Sunday, September 11, 2011

Jumper Show & XC Pace Entry Form

Entry Form                                    


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


Send completed and signed entry and check payable to Stone Gate LLC & mail to:
                                    E-mail:                                        Jackie Smith
                        Phone: 330-222-2089                                                     31407 Schneider Rd.
                        Website:                                                 Hanoverton, OH 44423

Please use separate form for each horse and indicate the class(es) you wish to enter below:

Home Phone:

City, State
Cell Phone:
Horse’s Name:

Division Order:
Mark Class #
Division Order
Mark Class #

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

Stabling: $25


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

No comments:

Post a Comment