Jumper Show & XC Pace Entry Form

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 11^th

Ribbons will be awarded through 6^th 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:

                                    E-mail: organizer@stonegatefarm.org                                        Jackie Smith

                        Phone: 330-222-2089                                                     31407 Schneider Rd.

                        Website: www.stonegatefarm.org                                                 Hanoverton, OH 44423

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

Stabling: $25

Total:

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.

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Rider’s Signature (parent or guardian if under 18)                                                  Date