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Pre-Entry Form                                                                     Hidden Haven Horse Show at Pole Green Park                            Website: www.hdnhvn.com

                                                                                     

 

Mail or Fax This Entry to:

 

Carol Anne Hasslacher

18477 Dixie Bell Lane

Montpelier, VA  23192

Fax:  (804) 883-0038   

Cell:     (804) 677-6051

Phone:  (804) 883-0038

Website:   www.hdnhvn.com

Email:   hdnhvn@earthlink.net

If your Email address has changed

 or has recently been added,

please notify the secretary as soon as possible.

 

Please Note: All Information is Required      For 2010 Show Date of :    3/21   4/18   5/2   5/23   8/1   8/22   09/26   10/17   (Circle Date)  

                                               

Class Numbers

Entered

Horse or Pony (L,M,S)

Pony (L,M,S) / Horse

Owner

Rider

Adult / Junior

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ALL ENTRIES MUST BE SIGNED BY OWNER / RIDER.

Please complete information below

PARENT / GUARDIAN MUST SIGN FOR MINORS.

 

 

 

Entry Fees are $30 per Division or $12 per Class, $15 for HH/VHSA/BHSA Equitation/FLC.

 Total Due                            Total # of Classes                        Amateur/Professional

Post entry fee add $2 per class. Non-showing Schooling $15. CA warm up $10.  Stalls are $25. 

 

Annual Hanover Co User / Admin fee is $15.  $25 fee if check is returned.

 Print Name Clearly                                                    Telephone Number (Required)

Entries received after Saturday 6pm before the show entered will be considered a post entry. 

 

There is no charge if the rider is not able to show.

 Address                                                                      Trainer

 

 

Entering a class or schooling at this Show constitutes an agreement that the exhibitor will not hold the Management, Staff or Volunteers of Hidden Haven, The VHSA or Hanover County Parks & Recreation responsible for any loss or injury due to intrinsic dangers of equine activities.

 Owner Signature                                                        Rider Signature

 

 Parent/Guardian Signature                                         Email Address
 

“Intrinsic dangers of equine activities” means those dangers or conditions that are an integral part of equine activities, including but not limited to, (i) the propensity of equines to behave in ways that may result in injury, harm or death to persons on or around them; (ii) the unpredictability of an equine’s reaction to such things as sounds, sudden movement, and unfamiliar objects, persons, or other animals; (iii) certain hazards such as surface and subsurface conditions; (iv) collisions with other animals or objects; and (v) the potential of a participant acting in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the equine or not acting within the participant’s ability.