Toms Performance Horses, LLC Christmas Cheer Obstacle Challenge Entry Form

Saturday, December 6, 2025, Closing date December 3rd

(Sign up and pay by November 15th and received a $5 discount on entry fee)

Event runs from 11am -2pm

EXHIBITOR AGE if under 18

Back # (only fill out if you have your own number if not leave blank)

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

Date

HORSE OWNER only if different from exhibitor

OWNERS ADDRESS only if different from exhibitor

Select Class(s)

by entering class fee in the block of the class you are competing in.

In-Hand Trail - Open to anyone. Entries may cross enter in either novice or open.

Entry fee $25

Mini In-Hand Trail - Open to any miniature equine to be shown in-hand.

Entry fee $25

Coached or Leadline Obstacle - Open to riders ages 10 and under who cannot ride without assistance. Must be led at all times. Can not cross enter in any other class.

Entry fee $15

Novice Rider Arena Obstacles - Open to any age rider in their first year of competing trail. Entries may not cross enter on open trail.

Entry fee $45

Novice Horse Arena Obstacles - Open to any horse or pony in their first year of competing trail. Entries may not cross enter ln open trail

Entry fee $45

Youth Open Arena Obstacles (Arena #2) Open to riders ages 17 and under. Must be able to ride independently. Entries may not cross enter in novice.

Entry fee $45

Adult Open Arena Obstacles (Arena #2) Open to riders ages 18 and older. Entries may not cross enter in novice.

Entry fee $45

Total Amount Due (add up above fees)

$65 if you sign up for both in-hand and ridden classes

Optional Dress you and your horse up to show your Christmas Cheer!!

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

Date