4-H/OPEN HORSE SHOW ENTRY FORM

Classes $6.00–Pre-entries POSTMARKED by June 15th, 2011. Post Entries - $7.00/class
Stalls are available at $12.00 for the day and will be assigned on a first come/first serve
basis with payment only. No Refunds.
Please Circle Seat:        Stock Seat        English
Please Circle Division:    Beginner     Advanced Beginner    Junior      Senior     Adult
Please Circle:    4H        Open
Horse’s Name: ________________________________________________
Rider’s Name:  ________________________________________________
Birthdate:  __________________
Address:   ___________________________________________________
Telephone:  __________________________________________________
Club Name (if applicable) _______________________________________

Please circle:    Saturday Only        Sunday Only        Both Saturday & Sunday

Saturday, June 26, 2010 (Please circle the numbers for all classes you are entering)
1   2   3   4   5   6   7   8   9   10   11   12   13   14   15   16   17   18   19   20   21  
22   23   24   25   26  27  28   29   30   31   32   33  34   35   36   37   38   39   40  
41   42   43   44   45   46   47   48   49  

Sunday, June 27, 2010 (Please circle the numbers for all classes you are entering)
1   2   3   4   5   6   7   8   9   10   11   12   13   14   15   16   17   18   19   20   21  
22   23   24   25   26   27  28   29   30   31   32   33  34   35   36   37   38   39   40  
41   42   43   44   45   46   47   48   49  

Number of Classes Saturday ___6.00/7.00     Total______   Secretary Use Only
Number of Classes Sunday   ___6.00/7.00     Total______    Paid$____Ck#_____
Number of Stalls ____ @ $12.00/day            Total______    Balance Due ______
Numbers @ $1.00/each ___(non-refundable)  Total______   Stall  Paid?   YES    NO
Camper/Electric Hook-Up ___ $25.00/Day      Total______   Rabies         YES    NO
                                                     Grand Total_______  Coggins?     YES    NO
                                           
Exhibitor’s Signature _________________________________________________
Parent or Guardian’s Signature_________________________________________
* A Rabies Certificate and Negative Coggins needs to be attached with all entries*

                                   Mail Entries with Check to:
                                            Cassie Kennett
                                        1716 Vermont Route 22A
                                            Panton, VT  05491
                                Checks should be made payable to:
                                    New Haven Twilight Tails 4H
                    If you have any questions, please call: Jill Phillips 453-3294


                   NEW HAVEN TWILIGHT TAILS 4-H Weekend Horse Show
                                    Rules & Regulations

~    All riders 18 & under must wear current ASTM/SEI approved
helmets or they will not be able to show. Show management has
the right to check any rider’s helmet.

~    A parent/guardian/4-H leader must be on the grounds at all times in
charge of both youth and horses.

~    Show management has the right to delete, add, change, and
combine any class.

~    No riding double or after dark.

~    No drugs or alcohol, anywhere on the grounds. Anyone found in
possession of either will be immediately asked to leave and all
prizes won will be forfeited.

~    Stalls must be cleaned before leaving the grounds.

~    All 4-H classes are judged “Danish”, 4-H Project cards required,
plus “stamped” 4-H cards and the attached release signed by a
parent before riders under 18 will be allowed to ride.

~   No stallions.

~   Exhibitors are responsible for any accidents or injury caused by
horses entered by them, thereby releasing Addison County Field
Days, the New Haven Twilight Tails 4-H club from any damage or
injury whatsoever.

~    Please provide your own shavings.