E.C.R.D.A Championship Show Entry Form
ONE HORSE PER ENTRY FORM
Entries MUST BE COMPLETE with Signatures, Current Coggins, and Full Payment

Show Name: ECRDA Championship Show
Show Date: October 4, 2009
Rider:
ECRDA #

Address:
street,city, state, zip

 

Phone:

Email:
Circle One : ------JR/YR------ SR-------
Has Ridden Above 2nd Level? (circle one) Y / N
Trainer:
Name of Horse
Breed
Color
Age
Height
Gender
           
One Horse Per Entry Form
One Dressage Division and one Musical Freestyle Division Per Horse / Rider Pair
4th Level and FEI: 1 test, $45 --- All other Divisions: 2 tests, $60
 
Division and Subgroup (Jr / Sr / Shown Above 2nd)
Fee
   
   

Special requests

 

 Total Fees Enclosed:___________
 
I hereby enclose my entry which is made at my own risk and subject to the conditions and regulations of the ECRDA and USEF, as well as any additional sanctioning organizations. I understand that neither the Organizing Committee, the host, nor the property owners accept any responsibility for, or are liable for, any accidents, damage, loss, injury, or illness to any horses, equipment, owners, riders, employees, attendants, spectators, volunteers, or any other person or property whatsoever, in connection with this activity.
 
HOLD HARMLESS CLAUSE: Understanding that horse sports may be hazardous and dangerous, even leading to permanent injury or death, each owner, rider, spectator, and other participant assumes any and all risk of loss or injury and agrees to hold harmless, regardless of negligent acts or omissions, Saddlebrook Ridge Equestrian Center, LLC, East Coast Regional Dressage Assoc, the State of New Jersey, the show management, show committee, and all horse show personnel.
 
SIGNATURE:_______________________________________________________________
(must be signed by parent/guardian if under 21)

Mail entry form, fees, and a copy of current coggins to:
Pam Turner
5 Stanley Place
Jackson, NJ 08527
(908) 513-7755
jpwc@optonline.net