Show Entry Form

                               Trinity Stable Entry Form

Show Date:_______________Closing date: 7 days  prior

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 ~ $60     Dressage and stadium

___Pre-Elementary 18" Cross rails ('11 Intro Test B)

___Elementary 2' 3" jumps (2010 BN Test A)

___Beginner Novice 2'7" jumps (2010 BN Test B)

___Novice 2'11" jumps (2010 N Test A)

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

___Nov/Beg. Novice 2'11" SJ, max 2'7" XC ('10 Nov Test A)

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

___Elementary 2'-2'3" jumps (2010 BN Test A)

Dressage Only ~ $35 per test

___Eventing Test(s) of your choice_______________________

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

PLEASE NOTE: If your check has not been received by the closing date then you must pay for the event in cash, the day of the show. NO EXCEPTIONS!!!

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

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