AGS 2-Phase Entry Form Fall/Winter 2023-2024

Name

First NameLast Name

Age (if Junior, under 21)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Need stall?

Horse Name

Show Date:

RELEASE STATEMENT: I understand that entries are made at my own risk and that Land Owners, Autumn Grove Stables, Show Managers and the Show Committee do not accept responsibility for accidents, damage, or injury to horses, riders or spectators. SEE GENERAL INFORMATION BELOW-RIDER SIGNATURE (PARENT if Jr.):

Please upload recent COGGINS TEST RESULT:

General Information: Times will be emailed the Thursday before the show; if no email, please call for ride times. NO TIMES ASSIGNED WITHOUT PAYMENT--NO REFUNDS AFTER CLOSING DATE. Refunds prior to closing date only with vet certificate minus $15.00 office fee. Appropriate Show etiquette applies. Dress is casual but neat. All riders must wear approved safety helmet and appropriate footwear with small heel. No horsing around; WALK ONLY on grounds when not in designated riding areas. Respect the property and clean up after yourselves. Water source is available for buckets and bathing. Food booth will operate for lunch, snacks and drinks. Ribbons awarded to 6th place in each class. Management reserves the right to combine classes &/or divisions and to determine ring size. Make all checks payable to 'Autumn Grove Stables' or VENMO: @Kristie-Naughton

Directions: Take Route 50 East towards Berlin; turn right onto Rt. 113; turn left onto Assateague Road, go about 2 miles, turn left onto Sinepuxent Rd; farm is on the right approximately 1/2 mile; look for Autumn Grove Stables sign and Indoor arena. Call if lost: 410-430-4556 or 410-430-9072.

My Products

Grounds Fee

Per Horse/Rider combo

$15.75

Stall Fee

May bring night before

$26.25 Quantity

2-PHASE Classes (Dressage & Jump)

Includes dressage test and jumper round.

$53.00

Specify Test	Quantity
Introductory-12" jump / USDF Intro A
Pre-Elementary-18" jump / USDF Intro B
Elementary-2' jump / USDF Intro C
Beg Nov A- 2'3" jump / USEA BNA
Beg Nov B-2'6" jump / USEA BNB
Novice A-2'9" jump / USEA Novice A
Novice B-3' jump / USEA Novice B

USEA Eventing Dressage Only Tests

2022 Version If entered in a 2-phase class, your first ride will count toward that class. Additional dressage classes will be pinned separately.

$26.25

Specify Test	Quantity
Beginner Novice A
Beginner Novice B
Novice A
Novice B
Training A
Training B

USDF/USEF Dressage Only Tests

2019 Version If entered in a 2-phase class, your first ride will count toward that class. Additional dressage classes will be pinned separately.

$26.25

Specify Test	Quantity
Intro Test A
Intro Test B
Intro Test C
Training Test 1
Training Test 2
Training Test 3
First Test 1
First Test 2
First Test 3

Jumper Only Classes

If entered in a 2-phase class, your first jump will count toward that class. Additional jumper classes will be pinned separately.

$15.75

Specify Height	Quantity
12"
18"
2'
2'3"
2'6"
2'9"
3'

Total

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Autumn Grove Stables Horse Shows: Dressage/Jumper/2-Phase

My Products

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