Lewisville Stables, Inc. Hunter/Jumper/Western Show Entry Form

May 19, 2012 September 29, 2012 October 27, 2012
Halter Class
Beginner Horse/ Pony
Novice Equitation
Novice Western Equitation
#1 Halter Class
#11 Walk/Trot
#23 Walk/Trot
#35 Walk/Jog
   
#12 Walk/Trot/Canter
#24 Walk/Trot/Canter
#36 Walk/Jog/Lope
   
#13 Over fences: 2'
#25 Over fences 2'3" to 2'6"
#37 Pattern Class
  Lead Line   Baby Green Hunter   Adult Equitation   Mini Jumpers
#2 Walk
#14 Walk/Trot
#26 Walk/Trot
#38 Over fences 18"
#3 Walk/ Circle Obstacle
#15 Walk/Trot/Canter
#27 Walk/Trot/Canter
#39 Over fences 2'
#4 Walk/ Trot
#16 Over fences:2' (p) 2'3" (h)
#28 Over fences 2'
#40 Over fences 2'
  Walk/Trot   Lesson Horse/ Pony   Pleasure Horse/ Pony   Hopeful Jumpers
#5 Walk
#17 Walk/ Trot
#29 Walk/Trot
#41 Over fences 2'
#6 Walk/Trot
#18 Walk/Trot/Canter
#30 Walk/Trot/Canter
#42 Over fences 2'3"
#7 Walk/ Trot over pole
#19 Over fences: 2'3"
#31 Over fences 2'3"
#43 Over fences 2'3"
Short Stirrup   Beginner Equitation   Beginner Western Equitation   Low Jumpers
#8 Walk/ Trot
#20 Walk/Trot
#32 Walk/Jog
#44 Over fences 2'3"
#9 Walk/Trot/Canter
#21 Walk/Trot/Canter
#33 Walk/Jog/Lope
#45 Over fences 2'6"'
#10 Over fences: 2'
#22 Over fences 2'
#34 Pattern Class
#46 Over fences 2'6"

Rider Age

Horse/Pony Name

Address

City State Zip A value is required.Invalid format.

Phone (home) Phone (cell)

eMail address

Total Classes: lease fee Total Due

Fees: $8 per class pre-entry (through 8 PM the night before the show) $10 per class the day of the show. All stratches must be recorded with the show secretary before the class is anounced. Lease fees are $15 per division. All fees must accompany entry forms.

I understand that horse back riding can be a dangerous sport, that there are circumstances that no one can be held responsible for due to the unpredictable nature of a horse. Therefore I accept all responsibility for any damages or injury to persons or property done to or by me or a horse ridden by me and will not hold Lewisville Stables inc. Christi Biddle, Tina Graham or the property owners responsible for the condition of the property, horse, or all the above mentioned in the case of loss, damage, or injury. I understand by signing below that I ride at my own risk.

Signed: Dated:
Signature of Parent or Guardian: Dated:
Please print this form and mail with entry fee to: Lewisville Stables, Inc, PO Box 254, Lewisville, Pa. 19351