July 24

July 24, 2010
Benefit Horse Show Hosted By Braebern Farm

Classes: $5 each or $40 and Ride All Day!

Schooling opens at 7:30; Show Starts at 9am Sharp!

Please print out this form and bring it with you.

Name of Rider:__________________________ Horse: _________________________

Address: ______________________________________________________________

City/State/ZIP: __________________________________ Phone:__________________

__1. Road Hack __2. Pleasure Hack __3. Hunter Hack __4. Command __5. Open Hunter Over Fences 2'6" __6. Open Equitation Over Fences 2'6" __7. Intermediate Hunter Over Fences 2' __8. Intermediate Equitation Over Fences 2' __9. Beginner Hunter Over Crossrails __10. Beginner Equitation Over Crossrails __11. Walk Trot Hunter Over Cavalattis __12. Walk Trot Equitation Over Cavalettis __13. Open Hunter Under Saddle __14. Intermediate Hunter Under Saddle __15. Beginner Hunter Under Saddle __16. Walk Trot Hunter Under Saddle	__17. Lollypop Graduates Class, (Free) __18. Sit A Buck __19. Magazine Race __20. Team Relay Race __21. Open Western Pleasure __22. Jr Western Pleasure __23. Walk Trot Western Pleasure __24. Open Stock Seat Equitation __25. Jr Stock Seat Equitation __26. Walk Trot Stock Seat Equitation __27. Open Cloverleaf Barrels __28. Walk Trot Cloverleaf Barrels __29. Open Pole Bending __30. Walk Trot Pole Bending __31. Open Keyhole __32. Walk Trot Keyhole

Open: Open to All Riders Intermediate/ Junior: Open to Riders 18 or younger. Beginner: Open to green Horses and Riders	Walk/ Trot: Open to TRUE BEGINNERS ONLY, (any age) Fun Games are open to everyone!

All Proceeds go to Lollypop Farm

# of Classes: ________

Need Stall: Yes or No

Total: $_________

Paid: Cash Check

I understand that horseback riding is an inherently dangerous sport and will hold Braebern Farm
and all of their affiliates harmless from any and all injury incurred.

Signature of Rider:___________________________________________________________________________

Signature of Parent/ Guardian if Rider is under 18:__________________________________________________