TPH Combined Test & Dressage Show

Toms Performance Horses, LLC Combined Test & Dressage Shows Entry Form

Sunday, September 29, 2024, Closing date September 25th

(Please make as many copies as needed - one horse/rider combination per entry form
Exhibitor Age

AdultYouth (under 18)
HCEC Member

YesNo
EXHIBITOR NAME
Phone
Email
example@example.com
HORSE NAME
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
COGGINS Lab Access No
State
Test Date

MonthDayYear
Date
HORSE OWNER only if different from exhibitor
OWNERS ADDRESS only if different from exhibitor
I will be competing in combined test level for the cost of fee ($55 or $50 for HCEC Members)
I will be competing in following dressage tests test 1 Test 2 for the cost of test 1 fee test 2 fee ($35 per test or $30 per test for HCEC Members)
I want to do a Stadium Practice Round for the cost of fee ($15 per test or $10 per test for HCEC Members)
TOTAL AMOUNT DUE (including $5 office fee)
Entry form, fees, and coggins are due by the closing date listed above.

Checks payable to Toms Performance Horses, LLC

Venmo: Danielle-Kernen

PayPal friends and family: danielletoms80@gmail.com

I, the exhibitor or guardian of the minor (under 18), enter the above horse at my own risk subject to all rules and regulations of the show and Toms Performance Horses LLC. I agree if any injury or death occurs to the animal exhibited, myself or minor exhibitor, spectators, or damage to any personal property on the grounds, that I hereby waive and release any claim to liability whatsoever from Toms Performance Horses LLC, all committees, property owners, employees, members, and volunteers whether the injury, death, or damage be caused by gross negligence or simple negligence of Toms Performance Horses LLC.
Exhibitor Signature or guardian if under 18

Clear
Date

MonthDayYear
Date
Should be Empty:

Toms Performance Horses, LLC Combined Test & Dressage Shows Entry Form

Sunday, September 29, 2024, Closing date September 25th

Entry form, fees, and coggins are due by the closing date listed above.

Checks payable to Toms Performance Horses, LLC

Venmo: Danielle-Kernen

PayPal friends and family: danielletoms80@gmail.com