Entry Form

Entry Form
Gypsy Live Spring Premier

& GHSA Southeast Regional Championships
Horse's Name:*
Registration Number:*
Registry:*
Horse's Date of Birth:*
Month / Day / Year
Gender:*

Stallion/ColtMare/FillyGelding
Color:*
Horse's Sire:* Horse's Dam: *
OWNER:*

First NameLast Name
Address*

Street Address

Email Address:

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Opt IN for important show updates from Gypsy Live by text messaging?*

YESNO
Amateur Handler/Rider (yes/no)?*

YESNO
This is a Regional Championship Show for the GHSA Southeast Region, a GVHS approved and pointed Regional Club. Is Handler/Rider 1 a GHSA Southeast Region Member? Select an option below.*
$20 annual membership allows you to earn points toward year end awards for the GHSA Southeast Region, the GHSA National Association, and the GVHS approved regional awards program. $10 non-member fee allow you to participate at this show, but not to earn points toward the year end awards described above.
Handler/Rider 1:*

First NameLast Name
Address*

Street Address

Email Address:

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Opt IN for important show updates from Gypsy Live by text messaging?

YESNO
Amateur Handler/Rider (yes/no)?*

YESNO
This is a Regional Championship Show for the GHSA Southeast Region, a GVHS approved and pointed Regional Club. Is Handler/Rider 1 a GHSA Southeast Region Member? Select an option below.*
$20 annual membership allows you to earn points toward year end awards for the GHSA Southeast Region, the GHSA National Association, and the GVHS approved regional awards program. $10 non-member fee allow you to participate at this show, but not to earn points toward the year end awards described above.
Handler/Rider 2:

First NameLast Name
Address

Street Address

Email Address:

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Opt IN for important show updates from Gypsy Live by text messaging?

YESNO
Amateur Handler/Rider (yes/no)?

YESNO
This is a Regional Championship Show for the GHSA Southeast Region, a GVHS approved and pointed Regional Club. Is Handler/Rider 2 a GHSA Southeast Region Member? Select an option below.
$20 annual membership allows you to earn points toward year end awards for the GHSA Southeast Region, the GHSA National Association, and the GVHS approved regional awards program. $10 non-member fee allow you to participate at this show, but not to earn points toward the year end awards described above.
Handler/Rider 3:

First NameLast Name
Address

Street Address

Email Address:

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Opt IN for important show updates from Gypsy Live by text messaging?

YESNO
Amateur Handler/Rider (yes/no)?

YESNO
This is a Regional Championship Show for the GHSA Southeast Region, a GVHS approved and pointed Regional Club. Is Handler/Rider 3 a GHSA Southeast Region Member? Select an option below.
$20 annual membership allows you to earn points toward year end awards for the GHSA Southeast Region, the GHSA National Association, and the GVHS approved regional awards program. $10 non-member fee allow you to participate at this show, but not to earn points toward the year end awards described above.
Class Numbers and Corresponding Handler/Rider (Click save after each line):*
Please note, exhibitors will be provided early access to order shavings, hay and grain directly from the World Equestrian Center online or by phone prior to the show. Orders placed during the show will be delivered same day if placed before 2pm, or next day if placed after 2pm.

Billing:

Upload Photo of Registration Papers Here

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Upload Photo of Current Negative Coggins Test Here

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Upon arrival at show, each horse must have a health certificate dated within 2 weeks prior to arrival. Health certificates must confirm current negative coggins (within 12 months), EHV1 and EHV4 - Equine Influenza Virus and Equine Herpes Virus (Rhinopneumonitis) vaccinations (within 6 months).
Should be Empty:

Entry Form

Gypsy Live Spring Premier

Please note, exhibitors will be provided early access to order shavings, hay and grain directly from the World Equestrian Center online or by phone prior to the show. Orders placed during the show will be delivered same day if placed before 2pm, or next day if placed after 2pm.

Payment Methods

Upon arrival at show, each horse must have a health certificate dated within 2 weeks prior to arrival. Health certificates must confirm current negative coggins (within 12 months), EHV1 and EHV4 - Equine Influenza Virus and Equine Herpes Virus (Rhinopneumonitis) vaccinations (within 6 months).