Snow Flake Show Entry – February Snow Flake Series Enter February 6th Winter Schooling Dressage Show Show Date: February 6, 2021 Entries Close: February 3, 2021 Snow Flake Show Entry – February 6, 2021 For entry confirmation, please enter email address: A copy of this entry will be sent to the email address above. Leave blank for no confirmation. Horse’s Information Horse * Breed * Color * Age * Gender * Mare/Filly Gelding Stallion/Colt USDF Number Only applicable for certain awards programs. T.I.P. Number Only applicable for T.I.P. Awards. Coggins * Drop PDF here or click to upload Choose File Maximum upload size: 15MB Please upload PDF of Coggins dated within 12 months of show. Flu/Rhino * Drop PDF here or click to upload Choose File Maximum upload size: 15MB Please upload PDF of flu/rhino certificate dated within 6 months of show. Owner’s Information Owner’s First Name * Owner’s Last Name * Owner’s Email * Owner’s Phone * Owner’s Address * Owner's Address Owner's Address Owner's Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Rider’s Information Rider’s First Name * Rider’s Last Name * Rider’s Email * Rider’s Phone * Rider’s DVCTA Membership Number (if applicable) Rider’s Division * Junior (must provide date of birth) Adult Amateur Open Junior Date of Birth * Rider’s Address * Rider's Address Rider's Address Rider's Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Class Selection Trainer name, if coming as a group. Prix Caprilli Challenge Would you like to enter the Prix Caprilli Challenge? ($85.00) Yes, I would like to enter the Prix Caprilli Challenge! Prix Caprilli Challenge – Choose Prix Caprilli Test * Prix Caprilli Intro Level Prix Caprilli Training Level Prix Caprilli First Level Prix Caprilli Challenge – Choose Dressage Test * USDF Intro A USDF Intro B USDF Intro C Training Lv Test 1 Training Lv Test 2 Training Lv Test 3 First Lv Test 1 First Lv Test 2 First Lv Test 3 Second Lv Test 1 Second Lv Test 2 Second Lv Test 3 Third Lv Test 1 Third Lv Test 2 Third Lv Test 3 Fourth Lv Test 1 Fourth Lv Test 2 Fourth Lv Test 3 Eventing TOC Additonal Dressage Test Selection (optional) Choose Additional Test 1. Leadline Dressage Test A 2. Leadline Dressage Test B 3. USDF Intro A 2019 4. USDF Intro B 2019 5. USDF Intro C 2019 6. Training Lv Test 1 2019 7. Training Lv Test 2 2019 8. Training Lv Test 3 2019 9. First Lv Test 1 2019 10. First Lv Test 2 2019 11. First Lv Test 3 2019 12. Second Lv TOC 2019 12b. Second Lv TOC 2019 13. Third Lv TOC 2019 13b. Third Lv TOC 2019 14. TOC – any USEF/FEI Test not listed 14b. TOC – any USEF/FEI Test not listed 15. USEA Eventing TOC 2018 15b. USEA Eventing TOC 2018 16. Musical Freestyle TOC 2019 17. Western USEF TOC 17b. Western USEF TOC 18. Natural Horsemanship TOC 19. Quadrille/PasDeDeux TOC 20. Prix Caprille TOC Choose Class 12 TOC * Second Lv Test 1 2019 Second Lv Test 2 2019 Second Lv Test 3 2019 Choose Class 12b TOC * Second Lv Test 1 2019 Second Lv Test 2 2019 Second Lv Test 3 2019 Choose Class 13 TOC * Third Lv Test 1 Third Lv Test 2 Third Lv Test 3 Choose Class 13b TOC * Third Lv Test 1 Third Lv Test 2 Third Lv Test 3 Choose Class 14 TOC * Fourth Lv Test 1 Fourth Lv Test 2 Fourth Lv Test 3 Prix St. Georges updated 2021 Intermediate I updated 2021 Intermediate A updated 2021 Intermediate B updated 2021 Intermediate II updated 2021 Short Grand Prix 2021 Grand Prix updated 2021 Grand Prix Special updated 2021 Choose Class 14b TOC * Fourth Lv Test 1 Fourth Lv Test 2 Fourth Lv Test 3 Prix St. Georges updated 2021 Intermediate I updated 2021 Intermediate A updated 2021 Intermediate B updated 2021 