One Horse Per Entry Form
Entries must be complete with signatures, current coggins & full payment.
| Show Grounds: | Show Date: |
| Rider: | ECRDA #: |
| Address: | Phone: |
| City: St: Zip: | Trainer: |
| Circle One: JR SR Golden Cup | Email: |
| Name of Horse | Breed | Color | Age | Height | Gender |
| Class Number | Class Name, Division and Level | Fee |
| Special Requests:
|
Fees Enclosed |
|
| Stabling | ||
| Other | ||
| TOTAL |
I hereby enclose my entry which is made at my own risk and subject to the conditions and regulations of the ECRDA and the management of the property on which the show is being held. I understand that neither the Organizing Committee, the host, nor the property owners accept any responsibility for, or are liable for, any accident, damage, loss, injury or illness to the horses, equipment, owners, riders, attendants, spectators, volunteers, or any other person or property whatsoever in connection with this activity.
I also understand that the USAE RULES FOR ATTIRE AND EQUIPMENT WILL BE FOLLOWED AT ALL ECRDA RECOGNIZED SHOWS.
Signature: __________________________________________ (must be signed by parent/guardian if under 21)