NHTT Horse Show Entry Form
NEW HAVEN TWILIGHT TAILS
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.