Entry Form both Dressage/Hunter/Horse Trials/Combined Test

Gusty Wind Acres Riding School Inc.
Please make copies of this form!
A current year’s Coggin’s Test is required-send a copy!
Send entries to: 115 Chicka Rd. New Alexandria, PA 15670
For more information call: (724) 668-2591
Hunter: PRE-ENTRY: $28 per 4 class division; $21 per 3 class division; $8/class; $1/number fee Schooling fee $5/entry
POST ENTRY: $36 per 4 class division; $27 per 3 class division; $10/class, number fee $1
Dressage & Model: PRE-ENTRY$15/class, POST-ENTRY $20/class, No. fee $2
Combined Test: PRE-ENTRY $22, POST-ENTRY $29 No. fee $2
Horse Trials: PRE-ENTRY $50, POST-ENTRY $60, Pinny fee $10
Stalls Stabling: $20 per day-each day starts at 7:00 AM nasal strangles vaccine required for stabling.
No Refunds after closing except Hunter Shows until 9:30 AM.
SHOW DATE:______________ RIDER:__________________________
HORSE NAME:______________________________________________
Class no. Class name Fee Class no. Class name Fee






Number fee _______
Stall:__________ Limited on ground stabling
Total:__________
A FASTENED ASTM RIDING HELMET AND RIDING BOOTS MUST BE WORN WHENEVER MOUNTED
Every entry shall constitute an agreement that the exhibitors are participating voluntarily in the show fully aware that horse sports and show involve inherent dangerous risk of serious injury or death, and by participating they expressly assume any and all risks of injury or loss. They agree to indemnify and hold the show, the managers, the owners and their officials, directors, employees, volunteers and agents of the Gusty Wind Acres Riding School Inc., Gusty Wind Estates, and Glenn, Arlene, & Charlotte Schott harmless from and against all claims including for any injury or loss suffered during or in connections with the show, whether or not such claim, injury, or loss resulted directly or indirectly from the negligent acts or omissions of said owners, officials, directors, employees and volunteers. “I further agree that if any damage shall be occasioned or loss occur, by fire or otherwise, to the horses, or to any vehicle or other article that I may send with such horses that I will make no claim or demand of whatsoever kind or nature, that may be occasioned by the horse or horses that are owned by me or are my responsibility, or the persons in charge of such horses. I agree to repay Gusty Wind Acres Riding School Inc, Gusty Wind Estates and Glenn, Arlene, & Charlotte Schott , on demand all damages it or they may sustain by reason of any claim or demand as aforementioned.
Pennsylvania Liability Law: Warning: Under Pennsylvania law an equine professional and equine activity sponsor is not liable for an injury to or death of a participant in equine activities resulting from the inherent risks of equine activities
X______________________________________ (Rider or Guardian if the rider is under 18)
X_______________________________________(Owner)

X_______________________________________(Trainer)
Address_______________________________________
_______________________________________
Phone: EMAIL: