Entry Form for April 14, 2019 - Dressage Show @ USET
This is the Online Entry Form you can use to enter our NJ Region's Dressage Schooling Show.
Just fill in the blanks and hit submit at the bottom. This will send your entry to the Show Secretary
Entry fees are $40/class. For Pony Club members (youth or HMX) entry fee is $35/class.
There is a $10 office fee per entry for all entries.
This is the only Dressage Schooling show at USET, Gladstone, NJ, this year.
Show is also an ESDCTA registered show and scores will count for their Year-End Awards.
Payment for entry fees can be made through the Payment Page of the NJRegionPonyClub.org website.
Payment can also be mailed to the show secretary:
Cathy Brogan, 176 Barbertown Idell Road, Frenchtown, NJ 08825
Checks should be made payable to: The NJ Region Pony Club
Closing date for entries was April 2, 2019
Entries received after the closing date will be subject to a $15 post-entry fee per class, if space permits.
Email address *
I would love to help the NJR Youth Group with something for their Silent Auction. Please have Youth Member contact me for more details about how I can help their program.
Rider's First name
Your answer
Rider's Last Name
Your answer
Check one
Please indicate if you are a Junior (DOB required), Adult Amateur, or Open rider
Junior Riders, please give Date of Birth
Your answer
Rider's Address
Please give address where you receive your mail
Your answer
City State and Zip
Please provide this information for street address above
Your answer
Cell #
Your answer
Home #
Your answer
Email:
Please provide an email address that you check frequently. All ride rimes and communications will be done via email.
Your answer
Horse/Pony Name
Your answer
Horse's Breed and color
Your answer
Gender
please check appropriate choice
Horse's height and age
Your answer
Date of current Negative Coggins
Please provide the date of your current coggins. Coggins must be within 12 months of show date.
Your answer
T.I.P. - Award
My horse is eligible for this award. Below is his/her TIP number.
Your answer
Copy of Current Coggins required for all entries
Please indicate if you are emailing a digital or scanned copy of your current coggins for your horse, or mailing a copy to the secretary. Coggins must have a date within the past 12 months. No photo of coggins acceptable.
First Class you are entering
Please check your choice from the list below
Test of Choice or Level for 1st class
For class 10, 11, 12, 13, 15 or 16, please specify your TOC or specify level required for your class
Your answer
Second Class you are entering
Please check your choice from the list below
Test of Choice or Level for 2nd class
For class 10, 11, 12, 13, 15 or 16, please specify your TOC or specify level required for your class
Your answer
Third Class you are entering
Please check your choice from the list below
Test of Choice or Level - for 3rd class
For class 10, 11, 12, 13, 15 or 16, please specify your TOC or specify level required for your class
Your answer
Stabling - on site if available, otherwise off site
Late Fee - $15/class
For entries received after closing date (April 2, 2019), please add $15/class late fee.
Entry Fees for classes
Entry fee is $40 per class. Entry fee/class for pony club and horsemaster members is $35/class.
Office Fee
There is a $10/entry Office Fee for all entries. Please include this $10 in your total fees due.
Total fees due
Please include the entry fee for all classes entered and any late fees for entries made after closing date. Please include the $10 office fee per entry
Your answer
Method of payment
You can make payments through the "Payment Page" on the NJRegionPonyClub.org website using Paypal. This payment system does not reuire that you have a paypal account. All credit cards and debit cards are accepted. You may also may a check made payable to NJ Region Pony Club to the show secretary. I understand that entries not paid by the Closing Date might not be included in the time schedule.
Hold Harmless Agreement - requires signature of competitor
I agree in consideration for my participation in this Competition being held for the benefit of the NJ Region Pony Club’s members to the following: I am fully aware and acknowledge that horse sports and the competition involve inherent dangerous risks of accident, loss, and serious bodily injury including broken bones, head injuries, trauma, pain, and suffering or death (“Harm”). I hereby agree to release, indemnify and hold harmless the NJ Region Pony Club, its officials, officers, show managers,agents, and volunteers from and against any and all loss, liability or damage arising from or because of, or in connection with, participation in this competition. I also agree to release, indemnify and hold harmless the show management, show committee and members, officers, agents, and volunteers from and against any and all loss, liability or damage arising from or because of or in connection with participation in this competition or related activities. If I am a parent or Guardian of a junior exhibitor, I consent to the child’s participation and agree to all the above provisions and agree to assume all the obligations of this release on the child’s behalf.. By signing below I (we) agree to be bound by all applicable rules and all terms and provision of this entry.
Your answer
Signature of Parent (Guardian) if rider is under 18 years of age.
Your answer
Entries will only be accepted if completely filled out with all necessary signatures.
Full payment of all fees must be included (or paid online thru our website: NJRegionPonyClub.org). A Proof of a Negative Coggins dated within 12 months of competition required. I understand that entries not paid by closing date might not be included in the time schedule.
Comment
Please use this space to add any information you would like to send to the secretary.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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