Intermediate II updated 2021 Short Grand Prix 2021 Grand Prix updated 2021 Grand Prix Special updated 2021 Choose Class 15 TOC * Beginner Novice A 2018 Beginner Novice B 2018 Novice A 2018 Novice B 2018 Novice Three Day 2018 Training A 2018 Training B 2018 Training Three Day 2018 Modified A 2018 Modified B 2018 Preliminary A 2018 Premliminary B 2018 Preliminary Three Day 2018 Intermediate A 2018 Intermediate B 2018 Advanced A 2018 Advanced B 2018 FEI One Star 2021 FEI Two Star A 2021 FEI Two Star B 2021 Choose Class 15b TOC * Beginner Novice A 2018 Beginner Novice B 2018 Novice A 2018 Novice B 2018 Novice Three Day 2018 Training A 2018 Training B 2018 Training Three Day 2018 Modified A 2018 Modified B 2018 Preliminary A 2018 Premliminary B 2018 Preliminary Three Day 2018 Intermediate A 2018 Intermediate B 2018 Advanced A 2018 Advanced B 2018 FEI One Star 2021 FEI Two Star A 2021 FEI Two Star B 2021 Choose Class 16 TOC * Training Level 2018 First Level 2018 Second Level 2018 Third Level 2018 Fourth Level 2018 FEI Intermediate 2017 FEI Intermediate A/B 2021 Grand Prix 2017 WD Intro 2017 WD Basic 2017 WD level 1 2017 WD Level 2 2017 WD Level 3 2017 WD Level 4 2017 Choose Class 17 TOC * WD Intro 1 2017 WD Intro 2 2017 WD Intro 3 2017 WD Intro 4 2017 WD Basic 1 2017 WD Basic 2 2017 WD Basic 3 2017 WD Basic 4 2017 WD Level 1 Test 1 2017 WD Level 1 Test 2 2017 WD Level 1 Test 3 2017 WD Level 1 Test 4 2017 WD Level 2 Test 1 2017 WD Level 2 Test 2 2017 WD Level 2 Test 3 2017 WD Level 2 Test 4 2017 WD Level 3 Test 1 2017 WD Level 3 Test 2 2017 WD Level 3 Test 3 2017 WD Level 3 Test 4 2017 WD level 4 Test 1 2017 WD level 4 Test 2 2017 WD level 4 Test 3 2017 WD level 4 Test 4 2017 Choose Class 17b TOC * WD Intro 1 2017 WD Intro 2 2017 WD Intro 3 2017 WD Intro 4 2017 WD Basic 1 2017 WD Basic 2 2017 WD Basic 3 2017 WD Basic 4 2017 WD Level 1 Test 1 2017 WD Level 1 Test 2 2017 WD Level 1 Test 3 2017 WD Level 1 Test 4 2017 WD Level 2 Test 1 2017 WD Level 2 Test 2 2017 WD Level 2 Test 3 2017 WD Level 2 Test 4 2017 WD Level 3 Test 1 2017 WD Level 3 Test 2 2017 WD Level 3 Test 3 2017 WD Level 3 Test 4 2017 WD level 4 Test 1 2017 WD level 4 Test 2 2017 WD level 4 Test 3 2017 WD level 4 Test 4 2017 Choose Class 18 TOC * USDF Intro A USDF Intro B USDF Intro C Training Level Test 1 Training Level Test 2 First Level Test 1 First Level Test 2 Choose Class 19 TOC * USDF Pas de Dues 2018 USDF Quadrille Intro 2018 USDF Quadrille Training 2018 USDF Quadrille First 2018 USDF Quadrille Second 2018 USDF Quadrille Third 2018 USDF Quadrille Freestyle 2018 Choose Class 20 TOC * Prix Caprilli Intro Level Prix Caprilli Training Level Prix Caprilli First Level Add Test Remove Test Dressage Test Selection Choose Test * 1. Leadline Dressage Test A 2. Leadline Dressage Test B 3. USDF Intro A 2019 4. USDF Intro B 2019 5. USDF Intro C 2019 6. Training Lv Test 1 2019 7. Training Lv Test 2 2019 8. Training Lv Test 3 2019 9. First Lv Test 1 2019 10. First Lv Test 2 2019 11. First Lv Test 3 2019 12. Second Lv TOC 2019 12b. Second Lv TOC 2019 13. Third Lv TOC 2019 13b. Third Lv TOC 2019 14. TOC – any USEF/FEI Test not listed 14b. TOC – any USEF/FEI Test not listed 15. USEA Eventing TOC 2018 15b. USEA Eventing TOC 2018 16. Musical Freestyle TOC 2019 17. Western USEF TOC 17b. Western USEF TOC 18. Natural Horsemanship TOC 19. Quadrille/PasDeDeux TOC 20. Prix Caprille TOC Choose Class 12 TOC * Second Lv Test 1 2019 Second Lv Test 2 2019 Second Lv Test 3 2019 Choose Class 12b TOC * Second Lv Test 1 2019 Second Lv Test 2 2019 Second Lv Test 3 2019 Choose Class 13 TOC * Third Lv Test 1 Third