Starfish Equine Resuce Benefit Horse Show
June 10, 2023
Held at Pembrook Farm
1722 NJ-47
Eldora, NJ 08270
8:00 Start
Rider Name
*
First Name
Last Name
Email
*
example@example.com
Rider Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Phone Number
-
Area Code
Phone Number
Horse Name
*
Type of Horse or Pony
*
Horse
Small/medium pony
Large Pony
Select the classes that you would like to enter. *Lead line will be held as close to 12:30 as possible. Low C/A Hunter not before 10:00, Baby Green not before10:30, Short stirrup not before 11:30, and Mini stirrup not before 2:00pm.
1: M/S C/A Medal
2: Boot & Bridle Medal (open card)
3: C/A Hunter
4: C/A Hunter
5: C/A Hunter
6: C/A Hunter
7: M/S Ch/Ad Hunter Classic
8: Low/Working Hunter
9: Low/Working Hunter
10: Low/Working Hunter
11: Low/Working Hunter
12: Low C/A Hunter
13: Low C/A Hunter
14: Low C/A Hunter
15: Low C/A Hunter
16: Bit O' Straw
17: M/S 2'6" Medal
18: Baby Green Hunter O/F
19: Baby Green Hunter O/F
20: Baby Green Hunter O/F
21: Baby Green Hunter U/S
22: Low C/A Equitation O/F
23: Low C/A Equitation O/F
24: Low C/A Equitation O/F
25: Low C/A Equitation U/S
26: Short Stirrup WT
27: Short Stirrup WTC
28: Short Stirrup O/F
29: Short Stirrup O/F
30: Leadline
31: Leadline
32: Leadline
33: Starfish Pleasure Derby
34: Mini Stirrup WT Eq
35: Mini Stirrup WT Pleasure
36: Mini Stirrup Figure 8
37: Mini Stirrup Ground Poles
38: Pleasure WTC
39: Pleasure WTC
40: Pleasure WTC
41: Pleasure O/F
42: Long Stirrup WT Eq
43: Long Stirrup WT Pleasure
44: Long Stirrup WTC
45: Long Stirrup O/F Choice
46: Beginner WT EQ
47: Beginner WT Pleasure
48: Beginner WTC
49: Beginner O/F
50: Walk Trot WT Eq
51: Walk Trot Pleasure
52: Walk Trot Figure 8
53: Walk Trot Ground Poles
By agreeing to this form, I understand that Star Hollow Stables is not responsible for any damage, injury, or loss to persons, horse/pony or property of exhibitor or spectator incurred on or off the horse show grounds
Is your horse or pony a rescue? If yes, At the show we will ask you to write a few words about how you and your rescue found each other =)
Yes.
No
Submit
Show Secretary Info
Totals
Regular Class ($20 per class)
Marshall & Sterling (40 per class)
Pleasure Derby with a division ($50)
Pleasure Derby without a division ($75 plus schooling)
Schooling Fee with a class $10 (No charge for Lead Line)
Schooling Fee without competing ($35)
Back Number Deposit $1
TOTAL
Back Number
Payment - Cash, check or Venmo
Should be Empty: