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Full Moon Farm's 2008 Starter Horse Trials
| Event Date | Sunday, May 25 | Sunday, November 16 |
| Opening Date | April 12 | October 6 |
| Drawing Date | May 7 | October 28 |
| Closing Date | May 19 | November 10 |
ENTRY FORM
Rider:_______________________________________________
Jr { } Sr { } B'day ________________
Address:____________________________________________________________________________
_________________________________________________
Telephone # _______________________
E-Mail address _______________________________________________________________________
Circle Class Entered
| 1A Starter Training Rider up to 3'3" - timed | 1B Starter Training Horse up to 3'3" - timed |
| 2A Open Novice Rider up to 2'11" - timed | 2B Open Novice Horse up to 2'11" - timed |
| 3A Starter Novice Rider up to 2'11" | 3B Starter Novice Horse up to 2'11" |
| 4A Beginner Novice Rider approx 2'6" | 4B Beginner Novice Horse approx 2'6" |
| 5A Baby Beginner Novice Rider approx 2' | 5B Baby Beginner Novice Horse approx 2' |
| 6A Elementary Rider 12" to 18" | 6B Elementary Horse 12" to 18" |
| 7A Starter Elementary Rider 12" to 18" | 7B Starter Elementary Horse 12" to 18" |
| Team Name: _______________________________ Other team members (list both horse and rider) |
Office Use Only |
| 1) | Coggins Date |
| 2) | Rhino Date |
| 3) | Payment |
Release: I (we) understand that horseback riding is a dangerous sport and serious injury or disability may result from accident while riding or handling horses. The above entries are being ridden at my (our) own risk. I (we) understand that FULL MOON FARM, its employees and volunteers are not responsible for accidents, damage, injury or illness to horses, owners, riders, spectators or any persons or property whatsoever. ASTM or SEI approved helmets with attached fastened harness are required for all riders at all times while mounted.
Signatures: Rider:________________________________ Parent/guardian:________________________________
parent/guardian must sign if rider is
under 18 years of age!
| Mail signed entry including
check, current coggins and proof of Rhino vaccination from 7 (0 if revaccination) to 90 days before the date of the activity to: Full Moon Farm - Entries 4326 Louisville Rd Finksburg, MD 21048 Vaccination records may be faxed in after registration confirmation has been received. |
Rhino proof is a copy of an invoice from your vet with the vaccine information and your horse's name or a copy of the vaccine invoice with your horse's name and date of vaccination signed by the person who administered the vaccine. Sharing a coach, a trailer, a horse? Write any scheduling notes that you wish the secretary to consider somewhere on this form. No promises, but we will keep your requests in mind. |