Meadowvale Upper Canada Derby Entry form - Derby date July 12, 2020
Entry form and Covid procedures and acknowledgement form
* 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
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