Ride-A-Test Entry Form

June 27, 2009 -

                   Ride-A-Test                  

Station Hill Farm                         

120 Hawkins Rd.

Cedar Grove, NC 27231

Fax (919)732-7818

Date June 27, 2009

• Training Level 1-4
• First Level 1-4
• Second Level 1-4
• Other tests offered by request
• All eventing test offered

General Information

• Send Entry and Check: Payable to Station Hill Farm Inc. 120 Hawkins Rd, Cedar Grove NC. 27231
• No entries accepted without a current coggins.
• No dogs allowed please.
• Proper head gear and boots at all times when mounted.

Directions: http://www.stationhillfarm.com/location/index.cfm

• For more information call Judy Walker at (919) 368-4746

info@stationhillfarm.com

Entry Fees: ~$45.00 per test

Show date:                      

Rider:                                                                                                                                  JR.       SR       

E-MAIL:                                                                                                                          

Phone:                                                                           

Address:                                                                                                                                                     

City:                                                                                State                                  Zip                                

Horse Name:                                                                                                                   

Test(s):                                                                                                                          

Extra Tests:                                                                                                                  

Total Entry Paid:                                                              

             All entries are made at the rider's, owner's, and trainer's own risk. I agree not to hold Station Hill Farm owners, employees, volunteers, or organizers liable for injury, loss of life, theft, or damage to horses spectators or participants.

             Warning: Under NC Law, an equine activity sponsor or equine professional is not liable for death of a participant in equine activities resulting exclusively from the inherent risks of equine Chapter 99E of NC General Statutes.

            Signature: (Parent if minor.)

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