DUE JULY 1ST For Office Use Only: Exhibitor Number: ___________ 4-H Horse Show Entry Form Please complete a separate form for each horse/rider combination. If the Extension Office does not already have a copy of your horse’s most current Rabies & Coggins Certificates, please include them with this entry form! 4-H Exhibitor Last Name Address Street Age Division (as of Jan. 1st) First Name City Cloverbud Junior Senior (K-2nd Graders) (Age 8-13) (Age 14-18) State Zip Club Name Is your horse a pony? Yes No Note: an equine designated as a Pony is a Pony in all classes for the duration of the show. This equine cannot be entered as a Pony in one class and a Horse in another, even if shown by more than one exhibitor. Horse’s Name (as it appears on Rabies & Coggins Certificates) Riding/Driving Level I have been evaluated and am in the following riding level(s): Cloverbud Walk/Trot (6-7) Cloverbud Leadline (riders age 5 must be in this level) Walk/Trot (8-18) Walk/Trot Beginning Canter (8-18) Leadline (8-18) Advanced (8-18) Intermediate (8-18) Driving Walk/Trot/Extended Trot Mini Their riding level: I am sharing a horse with: Will you register for the Open Horse Show? Stall Needed: Yes No Yes No If you leave this blank, we will assume yes. Anyone using a stall must stay in the 4-H barn until Sunday, per Fair Board requirements. If you are only showing 4-H and not Open, you may show off the trailer and haul in and out the day of the show. Classes Please check all classes you want to ride in. Because classes are grouped by riding/driving level, some are listed multiple times but, you only need to sign up for a class once. For schedule, please see Fair Book. Lunch and dinner breaks TBD. Classes will be combined if necessary. Walk Trot Canter (Pony)- Junior and Senior Section C: Dressage 22. Dressage Equitation – Junior 23. Dressage Training Level Test 1 -Junior 24. Dressage Training Level Test 2 -Junior 25. Dressage Training Level Test 3 -Junior 26. Dressage First Level Test 1 -Junior 27. Dressage (choice of) First Level Test 2-3 -Junior 28. English Dressage Equitation – Senior 29. Dressage Training Level Test 1 -Senior 30. Dressage Training Level Test 2 -Senior 31. Dressage Training Level Test 3 -Senior 32. Dressage First Level Test 1 –Senior 33. Dressage (choice of) First Level Test 2-3 -Senior 34. Musical Kur-Junior and Senior Section E: Jumping (If you do Beginner you cannot do any other Jumping Classes.) 59. Beginner Equitation over Fences (12” course) (Horse & Pony) 60. Beginner Hunter over Fences (12” course) (Horse and Pony) 61. Equitation over Fence (Pony)-Jr. and Sr. 62. Working Hunter over Fences (Pony)-Jr. and Sr. 63. Hunter Hack (Pony)-Jr. and Sr. Section F: English Showmanship 53. Beginner Showmanship (Horse and Pony)-Jr. and Sr. 54. Showmanship (Horse and Pony)-Junior 55. Showmanship (Horse and Pony)-Senior Section I: Saddle Seat 56. Saddle Seat Equitation (Horse and Pony)-Jr. and Sr. 57. Saddle Seat Pleasure (Horse and Pony)-Jr. and Sr. 58. Saddle Seat Road Hack (Horse and Pony)-Jr. and Sr. Section J: English 83. English Equitation on the Flat (Pony) -Jr. and Sr. 84. Hunter Pleasure (Pony) -Jr. and Sr. 85. Hunter