2017 Black Jack Saddle Club – Entry Form

Show Date: ______

Rider: ______Rider #: ______Horse: ______

Are you a member of BJSC (Please Circle) Yes No If no please provide the following.

Address: ______Email:______

City/State/Zip:______Phone: ______

Mark ‘X’ to enter a class

1 / Halter Mares - All Ages / 33 / Western Pleasure - Stock - 18 and Over
2 / Halter Geldings/Stallions/Ponies / 34 / Western Pleasure - Non Stock - 18 and Over
3 / Showmanship - 18 and Over / 35 / Western Pleasure - Stock - 14-17
4 / Showmanship - 14-17 / 36 / Western Pleasure - Non Stock - 14-17
5 / Showmanship - 10-13 / 37 / Western Pleasure - Stock - 10-13
6 / Showmanship - 9 and Under / 38 / Western Pleasure - Non Stock - 10-13
15 Minute Break / 39 / Western Pleasure - Stock - 9 and Under
7 / Lead Line - Riders 2 to 6 / 40 / Western Pleasure - Non Stock - 9 and Under
8 / Walk/Trot - Open* / 41 / Jr. Western Pleasure - Horses 5 and Under
9 / English Walk/Trot Pleasure - 18 and Over / 42 / Sr. Western Pleasure - Horses 6 and Older
10 / English Walk/Trot Pleasure - 14-17 / 43 / Ranch Riding - Open
11 / English Walk/Trot Pleasure - 10-13 / 44 / Reining - Open
12 / English Walk/Trot Pleasure - 9 and Under / 45 / Trail - 18 and Over*
13 / English Pleasure - 18 and Over / 46 / Trail - 14-17*
14 / English Pleasure - 14-17 / 47 / Trail - 10-13*
15 / English Pleasure - 10-13 / 48 / Trail - 9 and Under*
16 / English Pleasure - 9 and Under / 49 / Trail - In Hand
17 / English Equitation - 18 and Over / 15 Minute Break
18 / English Equitation - 14-17 / 50 / Pole Bending - 18 and Over
19 / English Equitation - 10-13 / 51 / Pole Bending - 14-17
20 / English Equitation - 9 and Under / 52 / Pole Bending - 10-13
15 Minute Break/Tack Change / 53 / Pole Bending - 9 and Under
21 / Walk/Trot - Horsemanship - 18 and Over / 54 / Key Hole - 18 and Over
22 / Walk/Trot - Horsemanship - 14-17 / 55 / Key Hole - 14-17
23 / Walk/Trot - Horsemanship - 10-13 / 56 / Key Hole - 10-13
24 / Walk/Trot - Horsemanship - 9 and Under / 57 / Key Hole - 9 and Under
25 / Western Horsemanship - 18 and Over / 58 / Barrels - 18 and Over
26 / Western Horsemanship - 14-17 / 59 / Barrels - 14-17
27 / Western Horsemanship - 10-13 / 60 / Barrels - 10-13
28 / Western Horsemanship - 9 and Under / 61 / Barrels - 9 and Under
29 / Walk/Trot Pleasure - 18 and Over / 62 / Flags - 18 and Over
30 / Walk/Trot Pleasure - 14-17 / 63 / Flags - 14-17
31 / Walk/Trot Pleasure - 10-13 / 64 / Flags - 10-13
32 / Walk/Trot Pleasure - 9 and Under / 65 / Flags - 9 and Under

* English or Western attire approved

- Stallionsare allowed to be shown by Adults 18 and Over as long as no problems arise

- A Show High Point and Reserve High Point will be totaled on Horse Rider Combo for Performance and Speed Events in each Age Division.

By participating you agree to HOLD HARMLESS the show management, Black Jack Saddle Club, its officers and the other agents/employees associated with them and stable or arena owner regarding any loss, injury or damage to person, property or mount which might occur as a result of your voluntary participation in equestrian competition and/or activities.

Signature: ______Date:______

(Guardian if under 18 years of age)

Payment:

______X______= ______+ ___$3___ = $______Cash or Check # ______

(# of Classes) ($3 if Member or $5 if Non Member) (Subtotal) (Office Fee) (Total Due)

Office Fee waived if Pre-registered before deadline for the show. $2 up charge for classes added after the show starts. NO REFUNDS for dropped classes after show starts. A class can be swapped for another.