Snow Flake Series Entry Form



Show Date: February 5, 2022

Entries Close: February 1, 2022

Show Location: Derry Edain, LLC, 500 White Horse Road, Cochranville, PA 19330
Please note, there is a $5.00 fee for online entries.

To enter this show without an account, please complete the entry form below.

To enter this show using your saved Horse and Rider information, please log-in to your account, or create an account here.


Snow Flake – Feb. 5, 2022 One-Time Entry
A copy of this entry will be sent to the email address above. Leave blank for no confirmation.

Horse’s Information

Gender *
Only applicable for certain awards programs.
Only applicable for T.I.P. Awards.
Coggins *
Maximum upload size: 15MB
Please upload PDF of Coggins dated within 12 months of show.
Flu/Rhino *
Maximum upload size: 15MB
Please upload PDF of flu/rhino certificate dated within 6 months of show.

Owner’s Information

Owner’s Address *
Owner's Address
City
State/Province
Zip/Postal

Rider’s Information

Rider’s Address *
Rider's Address
City
State/Province
Zip/Postal

Class Selection

Prix Caprilli Challenge

Would you like to enter the Prix Caprilli Challenge? ($90.00)
Please enter your Test of Choice.

Choose Additional Dressage Tests (Optional)

Choose First Test (Optional)
Choose Second Test (Optional)
Choose Third Test (Optional)
Choose Fourth Test (Optional)
Please enter your Test of Choice.
Please enter your Test of Choice.
Please enter your Test of Choice.
Please enter your Test of Choice.

Choose Dressage Tests

One must choose a minimum of one test. Additional tests are optional.
Choose First Test
Choose Second Test
Choose Third Test
Choose Fourth Test
Please enter your Test of Choice.
Please enter your Test of Choice.
Please enter your Test of Choice.
Please enter your Test of Choice.
Please enter any notes/comments here.
By checking this box, the rider and horse owner are agreeing to the following: *
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. I/We acknowledge that equine activities are a high risk activity. In consideration of the acceptance of this entry, whether I am mounted or un-mounted, I release and in addition hold harmless Blue Goose Stable LLC, it’s owners and agents, of and from any and all claims and demands of every kind which I may have or hereafter acquire for bodily injury, death, or property damage and from all liability for negligent acts or omissions.

Payment

Total Entry Fees

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