St.

Albanʼs Benefit SPSNA Show Fee Form

Owner Name:____________________________________________________

Address:________________________________________________________________________________________________

Phone:______________________________________

Email:_______________________________________

1. Total classes entered ________ x $10 (pre-entry fee per class) = $_________

2. Sponsorship - please use enclosed form: = $_________

Are you a current paid member of SPSNA? Points count only if you are a current member. Membership forms are available at the show desk or online at
www.shetlandponysociety.com). Call or email show manager if you are not sure. You may pay membership with pre-entry.
3. 2011 SPSNA Membership fee ($25 indiv., $35 family, $5 sponsored Jr)=$_________

Are you a current paid member of Maryland Pony Breeders? MPB points count only if you are a current member. Membership forms are available at the show desk
or online at www.marylandponybreeders.org). Call or email show manager if you are not sure. You may pay membership with pre-entry.
4. 2011 MPB Membership fee ($15 junior, $20 indiv., $25 family) = $_________
_________________________________________________________________________________________

Total:= $_________

(Office use only): Post-Entry fees: # classes ______x $15 = $_________

Thank you for your support of St. Albanʼs Church and SPSNA!
Check or money order for pre-entries and sponsorships must be mailed with entry. Make checks or money order payable to St. Albanʼs.

Mail entry forms, fee form, copies of registration papers, copies of current Coggins, and check or money order to:

Frannie Flatau
2006 Stockton Rd
Joppa, MD 21085

Questions?
Phone: 410-877-8363 (Frannie Flatau) or 717-993-3775 (Laurie Donaldson)
Email: olddmomm@aol.com
 St. Alban’s Benefit
Shetland Pony Society of North America Show
Saturday, July 9, 2011
Pre-entries must be received by July 5, 2011.
$10 per class - Pre-entry $15 per class - Post-entry
• Please use one entry blank per owner (you may make photo copies). Extra forms are also available at www.shetlandponysociety.com.
• Copies of a current negative Coggins test and SPSNA registration paper MUST be attached for each pony entered.
• ALL signature areas must be completed on every entry form.
Owner name:_____________________________________________________

For halter and performance classes judged on the pony, fill in entries below. Classes judged on youth are on the reverse side. Use
additional forms as needed.
1. Pony name:______________________________________________________________________

SPSNA reg. #____________________ Sex (circle one): Stallion Gelding Mare Age (as of current date):_______
Place a check in the box for each class entered:
200 201 202 204 205 208 209 210 212 213 214 217 218 220 221 X X 302 303 304 X X

105 107 108 109 110 114 115 116 117 118 119 120 121 122 124 500 501 503 X X X X

2. Pony name:______________________________________________________________________

SPSNA reg. #____________________ Sex (circle one): Stallion Gelding Mare Age (as of current date):_______
Place a check in the box for each class entered:
200 201 202 204 205 208 209 210 212 213 214 217 218 220 221 X X 302 303 304 X X

105 107 108 109 110 114 115 116 117 118 119 120 121 122 124 500 501 503 X X X X

3. Pony name:______________________________________________________________________

SPSNA reg. #____________________ Sex (circle one): Stallion Gelding Mare Age (as of current date):_______
Place a check in the box for each class entered:
200 201 202 204 205 208 209 210 212 213 214 217 218 220 221 X X 302 303 304 X X

105 107 108 109 110 114 115 116 117 118 119 120 121 122 124 500 501 503 X X X X
For youth/rider-judged classes, fill in entries below. One exhibitor per pony per class. Halter and other classes are on reverse side.

1. Youth name:_______________________________________________________Pony name:_____________________________________________

Youth Age (as of 1/1/11):_______ Pony SPSNA reg #:__________________

Parent/Guardian signature (see agreement below):______________________________________

Place a check in box for each class entered:
100 101 102 103 104 106 111 112 113 502

2. Youth name:_______________________________________________________Pony name:_____________________________________________

Youth Age (as of 1/1/11):_______ Pony SPSNA reg #:__________________

Parent/Guardian signature (see agreement below) :______________________________________

Place a check in box for each class entered:
100 101 102 103 104 106 111 112 113 502

3. Youth name:_______________________________________________________Pony name:_____________________________________________

Youth Age (as of 1/1/11):_______ Pony SPSNA reg #:__________________

Parent/Guardian signature (see agreement below):______________________________________

Place a check in box for each class entered:
Please use additional forms
100 101 102 103 104 106 111 112 113 502
for additional entries.

Entries Not Signed Will Not Be Accepted. Please Read Carefully Before Signing! Signatures indicate that pony owners and a
parent/guardian of minor exhibitors have read and understood the paragraph below:
Every entry at this show shall constitute an agreement and affirmation that all participants: (1) shall be subject to the rules of the Shetland Pony Society of North
America (SPSNA) AND the local rules of the competition; (2) will assure every animal and exhibitor is eligible as entered; (3) agree to be bound by the rules of the
SPSNA and the local competition, and will accept as final the decision of the officials and local competition on any question arising under said rules, and agree to
hold St. Albanʼs Church, the SPSNA, the officials, landowners, directors, agents, employees, and any other persons associated with the event harmless for any
action taken; and (4) agree that they participate voluntarily in the competition fully aware that equine sports and the competition involve inherent dangerous risks,
and by participating they expressly assume all risks of injury and loss, and they agree to indemnify and hold the show committee, St. Albanʼs Church, the SPSNA,
the landowners, the competition, and their officials, directors, employees, and agents harmless from all claims including injury or loss during or in connection with
the competition, whether or not such injury or loss resulted, directly or indirectly, from the negligent acts or omission of said officials, directors, or employees or
agents of the SPSNA, or any other agents associated with the competition. Owner signature______________________________