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www.ridgefieldarena.com

RIDGEFIELD SHOW SERIES

MOHJO & MHSA recognized (double points)
COGGINS #

ENTRY NUMBER

or FAX ENTRY to 636-227-8337 BY THURSDAY NIGHT. ONE HORSE PER ENTRY FORM PLEASE!

CIRCLE ONE

Adult 4

Child

SPECIAL CLASSES

HORSE Rider #1
Address City State Phone EMAIL Zip

MONEY HUNTER STAKES $25 2 MOHJO HUNTER DERBY SPONSORED BY MID RIVERS - $3590

3 10

DOUBLE 4 TRAILER HUNTER CLASSIC $25 LOST VALLEY LEAD LINE $10 BAVARIAN GAMBLERS CHOICE $25 LUXURY SPORTS & IMPORTS GRAND PRIX $25 JUMPER CLASSES JUMPER WARM UP
HOPEFUL JUMPERS (2') NOVICE JUMPER (2'6") NOVICE JUMPER RIDER (2'6") LEVEL 2 JUMPERS CHILDRENS/ADULT JUMPER LEVEL 3 JUMPERS LEVEL 4 JUMPERS LEVEL 5 JUMPERS

11 19

12

13
15 17 20 22 24 26 28

14 16 18 21 23 25 27 29

HOMESTEAD CHILD/ADULT JUMPER (22)

Rider #2
Address City State Phone EMAIL Zip

HUNTER CLASSES HUNTER WARM UPS

BABY GREEN 53 54 PRE GREEN HUNTER 99 100 BEAUFORT FEED WALK/TROT EQ ON THE FLAT (57) POLES CROSSRAILS CHILD

1
55 101 35 39 39A 43 68 48 64 64A 86 86A 73

33

52

81

CROSSRAILS ADULT SCHOOLING HUNTER

BOBCAT SCHOOLING HUNTER U/S

32 37 37A 41

34 38 38A 42 45 47 51 51A 85 85A 72

(41)

36C 40 40A 69 49 65 65A 87 87A

58 57A 70 59 66 66A 88 88A

61 61A

Owner
Address City State Phone Zip

44 46 CHILD 50 BEGINNER RIDER HUNTER - ADULT 50A LIMIT RIDER CHILD 5 LIMIT RIDER ADULT 5A CHILD HUNTER PONY 71 USHJA TACK TRUNK PONY MEDAL 74 GREEN PONY 75 PONY HUNTER 78 LOW HUNTER 82
MASTERS HUNTER SHORT STIRRUP BEGINNER RIDER HUNTER -

62 67 67A 89 89A

USHJA TACK TRUNK MEDAL 2'6" $15 MOHJO MEDAL 2'9"-3' $15 EMAIL
NON PRO NOVICE CHILD / ADULT HUNTER CHILDRENS / ADULT HUNTER MHSA JUNIOR MEDALLION MHSA ADULT MEDALLION 11 & UNDER EQUITATION 12-14 EQUITATION 15-17 EQUITATION

94 7 (A) 97 98 60 107 109

76 77 79 80 83 84 6 8 95 96 91 (A) 92 (A) 93 (A) 102 (A) 103 (A) 104 (A) 05 (A) 1 106 (A) 63 108 110 OFFICE FEE per horse

Stable With: Bill Classes to:

Bill Stall/Grounds to:

DEPENDING ON THE NUMBER OF ENTRIES, CLASSES MAY BE ADJUSTED PER MANAGEMENT'S DESCRETION

FEE SCHEDULE

$20

MOHJO Hunter Derby Grand Prix, Gamblers Choice Hunter Classic, Money Hunters Lead line Ticketed Warm-Up Regular Classes

$35.00 $25.00 $25.00 $10.00 $15.00 $15.00

PREPAID STALL
GROUNDS FEE
(no stall) per day/horse

$70.00

STALL GROUND #DAYS S FEE CLASSES TOTAL

(OR NON SHOWING FEE/DAY)

CALL 636-527-3624 FOR INFORMATION

$25.00

NON-SHOWING FEE $25.00

(Stalled Horse) per day

Total Pd Check #

The undersigned agrees to hold Ridgefield Arena ,Ridgefield Shows, Ridigefield Riding Academy, Steve & Tracey Ryan, Rich and Karen Gentry, employees & show management harmless to lost, stolen or destroyed property and for any injury to horses, exhibitors and spectators before, during & after the show. Warning: Under Missour law, an equine professional is not liable for any injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities pursuant to theRevised Statutes of Missouri.

Rider #1 Rider #2

Owner

Trainer

Ridgefield may use my rider's / horse's photo for advertising by Flo Anne Krampe 4/7/2012 / NO Prepared or web purposes. YES

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circle one

Rider Name

Rider Signature

Owner Signature

_______

Prepared by Flo Anne Krampe 4/7/2012

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t harmless to lost, ot liable for any

Prepared by Flo Anne Krampe 4/7/2012

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