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Just Jumper 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 4:00pm Saturday before each show.

Items marked in RED are required fields.

Choose a Show Date:	October 27, 2012** November 10, 2012 December 9, 2012** January 19, 2013** February 10, 2013** March 17, 2013** April 14, 2013**
Horse or Pony Information
Name of Horse or Pony:
Coggins Accession Number:
Coggins Date:
Rider's Information
Name:
Address:
City: State: Zip:
Phone #:
Age:	Under 18  18 and Over
Owners Information
Check Here if Owner Same as Rider
Name:
Address:
City: State: Zip:
Phone #:
Owner's/Rider's E-Mail:
Classes $15.00 per class for pre entries, day of show $20 per class. Gamblers choice class # 127 - $25.00
Warm-Up	#101 Fences not to exceed 2'
Hopeful Jumper Division - Juniors Only	#102 Fence Height 2ft #103 Fence Height 2ft #104 Fence Height 2ft
Hopeful Jumper Division - Adults Only	#105 Fence Height 2ft #106 Fence Height 2ft #107 Fence Height 2ft
Warm-Up	#108 Fence Height 2’ 6”
Puddle Jumper Division	#109 Fence Height 2'3"- 2'6" #110 Fence Height 2'3"- 2'6" #111 Fence Height 2'3"- 2'6"
Novice Jumper Division VHSA Associated rated	#112 Fence Height 2'3"- 2'6” #113 Fence Height 2'3"- 2'6” #114 Fence Height 2'3"- 2'6”
Novice Children’s/Adult Jumper Division VHSA Associated rated	#115 Fence Height 2'3"- 2'6” #116 Fence Height 2'3"- 2'6” #117 Fence Height 2'3"- 2'6”
Low Jumper Division VHSA Associated rated	#118 Fence Height 2'6"- 3’ #119 Fence Height 2'6"- 3’ #120 Fence Height 2'6"- 3’
Children/Adult Amateur Jumper Division VHSA Associated rated	#121 Fence Height 2'6"- 3'3” #122 Fence Height 2'6"- 3'3” #123 Fence Height 2'6"- 3'3”
Schooling Jumper Division VHSA Associated rated	#124 Fence Height 3'- 3'6" #125 Fence Height 3'- 3'6" #126 Fence Height 3'- 3'6"
Gamblers Choice	#127 Fence Height 3'

Please pay at the entry desk on the day of the show.