Please tell us what you intend to enter
Event Date:
Level: Intro, Starter, BN,N
Name.
Division: Horse/Rider/Open:
Address:
City ,State, Zip:
Phone :
Cell phone:
Email. Rider's DOB:
Horse's Name :
Breed: Color: Age: Height:
Name on
Horse Owner:
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Are you riding a 2nd horse: 2nd Horse's Name and Division:
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Horse Trial: $75 Starter, BN, N ($60 Intro)
HT Level:
HT Dressage Test A or B
HT Stadium Level:
HT XC Level.
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Combined Test: $50
CT Level:
CT Dressage Test A or B:
CT Stadium Height:
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Dressage by itself if not riding HT or CT.
Walk/TrotUSDF Intro A 2007 2010 USEF BN - A 2010 USEF BN - B 2010 USEF N - A 2010 USEF N - B
Name of 1st dressage test.
Name of additional dressage test(s).
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Stadium by itself if not riding HT or CT:
Intro 18"; Starter 2' 0"; Beginner Novice 2' 7"; Novice 2' 11"
1st Stadium. Height.
Add'l round(s) Height.
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Cross Country by itself if not riding HT or CT:
Intro 18"; Starter 2' 0"; Beginner Novice 2' 7"; Novice 2' 11"
1st xc. Level.
Add'l xc round(s) Level.
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Extras:
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Entry Fees: Entry Fee for Horse Trial: [$75 ($60 Intro)]
Entry Fee for Combined Test: ($50):
Additional Dressage Tests: ($20 each)
Additional Stadium : ($10 each)
Additional XC: ($20 each)
Entry Fees for individual phases:
1st dressage if not doing HT or CT($25)
1st stadium round if not doing HT or CT($15)
1st xc round if not doing HT ($35)
Total:
Are you an ESDCTA member ?
If yes, are you riding for year end awards?
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Rider's Highest Level (past 2 years):
Horse's Highest Level (past 2 years):
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Emergency Contact:
Relationship of Emergency Contact:
Phone:
Is your emergency contact accompanying you to Burgundy Hollow?
Questions, comments, feedback: