WILLOWBROOKE WINTER SHOW SERIES ENTRY FORM
Please
Choose a 2012-2013 Show Date:
|
Horse
Name: ____________ Age: ____ Height:_____ Sex:____ Color:_____
Stabled with: ____________________________________
Owner
Name: ____________________ Trainer Name:___________________
Owner Phone: ___________________ Trainer
Phone:__________________
Rider's
Name: ______________________________ Age:
_______________
Address: ________________________________________________________
City: _________________________ State: ____________ Zip: ____________
Phone Number: _______________________________
Rider MHJA #: ___________________ Horse MJHA #:
__________________
Owner Signature: _______________ Parent Signature: __________________
Trainer Signature: _______________ Rider Signature: __________________
Class Numbers: ____ ____
____ ____ ____
____ ____ ____
____ ____ ____
____ ____ ____
____ ____
If you need to use a school
horse, please put in order of preference a list of
horses you would like to show. Do a separate list for flat and over
fences.
Flat: 1._________________ 2.
________________ 3.________________
Jump: 1.________________ 2. ________________
3.________________
Non-Showing fee - $35 ea: ____________
Medic Fee - $6:
_____$6_____
Post
Entry Fee - $15 ea: ____________
Pony Measurement Fee - $10: ____________
Class
Fees @ $15 ea:
____________
MHJA Medal Class @ $20 ea: ____________
School Horse use @ $10 ea:
____________
Willowbrooke Boarder Schooling Fee (day) - $25:
____________
Stall (w/Shavings) @ $40 ea: ____________
TOTAL PAID: ____________
Check #
____________
Willowbrooke Farm
is located at 7461 Brookville Road. Plymouth, MI 48170
Make Checks payable to Jennifer Blades
Entries close the Tuesday prior to the horseshow
You can still enter with a $15 post entry fee
For questions, contact
Jennifer Blades at 313-938-9221 / Barn 734-737-0899.
FAX: 734-737-0408
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WILLOWBROOKE WINTER SHOW SERIES
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| 1. Warm-up 2'3" | 31. Low Children's/Adult Equitation 2'6" | |
| 2. Baby Green Hunter 2'3" | 32. MHJA Low Adult Medal 2'6" | |
| 3. Baby Green Hunter 2'3" | 33. MHJA Intermediate Junior Medal 2'6" | |
| 4. Baby Green Hunter under saddle | 34. MHJA Pony Medal | |
| 5. Warm-up (card stays open through class 11) | 35. Novice Hunter under saddle | |
| 6. Limited Hunter 2'6" - 2'9" | 36. Novice Equitation - flat | |
| 7. Limited Hunter 2'6" - 2'9" | 37. Low Children's/Adult Hunter under saddle | |
| 8. Limited Equitation 2'6" - 2'9" | 38. Low Children's/Adult Equitation - flat | |
| 9. Open Hunter 2'9" - 3' | 39. Beginner Hunter under saddle | |
| 10. Open Hunter 2'9" - 3' | 40. Beginner Equitation - flat | |
| 11. Open Equitation 2'9" - 3' | 41. Warm-Up 2' | |
| 12. Open Jumper 2'9" | 42. Beginner Hunter 2' | |
| 13. Open Jumper 2'9" | 43. Beginner Hunter 2' | |
| 14. Open WBF Medal/Horsemanship Class 2'9" | 44. Beginner Equitation 2' | |
| 15. MHJA Young Rider's Medal 2'9" | Ring 2 - Start Time - 2 p.m. (if entries are large enough) | |
| 16. MHJA Limit Adult Medal 2'9" | 45. Leadline | |
| 17. MHJA Limit Jr. Medal 3' | 46. Walk-trot-canter Hunter under saddle | |
| 18. MHJA Open Adult Medal 3' | 47. Walk-trot-canter Equitation - flat | |
| 19. MHJA Open Jr. Medal 3'3" | 48. Walk-trot Hunter under saddle | |
| 20. Open Hunter under saddle | 49. Walk-trot Equitation - flat | |
| 21. Open Equitation - flat | 50. Poles - WT | |
| 22. Limit Hunter under saddle | 51. Poles - WT | |
| 23. Limit Equitation - flat | 52. Poles - WTC | |
| 24. Warm-Up (stays open through class 31) | 53. Poles - WTC | |
| 25. Novice Hunter 2'3" | 54. Crosspole Warm-Up 18" | |
| 26. Novice Hunter 2'3" | 55. Crosspole Hunter 18" | |
| 27. Novice Equitation 2'3" | 56. Crosspole Hunter 18" | |
| 28. Novice WBF Medal/Horsemanship Class 2'3" | 57. Crosspole Equitation 18" | |
| 29. Low Children's/Adult Hunter 2'6" | 58. Crosspole Hunter under saddle | |
| 30. Low Children's/Adult Hunter 2'6" | 59. Crosspole Equitation - flat | |
Every entry of a recognized competition shall constitute an agreement and
affirmation that the person making
it, owner, lessee, trainer, manager, agent, rider and the horse: 1)
Shall be subject to the constitution and the
rules of the Association and the local rules of the competition; 2) That
every horse and rider is eligible as
entered; 3) That the owner, rider and any of their agents
acknowledge that they participate voluntarily in
the competition fully aware that horse sports and the competition involve
inherent dangerous risk of injury
or loss, and they agree to hold Willowbrooke Farms, the competition and their
officials, directors, employees
and agents harmless for any injury or loss suffered during or in connection with
the competition, whether
or not such injury or loss resulted, directly or indirectly, from negligent acts
or omissions of said officials,
directors employees or agents of Willowbrooke Farm or the competition. I
further agree that if any damages shall
be occasioned or loss occur, by fire or other, to the horses exhibited, or to
any vehicle or other article that I may
send with such horses, that I will make no claim therefore, and further agree to
hold Willowbrooke Farms,
owners of the show grounds, officials, member or employees harmless from any
claim or demand of whatsoever
kind of nature, that may be occasioned by the horse(s), and to repay to this
show on demand all damages it may
sustain by reason of any claim or demand as aforesaid. WARNING:
UNDER THE MICHIGAN EQUINE
ACTIVITY ACT AN EQUINE PROFESSIONAL IS NOT LIABLE FOR ANY INJURY TO OR THE DEATH
OF A PARTICIPANT IN ANY EQUINE ACTIVITY RESULTING FROM AN INHERENT RISK OF THE
EQUINE
ACTIVITY. Entries close the Tuesday prior to the
Horseshow. You can still enter, with a $15 post entry fee.