CT / Derby & HDS Form

CT/Derby & HDS schooling show

JUDGE: Jayne Lloyd CLOSING DATE 03/25/2026
For the CT and Derby dressage. Beg-Nov and above USEA Test A. Goldilocks-USEA Starter and GAG-USDF Intro C
Email
example@example.com
LAB name
Show name
Show Date*

MonthDayYear
Name of Horse
Coggins Account#
Coggins Test

Cancelof
Date

MonthDayYear
Date
Owner

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Rider

First NameLast Name
Rider Competing As
Address

Street Address

CityState / Province

Postal / Zip Code
Trainer

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Barn Affiliation
LIABILITY RELEASE AND EXPRESS ASSUMPTION OF RISK AGREEMENT
LIABILITY RELEASE AND EXPRESS ASSUMPTION OF RISK AGREEMENT I AND, IF APPLICABLE, MY LEGAL GUARDIANS REPRESENT THAT WE ARE FULLY AWARE THAT EQUINE ACTIVITIES INVOLVE THE INHERENTLY DANGEROUS RISK OF SERIOUS INJURY OR DEATH, AND BY PARTICIPATING IN SUCH ACTIVITIES EXPRESSLY ASSUME ANY AND ALL RISKS OF INJURY OR LOSS AND AGREE TO INDEMNITY AND HOLD HARMLESS NEW HORIZON STABLES, ITS DIRECTORS, OFFICERS, EMPLOYEES, AGENTS AND SHAREHOLDERS FROM AND AGAINST ALL CLAIMS INCLUDING CLAIMS FOR ANY INJURY OR LOSS SUFFERED DURING OR IN CONNECTION WITH MY INVOLVEMENT IN SUCH ACTIVITIES INCLUDING, WITHOUT LIMITATION, THE RISKS OF DEATH, BODILY INJURY, PROPERTY DAMAGE, FALLS, KICKS, BITES, COLLISIONS WITH VEHICLES, HORSES OR STATIONARY OBJECTS, FIRE OR EXPLOSION, THE UNAVAILABILITY OF EMERGENCY MEDICAL CARE, AND OR THE NEGLIGENT AND/OR DELIBERATE ACT OF ANOTHER PERSON, WHETHER OR NOT SUCH CLAIM, INJURY OR LOSS RESULTED, DIRECTLY OR INDIRECTLY, FROM THE NEGLIGENT ACTS OR OMISSIONS OF THE OFFICERS, DIRECTORS, EMPLOYEES, AGENTS, OR SHAREHOLDERS OF SNOWDONIA SPORT HORSE COMPLEX. I have read the Basic Liability Release Statement and the Liability Release and Express Assumption of Risk Agreement and Agree to them
Basic Liability Release Statement and the Liability Release and Express Assumption of Risk Agreement and Agree to them

Clear

My Products

MUSICAL FREESTLYE

$30.00 QuantityLevel

USDF Test

USDF INTRO

$30.00

TEST	Quantity
A
B
C

USDF TRAINING

$30.00

LEVEL	Quantity
1
2
3

USDF FIRST

$30.00

LEVEL	Quantity
1
3
2

USDF SECOND

$30.00

LEVEL	Quantity
1
2
3

USDF THIRD

$30.00

LEVEL	Quantity
1
2
3

USDF FOURTH

$30.00

LEVEL	Quantity
1
2
3

USEA Test

USEA Starter

$30.00

USEA STARTER	Quantity
Test A
Test B

USEA Test Beginner Novice

$30.00

USEA BEGGINER NOVICE	Quantity
Test A
Test B

USEA Novice

$30.00

USEA NOVICE	Quantity
Test A
Test B

USEA Training

$30.00

USEA TRANING	Quantity
Test A
Test B

Western Dressage

Intro

$30.00

INTRO	Quantity
1
2
3
4

Basic

$30.00

BASIC	Quantity
1
2
3
4

Level

$30.00

LEVEL	Quantity
1-1
1-2
1-3
1-4
2-1
2-2
2-3
2-4
3-1
3-2
3-3
3-4

CT Divisions

Preliminary. Max Height 3’7”

$50.00

Preliminary Jump Only

$20.00

Training. Max Height 3’3”

$50.00

Training Jump Only

$20.00

Novice. Max Height 2’11”

$50.00

Novice Jump Only

$20.00

Beginner Novice. Max Height 2’6”

$50.00

BG Novice Jump Only

$20.00

Goldilocks. Max Height 2’3”

$50.00

Green as Grass. Max Height 2’

$50.00

Green as Grass Jump Only

$20.00

Derby Division

Training. Max Height 3’3” (Derby)

$80.00 Quantity

Training Jump Only (Derby)

$25.00 Quantity

Novice Jump Only (Derby)

$25.00 Quantity

Novice. Max Height 2’11” (Derby)

$80.00 Quantity

Beginner Novice. Max Height 2’6” (Derby)

$80.00 Quantity

BG Novice Jump Only (Derby)

$25.00 Quantity

Goldilocks. Max Height 2’3” (Derby)

$80.00 Quantity

Green as Grass. Max Height 2’ (Derby)

$80.00 Quantity

Green as Grass Jump Only (Derby)

$25.00 Quantity

Puddle Jumpers. Max height 2’

Time First Jump Off (puddle)

$20.00

Time First Round ( puddle)

$20.00

Power & Speed (puddle)

$20.00

Itty Bitty Jumpers 2' 3"

Time First Jump Off (Itty Bitty)

$20.00

Time First Round (Itty Bitty)

$20.00

Power & Speed

$20.00

Schooling Jumpers. 2' 6"

Time First Jump Off (Schooling)

Schooling Jumpers. Max Height 2’6”

$20.00

Time First Round (Schooling)

$20.00

Power & Speed (Schooling)

$20.00

Jr/Adult Jumper 3'

Time First Jump Off (Jr/Adult)

$20.00

Time First Round (Jr/Adult)

$20.00

Power & Speed(Jr/Adult)

$20.00

Open Jumpers 3'3"

Time First Jump Off (Open Jumpers)

$20.00

Time First Round (Open Jumpers)

$20.00

Power & Speed (Open Jumpers)

$20.00

Cross Rails. 18”

Equitation Walk/Trot/Canter

$20.00

Equitation Over Fences

$20.00

Equitation Over Fences

$20.00

Extra Services PLEASE SELECT STABLING OR GROUNDS FEE

Leadline Class

$15.00

Office Fee Per Entry

Mandatory for entry

$30.00

Pick a Stall or Grounds fee

$60.00

Non Showing/Schooling Fee

35/day

$35.00

Paddock Fee Day or Overnight

$40.00

Late fee

$50.00 Quantity

Total

$0.00

Payment Methods

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CT/Derby & HDS schooling show

For the CT and Derby dressage. Beg-Nov and above USEA Test A. Goldilocks-USEA Starter and GAG-USDF Intro C