Under Saddle (Pony) -Jr. and Sr. 92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr. Section K: Western Showmanship 102. Beginner Showmanship (Horse and Pony)-Jr. and Sr. 103. Showmanship (Horse and Pony)-Junior 104. Showmanship (Horse and Pony)-Senior Section M: Western 140. Western Pleasure (Pony) -Jr. and Sr. 141. Western Horsemanship (Pony) -Jr. and Sr. 142. Stock Seat Equitation (Pony) -Jr. and Sr. 143. Western Road Hack (Pony) -Jr. and Sr. 144. Western Riding (Horse and Pony)- Jr. and Sr. 145. Western Reining (Horse and Pony)- Jr. and Sr. Section N: Trail 151. Trail (Pony)-Junior and Senior Section O: Gymkhana 157. Pole Bending-Pony 163. Stake-N-Barrel-Pony 169. Cloverleaf Barrel Race-Pony 172. Quadrangle Barrel Race-Pony 175. Straight Line Barrel Race-Pony 178. Texas T Barrel Race-Pony 181. Barrel Keyhole Race-Pony 184. Bleeding Heart-Pony DUE JULY 1ST Walk Trot Canter (Horse)- Senior Section D: Dressage 28. English Dressage Equitation – Senior 29. Dressage Training Level Test 1 -Senior 30. Dressage Training Level Test 2 -Senior 31. Dressage Training Level Test 3 -Senior 32. Dressage First Level Test 1 –Senior 33. Dressage (choice of) First Level Test 2-3 -Senior 34. Musical Kur-Junior and Senior Section E: Jumping (If you do Beginner you cannot do any other Jumping Classes.) 59. Beginner Equitation over Fences (12” course) (Horse & Pony) 60. Beginner Hunter over Fences (12” course) (Horse and Pony) 67.Equitation over Fences (Horse)- Senior 68.Working Hunter over Fences (Horse)- Senior 69.Hunter Hack (Horse)- Senior Section F: English Showmanship 53. Beginner Showmanship (Horse and Pony)-Jr. and Sr. 54. Showmanship (Horse and Pony)-Junior 55. Showmanship (Horse and Pony)-Senior Section I: Saddle Seat 56. Saddle Seat Equitation (Horse and Pony)-Jr. and Sr. 57. Saddle Seat Pleasure (Horse and Pony)-Jr. and Sr. 58. Saddle Seat Road Hack (Horse and Pony)-Jr. and Sr. For Office Use Only: Exhibitor Number: ___________ Section J: English 89. Eng. Equitation on the Flat (Horse)- Senior 90. Hunter Pleasure (Horse)- Senior 91. Hunter Under Saddle (Horse)- Senior 92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr. Section K: Western Showmanship 102. Beginner Showmanship (Horse and Pony)-Jr. and Sr. 103. Showmanship (Horse and Pony)-Junior 104. Showmanship (Horse and Pony)-Senior Section M: Western 136. Western Pleasure (Horse)- Senior 137. Western Horsemanship (Horse)- Senior 138. Stock Seat Equitation (Horse)- Senior 139. Western Road Hack (Horse)- Senior 144. Western Riding (Horse and Pony)- Jr. and Sr. 145. Western Reining (Horse and Pony)- Jr. and Sr. Section O: Gymkhana 159. Pole Bending-Sr. 165. Stake-N-Barrel-Sr. 171. Cloverleaf Barrel Race-Sr. 174. Quadrangle Barrel Race-Sr. 177. Straight Line Barrel Race-Sr. 180. Texas T Barrel Race-Sr. 183. Barrel Keyhole Race-Sr. 186. Bleeding Heart-Sr. Section N: Trail 153. Trail (Horse) – Senior Walk Trot Canter (Horse)- Junior Section D: Dressage 22. Dressage Equitation – Junior 23. Dressage Training Level Test 1 -Junior 24. Dressage Training Level Test 2 -Junior 25. Dressage Training Level Test 3 -Junior 26. Dressage First Level Test 1 -Junior 27. Dressage (choice of) First Level Test 2-3 -Junior 34. Musical Kur-Junior and Senior Section E: Jumping (If you do Beginner you cannot do any other Jumping Classes.) 