The Inns at Whitetail Ski/Golf Resort #209

Red Gate Farm

Hunter Entry Form

Note: You must sign Release Waiver.

Date of Show ___/___/___, Coggins Date ___/___/___ Accession Number ________________

Rider Name: __________________________________ DC Area #__________________ Age____

Street Address: ____________________________________________________________________

City, State, Zip Code: ________________________________________________________________

Phone Number: (_____)____________________ *Email address: ______________________________

Horse’s Name: _________________________________TIP #:______________Pony?____ circle: S, M, L

Owner’s Name: _______________________________Trainer’s Name: ________________________

Circle Class Numbers:

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31/CW 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

Non-showing (Schooling only)

Number of Classes: _______ x $15.00= $________

Plus office fee $20 = $________ Total Paid by cash or check #_________

Make checks payable to Red Gate Farm. Thank you!