Lv Test 2 Third Lv Test 3 Choose Class 13b TOC * Third Lv Test 1 Third Lv Test 2 Third Lv Test 3 Choose Class 14 TOC * Fourth Lv Test 1 Fourth Lv Test 2 Fourth Lv Test 3 Prix St. Georges updated 2021 Intermediate I updated 2021 Intermediate A updated 2021 Intermediate B updated 2021 Intermediate II updated 2021 Short Grand Prix 2021 Grand Prix updated 2021 Grand Prix Special updated 2021 Choose Class 14b TOC * Fourth Lv Test 1 Fourth Lv Test 2 Fourth Lv Test 3 Prix St. Georges updated 2021 Intermediate I updated 2021 Intermediate A updated 2021 Intermediate B updated 2021 Intermediate II updated 2021 Short Grand Prix 2021 Grand Prix updated 2021 Grand Prix Special updated 2021 Choose Class 15 TOC * Beginner Novice A 2018 Beginner Novice B 2018 Novice A 2018 Novice B 2018 Novice Three Day 2018 Training A 2018 Training B 2018 Training Three Day 2018 Modified A 2018 Modified B 2018 Preliminary A 2018 Premliminary B 2018 Preliminary Three Day 2018 Intermediate A 2018 Intermediate B 2018 Advanced A 2018 Advanced B 2018 FEI One Star 2021 FEI Two Star A 2021 FEI Two Star B 2021 Choose Class 15b TOC * Beginner Novice A 2018 Beginner Novice B 2018 Novice A 2018 Novice B 2018 Novice Three Day 2018 Training A 2018 Training B 2018 Training Three Day 2018 Modified A 2018 Modified B 2018 Preliminary A 2018 Premliminary B 2018 Preliminary Three Day 2018 Intermediate A 2018 Intermediate B 2018 Advanced A 2018 Advanced B 2018 FEI One Star 2021 FEI Two Star A 2021 FEI Two Star B 2021 Choose Class 16 TOC * Training Level 2018 First Level 2018 Second Level 2018 Third Level 2018 Fourth Level 2018 FEI Intermediate 2017 FEI Intermediate A/B 2021 Grand Prix 2017 WD Intro 2017 WD Basic 2017 WD level 1 2017 WD Level 2 2017 WD Level 3 2017 WD Level 4 2017 Choose Class 17 TOC * WD Intro 1 2017 WD Intro 2 2017 WD Intro 3 2017 WD Intro 4 2017 WD Basic 1 2017 WD Basic 2 2017 WD Basic 3 2017 WD Basic 4 2017 WD Level 1 Test 1 2017 WD Level 1 Test 2 2017 WD Level 1 Test 3 2017 WD Level 1 Test 4 2017 WD Level 2 Test 1 2017 WD Level 2 Test 2 2017 WD Level 2 Test 3 2017 WD Level 2 Test 4 2017 WD Level 3 Test 1 2017 WD Level 3 Test 2 2017 WD Level 3 Test 3 2017 WD Level 3 Test 4 2017 WD level 4 Test 1 2017 WD level 4 Test 2 2017 WD level 4 Test 3 2017 WD level 4 Test 4 2017 Choose Class 17b TOC * WD Intro 1 2017 WD Intro 2 2017 WD Intro 3 2017 WD Intro 4 2017 WD Basic 1 2017 WD Basic 2 2017 WD Basic 3 2017 WD Basic 4 2017 WD Level 1 Test 1 2017 WD Level 1 Test 2 2017 WD Level 1 Test 3 2017 WD Level 1 Test 4 2017 WD Level 2 Test 1 2017 WD Level 2 Test 2 2017 WD Level 2 Test 3 2017 WD Level 2 Test 4 2017 WD Level 3 Test 1 2017 WD Level 3 Test 2 2017 WD Level 3 Test 3 2017 WD Level 3 Test 4 2017 WD level 4 Test 1 2017 WD level 4 Test 2 2017 WD level 4 Test 3 2017 WD level 4 Test 4 2017 Choose Class 18 TOC * USDF Intro A USDF Intro B USDF Intro C Training Level Test 1 Training Level Test 2 First Level Test 1 First Level Test 2 Choose Class 19 TOC * USDF Pas de Dues 2018 USDF Quadrille Intro 2018 USDF Quadrille Training 2018 USDF Quadrille First 2018 USDF Quadrille Second 2018 USDF Quadrille Third 2018 USDF Quadrille Freestyle 2018 Choose Class 20 TOC * Prix Caprilli Intro Level Prix Caprilli Training Level Prix Caprilli First Level Add Test Remove Test TOC/Notes If Test Of Choice (TOC) was chosen above, please enter test(s) here, and/or leave any notes. By checking this box, the rider and horse owner are agreeing to the following: * Agree 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 Choose Payment Method * PayPal Mail Check If you are human, leave this field blank. Submit