FAK

ENTER ONLINE www.ridgefieldarena.com

or FAX ENTRY to 636-227-8337 BY THURSDAY NIGHT. ONE HORSE PER ENTRY FORM PLEASE!

RIDGEFIELD SHOW SERIES

COGGINS #

ENTRY NUMBER

MOHJO & MHSA recognized (double points)

CIRCLE ONE

Adult 4

Child

SPECIAL CLASSES

HORSE Rider #1
Address City State Phone EMAIL Zip

MONEY HUNTER STAKES $25 MOHJO HUNTER DERBY SPONSORED BY MID RIVERS - $35

DOUBLE 4 TRAILER HUNTER CLASSIC $25 LOST VALLEY LEAD LINE $10 BAVARIAN GAMBLERS CHOICE $25 LUXURY SPORTS & IMPORTS GRAND PRIX $25 JUMPER CLASSES JUMPER WARM UP
HOPEFUL JUMPERS (2') NOVICE JUMPER (2'6") NOVICE JUMPER RIDER (2'6") LEVEL 2 JUMPERS CHILDRENS/ADULT JUMPER LEVEL 3 JUMPERS LEVEL 4 JUMPERS LEVEL 5 JUMPERS HUNTER CLASSES

2 90 9

3 10

11

12

19

13
15 17 20 22 24 26 28

14 16 18 21 23 25 27 29

HOMESTEAD CHILD/ADULT JUMPER (22)

Rider #2
Address City State Phone EMAIL Zip

HUNTER WARM UPS

1
55 101 51 35 39 39A 43 68 48 64 64A 86 86A 73 77 80 84

33
56 36C 40 40A 69 49 65 65A 87 87A

52
57 58 57A 70 59 66 66A 88 88A

81

BABY GREEN 53 PRE GREEN HUNTER 99 WALK/TROT (BEAUFORT FEED Walk Trot Eq) POLES CROSSRAILS CROSSRAILS SCHOOLING HUNTER CHILD ADULT

32 37 37A 41 44 46 50 50A 5 5A 71 74 75 78 82 94 7 (A) 97 98 60 107 109

54 100 50 34 38 38A 42 45 47 51 51A 85 85A 72 76 79 83 6 8 95 91 (A) 102 (A) 63 108 110

(41)

61 61A

BOBCAT SCHOOLING HUNTER U/S

Owner
Address City State Phone Zip

MASTERS HUNTER SHORT STIRRUP BEGINNER RIDER HUNTER -

CHILD

EMAIL

BEGINNER RIDER HUNTER - ADULT LIMIT RIDER CHILD LIMIT RIDER ADULT CHILD HUNTER PONY USHJA TACK TRUNK PONY MEDAL GREEN PONY PONY HUNTER LOW HUNTER USHJA TACK TRUNK MEDAL 2'6" $15 MOHJO MEDAL 2'9"-3' $15 NON PRO NOVICE CHILD / ADULT HUNTER CHILDRENS / ADULT HUNTER MHSA JUNIOR MEDALLION MHSA ADULT MEDALLION 11 & UNDER EQUITATION 12-14 EQUITATION 15-17 EQUITATION

62 67 67A 89 89A

Stable With: Bill Classes to:

Bill Stall/Grounds to:

96 92 (A) 93 (A) 103 (A) 104 (A)105 (A) 106 (A)

DEPENDING ON THE NUMBER OF ENTRIES, CLASSES MAY BE ADJUSTED PER MANAGEMENT'S DESCRETION

FEE SCHEDULE

OFFICE FEE per horse

$35.00 $25.00 $25.00 $10.00 $15.00 $15.00

$20

MOHJO Hunter Derby Grand Prix, Gamblers Choice Hunter Classic, Money Hunters Lead line Ticketed Warm-Up Regular Classes

PREPAID STALL
GROUNDS FEE
(no stall) per day/horse

$70.00 $25.00

STALL GROUNDS #DAYS FEE CLASSES TOTAL

(OR NON SHOWING FEE/DAY)

CALL 636-527-3624 FOR INFORMATION

NON-SHOWING FEE
(Stalled Horse) per day

$25.00

Total Pd Check #

The undersigned agrees to hold Ridgefield Arena ,Ridgefield Shows, Ridigefield Riding Academy, Steve & Tracey Ryan, Rich and Karen Gentry, employees & show management harmless to lost, stolen or destroyed property and for any injury to horses, exhibitors and spectators before, during & after the show. Warning: Under Missour law, an equine professional is not liable for any injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities pursuant to theRevised Statutes of Missouri.

Rider #1 Rider #2

Owner

Trainer

Ridgefield may use my rider's / horse's photo for advertising or web purposes. YES / NO
circle one

Rider Name

Rider Signature

Owner Signature

_______

Prepared by Flo Anne Krampe 4/22/12

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