Entry Form
NO WATCHES ALLOWED ON THE PACE
COURSE
Jumper
Classes: $10 / class pre-entry
$15/ class post entry
Cross
Country Pace: $20 pre-entry
(includes a practice round)
$25 / post entry
Additional
Pace Rounds: $10 each
Stabling: $25 ~ $20 (separate check) stall
cleaning deposit is required. Check will be destroyed is stall is left clean
Pre-Entries must be
received by Tues Oct 11th
Ribbons will
be awarded through 6th place at the end of each class.
ASTM/SEI Approved
Helmets are required while
mounted!
Safety Vests are required
for the Cross Country Pace
Medical armbands are
recommended & are required for Minors if a parent is not on grounds
NO PHONE ENTRIES!
Send completed and signed entry and check payable to
Stone Gate LLC & mail to:
Phone:
330-222-2089 31407
Schneider Rd.
Please use
separate form for each horse and indicate the class(es) you wish to enter
below:
Rider:
|
Home Phone:
|
Address:
City, State
|
Cell Phone:
|
Horse’s Name:
|
E-mail:
|
Division
Order:
|
Mark Class
#
|
Division
Order
|
Mark Class
#
|
Intro
|
|
Novice ~ max height 2’11”
|
|
1. Intro Jumper
|
|
10. Novice
Jumper
|
|
2. Intro Jumper
|
|
11.
Novice Jumper
|
|
3. Intro XC Pace
|
|
12. Novice XC Pace
|
|
Starter ~ max height 2’
|
|
Training ~ max height 3’3”
|
|
4. Starter Jumper
|
|
13.
Training Jumper
|
|
5.
Starter Jumper
|
|
14. Training Jumper
|
|
6. Starter XC Pace
|
|
15. Training XC Pace
|
|
Beginner Novice ~ max 2’7”
|
|
Preliminary
~ max height 3’7”
|
|
7.
Beginner Novice Jumper
|
|
16.
Preliminary Jumper
|
|
8. Beginner Novice Jumper
|
|
17.
Preliminary Jumper
|
|
9. Beginner Novice XC Pace
|
|
18. Preliminary XC Pace
|
|
RELEASE: I understand that this is a high
risk sport and I am participating at my own risk. I hereby assume this risk and further do
hereby release and hold harmless the Organizers & owners of the property
(Dave & Jackie Smith) Stone Gate LLC, its officers, trustees, members and
volunteers from all liability for negligence resulting in accidents, damage,
injury, death, or illness to myself and to my property, including the horse or
horses which I will ride at this event.
_________________________________________________________________ ____________________________
Rider’s Signature (parent or guardian if under
18) Date