Show Date: 01/14/18 Closing Date: 01/10/18
Show Date: 02/18/18 Closing Date: 02/14/18
Show Date: 03/18/18 Closing Date: 03/14/18
Show location: 20800 White’s Ferry Road, Poolesville, Maryland 20837
Fee: $28per test
Payable to: Bascule Farm LLC
Classes:Tests: 2015FEI and USDF/USEFIntro-4th level tests;2018USEA BN-Advanced tests
Ribbons: 1stto 8thplace each class, championship ribbon to best score in show.
Rings: Competition Indoor and Warm-up Indoor(rubber/sand/fiber footing).
All tests will be in a20 x 40 arena except for tests that specify 20 x 60 only.
Dress: Casual attire, approved helmet required. Please leave your dogs at home.
Show Secretary: Julie Hagen;ith questions.
Only COMPLETE entries (entry form, coggins and check) will be scheduled a ride time. Ride times by e-mail the Friday prior to each show. WE ARE ALWAYS OVERSUBSCRIBED, SO GET YOUR ENTRY IN EARLY!
BASCULE FARM Dressage Show Entry Form
Current Coggins MUST be included with entries.
Show Date/Judge (circle one): Jan. 14 (Karyn Rainey) Feb.18 (Carolyn “Dilly” Jackson) Mar.18 (Aviva Nebesky)
Name of Rider: ______Age (if under 18):______
Rider’s Address:______
Daytime and Evening phone:______
Rider’s Email (please write clearly!): ______
Name of Horse: ______Horse’s Name on Coggins______
1s t Dressage Test: ______
2nd Dressage Test: ______
3rd Dressage Test: ______
Total Amount Enclosed: ______
1 /We recognize that there are inherent risks and dangers related to horses and horse shows. Inconsideration of Bascule Farm, LLC accepting our application to participate in this show, we herebyagree to assume all risks associated with and do hereby release and agree to indemnify andhold harmless Bascule Farm, its agents, employees, representatives, servants, and volunteers, forall causes of action, including negligence, which may accrue as a result of any damagesor injury to me, us, or our property.
Signature of Entrant/Rider:______
Signature of Horse Owner:______
If the participant is under the age of 18, we, as the minor’s parent/guardian, hereby consent, jointly and severally, to the minor’s participation and agree to indemnify Bascule Farm, LLC, and hold Bascule Farm, LLC, harmless for any damage or injury suffered by minor or the minor’s property.
Signature of parent/guardian: ______
Other competitorswith whom you are trailering/sharing a coach, etc.:______
Make sure you enclose: 1) Completed SIGNEDENTRY 2) CHECK made out to Bascule Farm
3) CURRENT Coggins or Coggins on file at Bascule(For Bascule boarders only)
Sign up at eventclinics.com or Send Show Entries to:
Bascule Farm Dressage Show
12668 Granite Ridge Drive
North Potomac, MD 20878-3435