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2709 West Ox Road • Herndon, Virginia 20171 • 703-437-9101 2011 Frying Pan Farm Park Virginia Hunter Horse Show Entry Form Complete this entry form and submit. On the day of the show, sign your entry form and pick up your back number at the entry desk. You can always add more classes the day of the show. We will accept online entries until 3:00pm the Friday before each show. Items marked in RED are required fields. Choose a Show Date: October 1, 2011 November 5, 2011 December 10, 2011 January 14, 2012 February 4, 2012 March 10, 2012 April 14, 2012 Horse or Pony Information Name of Horse or Pony: Size of Pony: SML Coggins Accession Number: Coggins Date: Rider's Information Name: Address: City: State: Zip: Phone #: Age: 12 and Under  13 to 17  18 and Over Owners Information Check Here if Owner Same as Rider Name: Address: City: State: Zip: Phone #: Owner's/Rider's E-Mail: Trainer's Information Name: Address: City: State: Zip: Phone #: Classes $12.00 per class for pre-entries Lead Line Division #1 #2 #3 Pre-Short Stirrup Division #4 Walk #5 Walk Trot #6 Walk Trot/Two Point Short Stirrup Division #7 Walk Trot #8 Walk Trot Canter #9 WTC Over Fence *Hunter Short Stirrup Division* #10 WTC U/S #11 O/F #12 O/F *Hunter Pleasure Ponies* #13 Walk Trot #14 Walk Trot Canter #15 O/F Pleasure Division #16 Walk Trot #17 Walk Trot, Park Hack #18 Walk Trot Canter *Junior Hunter Pleasure Horses* #19 Walk Trot #20 Walk Trot Canter #21 O/F *Adult Amateur Hunter Pleasure Horses* #22 Walk Trot #23 Walk Trot Canter #24 O/F Warm Up #25 Warm Up *VHSA Associate Pony Equitation* #26 *Pony Hunter* #27 O/F #28 O/F #29 U/S *VHSA Associate Green Pony Hunter* #30 U/S #31 O/F #32 O/F 2 ft Hunter #33 O/F #34 O/F #35 U/S Justin Hise Handy Hunter Classic $20 #36 Fence Height 2ft 2 ft 6in Warm Up #37 *VHSA Associate Green Hunter Horse* #38 U/S #39 O/F #40 O/F 2ft 6in Hunter #41 O/F #42 O/F #43 U/S Justin Hise Handy Hunter Classic $20 #44 Fence Height 2'6" *VHSA Associate Children/Adult Equitation 2ft 6in* #45 *Children/Adult Hunter* 2ft 6in #46 O/F #47 O/F #48 U/S *Working Hunter* #49 O/F #50 O/F #51 U/S Please pay at the entry desk on the day of the show.