Before mailing your entry, please : | Mail completed entries to: | |
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Debbie Ernest | ||
8356 Forest Drive | ||
Pasadena, MD 21122 | ||
Questions?
Call the barn (410) 255-3918 or e-mail the show secretary at: wernest@erols.comHorse: | Show Date: | |
Rider: | Age (under 18): | Phone: |
Address: | City: | |
State: | Zip: | E-Mail: |
Dressage Only: ($20.00/per test) | ||
Introductory Test 1 _______ | Training Level 1 _______ | Training Level 3 _______ |
Introductory Test 2 _______ | Training Level 2 _______ | Training Level 4 _______ |
First Level Test 1 _______ | First Level Test 3 _______ | First Level MFS _______ |
First Level Test 2 _______ | First Level Test 4 _______ | |
Combined Test: ($35.00/division) | ||
Introductory _______ Baby Novice _______ Pre-Novice _______ Novice _______ | ||
Late Fee ($5.00) _________ TOTAL FEES: _______ | ||
** Are you bringing a trailer larger than 2-horse? ________________ |
I/We recognize that there are inherent risks and dangers relating to horses and horse shows. In consideration of Dun-Pikin Farm accepting our application to participate in this show, we hereby agree to assume all risks associated therewith and do hereby release and agree to indemnify and hold harmless Dun-Pikin Farm, its agents, servants, and employees, for all causes of action, including negligence, which may accrue as a result of any damage or injury to me, us or our property
.Signature:__________________________________________Entrant/Rider Date: __________
(Parent/Guardian signature if under 18 years)
Emergency Contact: _____________________________________Phone: ____________________
Relationship to Participant: ________________________________
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