1. sports
2. horses

Mistover Presents:
Halloween
Schooling Dressage Show & Combined Test
For the benefit of: “FrOGS”
(“Friends of the Great Swamp”, Pawling,NY)
Saturday, October 25, 2014
West Dover Rd, Pawling, NY
Opening Date: September 9, 2014
Closing Date: October 17, 2014
“L” Dressage Judges: Corinna Scheller Fleming & Patricia Thompson
Show Jumping Judge: Heather Carlson
Course Designer: Jeanie Clarke
Tests offered:
Event Tests, Intro and Training Levels in Small Arenas
First Level in large Arena
2nd level and above by Request in large Arena
(Event tests requiring large arena can be ridden.)
Cost: $35 per Dressage test.
Combined Test Divisions:
Elementary (2’3”, BN Test A)
Beginner Novice
(BN Test B)
Novice (n Test B)
Training (T Test b)
Preliminary (prelim test b)
Intermediate & Advanced upon request
Additional dressage tests may be ridden if Scheduling allows.
Cost: $85 per division/ $35 per additional dressage test
Footing:
Sand and rubber, all rings fully enclosed.
The wearing of costumes is encouraged!
Test readers will be allowed For all tests
No Jackets required!
All other rules per USEF, USDF, & USEA.
More information is available at www.mistoverllc.com
Dressage Show Entry Form
Entries: Completed entries will be accepted on a first come first served basis until show is full.
Entries received after Oct. 17, 2014 may not be accepted. An office fee of $10 per entry is required for all
entries and payments made after the closing date.
NO FAX, EMAIL, OR PHONE ENTRIES ACCEPTED.
Entries must include: proof of negative coggins test within 12 months, release signatures, and check, cash or
money order to be considered complete.
Should Mistover require further health documentation for entries to be complete, information will be posted at
www.mistoverllc.com before the closing date Oct. 17, 2014.
No refunds for scratches after the closing date or for show cancellation.
Times: Available at www.mistoverllc.com on October 22, 2014.
Warm-up and competition: Warm-up will be indoors, competition in outdoor rings.
Warm-up will be controlled for safety. We ask that horses not warming-up please wait in their trailers.
Longing may not be possible. Thank you!
-Use one entry form per horse.
-Riders under the age of 18 must have signature of parent or guardian on the entry.
-Mail your entries to: Karen Mantz
phone: 914-588-5403
Mistover
59 Wang Dang Doodle Loop
Pawling, NY 12564
Horse Name:____________________________
Rider Name:____________________________
Address/City/State/Zip:
Daytime phone number:
Evening phone number:
E-Mail:
Tests, $35 each:
___________________________________________
___________________________________________
___________________________________________
Circle One:
Junior (birthdate:_______)
Fees Enclosed: $________________
Senior
Combined Test Entry Form
Entries: Completed entries will be accepted on a first come first served basis until show is full.
Entries received after Oct. 17, 2014 may not be accepted. An office fee of $10 per entry is required for all
entries and payments made after the closing date.
NO FAX, EMAIL, OR PHONE ENTRIES ACCEPTED.
Entries must include: proof of negative coggins test within 12 months, release signatures, and check, cash or
money order to be considered complete.
Should Mistover require further health documentation for entries to be complete, information will be posted at
www.mistoverllc.com before the closing date Oct. 17, 2014.
No refunds for scratches after the closing date or for show cancellation.
Times: Available at www.mistoverllc.com on October 22, 2014.
Warm-up and competition: Warm-up will be indoors, competition in outdoor rings.
Warm-up will be controlled for safety. We ask that horses not warming-up please wait in their trailers.
Longing may not be possible. Thank you!
-Use one entry form per horse.
-Riders under the age of 18 must have signature of parent or guardian on the entry.
-Mail your entries to Karen Mantz
Mistover
59 Wang Dang Doodle Loop
Pawling, NY 12564
Horse Name:____________________________
Rider Name:____________________________
Address/City/State/Zip:
Daytime phone number:
Evening phone number:
E-Mail:
Division:__________________________________
Additional Dressage Test:_____________________
Circle One: Junior (birthdate:_________)Senior
Fees Enclosed: $__________________
RELEASE – Please read and sign:
Whereas, the undersigned acknowledges the inherent risks involved in riding and working around horses, who can be
unpredictable, which risks include bodily injury from using, riding or being in close proximity to horses, among other
risks, and further, that both horse and rider can be injured in normal use or in competition and schooling.
In consideration, therefore, for the privilege of riding and/or working around horses at Mistover, the undersigned does
hereby agree to hold harmless and indemnify Mistover, LLC, Great Swamp Associates, LLC, Jayne Marino and Carol
Paterno (owner) and further release the owners and their employees from any liability or responsibility for accident,
damage, injury or illness to the undersigned or any horses owned by the undersigned or any property or horse brought to
Mistover by the undersigned or to any family member, guest, or spectator accompanying the undersigned on the premises
of Mistover.
We strongly advise that all riders wear protective headgear. Be informed that it is a New York State Law that every child
under 14 must wear a helmet that meets ASTM standards while riding. The undersigned accepts full responsibility in the
matter of personally wearing protective headgear and to insure their children wear protective headgear. The undersigned
acknowledges that failure to do so is entirely at their own risk.
The undersigned further understands that Mistover is not liable in any way for the services given by vendors, and also
agrees to follow all USDF/USEA rules and regulations.
The undersigned understands management reserves the right to combine classes or rides as it sees fit. It is the rider’s
responsibility to check for times during the designated periods.
The undersigned understands that this release extends to any and all liability arising out of or in any way connected with
any emergency, ambulance or equivalent service and medical or paramedical attention or the failure to provide therefore
in connection with the activities described herein.
The undersigned understands that this release should be binding upon the distributees, heirs, next of kin, personal
representatives, executors and administrators of the undersigned.
In signing the foregoing release, the undersigned hereby acknowledges and represents that he or she has read the
foregoing release, understands it, and signs it voluntarily, and that he or she is over 18 years of age and of sound mind.
Entry form/release Signature:___________________________________________________
Signature of parent or guardian if rider is under the age of 18:________________________
Print name of parent or guardian:________________________
Your Entry Form Checklist:
Make sure you have included the following with your entry:
Release Signature (of parent or guardian if a Junior):______
Payment payable to “Mistover”:______
Copy of negative coggins test:______
Thank you!