BRITTANY COMMON HORSE CENTRE

Dressage Schooling Shows

 

ENTRY FORM

Horse’s Name:

Rider’s Name:

Rider’s Address:

Rider's Email Address:

Rider’s Phone Number:

Type of Rider:

  Jr.     Sr.

Show Date (s):

CT Division

Dressage Test(s):

Cost per test is $25.00 

NOTE:  Entries and payment must be received the Tuesday prior to the competition  or a $5.00 late fee will be charged per ride.

I enclose a total of $ _____________ for the aforementioned entry, which is made at my own risk and subject to the conditions of the organizer and the Brittany Commons Horse Centre.  I agree to abide by the rules which over this event as set forth by US Equestrian, USEA and USDF.  RELEASE:  I understand this is a high risk sport and I am participating at my own risk.  I hereby release and hold harmless the Organizer and organizing committee, judges, officials, Brittany Commons Horse Centre, their owners, officers, agents and employee, from all accidents, damages, injury loss or illness to horses, owners, riders, employees, attendants, spectators or any other person or property suffering loss during or in connection with this activity.

SIGNATURE OF RIDER: (PARENT OR GUARDIAN IF UNDER 18 YRS.):

                                                                                                                               

Signature                                                                               Date

Mail to: 

Brittany Common Horse Centre

50 Griest Road

Nottingham, Pa 19362

Phone: (717) 529-2979

email: dborgnis@bchcinc.com