Entry Form - Orange County Horse Council of NY- Horse Show & Expo-October 26, 2008

 

Coggins _______

 

Rider:

Youth  DOB

Horse Name

Entry number

Address:

 

City                                          State                  Zip

Rider Phone:

Trainer:

Phone:

Email:

Email:

 

Division

Classes   (Circle )

$10/class Pre-reg

$12/Class Day of

$5 Leadline Class

$10+ NYSHC Class

 

Owner (if different):__________________________________

 

Address:__________________________________________

 

_________________________________________________

 

Phone: ___________________________________________

 

E-mail:____________________________________________

 

 

In consideration of the acceptance of the foregoing entry, it is understood and agreed that I/we are aware of the risks and exposures to personal injury involved though horsemanship activities.  I/we hereby release Orange County Horse Council and Show Management from all and every claim for damage which may accrue to me or  the horse at any time hereafter in favor of myself, my heirs, representatives or dependents, against said entity, owners, or any matter, thing or conditions, negligence, or default whatever, and I/we hereby assume and accept full risk and danger of any hurt, injury, or damage which may occur through or reason of any matter, thing or conditions, negligence or default, and/or any person or persons whatsoever, in the exhibition sports, contest or any of them held or given by or under other direction of said entity.

 

Parent or Guardian MUST sign entry of a Minor Participant.

 

Rider Signature:____________________________________(Date)

 

Owner Signature:____________________________________(Date)

 

Parent/ Guardian Signature:____________________________________(Date)

 

Make Checks Payable to Orange County Horse Council

Include copy of 2008 Coggins & Rabies

 

Mail Entries to:

Robin DeMaio

218 Phillipsburgh Road

Goshen, NY 10924

 

 

Check # ________ Cash   ________Initials_________

English

 

 

 

 

 

Jumpers

NYSHC*

41

42

43

44*

($10+)

 

Walk-Trot (English)

14

15

16

 

 

Beg. Equitation

17

18

19

 

 

Short/Long Stirrup

20

21

22

23

 

C/A Equitation

24

25

26

 

 

Beg. Hunter

31

32

33

 

 

Open Equitation

34

35

36

 

 

Open Hunter

NYSHC*

37

38

39*

($10+)

40*

($10+)

 

Pleasure

NYSHC*

27

28

29

30*

($10+)

 

Western

 

 

 

 

 

Leadline (Eng/West)

Eng

10

Eng

11

Wes

12

Wes

13

 

Walk/Jog

48

52

56

61

67

 

Novice

47

51

55

60

66

 

Junior

46

50

54

59

65

 

Open

45

49

53

58

64

 

Gymkhana

 

 

Junior

1

4

6

8

 

Senior

2

5

7

9

 

NYSHC Barrels

3

($10+)

 

 

Cowboy Versatility

69

 

Driving

57

62

63

 

 

Costume

68

 

 

Total Class Fees

 

 

Office Fee

$5.00

 

Stall Rental & Deposit

$50.00

 

Stall Deposit (Refundable after stall is cleaned out)

($25.00)

 

Total Due