59. Beginner Equitation over Fences (12” course) (Horse & Pony) 60. Beginner Hunter over Fences (12” course) (Horse and Pony) 64. Equitation over Fences (Horse)- Junior 65. Working Hunter over Fences (Horse)- Junior 66. Hunter Hack (Horse)- Junior Section F: English Showmanship 53. Beginner Showmanship (Horse and Pony)-Jr. and Sr. 54. Showmanship (Horse and Pony)-Junior 55. Showmanship (Horse and Pony)-Senior Section I: Saddle Seat 56. Saddle Seat Equitation (Horse and Pony)-Jr. and Sr. 57. Saddle Seat Pleasure (Horse and Pony)-Jr. and Sr. 58. Saddle Seat Road Hack (Horse and Pony)-Jr. and Sr. Section N: Trail 152. Trail (Horse) – Junior Section I: English 86. Eng. Equitation on the Flat (Horse)- Junior 87. Hunter Pleasure (Horse)- Junior 88. Hunter Under Saddle (Horse)- Junior 92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr. Section K: Western Showmanship 102. Beginner Showmanship (Horse and Pony)-Jr. and Sr. 103. Showmanship (Horse and Pony)-Junior 104. Showmanship (Horse and Pony)-Senior Section M: Western 132. Western Pleasure (Horse)- Junior 133. Western Horsemanship (Horse)- Junior 134. Stock Seat Equitation (Horse)- Junior 135. Western Road Hack (Horse)- Junior 144. Western Riding (Horse and Pony)- Jr. and Sr. 145. Western Reining (Horse and Pony)- Jr. and Sr. Section O: Gymkhana 158. Pole Bending-Jr. 164. Stake-N-Barrel-Jr. 170. Cloverleaf Barrel Race-Jr. 173. Quadrangle Barrel Race-Jr. 176. Straight Line Barrel Race-Jr. 179. Texas T Barrel Race-Jr. 182. Barrel Keyhole Race-Jr. 185. Bleeding Heart-Jr. DUE JULY 1ST Walk/Trot Beginning Canter (or Lope) Section C: Dressage 17. Dressage Training Level Test 1 -WTBC 18. Dressage Training Level Test 2 -WTBC 19. Dressage Training Level Test 3 -WTBC 20. Dressage First Level Test 1 -WTBC 21. Dressage (choice of) First Level Test 2-3 -WTBC Section E: Jumping 59. Beginner Equitation over Fences (12” course) (Horse & Pony) 60. Beginner Hunter over Fences (12” course) (Horse and Pony) Section F: English Showmanship 53. Beginner Showmanship (Horse and Pony)-Jr. and Sr. 54. Showmanship (Horse and Pony)-Junior 55. Showmanship (Horse and Pony)-Senior Section I: English 77. English Pleasure (Horse)- Walk Trot Beg. Canter 78. English Equitation (Horse)- Walk Trot Beg. Canter 79. Command (Horse)- Walk Trot Beg. Canter 80. English Pleasure (Pony)- Walk Trot Beg. Canter 81. English Equitation (Pony)- Walk Trot Beg. Canter 82. Command (Pony)- Walk Trot Beg. Canter 92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr. Walk/Trot Section D: Dressage 13. Dressage Equitation – Walk Trot 14. Dressage Test 1-Walk Trot 15. Dressage Test 2-Walk Trot Section F: English Showmanship 53. Beginner Showmanship (Horse and Pony)-Jr. and Sr. 54. Showmanship (Horse and Pony)-Junior 55. Showmanship (Horse and Pony)-Senior Section J: English 71. English Pleasure (Horse)- Walk Trot 72. English Equitation (Horse)- Walk Trot 73. Command (Horse)- Walk Trot 74. English Pleasure (Pony)- Walk Trot 75. English Equitation (Pony)- Walk Trot 