Dressage & CT Entry Form

Show Dates: Saturday, April 7th, June 9th and September 15th, 2012 

Make Checks Payable to:  TOI TRENT

($20 fee for returned checks)

 

Mail to:  1355 Coleman Bridge Rd. , Wagener, SC  29164

 

Dressage Classes:  $28.00    Combined Tests: $38.00

*Rider 

*Address

Jr.

Sr.

*City

*St.

*Zip

Phone

SCDCTA #

Email

* Required Fields

*Horse

*Class #

*Description

*Fee

 Class #

 Description

 Fee

 Class #

 Description

 Fee

*Total

I am aware that riding horses is an athletic event which poses potential serious risk of injuries.  I understand that I may be injured as a result of my negligence, the negligence of others, or through no fault of my own or anyone else due to an activity in which I am going to be engaged.  I hereby agree to hold harmless QUINTYNNE HILL FARM, the ORGANIZERS, or ANY VOLUNTEERS of this event for any injury or death which I might sustain as a result of my horseback riding during this event

*Competitor Signature

 Parent or Guardian Signature (if competitor under 18):

Overnighted mail MUST have box checked for 

Please use your browser's PRINT option to print this page, sign and mail with entry fee.

_______________________________________________________  Date: ____________

_______________________________________________________  Date: ____________

Owner: Toi Trent

USDF Bronze and Silver Medalist

No Signature Required

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