Indoor Dressage Schooling Show Sunday, December 7, 2014 Judge
Indoor Dressage Schooling Show Sunday, December 7, 2014 Closing Date: Monday, December 1, 2014 mail delivery (see mailing address at bottom of page) Show location: 20800 White’s Ferry Road, Poolesville, Maryland 20837 Judge: P ho eb e De vo e -M oo r e, “ r ” D r ess a ge Ju dg e Fees: $25 per test; write check to Bascule Farm LLC Classes: Tests: NEW 2015 USDF/USEF Intro-4th level, 2014 USEA BN-Advanced, FEI Your choice*! (*FEI tests: You may opt to do current test(s) OR 2015 test(s); just indicate which on your entry) Ribbons: 1s t to 8t h place each class, championship ribbon to best score in show Rings: Competition Indoor and Warm-up Indoor (rubber/sand/fiber footing) 20 x 40 arena except for FIRST LEVEL tests and above, in 20 x 60. Dress: Casual attire, approved helmet required Show Secretary: Julie Hagen; [email protected] with questions. Only complete entries (entry form, coggins and check) will be scheduled a time. Ride times by e-mail Friday, December 5, 2014. LIMIT 60 RIDES PER SHOW, so get your entry in early! NO DOGS ALLOWED ____________________________________________________________________________________ BASCULE FARM Dressage Show Entry Form Current Coggins Test MUST be included with entries. Name of Rider: ______________________________________________________________________ Age _____________ Rider’s Address:______________________________________________________________________________________ Daytime and Evening phone:____________________________________________________________________________ Rider’s Email (please write clearly): _______________________________________________________________________ Name of Horse: ______________________________________________________________________________________ 1s t Dressage Test: ____________________________________ 2nd Dressage Test: ____________________________________ 3rd Dressage Test: ____________________________________ Total Amount Enclosed: _______________________________________ 1 /We recognize that there are inherent risks and dangers related to horses and horse shows. In consideration of Bascule Farm, LLC accepting our application to participate in this show, we hereby agree to assume all risks associated with and do hereby release and agree to indemnify and hold harmless Bascule Farm, its agents, employees, representatives, servants, and volunteers, for all causes of action, including negligence, which may accrue as a result of any damages or injury to me, us, or our property. Signature of Entrant/Rider: ______________________________________________________________ Signature of Horse Owner: ______________________________________________________________ If the participant is under the age of 18, we, as the minor’s parent/guardian, hereby consent, jointly and severally, to the minor’s participation and agree to indemnify Bascule Farm, LLC, and hold Bascule Farm, LLC, harmless for any damage or injury suffered by minor or the minor’s property. Signature of parent/guardian: _________________________________________________________________________ Other competitors with whom you are trailering/sharing a coach/etc.: __________________________________________ Completed SIGNED ENTRY CURRENT Coggins CHECK made out to Bascule Farm Send Show Entries to: Bascule Farm Dressage Show 12668 Granite Ridge Drive North Potomac, MD 20878-3435
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