Corner Stone Farm

ENTRY FORM : corner stone farm haunted fun show –

 Entries Close Oct 10^{th  -- INCLUDE A FARM WAIVER FOR EACH RIDER}

This entry is subject to the terms and conditions in the official schedule/prize list. If riding more than one horse use a new entry form for each horse entered.

Name of Hosting Site: Corner Stone Farm                      Please Print clearly

Date of show: Oct 20 2019 – (rain date Oct 19 2019 )

Horse Name: _______________________   Rider: _____________________age   __  

Address: ____________________________________

Email: ____________________ Phone Number: ________________________

OEF # of rider: __________________________

OEF # of owner if different:  _________________  Is the horse fully vaccinated? __Yes    ☐No 

Owner Name: Click here to enter text.      Address:                                    Email:                                                       Phone Number: Click here to enter text.             Fee total :_____________

$ 60.00 for the day of fun      or 15 $ per class         COACHING DURING CLASSES IS WELCOMED -
CROSS COUNTRY - - MAKE SURE YOU WALK YOUR CROSS COUNTRY COURSE
Optimum Timed cross country short course format. No dressage
CLASS 1         WALK TROT ( ALL JUMPS OPTIONAL ) -- CAN BE LEAD LINE OR WITH A FRIEND
CLASS 2         WALK TROT CANTER ( ALL JUMPS OPTIONAL)
CLASS 3        Costume class. 3 DIVISIONS BY AGE WALK ONLY -- CAN BE LEAD LINE            

CLASS 4             Rider UNDER 11 - 

CLASS 5                   Rider 11-18 AND
CLASS 6                 Rider 18 AND UP
OBSTACLE COURSE IN SAND RING - 3 DIVISIONS BY AGE
apple dunk , a bridge to cross and maybe a few other goofy simple tasks on course. With jumps or poles optional.
CLASS 7             Rider UNDER 11
CLASS 8             Rider 12-18
CLASS 9             Rider  18 AND UP
15$ per class or 60$ for the day.   LATE FEE -IF mailed less than a week before closing add($ 25.00)          Total fees $ ______________

Halloween Fun Show                                                                              

I further grant my consent for the Representatives for the short course series and their volunteers to seek emergency medical treatment for me and/or my child if deemed necessary. I accept the responsibility for any cost due to this.  By signing my name in this line I am agreeing.

Signature: _________________________ Date: ______________

I further grant my consent for the Representatives for the short course series and their volunteers for me/ or my child, any image or likeness to be used for promotional purposes in print media or other.        By signing my name in this line I am agreeing.

Signature: _____________________________ Date:                         

 Or Decline _________ mark with an X