Show Entry Form

Last Chance Show Entry Form

Click here to download the Prize List

Rider Information

* Indicates required field

Rider Name *

First

Last

USDF # *

RMDS # *

USEF # *

Address *

Line 1

Line 2

City

State

Zip Code

Country

JR/YR Birthdate *

Email *

Phone Number *

Trainer

*Trainer definition: Person responsible for the horse during the show, must be 18 years of age or older and must be on the show grounds during the show.

Trainer Name *

First

Last

USDF # *

RMDS # *

USEF # *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Owner

Owner Name *

First

Last

USDF # *

RMDS # *

USEF # *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Horse Information

Name of Horse *

Breed *

Sex *

Height *

Color *

Age *

USDF # *

RMDS # *

USEF # *

RMDS Permanent Bridle Tag # *

Sire *

Dam *

Dam's Sire *

Breeder *

Class Information

Class One

Class Number *

Division *

Class Description *

Class Two

Class Number *

Division *

Class Description *

Class Three

Class Number *

Division *

Class Description *

Forms Upload

Click here to download the official USEF Equine Flu & EHV Proof of vaccination form.

Required Medical Forms *

Coggins- dated after Jan 1, 2016 Equine Influenza Virus- dated after Feb 27, 2016 Equine Herpes Virus- dated after Feb 27, 2016

RMDS & USEF Member Forms *

RMDS Member Card- to qualify for RMDS Championships and year end awards USEF Member Card- required if competing as an Adult Amateur

Payment & Fees

Office Fee- $35 *

Total Class Fees- 1 Class: $30; 2 Classes: $55 *

Late Fee- $25 after 8/17/2016 *

Fee Totals *

Mail check for payment to: Secretary. Please make check payable to "Foothills Chapter."

Submit

Last Chance Show Entry Form​

Rider Information

Trainer

Owner

Horse Information

Class Information

Class One

Class Two

Class Three

Forms Upload

Payment & Fees

Last Chance Show Entry Form