Horse Show Participant Registration Form
Please fill out all required fields to register for the upcoming horse show. Ensure that your details are accurate to facilitate smooth registration and participation.
Participant Full Name
*
First Name
Last Name
Horse's Name
*
Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Select Classes to Enter
*
Dressage Intro A $35
Dressage Intro B $35
Dressage Intro C $35
Dressage Training Level 1 $35
Dressage Training Level 2 $35
Dressage Training Level 3 $35
Dressage First Level 1 $35
Dressage First Level 2 $35
Dressage First Level 3 $35
Western Dressage Intro 1 $35
Western Dressage Intro 2 $35
Western Dressage Intro 3 $35
Western Dressage Intro 4 $35
Western Dressage Basic 1 $35
Western Dressage Basic 2 $35
Western Dressage Basic 3 $35
Western Dressage Basic 4 $35
Dressage Choose a Test higher than First Level $35
Jumping to be judged Poles $25 (ideal time)
Jumping to be Judged Cross Rails $25 (ideal time)
Jumping to be judged 40 cm $25 (ideal time)
Jumping to be judged 60 cm $25 (ideal time)
Jumping to be judged 70 cm $25 (ideal time)
Jumping to be judged 80 cm $25 (ideal time)
Jumping Schooling rounds $15 available at all levels
Horse Trial - Sprouts $100 Training level test 1, 40cm Stadium and XC
Horse Trial - Starter $100 Training level test 2, 60 cm Stadium and XC
Horse Trial - Beginner Novice $100 Training level test 3, 70cm Stadium and XC
Cross Country Schooling Friday non compete horse $30
Walk/Trot Equitation $25
Walk/Trot/Canter Equitation $25
Lead Line $25
Working Equitation Obstacle Course - Walk/Trot $40
Working Equitation Obstacle Course- Walk/Trot/Canter $40
Showmanship - $25
Equine Liability Waiver For Molly Allen Niederberger Freelance Riding Instructor LLC and The Riding Academy
*
The Undersigned participant, or if said participant is a minor, said participant's legal guardian on behalf of said participant, assumes the unavoidable risks inherent in all Equine Activities, including but not limited to death, bodily injury and physical harm to the horse, rider and spectator directly or indirectly related to Equine Activities associated with THE RIDING ACADEMY AND MOLLY ALLEN NIEDERBERGER FREELANCE RIDING INSTRUCTOR LLC 910 Kolic Helmey Rd, Guyton, GA. In consideration of the privilege of boarding, riding, showing, and or being around horses at THE RIDING ACADEMY, THEIR REPRESENTATIVES, EMPLOYEES, AGENTS, VOLUNTEERS AND ANY OTHER INDIVIDULA OR ENTITY RELATED THERETO, AND RELEASE THEM FROM ANY LIABILITY OR RESPONSIBILTY FOR ACCIDENT, DAMAGE, INJURY OR ILLNESS TO THE PARTICIPANT OR TO ANY SPECTATOR ACCOMPANYING THE PARTICIPANT IN SAID ACTIVITY ON SEPTEMBER 25,26,27 2025
Signature for Equine Liability Waiver
*
Terms and Conditions
*
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Please may Payments
Venmo: 912-665-7180 Molly Allen Niederberger PayPal: alleneques@yahoo.com You can text me at 912-665-7180 and I can send QR codes. Check or Cash day of show
Add/ Scratches
Participants may add and or scratch with no xtra fee the day of the show. You must go to the office and get an add scratch form to give to the steward before the end of the class.
Register
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