76. Command (Pony)- Walk Trot 92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr. Leadline Section F: English Showmanship 53. Beginner Showmanship (Horse and Pony)-Jr. and Sr. 54. Showmanship (Horse and Pony)-Junior 55. Showmanship (Horse and Pony)-Senior Section J: English 70. English Equitation- Lead Line 92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr. Section N: Trail 148. Trail- Lead Line For Office Use Only: Exhibitor Number: ___________ Section K: Western Showmanship 102. Beginner Showmanship (Horse and Pony)-Jr. and Sr. 103. Showmanship (Horse and Pony)-Junior 104. Showmanship (Horse and Pony)-Senior Section M: Western 126. Western Pleasure (Horse)- Walk Jog Beg. Lope 127. Western Horsemanship (Horse)- Walk Jog Beg. Lope 128. Command (Horse)- Walk Jog Beg. Lope 129. Western Pleasure (Pony)- Walk Jog Beg. Lope 130. Western Horsemanship (Pony)- Walk Jog Beg. Lope 131. Command (Pony)- Walk Jog Beg. Lope Section N: Trail 150. Trail- Walk Trot Beg. Canter Section O: Gymkhana 156. Pole Bending-Walk Trot Beg. Canter 162. Flag Race-Walk Trot Beg. Canter 168. Cloverleaf Barrel Race – Walk Trot Beg. Canter Section K: Western Showmanship 102. Beginner Showmanship (Horse and Pony)-Jr. and Sr. 103. Showmanship (Horse and Pony)-Junior 104. Showmanship (Horse and Pony)-Senior Section M: Western 120. Western Pleasure (Horse)- Walk Jog 121. Western Horsemanship (Horse)- Walk Jog 122. Command (Horse)- Walk Jog 123. Western Pleasure (Pony)- Walk Jog 124. Western Horsemanship (Pony)- Walk Jog 125. Command (Pony)- Walk Jog Section N: Trail 149. Trail- Walk Trot Section O: Gymkhana (Riders will not canter in any classes. If they canter there will be a 10 second penalty for every 3 strides.) 155. Pole Bending-Walk Trot 161. Flag Race-Walk Trot 167. Cloverleaf Barrel Race-Walk Trot Section K: Western Showmanship 102. Beginner Showmanship (Horse and Pony)-Jr. and Sr. 103. Showmanship (Horse and Pony)-Junior 104. Showmanship (Horse and Pony)-Senior Section M: Western 119. Western Equitation- Lead Line Section O: Gymkhana (Riders will not canter in any classes. If they canter there will be a 10 second penalty for every 3 strides.) 154. Pole Bending-Lead Line 160. Flag Race-Lead Line 166. Cloverleaf Barrel Race-Lead Line DUE JULY 1ST Cloverbud Walk/Trot Section E: Cloverbud Only English Classes 41.Pleasure (Horse)- Cloverbud Walk Trot 42. Equitation (Horse)- Cloverbud Walk Trot 43. Simon Says (Horse)- Cloverbud Walk Trot 44. Egg & Spoon (Horse)- Cloverbud Walk Trot 48. Pleasure (Pony)- Cloverbud Walk Trot 49. Equitation (Pony)- Cloverbud Walk Trot 50. Simon Says (Pony)- Cloverbud Walk Trot 51. Egg & Spoon (Pony)- Cloverbud Walk Trot 52. Costume (Horse and Pony) (Eng. or West. tack)- Cloverbud For Office Use Only: Exhibitor Number: ___________ Section L: Cloverbud Only Western Classes Section N: Trail Cloverbud Leadline Section G: Cloverbud Only English Classes 38. Equitation (Horse)- Cloverbud Lead Line 39. Simon Says (Horse)- Cloverbud Lead Line 40. Egg & Spoon (Horse)- Cloverbud Lead Line 45. Equitation (Pony)- Cloverbud Lead Line 46. Simon Says (Pony)- Cloverbud Lead Line 47. Egg & Spoon (Pony)- Cloverbud Lead Line 52. Costume (Horse and Pony) (Eng. or West. tack)- Cloverbud 111. Pleasure (Horse)- Cloverbud Walk Trot 112. Equitation (Horse)- Cloverbud Walk Trot 113. Simon Says (Horse)- Cloverbud Walk Trot 114. Egg & Spoon (Horse)- Cloverbud Walk Trot 115. Pleasure (Pony)- Cloverbud Walk Trot 116. Equitation (Pony)- Cloverbud Walk Trot 117. Simon Says (Pony)- Cloverbud Walk Trot 118. Egg & Spoon (Pony)- Cloverbud Walk Trot 147. Trail- Cloverbud Walk Trot Section L: Cloverbud Only Western Classes 105. Equitation (Horse)- Cloverbud Lead Line 106. Simon Says (Horse)- Cloverbud Lead Line 107. Egg & Spoon (Horse)- Cloverbud Lead Line 108. Equitation (Pony)- Cloverbud Lead Line 109. Simon Says (Pony)- Cloverbud Lead Line 110. Egg & Spoon (Pony)- Cloverbud Lead Line Section N: Trail Mini (Juniors and Seniors) Section A: Miniature Horse 1. Showmanship (Mini)-Junior and Senior 2. Open Obstacle at Halter (Mini)-Junior and Senior 3. Open Hunter at Halter (Mini)-Junior and Senior 4. Open Jumper at Halter (Mini)-Junior and Senior 146. Trail- Cloverbud Lead Line Section B: Driving 8. Pleasure Driving (Mini, Pony, and Horse) 9. Country Pleasure Driving (Mini, Pony, and Horse) 10. Reinsmanship (Mini, Pony, and Horse) 11. Combination Ride/Drive (Pony and Horse) 12. Obstacle Driving (Mini, Pony, and Horse) Section H: Costume for All (Reminder: Boots & Helmets are needed) 92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr. Mini (Cloverbuds) Driving Section A: Miniature Horse Section B: Driving 5. Open Obstacle at Halter (Mini)-Cloverbud 6. Open Hunter at Halter (Mini)-Cloverbud 7. Open Jumper at Halter (Mini)-Cloverbud 8. Pleasure Driving (Mini, Pony, and Horse) 9. Country Pleasure Driving (Mini, Pony, and Horse) 10. Reinsmanship (Mini, Pony, and Horse) 11. Combination Ride/Drive (Pony and Horse) 12. Obstacle Driving (Mini, Pony, and Horse) DUE JULY 1ST Team Events For Office Use Only: Exhibitor Number: ___________ Section C: Drill & Parade (Note: to be eligible for State Fair, teams must include only Junior and Senior members) 35. Drill Team 36. Parade Team 37. Quadrille Team Drill (minimum of 6 riders and maximum of 12) Rider 1: Rider 2: Rider 3: Rider 4: Rider 5: Rider 6: Rider 7: Rider 8: Rider 9: Rider 10: Rider 11: Rider 12: Quadrille (5 riders) Rider 1: Rider 2: Rider 3: Rider 4: Rider 5: Parade (5 riders) Rider 1: Rider 2: Rider 3: Rider 4: Rider 5: Section P: Mounted Games (Note: to be eligible for State Fair, teams must include only Junior or only Senior members) 93. Special Delivery 94. Mug Race 95. Four Flag 96. Tennis Tournament 97. Junk Mail 98. Straight Line 99. Pyramid Race 100. Veggie Stew 101. Ball and Cone Mounted Games (minimum of 3 riders and maximum of 4) Rider Name Division (circle one) Mounted Rider 1: Senior Junior Cloverbud Mounted Rider 2: Senior Junior Cloverbud Mounted Rider 3: Senior Junior Cloverbud Mounted Rider 4: Senior Junior Cloverbud Team Captain: Senior Junior Cloverbud Please note: Cloverbud Walk Trot riders may ride for fun in the games; however they are not eligible for State Fair. Riders and teams will be combined as necessary so that everyone can play.
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