E.C.R.D.A Dressage Show Entry Form

ONE HORSE PER ENTRY FORM

Entries MUST BE COMPLETE with Signatures, Current Coggins, and Full Payment

Show Name:
Show Date:
Rider:
ECRDA #
USDF #
Address:
Phone:
Circle As Appropriate: ------JR/YR------ SR -----Starter-----Has Shown Above 2nd Level
Trainer:
Name of Horse
Breed
Color
Age
Height
Gender
           
Class Number
Class Name/Division/Level
Fee
     
     
     
     
     

Special Requests:

Fees Enclosed:_______

Stabling:____________

Total:______________


I hereby enclose my entry which is made at my own risk and subject to the conditions and regulations of the ECRDA, USDFand USEF/USAE, as well as any additional sanctioning organizations. I understand that neither the Organizing Committee, the host, nor the property owners accept any responsibility for, or are liable for, any accidents, damage, loss, injury, or illness to any horses, equipment, owners, riders, employees, attendants, spectators, volunteers, or any other person or property whatsoever, in connection with this activity.

SIGNATURE:_______________________________________________________________
(must be signed by parent/guardian if under 21)

Mail all entry forms, fees, and a copy of current coggins to show secretary by closing date.

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