Lewisville Stables, Inc. Jumper Show Entry Form

Please Specify Show Date

December 5, 2009 January 9, 2010
Division#1 Mini Junior Jumpers
Division #4 Mini Adult Jumpers
Class #1 - 6 fences
Class #10 - 8 fences
Class #2 - 6 fences, change of direction
Class #11 - 8 fences
Class #3 - gamblers choice, 45 seconds
Class #12 - gamblers choice, 45 seconds
  Division #2 Low Junior Jumpers   Division #5 Adult Jumpers
Class #4 - 8 fences
Class #13 - 10 fences
Class #5 - 8 fences
Class #14 - 10 fences
Class #6 - gamblers choice, 45 seconds
Class #15 - gamblers choice, 30 seconds
  Division #3 Junior Jumpers   Division #6 Open Jumpers
Class #7 - 10 fences
Class #16 - 10 fences
Class #8 - 10 fences
Class #17 - 10 fences
Class #9 - gamblers choice, 30 seconds
Class #18 - gamblers choice, 30 seconds

Rider Age

Horse

Address

City State Zip

Phone (home) Phone (cell)

eMail address

Fees: $20 per class or $50 per division day of show. $18 per class or $45 per division pre-entry (at least 24 hours prior to show)

All fees must accompany entry forms.

Lewisville Stables, Inc. will not be responsible for any injury to horses, rider, equipment or spectators or any theft while on Lewisville Stables, Inc. property.

Signed: Dated:

Please print this form and mail with entry fee to: Lewisville Stables, Inc, PO Box 254, Lewisville, Pa. 19351