ENTRY FORM - Pinehurst Dressage Schooling Shows

Print, sign, and mail to: Sporting Services 1745 E. Connecticut Ave. Southern Pines NC 28387-6806

HORSE _____________________________________________OWNER________________________________________________________

RIDER____________________________________________________________________JUNIOR? or SENIOR? (circle one)

PHONE__________________________________________EMAIL_____________________________________________________________

TESTS_______________________________________________________________________________________FEES__________________

Dressage tests: $30 each. Event and Intro tests: $25 each. Sport Horse Versatility: $45 (includes one dressage test and obstacle course)

If entering Sport Horse Versatility, the lowest level test entered will count toward the SHVcombined test ~~ For example: Training 1 (SHV), and Training 2. Fees would be $45 plus $30 = $75

These entries are made at my own risk: Under NC law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant, resulting from the inherent risk of equine activity (NC statue 99E; SC Art. 7, Ch. 9-47). I agree that Pinehurst Dressage Schooling Shows organizers, Pinehurst Harness Track, their staff and employees will not be held responsible for any accident or loss which may occur to an exhibitor, spectator, guest, rider, groom, attendant, or other employee, animal, equipment resulting from any of the inherent risks of equine activities.

___________________________________________________________________________________________Rider Signature (parent sign for juniors)

NCDCTA MEMBERS: Please include NCDCTA numbers for horse, rider, and owner below to insure accurate points are attributed. Thanks.