APPLE DAYS ENTRY FORM

Dates

*

February 7-8

March 7-8

March 21-22

Rider Information

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Horse Name *

Division Information

Division Options (Divisions may be divided depending on # of entries)

Junior

Senior

Open/Horse

Rider

Prize Divisions

Professional

Non-Professional MASTER (40+)

Non-Professional Jr. and Slightly Older (<39)

For your non-pro riders, what trainer do you ride with?

3-Phase Combined Test Options- $120

Advanced Elementary - 2018 BN Test B - 2'3" Jumps

Beginner Novice - 2018 BN Test B - 2'7" Jumps

Novice - 2018 Nov Test B - 2'11" Jumps

Training - 2018 Training Test B - 3'3" Jumps

Preliminary - 2018 Prelim. Test B - 3'7" Jumps

I/P- 2018 Intermediate Test B- 3'11" SJ, 3'7" XC

2-Phase Combined Test Options- $50

Additional Options

Dressage Only ($30)

Fill in desired test

Jump Only 1 Round ($20)

Fill in desired level

Extra Jump Rounds (Unlimited) ($30) (Same Horse/Rider combo)

Fill in desired level

Extra Dressage Tests ($20/Test)

Fill in desired test

Current Total:

$0.00

Upload Coggins

Rider Signature (Parent if under 18) *

clear