Qualifier Morven Park Leesburg VA entry form

YHSS Morven Park Leesburg VA

November 13-14, 2025. Closing date: November 4 PLEASE FILL OUT THIS FORM THOROUGHLY AND COMPLETELY

Judge: Lori Hoos
Handlers: Martin, Joe, Tommy
Photographer: Bethany P.

PAYMENT METHODS

We accept:

Venmo: @catherine-kirschenmann

Zelle: 727-599-1676

Please make sure to send your payment when you submit your entry form. Any questions please contact us.
Name of Horse*
Breed
Original Breed Registry*
Gender*
Breed Registration Papers (enclosed proof)*

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Sire
Second Sire(Dam’s Sire)
Country of Birth*
Breeder
Horse Is For Sale?
Asking Price
Sales Contact Name
Sales Contact Phone
Please enter a valid phone number.
Coggins Date

MonthDayYear
Date
Coggins Date(enclosed copy)

See BioSec Protocol on Website
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Health Cert. Date

MonthDayYear
Date
Health Cert. Date(enclosed copy)

See BioSec Protocol on Website
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Owner*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Rider

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Trainer

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Pony*

YESNO
IMPORTANT: PLEASE READ
I AGREE in consideration for my participation in this Competition to the following:
I AGREE that “Competition” as used herein includes, Sponsor, Competition Management, as well as all of their officials, officers, directors, employees, agents, personnel, volunteers.
I AGREE that I choose to participate voluntarily in the Competition with my horse, as a rider, driver, handler, vaulter, longeur, lessee, owner, agent, coach, trainer, or as parent or
guardian of a junior exhibitor. I am fully aware and acknowledge that horse sports and the Competition involve inherent dangerous risks of accident, loss, and serious bodily injury
including broken bones, head injuries, trauma, pain, suffering, or death. (“Harm”).
I AGREE to hold harmless and release the Competition from all claims for money damages or otherwise for any Harm to me or my horse and for any Harm of any nature caused by me
or my horse to others, even if the Harm arises or results, directly or indirectly, from the negligence of the Competition.
I AGREE to expressly assume all risks of Harm to me or my horse, including Harm resulting from the negligence of the Competition.
I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) the Competition and to hold them harmless with respect to claims for Harm to me or my horse, and for
claims made by others for any Harm caused by me or my horse while at the Competition. I understand that I am entitled to wear protective equipment without penalty, and
I acknowledge that the competition strongly encourages me to do so while WARNING that no protective equipment can guard against all injuries. If I am a parent or guardian of a
junior rider, I consent to the child’s participation and AGREE to all
of the above provisions and AGREE to assume all of the obligations of this Release on the child’s behalf. I represent that I have the requisite training, coaching and abilities to safely
compete in this competition. © All rights reserved - 2025
I have read and I agree to all the YHS and local farm or grounds rules regulations and to all the rules posted in this show’s prize list and entry form.*

Clear
Date*

MonthDayYear
Date
My Products
Categories:All

All

Schooling Open Hunter/Jumper – 3 yo to 7yo

In Hand & At Liberty - Horses ages 1-4 yo – (All disciplines) (includes handler fees)

Jump Chute - Horses ages 2-4 yo - (All disciplines) (includes handler fees

Flat Classes for Sport Under Saddle - Horses age 3-5 yo - (All disciplines)

Jumping Under Saddle Qualifier Horses 4-5yrs old Hunter/Jumper $35/round

Dressage Under Saddle - Horses age 4-5 yo

Extra Services
prevnext( X )
Schooling Open Hunter/Jumper – 3 yo to 7yo

Class# W403 Cross Rails Hunter/Jumper O/F - $30/round
$30.00



Class# W404 Schooling Hunter/Jumper O/F - $30/round (Not Judged) – (0.85 / 1m)
$30.00



Class# W405Schooling Hunter/Jumper O/F - $30/round (Not judged) – (1m / 1m10)
$30.00



In Hand & At Liberty - Horses ages 1-4 yo – (All disciplines) (includes handler fees)

Class# 101 yearling liberty
$75.00



Class# 1022yo liberty
$75.00



Class# 1033yr olds
$75.00 Quantity



Class# 1044yr olds
$75.00 Quantity



Jump Chute - Horses ages 2-4 yo - (All disciplines) (includes handler fees

Class# 2022yo jump chute
$75.00



Class# 2033yr olds
$75.00 Quantity



Class #2044yrs old
$75.00



Class# 210 (TBD)Schooling/Warm-up Jump Chute - Yearlings and 5 yo ok (includes handler fees, not judged) (Date TBD)
$55.00 Quantity



Flat Classes for Sport Under Saddle - Horses age 3-5 yo - (All disciplines)

Class #3033yrs old
$45.00 Quantity



Class# 3044yr olds
$45.00 Quantity



Class# 305 5yr olds
$45.00 Quantity



Jumping Under Saddle Qualifier Horses 4-5yrs old Hunter/Jumper $35/round

Class #404 4yrs old2.6'-3.6" height
$35.00



Class #405 5yrs old3.0'-3.9" height
$35.00



Dressage Under Saddle - Horses age 4-5 yo

Class #5004yo and 5yo combined – Test of Choice
$45.00



Extra Services

Stall fee or Trailer inIf you need more than one stabling night, please select the amount in the dropdown quantity menu.
$50.00 Quantity



Office Fee per horse:The horse is automatically entered and charged accordingly for the Finals class(es) they qualify for plus a second office fee unless the owner/agent lets me know by the start of Finals.
$75.00 Quantity



Late fee
$35.00 Quantity



Total

$0.00
Dressage Under SaddleTOC - SPECIFY TEST HERE:
*Select our new end of year award per discipline by choosing your discipline of choice below – full rules on prize list (Please note that if the horse has shown already in a YHS show this 2025 season then the discipline has to be the same one as in the previous show)
PAYMENT METHODS

We accept:

PayPal: @kirschenmannC

Venmo: @catherine-kirschenmann

Zelle:727-599-1676

Please make sure to send your payment when you submit your entry form. Any questions please contact us.

Fill out this Waitlist Form if stalls are no available (Don't forget to submit the Show entry form at the end)
Should be Empty:

YHSS Morven Park Leesburg VA