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Frying Pan Farm Park, Virginia Hunters 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 Friday before each show.

Items marked in RED are required fields.

Choose a Show Date:	October 6, 2012 October 28, 2012 November 3, 2012 December 8, 2012 January 12, 2013 February 9, 2013 March 16, 2013 April 13, 2013 (all shows VHSA Associate rated EXCEPT Nov. 3, 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
Para Equestrian Lead Line	#1 #2
Lead Line	#3 #4 #5
Pre – Short Stirrup Division	#6 Walk #7 Walk Trot #8 Walk Trot/Two Point
Short Stirrup Division	#9 Horsemanship WTC #10 Walk Trot Canter #11 WTC Over Fence
Hunter Short Stirrup Division	#12 WTC U/S #13 O/F #14 O/F
Hunter Pleasure Ponies	#15 Walk Trot #16 Walk Trot Canter #17 O/F
Pleasure Division	#18 Walk Trot #19 Walk Trot Park Hack #20 Walk Trot Canter
Junior Hunter Pleasure Horses	#21 Walk Trot #22 Walk Trot Canter #23 O/F
Adult Amateur Hunter Pleasure Horses	#24 Walk Trot #25 Walk Trot Canter #26 O/F
Warm Up	#27
VHSA Associate Pony Equitation	#28
Pony Hunter	#29 O/F #30 O/F #31 U/S
VHSA Associate Green Pony Hunter	#32 O/F #33 O/F #34 U/S
2 ft Hunter	#35 O/F #36 O/F #37 U/S
Handy Hunter Classic	#38a Fence Height 2ft #38b Fence Height 2ft 6in
2 ft 6in Warm Up	#39 O/F
VHSA Associate Green Hunter Horse	#40 U/S #41 O/F #42 O/F
2ft 6in Hunter	#43 U/S #44 O/F #45 O/F
VHSA Associate Children/Adult Equitation 2ft 6in	#47
Children/Adult Hunter* 2ft 6in	#48 O/F #49 O/F #50 U/S
Working Hunter	#51 O/F #52 O/F #53 U/S
$250 Performance Hunter Derby	#54 U/S

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