Snow Flake Series Entry Form

Show Date: March 11th, 2023

Entries Open: December 12th, 2022

Entries Close: February 26th, 2023

Show Location: The Stables at Fox Crossing, 501 Walter Road, Cochranville, PA 19330
Please note, there is a $10.00 fee for online entries.

Snow Flake Series 2023 – March 11th, 2023

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 *

USDF Number

Only applicable for certain awards programs.

T.I.P. Number

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 First Name *

Owner’s Last Name *

Owner’s Email *

Owner’s Phone *

Owner’s Address *

Owner's Address

City

State/Province

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 Date of Birth *

Rider’s Address *

Rider's Address

City

State/Province

Zip/Postal

Class Selection

Trainer name, if coming as a group.

Prix Caprilli Challenge

Would you like to enter the Prix Caprilli Challenge? ($90.00)

Yes, I would like to enter the Prix Caprilli Challenge!

Prix Caprilli Challenge – Choose Prix Caprilli Test *

Prix Caprilli Challenge – Choose Dressage Test *

TOC

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)

TOC

Please enter your Test of Choice.

TOC

Please enter your Test of Choice.

TOC

Please enter your Test of Choice.

TOC

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

TOC

Please enter your Test of Choice.

TOC

Please enter your Test of Choice.

TOC

Please enter your Test of Choice.

TOC

Please enter your Test of Choice.

TOC/Notes

Please enter any notes/comments.

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

Willing to volunteer?

Choose Payment Method *

Total Entry Fees

Snow Flake Series Entry Form

Horse’s Information

Owner’s Information

Rider’s Information

Class Selection

Prix Caprilli Challenge

Choose Additional Dressage Tests (Optional)

Choose Dressage Tests

Payment

Section

Association Links

Events at Blue Goose

Snow Flake Series Entry Form

Show Date: March 11th, 2023

Entries Open: December 12th, 2022

Entries Close: February 26th, 2023

Horse’s Information

Owner’s Information

Rider’s Information

Class Selection

Prix Caprilli Challenge

Choose Additional Dressage Tests (Optional)

Choose Dressage Tests

Payment

Section

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Association Links

Events at Blue Goose