Post-ENTRY FORM - County Mounties 4

COUNTY MOUNTIES POST-ENTRY FORM I have agreed to participate in this show on the conditions that I acknowledge that showing horses is a hazardous sport, and that hazards and obstructions, even those unmarked, exist in the area. That falls, collisions and kicking horses are common. I accept the risks of injury or incident thereto. By showing here today rider assumes the risk of this sport.. Neither County Mounties 4­H Club nor the Sheboygan County Fair Park is liable for horse­related incidents today. A person who is engaged for compensation in the rental of equines or equine equipment or tack or in the instruction of a person in the riding or driving of an equine or in being a passenger upon an equine is not liable for the injury or death of a person involved in equine activities resulting from the inherent risks of equine activities, as defined in Section 895.481 (1) (e) of the Wisconsin Statutes. Showing privileges can be revoked by the show management for conduct which management deems improper. This includes dishonesty, unsafe tactics or unethical acts. The judge’s placing will be final. ________________________________________________________ Exhibitor’s Signature if 18 years old or older _______________________________________________________ Parent or Guardian Signature if under 18 years old ENTRY NO.​
_______ Negative Coggins: copy ___ original ___ EMAIL ___________________________________ EXHIBITOR NAME __________________________________ PHONE(S) # _______________________________________ HORSE NAME: ________________________________________________________________________________________ DRESSAGE HIGH POINT​
(​
Circle​
)​
:​
First Level/Training Eventing Training Level/Novice Eventing Intro Level/Beginner Novice Eventing JUMP DIVISION CHAMPION ​
(​
Circle​
)​
:​
Open Medium Low Green Crossrail Baby Green ​
CIRCLE​
Warm­ups and Classes entering: Warm­up Open 1. Equitation O/F 2. Working Hunter O/F 3. Medal 4. Handy Hunter 5. Timed Obstacle Warm­up Low 11. Equitation O/F 12. Working Hunter O/F 13. Medal 14. Handy Hunter 15. Timed Obstacle Warm­up Medium 6. Equitation O/F 7. Working Hunter O/F 8. Medal 9. Handy Hunter 10. Timed Obstacle Warm­up Green 16. Equitation O/F 17. Working Hunter O/F 18. Medal 19. Handy Hunter Warm­up Baby Green 20. Equitation O/F A 21. Equitation O/F B 22. Hunter O/F A 23. Hunter O/F B Warm­up Crossrail 24. Equitation O/F A 25. Equitation O/F B 26. Hunter O/F A 27. Hunter O/F B A. F​
irst Level Test 1 B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
First Level Test 2 First Level Test 3 Training Level Test 1 Training Level Test 2 Training Level Test 3 Introductory Level Test A Introductory Level Test B Introductory Level Test C Training Eventing Test B Novice Eventing Test B Beginner Novice Eventing Test B ​
Qty Cost Total $10 Checks made payable to: Dressage Classes $25 County Mounties 4­H Club Jumping Warm­Up $5 Office Fee per horse/rider combination ­ $5 High Point/Division Champion $5 Paid with ​
(Circle one): Stall Fee ­ $15 Cash ​
or​
Check Trailer Tie Deposit ­ $10 TOTAL FEES Jumping Classes $5