Entry Form
Gypsy Live Spring Premier
& GHSA Southeast Regional Championships
Horse's Name:
*
Registration Number:
*
Registry:
*
Please Select
Gypsy Vanner Horse Society
Gypsy Horse Registry of America
Traditional Gypsy Cob Association
Other
Horse's Date of Birth:
*
Month / Day / Year
Gender:
*
Stallion/Colt
Mare/Filly
Gelding
Color:
*
Horse's Sire:
*
Horse's Dam:
*
OWNER:
*
First Name
Last Name
Address
*
Street Address
Email Address:
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Opt IN for important show updates from Gypsy Live by text messaging?
*
YES
NO
Amateur Handler/Rider (yes/no)?
*
YES
NO
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.
*
Please Select
I am a GHSA member already. - no additional fee
I am joining the GHSA Southeast Region - $20 annual fee
I do not want to join the GHSA Southeast Region Club. - $10 non-member fee
$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 Name
Last Name
Address
*
Street Address
Email Address:
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Opt IN for important show updates from Gypsy Live by text messaging?
YES
NO
Amateur Handler/Rider (yes/no)?
*
YES
NO
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.
*
Please Select
I am a GHSA member already. - no additional fee
I am joining the GHSA Southeast Region - $20 annual fee
I do not want to join the GHSA Southeast Region Club. - $10 non-member fee
$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 Name
Last Name
Address
Street Address
Email Address:
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Opt IN for important show updates from Gypsy Live by text messaging?
YES
NO
Amateur Handler/Rider (yes/no)?
YES
NO
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.
Please Select
I am a GHSA member already. - no additional fee
I am joining the GHSA Southeast Region - $20 annual fee
I do not want to join the GHSA Southeast Region Club. - $10 non-member fee
$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 Name
Last Name
Address
Street Address
Email Address:
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Opt IN for important show updates from Gypsy Live by text messaging?
YES
NO
Amateur Handler/Rider (yes/no)?
YES
NO
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.
Please Select
I am a GHSA member already. - no additional fee
I am joining the GHSA Southeast Region - $20 annual fee
I do not want to join the GHSA Southeast Region Club. - $10 non-member fee
$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:
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Class Fees (In-hand / Under saddle)
GHSA Southeast Regional Championship
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Class Fees (Dressage Classes)
USEF/USDF "S" Dressage Judge
$
40.00
Supreme Halter Classes
To be entered at show after attaining qualification (Top 2)
$
Free
Supreme Performance Championships
To be entered at show after attaining qualification (Top 5)
$
50.00
Stall (for horse or tack)
Thursday 4/20 - Sunday 4/23
$
110.00
Early Arrival or Late Departure (per stall/per day)
Applies to all horse/tack stalls used before 4/20 and after 4/23. Late departures must vacate by 8:30am on 4/24 for entry of WEC cleaning team, otherwise an additional fee of $25 per stall will be charged.
$
35.00
Quantity
1
2
3
4
Office Fee
Per horse office fee.
$
30.00
GHSA Southeast Region Non-Member Fee
($10 per handler/rider/owner. Members are exempt from this fee, Annual membership is available for $20)
$
10.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Upload Photo of Registration Papers Here
Browse Files
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Choose a file
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Upload Photo of Current Negative Coggins Test Here
Browse Files
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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).
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