JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Meadowvale Upper Canada Derby Entry form - Derby date July 12, 2020
Entry form and Covid procedures and acknowledgement form
Sign in to Google
to save your progress.
Learn more
* Required
Rider Name (First name then last name)
*
Your answer
Rider phone number
*
Your answer
Rider email address
*
Your answer
Rider OE number
Your answer
Horse name
*
Your answer
Horse Owner (if different from rider)
Your answer
Horse owner OE number
Your answer
Groom / Guardian name (only 1 permitted on grounds per competitor & must be listed here to be permitted on show grounds)
Your answer
Groom / Guardian phone number
*
Your answer
Coach name
Your answer
Coach phone number
*
Your answer
Barn travelling / attending with
*
Your answer
Division entry (you must enter a full division - no separate classes)
*
Cross rails (Warm up round, short track & long track) $65
2'0" Division (Warm up round, short track & long track) $65
Novice (2'3") Division (Warm up round, short track, & long track) $65
Pre-Entry (2'6") Division (Warm up round, short track, & long track) $65
Entry (2'9") Division (Warm up round, short track, & long track) $65
Pre-training (3'0") Division (Warm up round, short track, & long track) $65
Training (3'2") Division (Warm up round, short track, & long track) $65
Required
Are there any other persons that MUST attend the show with you? If yes - please state name and phone number and reason for attendance. NO Spectators are permitted.
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
