OXER STABLES’ Driving Schooling Show

Entry Form

PROOF OF LIABILITY INSURANCE REQUIRED

Sunday, August 23rd,2009

Horse's Name:

Breed.

Height

Owner Information                  
Name:                                    

Driver Jr. Birthdate ________

Name:

Groom Jr Birthdate  _________
Name:  

Address:

Address:

 

Telephone:

Telephone:

 

Insurance Policy#

Insurance Policy#

 

 

PRE ENTRY ONLY- NO POST ENTRIES-CLOSING DATE AUGUST 16th, 2009

Send entries to: Janet Zizian 905-335-3064 6250 Walkers Ln,RR2, Milton, Ontario L9T 2X6

Cheques payable to: 729393 Ontario Inc    ENTRY NOT COMPLETE WITHOUT SIGNED WAIVER     Please-NO DOGS on showgrounds.

Refunds in full before August 16/09- After Aug 16/09 refund only with Medical or Veterinary certificatre. No refunds after show starts.

An entry in Dressage & Cones automatically qualifies driver for Dressage Only placings.

 

Division (check)

 

 

Class (check)

 

Fees

 

Intro Level (First Yr Driver-may also do training)

 

 

Dressage Only($20)  ___  Dressage & Cones($40) ___

 

¨

Horse

 

 

 

 

¨

Pony

 

 

 

 

¨

VSE (Mini)

 

 

 

 

 

Training Level

 

 

Dressage Only ($20)  ___  Dressage & Cones ($40) ___

 

¨

Horse

 

 

 

 

¨

Pony

 

 

 

 

¨

VSE

 

 

 

 

 

Preliminary Level

 

 

Dressage Only ($20)  ___   Dressage & Cones ($40) ___

 

¨

Horse

 

 

 

                                                                                                                        

 

¨

Pony

 

 

SubTotal

 

¨

VSE

 

 

5% GST

 

 

 

 

 

Ambulance Fee

$5.00

 

 

 

 

 

 

 

 

 

 

TOTAL  FEES