FAK

ENTER ONLINE www.ridgefieldarena.com

or FAX ENTRY to 636-227-8337 BY THURSDAY NIGHT. ONE HORSE PER ENTRY FORM PLEASE!

CHARITY RIDGEFIELD SHOWS

COGGINS #

ENTRY NUMBER

MOHJO & MHSA recognized (double points)

CIRCLE ONE

Adult 4

Child

SPECIAL CLASSES

HORSE Rider #1
Address City State Phone EMAIL Zip

MONEY HUNTER STAKES $25 MOHJO HUNTER DERBY SPONSORED BY MID RIVERS - $35

DOUBLE 4 TRAILER HUNTER CLASSIC $25 LOST VALLEY LEAD LINE $10 BAVARIAN GAMBLERS CHOICE $25 LUXURY SPORTS & IMPORTS GRAND PRIX $25 JUMPER CLASSES JUMPER WARM UP
HOPEFUL JUMPERS (2') NOVICE JUMPER (2'6") NOVICE JUMPER RIDER (2'6") LEVEL 2 JUMPERS CHILDRENS/ADULT JUMPER LEVEL 3 JUMPERS LEVEL 4 JUMPERS LEVEL 5 JUMPERS

2 89 8

3 9

10

12

11

13
15 17 19 21 23 25 27

Rider #2
Address City State Phone EMAIL Zip

14 16 18 20 22 24 26 28

HUNTER CLASSES
BABY GREEN PRE GREEN HUNTER

HUNTER WARM UPS

1
83 97 51 34 38 38A 42 64 47 60 60A 85 85A 69 73 76 80 92 99 99A

32
52 35C 39 39A 65 48 61 61A 86 86A

56

77

WALK/TROT BEAUFORT FEED WALK/TROT EQ ON THE FLAT POLES CROSSRAILS CROSSRAILS SCHOOLING HUNTER MASTERS HUNTER CHILD ADULT

81 95 29

82 96 30

(52)

Owner
Address City State Phone Zip

SHORT STIRRUP VETERICYN SHORT STIRRUP EQ O/F BEGINNER RIDER HUNTER - CHILD BEGINNER RIDER HUNTER - ADULT LIMIT RIDER CHILD LIMIT RIDER ADULT CHILD HUNTER PONY USHJA TACK TRUNK PONY MEDAL GREEN PONY PONY HUNTER LOW HUNTER USHJA TACK TRUNK MEDAL 2'6" $15 NON PRO CHILDRENS HUNTER ADULT HUNTER MHSA JUNIOR MEDALLION MHSA ADULT MEDALLION 11 & UNDER EQUITATION 12-14 EQUITATION 15-17 EQUITATION

31 36 36A 40 43 45
(48)

33 37 37A 41 44 46 50 50A 84 84A 68 72 75 79 7 91 98 98A 59 104 106

53 53A 66 54 62 62A 87 87A

57 57A 58 63 63A 88 88A

49 49A 5 5A 67 70 71 74 78 90 6 6A 93 94 55 103 105

EMAIL

Stable With: Bill Classes to:

Bill Stall/Grounds to:

100 100A

101 101A

102 102A

DEPENDING ON THE NUMBER OF ENTRIES, CLASSES MAY BE ADJUSTED PER MANAGEMENT'S DESCRETION

FEE SCHEDULE

OFFICE FEE per horse

$35.00 $25.00 $25.00 $10.00 $15.00 $15.00

$20

MOHJO Hunter Derby Grand Prix, Gamblers Choice Hunter Classic, Money Hunters Lead line Ticketed Warm-Up Regular Classes

PREPAID STALL
GROUNDS FEE
(no stall) per day/horse

$70.00 $25.00

STALL GROUNDS #DAYS FEE CLASSES TOTAL

(OR NON SHOWING FEE/DAY)

CALL 636-527-3624 FOR INFORMATION

NON-SHOWING FEE
(Stalled Horse) per day

$25.00

Total Pd Check #

The undersigned agrees to hold Ridgefield Arena ,Ridgefield Shows, Ridigefield Riding Academy, Steve & Tracey Ryan, Rich and Karen Gentry, employees & show management harmless to lost, stolen or destroyed property and for any injury to horses, exhibitors and spectators before, during & after the show. Warning: Under Missour law, an equine professional is not liable for any injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities pursuant to theRevised Statutes of Missouri.

Rider #1 Rider #2

Owner

Trainer

Ridgefield may use my rider's / horse's photo for advertising or web purposes. YES / NO
circle one

Rider Name

Rider Signature

Owner Signature

_______

Prepared by Flo Anne Krampe 9/2/11

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