ATTENTION! One Entry Form Per Horse

Winter Blues Combined Test, Jumper and Dressage Series

PLEASE Circle Show Date

February 9, 2008

March 8, 2008

April 5, 2008

Rider: ____________________________________JR/SR _______date of birth if JR________________

Address: ____________________________________ City: _________________State: _____Zip:___________

E-Mail ______________________ Telephone:________________

Horse:_____________________________ Send Entries to: Leslie Davis,

1107 Hidden Valleys Road, Palmyra, VA 22963 email:Lad7q19@aol.com Fax: (434) 286 – 2108

PLEASE CIRCLE CLASSES ENTERED

Combined Test Classes:

CT-1

CT-2

CT-3

CT-4

CT-5

CT-6

Total number of Combined Test Classes ____________X $45. =__________________

Dressage Classes:

D-1

D-2

D-3

D-4

D-5

D-6

D-7

D-8

D-9

Total number of Dressage Classes ______________ X $20. = _____________

Jumper Classes:

PJ-1

PJ-2

PJ-3

 

APJ-1

APJ-2

APJ-3

 

NJ-1

NJ-2

NJ-3

LJ-1

LJ-2

LJ-3

 

SJ-1

SJ-2

SJ-3

 

MJ-1

MJ-2

MJ-3

Total number of Jumper Classes _____________ X $15. = _____________

 

OR Jumper Divisions _____________ X $40. = _____________

______Stalls at $20.00 per stall per night =___________

Super Saver Discount (-$5.) ___________

 

Total amount enclosed_______________