Benefit Show On-line Entry Form

Exhibitor*

First NameLast Name

Date of Birth*

Date

Age as of Jan 1*

Division*

Phone Number

Please enter a valid phone number.

Email Address*

Confirmation Emailexample@example.com

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Horse Name*

Breed*

Sex*

Height*

Age*

Number of Sponsorships Received

Each $20 Sponsorship earns a $10 credit

List each Sponsor / Class#(s) per Sponsorship

List Class # being sponsored

My Products*

Post Entry Fee

$15.00

Office Fee

$10.00

1. Beginner Showmanship

$10.00

2: Adv Beginner Showmanship

$10.00

3: Junior Exhibitor Showmanship

$10.00

4: Senior Exhibitor Showmanship

$10.00

5: Adult Showmanship

$10.00

6: Miniature Horse/Small Pony Showmanship

$10.00

7: Adult W/T Showmanship

$10.00

8. Green Horse/Pony Showmanship

$10.00

9: Miniature Horse/Small Pony In Hand

$10.00

10: Two (2) year old and Under In Hand

$10.00

11: Hunter Model

$10.00

12: Saddleseat Model

$10.00

13: Western Model

$10.00

14: Arabian/Half Arabian In Hand

$10.00

15: Morgan In Hand

$10.00

16: Paint Horse/Solid Paint Bred Halter

$10.00

17: Appaloosa Halter

$10.00

18: Quarter Horse Halter

$10.00

19: Color Breed In Hand

$10.00

20: Pony In Hand

$10.00

21: Open In Hand

$10.00

23: Lead Line Equitation

$10.00

24: Lead Line Pleasure

$10.00

25: Lungeline

$10.00

26: Miniature Horse/Small Pony In Hand Suitability

$10.00

27: Adult. Senior, Junior Stockseat Equitation

$10.00

28: New Beginner Equitation

$10.00

29: Beginner Equitation

$10.00

30: Adv Beginner Equitation

$10.00

31: Junior Exhibitor English Equitation

$10.00

32: Senior Exhibitor English Equitation

$10.00

33: Adult English Equitation

$10.00

34: Adult W/T Equitation

$10.00

35: Green Horse/Pony Equitation

$10.00

36: Pleasure Driving Horse/Pony

$10.00

37: Miniature Horse/Small Pony Driving

$10.00

38: Open Driving Reinsmanship

$10.00

39: Open Driving Discipline Rail

$10.00

40: Hunter Hack Crossrails Horse/Pony

$10.00

41: Hunter Hack Horse/Pony

$10.00

42: Equitation Over Crossrails

$10.00

43: Equitation Over Fences

$10.00

44: Open Driving Quadrangles

$10.00

45: Western Pleasure Horse Open

$10.00

46: Pony Pleasure W/T

$10.00

47: New Beginner Horsemanship

$10.00

48: Beginner Horsemanship

$10.00

49: Adv Beginner Horsemanship

$10.00

50-A: Walk/Trot Horsemanship

$10.00

50-B: Green Horse/Pony Horsemanship

$10.00

51: Green Horse/Adult W/T Roadhack

$10.00

52: Beginner/Adv Beginner Roadhack

$10.00

53: Western Road Hack

$10.00

54: English Road Hack

$10.00

55: Miniature Horse/Small Pony In-Hand Discipline Rail

$10.00

56: New Beginner Discipline Rail

$10.00

57: Open Discipline Rail

$10.00

58-A: Green Horse/Adult W/T Discipline Rail

$10.00

58-B: Beginner/Adv Beginner W/T Discipline Rai

$10.00

59: Pleasure Pony

$10.00

60: New Beginner Pleasure

$10.00

61: Beginner Pleasure

$10.00

62: Adv. Beginner Pleasure

$10.00

63: Junior Exhibitor Pleasure All Seats

$10.00

64: Senior Exhibitor Pleasure All Seats

$10.00

65: Adult Pleasure

$10.00

66: Adult Walk/Trot Pleasure

$10.00

67: Green Horse/Pony Pleasure

$10.00

68: Hunter Pleasure Open

$10.00

69: English Pleasure Open

$10.00

70: Saddleseat Pleasure Open

$10.00

71: Dressage Suitability

$10.00

72: Owner to Ride

$10.00

73: Open Trail 18 and Under

$10.00

74: Open Trail 19 and Over

$10.00

75: Walk/Trot Trail 18 and Under

$10.00

76: Walk/Trot Trail 19 and Over

$10.00

77: Open In-Hand Trail

$10.00

78: New Beginner Trail

$10.00

79: Miniature Horse/Small Pony Obstacle Driving

$10.00

80: Leadline Trail

$10.00

81: Miniature Horse/Small Pony In-Hand Jumper Over Fences

$10.00

82: Miniature Horse/Small Pony In-Hand Hunter Over Fences

$10.00

Stall Fee (Day)Must include a separate stall cleaning deposit of $10.00. Make stall checks out to Crosswinds Stables.

$25.00

Enter coupon

Total

$0.00

ACKNOWLEGEMENTS:

PAYMENT MUST BE MADE AT TIME OF CHECK-IN ON DAY OF THE SHOW. BY SIGNING BELOW, YOU AGREE THAT IF YOU NO-SHOW, YOU WILL BE BILLED & PAY A $25 OFFICE/CANCELATION FEE.

By signing this entry form, you attest that VHSA, Crosswinds Stables, show managers, show committee and/or its committee members, show officials, show employees or agents will not be responsible for any accident or injurs that may occur to any animals, person or property, and each exhibitor shall hold them harmless and indemnify them against any legal procedings or liabililities from any such accident or loss of property caused to or by the property or employee pf such exhibitor.

Signature*

Date

VHSA Benefit Show On-line Entry Form