ENTER ONLINE at www.ridgefieldarena.

com CHARITY RIDGEFIELD SHOWS ENTRY NUMBER

or FAX ENTRY to 636-227-8337 NO LATER THAN THURSDAY MOHJO & MHSA recognized (double points)
ONE HORSE PER ENTRY FORM PLEASE! SPECIAL CLASSES Circle the classes entered COGGINS NUMBER
MONEY HUNTER STAKES $25 5 12 13 Adult Child
HORSE LUXURY SPORTS HUNTER DERBY $25 16
LOST VALLEY LEAD LINE $10 17 CHARGES
Rider #1 BAVARIAN GAMBLERS CHOICE $25 18 ENTRIES #
DOUBLE 4 GRAND PRIX $25 19
Address 3 BROTHERS HUNTER CLASSIC $25 96 Classes $15.00
JUMPER CLASSES WARM UP 20
City HOPEFUL JUMPERS (2') 21 22 Money Hunters $25.00
NOVICE JUMPER (2'6") 23 24
State Zip NOVICE JUMPER RIDER (2'6") 25 26 Grand Prix $25.00
LEVEL 1 JUMPERS 27 28
Phone LEVEL 2 JUMPERS 29 30 Derby, Classic,Gamblers Choice $25.00
CHILDRENS/ADULT JUMPER 31 32
EMAIL LEVEL 3 JUMPERS 33 34 Lead line $10.00
LEVEL 4 JUMPERS 35 36
Rider #2 LEVEL 5 JUMPERS 37 38 Ticketed Warm-Up $15.00
HUNTER CLASSES WARM UP 1 45 69 95
Address BABY GREEN 83 84 85 TOTAL ENTRIES
PRE GREEN HUNTER 2 6 7
City GREEN WORKING HUNTER 3 8 9 OFFICE FEE $20.00
JR A/O HUNTER CHILD / ADULT (A) 4 10 11 4A 10A 11A
State Zip MODEL HUNTER 39 40 STALL FEE $70.00
WALK/TROT 41 42 62 63
Phone POLES 43 46 47 48C (no stall)
GROUNDS FEE per day/horse (no stall) $25.00
CROSSRAILS 44 49 50 51 64 70
EMAIL SHORT STIRRUP 57 58 59 60 71 NON-SHOWING FEE per day $25.00
MID RIVERS SHORT STIRRUP EQ ON THE FLAT 67
Owner SCHOOLING HUNTER 52 53 54
BEGINNER RIDER HUNTER - CHILD / ADULT 61 65 66 73 74 75
Address MASTERS HUNTER 55 76 77 78 TOTAL FEES
VETERICYN MASTERS EQ ON THE FLAT 56
City ____________________ CHILD HUNTER PONY 79 80 81 Check #
USHJA TACK TRUNK PONY MEDAL 82
State ______ Zip ___________ GREEN PONY 86 87 88
PONY HUNTER 89 90 91
LIMIT RIDER CHILD / ADULT 14 92 93 99 100 101 BALANCE DUE
LOW HUNTER 94 97 98
Phone USHJA TACK TRUNK MEDAL 2'6" $15 102
NON PRO 103 105 106
EMAIL NOVICE CHILD/ADULT HUNTER 104 107 108 104A 107A 108A
CHILDRENS / ADULT HUNTER 15 111 112 113 114 115
Make checks payable to Ridgefield Shows
Stable With: MHSA JUNIOR MEDALLION 109
MHSA ADULT MEDALLION 110
Bill Classes to: 11 & UNDER EQUITATION 68 72
12-14 EQUITATION 116 117 118
Bill Stall/Grounds to: 15-17 EQUITATION 119 120 121
DEPENDING ON THE NUMBER OF ENTRIES, CLASSES MAY BE ADJUSTED PER MANAGEMENT'S DESCRETION
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 ENTRY NUMBER
pursuant to theRevised Statutes of Missouri
Rider #1 Rider #2 Owner Trainer_______________________
Ridgefield / SGR Photography may use my rider's / horse's photo for advertising or web purposes. YES / NO
Signature Rider Name________________________________ Owner Name________________________ Owner Signature_________________________________