ENTRY FORM   Corner Stone Farm

Short Course Eventing

8:30 a.m. Sunday , AUG 28, 2011.

Please print and mail completed prior to closing date : June 15,2011.

Entries that are not complete will go into the reserve list for entries and are not guaranteed as entered to the show.   

This entry is subject to the terms and conditions in the official schedule/prize list.

 If riding more than one horse state horse’s name(s) and division(s) one entry form per horse entered

Name and Date of Hosting Site : Corner Stone Farm 

Rider: __________________________ [   ] JR [   ] SR

Address: ______________________________________

Email:_________________________________________

Phone Number: ___________________________

OEF # of rider _______________________ OEF # of owner if different __________________________

Horse Name: _______________________________________________

Is the horse fully vaccinated? Yes  No 

Owner Name: ______________________________________________

Owner Signature:________________________________

Address: _____________________________________

Email:______________________________________________

Phone Number: ___________________________________

Division    (check box for all that apply)   

Pre – Starter up to 18”    Dressage Only              [   ]      ________

Full Division Dressage/ Cross-Country /Stadium [   ]  ________        

Full Division Second Time                                  [   ]     ________

Starter         up to 2’ 0”     Dressage Only   [           ________ 

Full Division  Dressage / Cross-Country / Stadium [   ]  ________

Full Division Second Time                                [   ]        ________   

Full Division Second Time                                 [   ]     ________

Pre- Entry     up to 2’ 6”           

Dressage Only                                                 [   ]         ________

Full Division   Dressage/Cross-Country/Stadium [   ]   ________        

Full Division Second Time                              [   ]           ________  

$25.00   - IF  less than a week before then add this fee

total $ __________________

Fees :    $85           Full Division

                $65        'Add-on' 2nd Full Division     ( same horse / same rider)                      

                $85           Full Division Hors Concours ( same division /same  horse / different rider)                    

                $30           Dressage ONLY                    

                $10           'Add-on' Dressage (each additional test)

                 $25         Late Fee (A  non-refundable administration fee of $25.00 included in entry fee /per entry )

Make Checks payable to :Cathy Colwell - McAllister

MUST BE SIGNED BY PARENT or GUARDIAN  

Not COACH

Complete and Mail, prior to closing date: Aug. 20.2011.           

Cathy Colwell   2891 Hwy 15 RR#6   Kingston , Ontario K7L 4V3

 

 Other info:   No post-dated cheques No refunds after Closing date

Refunds before closing date with Dr or Vet certificate minus $25.00  admin fee

NSF cheques will be subject to a $30 charge

Food booth on site  - veggie options offered

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