Pre-Entry Form          

Pre-Entry Form                                                                     Hidden Haven Horse Show                           Website: www.hdnhvn.com

                                                                                     

 

Mail This Entry to:

 

Carol Anne Chiamardas

P.O. Box 55

Montpelier, VA  23192

  

Cell Phone:     (804) 677-6051

Website:   www.hdnhvn.com

Email:   hdnhvn@earthlink.net

If your Email address has changed

 or has recently been added,

please notify the secretary as soon as possible.

 

Please Note: All Information is Required      For 2017 Show Date of :    2/19  4/30   5/28   6/18   8/13  10/22  (Circle Date)                                                

Class Numbers

Entered

Horse or Pony Name

Pony (L,M,S)  Horse

TIP #

Owner

Rider

Adult / Junior

under 14

Y/N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cleveland Browns Historic Logo WinCraft Premium Metal Key Ring,Mens Houston Texans Nike Red Fly 2 Patriots Jerseys Cheap.0 Performance Shorts Patriots Jerseys Wholesale.Baltimore Ravens Women's Draft Me VI Fashion T-Shirt - Purple,Men's Los Angeles Rams '47 Navy Wordmark Scrum T-Shirt.Houston Texans Die-Cut Logo Metal Emblem,Women's Baltimore Ravens Nike Gray Stadium Football V-Neck Performance T-Shirt,Women's Kansas City Chiefs Junk Food Steel Touchdown Tri-Blend T-Shirt Patriots Jerseys On Sale.Women's Seattle Seahawks '47 Brand College Navy Drop Needle Sweater,Women's New England Patriots Nike Red Logo Crew 2 T-Shirt.Youth Kansas City Chiefs '47 Red Scrambler MVP Adjustable Hat,Men's Denver Broncos Majestic Orange Big & Tall Field Classic Synthetic Cool Base Polo.Men's Pittsburgh Steelers New Era Black Bind Back 9FIFTY Adjustable Hat,Women's Denver Broncos Von Miller Nike Orange Limited Jersey -,Mens Kansas City Chiefs Red Era Satin Jacket New England Patriots Jerseys Wholesale.'47 Brand Pittsburgh Steelers Ladies Matterhorn Cuffed Beanie - Black/Gold,Women's Oakland Raiders G-III 4Her by Carl Banks Black Wildcat Full Zip Hoodie,Cincinnati Bengals Crazy Horse Leather Belt - Brown.Womens Baltimore Ravens '47 Brand Black Pep Rally Pants,Womens Chicago Bears Brandon Marshall Majestic Navy Blue Fair Catch V Name and Number Long Sleeve T-Shirt

ALL ENTRIES MUST BE SIGNED BY ADULT/PARENT/GUARDIAN.

 

 

 

Entry Fees: $40 per Division or $15 per Class,  HH/VHSA/BHSA Equitation FLC/FLPC, $20.     Grounds Fee $5.

Name                                                                                         Telephone Number (Required)

Post entry fee: $2 per class.        Non-showing Schooling $15.            CA warm up $15,  Course B.

 

Annual Admin fee is $20.         Stalls $30.                $25 fee if check is returned.

Address                                                                                     City, State, Zip Code

Entries received after Saturday 6PM before the show entered will be considered a post entry. 

 

There is no charge if the rider is not able to show.

Email Address                                                                                 

 

 

Entering a class or schooling at this Show constitutes an agreement that the exhibitor will not hold the Management, Staff or Volunteers of Hidden Haven, The VHSA/BHSA/TIP or The Meadow Event Park responsible for any loss or injury due to intrinsic dangers of equine activities.

Parent/Guardian Signature                                                          Owner/Rider Signature

 

Trainer

The Equine Activity Liability laws of the State of Virginia, Va. Code Ann. Sec. 3.1-796.130, state among its statutory provisions that, “NOTICE: Intrinsic dangers in equine activities, include (i) the propensity of equines to behave in ways that may result in injury, harm or death to persons on or around them; (ii) the unpredictability of an equines reaction to such things as sounds, sudden movement, and unfamiliar objects, persons, or other animals; (iii) certain hazards such as surface and subsurface conditions; (iv) collisions with other animals or objects; and (v) the potential of a participant acting in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the equine or not acting within the participant’s ability.” No participant nor any participant’s parent, guardian, or representative shall have or make any claim against or recover from any equine activity sponsor, equine professional, or any other person for injury, loss, damage, or death of the participant resulting from any of the intrinsic dangers of equine activities.