2010 Associate Hunter Show Series

Rider Entry Form

Notes:
1) Fields shown in RED are mandatory
2) This form requires that you allow active content (i.e., scripts) to run. The scripts are used to validate required fields.
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Show Date:

Part I: Rider Information

First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip:
Phone #:	Note: This field will "auto tab"!
E-Mail:

Liability Release on file? Yes: No:

Note: If you have not signed a liability release, please print and sign the Release Form and bring it with you to the show.
ALL RIDERS MUST SUBMIT A SIGNED RELEASE FORM BEFORE THEY'RE ALLOWED TO COMPETE OR SCHOOL!

Rider Class: Adult: Child: If child then please enter age as of December 1st:

VHSA Membership Status:

Part II: Owner Information (if different from rider)

First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip:
Phone #:	Note: This field will "auto tab"!
E-mail:

Part III: Trainer Information (if different from owner and rider)

First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip:
Phone #:	Note: This field will "auto tab"!
E-mail:

Remember the above information.

Note: By checking the field above, your Rider, Owner and Trainer information is saved in your browser "cookies" cache.
This saves you the effort of reentering data that is unlikely to change between shows, and/or if you enter more than one mount
in a single show. In order for this feature to work, cookies must be allowed for this web site.

Part IV: Horse/Pony Information
Note: We do not keep Coggins information on file.

Horse/Pony Name:
Height:
Coggins Assession #:
Date Blood Drawn:
State:

Part V: Class Entry Selection (Check all classes that you want to enter)

Note: Classes $15.00 each , $20.00 fee for non-showing horses, Medals Classes $20.00.

Submit your entry:

		*Class List (Select by checking the box to the left of the class name):*
		Open Hunter Under Saddle
		Open Hunter Over Fences A (2' or 2'6")
		Open Hunter Over Fences B (2' or 2'6")

		Working Hunter Under Saddle
		Working Hunter Over Fences A (3' or 3'6")
		Working Hunter Over Fences B (3' or 3'6")

		Children's Medals (3')
		Adult Medals (3')

		Lead Line A, (Pony is Judged)
		Lead Line B, (Child is Judged)
		Lead Line C, (Pony and Child are Judged)

		Pre-Short Stirrup 1
		Pre-Short Stirrup 2
		Pre-Short Stirrup 3

		Beginning Equitation Under Saddle
		Beginning Equitation Over Fences, Course A
		Beginning Equitation Over Fences, Course B

		Hunter Short Stirrup Under Saddle (12 years old and under)
		Hunter Short Stirrup Over Fences, Course A (4 fences, 18")
		Hunter Short Stirrup Over Fences, Course B (4 fences, 18")

		Student Equitation Under Saddle
		Student Equitation Over Fences, Course A
		Student Equitation Over Fences, Course B

		Green Pony Hunter Under Saddle
		Green Pony Hunter Over Fences, Course A (S 2' or 2'3", M 2'3" or 2'6", L 2'6")
		Green Pony Hunter Over Fences, Course B (S 2' or 2'3", M 2'3" or 2'6", L 2'6")

		Pony Hunter Under Saddle (Split S/M/L as appropriate)
		Pony Hunter Over Fences, Course A (S 2' or 2'3", M 2'3" or 2'6", L 2'6")
		Pony Hunter Over Fences, Course B (S 2' or 2'3", M 2'3" or 2'6", L 2'6")

		Pony Equitation (S 2' or 2'3", M 2'3" or 2'6", L 2'6")
		Pony Medals (S 2'3", M 2'6", L 3')

		Pony Pleasure (W/T)
		Pony Pleasure (W/T/GAYP)
		Pony Pleasure (W/T/C)

		Child/Adult Horse Pleasure (W/T)
		Child/Adult Horse Pleasure (W/T/GAYP)
		Child/Adult Horse Pleasure (W/T/C)

		Low Hunters Under Saddle
		Low Hunters Over Fences, Course A
		Low Hunters Over Fences, Course B

		Green Hunters Under Saddle
		Green Hunters Over Fences, Course A
		Green Hunters Over Fences, Course B

		Children's Hunter Equitation (2'6")
		Adult Hunter Equitation (2'6")

		Child/Adult Hunter Under Saddle
		Child/Adult Hunter Over Fences A (8 Fences, 2'6")
		Child/Adult Hunter Over Fences B (8 Fences, 2'6")