Fall Jumper Classic Entry Form

Susquehanna Valley Coral, Danville, Pa. October 13, 2013 Classes start at 8:30am
Riders Name Horses Name

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Division(s) and Classes Entered (please check all classes entered) 1st 40 entries will be put in a drawing for a prize. Itsy Bitsy Low Schooling Level 0 Level 1 Level 2 Level 3 Round 1 Round 1 Round 1 Round 1 Round 1 Round 1 Round 2 Round 2 Round 2 Round 2 Round 2 Round 2 Round 3 Round 3 Round 3 Round 3 Round 4 Stakes* Round 4 Stakes* Round 4 Stakes* Round 4 Stakes* *Must enter entire division to qualify for Stakes classes.
$15 per class $25 per stake class Ground fee/ Secretary fee $10 Please make all checks payable to: Luan Smith. Mail to: 4 Chimneys Farm Fall Jumper Classic c/o Luan Smith 2240 Heights Road, Berwick, Pa 18603
** All Returned Checks will be charged a $30 fee per Return**

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Would you like professional photos taken during the show.?