Show Entry Form

                                                     Trinity Stable

                                                       Entry Form

Circle one: 

3-Phase      2-Phase          Ride-Review-Ride

Show Date:___________________________

Rider:___________________________ __Junior(<18)__Senior

Address:___________________________________________

__________________________________________________

Phone (s)__________________________________________

E-Mail ____________________________________________

Emergency Contact and # for day of event________________

__________________________________________________

Horse's Name ____________________Owner_____________

Breed_____________Sex____Age____Height_____Color____

Barn/Trainer_________________________________________

Check one (one entry for per horse/rider combination)

2-Phase  or Ride-Review-Ride ~ $65        Dressage and stadium

___Pre-Elementary 18" Cross rails ('07 Intro Test B)

___Elementary 2' jumps (2010 BN Test A)

___Beginner Novice 2'3"-2'6" jumps (2010 BN Test A)

___Novice 2'6"-2'9" jumps (2010 N Test A)

3-Phase ~ $80         Dressage, stadium and cross country

___Beginner Novice 2'3"-2'6" jumps (2010 BN Test B)

___Novice 2'6"-2'9" jumps (2010 BN Test B)

TOTAL enclosed $______________

Mail entries w/negative coggins to:  Robbie Bailey, Secretary  

253 Intervale Road,   Canterbury, NH  03224

No refunds after closing date. Checks payable to Trinity Stable, LLC

I understand that horseback riding is a high risk sport and I am participating at my own risk. I assume this risk and further do hereby release and hold harmless and indemnify the organizer, organizing committee, sponsors, judges, and officials, their officers, agents, employees, and volunteers, the host and their agents of this competition, and the owners of the property where the event is to be held, from all liability and /or negligence resulting in the accidents, damage, injury or illness to myself and /or my agents, and to my property, including the hoerse or horses at this event. Warning-Under New Hampshire law, an equine activity sponor is not liable for an injury to, or death of, a participant in equine activities resulting from the inherent risks of equine activities that are obvious and persuant to RSA 508:19

___________________________________________________

Signature (Parent or Guardian if under 18 years)       Date

                    RIGHT CLICK ON YOUR MOUSE TO PRINT THIS PAGE