOR THE OCT 20th SHOW