Fieldstone Farm Show Entry

Show Date: 9/25/11 Start Time: 9:00 AM

Horse:                                                                                                                      

Rider of Horse:                                                                                               Rider Age:                    

Address                                                                                                                                                        

Phone:                                                          E-Mail:                                                                                 

Please fill in class number you would like to enter with the above horse only. If trailering in: attach horse’s coggins and check to entry form. Mail to: Fieldstone Farm; 31746 Collegeville Rd.; Saint Joseph, MN 56374. Email scsu_eqteam@hotmail.com or fieldstonefarmmn@qwestoffice.net with questions.

Class numbers:                      Fees:                    

                                                                                     

                                                                                     

                                                                                     

                                                                                      

 

 

 

 

Day Stall? Yes/No                                   

Office Fee $3                                              

Total Fees:                                  

Fees: $5.00 per class on your own horse

$7.00 per class on a school horse

$25.00 per day stall

1. WT Equitation 18+ 11. Ride-a-Buck 11-17
2. WT Equitation 11-17 12. Ride-a-Buck 18+
3. WTC Equitation 11-17 13. WT Equitation 10 and under
4. Beginner WTC Equitation 18+ 14. Ride-a-Buck 10 and under
5. Advanced WTC Equitation 18+ 15. Egg & Spoon 10 and under
6. Equitation Pattern 16. Egg & Spoon 11-17
7. Ground Pole Equitation 17. Egg & Spoon 18+
8. X-Rails Equitation 18. Pole Bending 10 and under
9. 18” Hunter Equitation over fences under 18 19. Pole Bending 11-17
10. 18” Hunter Equitation over fences 18+ 20. Pole Bending 18+

 

I hereby agree to release, indemnify and hold harmless Fieldstone Farm, its instructors, officers, directors, agents, and volunteers from and against any and all loss, liability or damage arising from or because of , or in connection with, participation in this competition or related activities.

Rider:                                                                                                          

Parent or guardian if rider is under 18:                                                                                                      

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