Please include copy of current Coggins test, unless already on file from previous show this year.

Schooling will be permitted indoors before the show plus between tests if weather is inclement. Outdoor ring available all day.

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ENTRY FORM

Horse's name_____________________________ Rider's name______________________________________________Junior/ Adult (circle)

Address:_____________________________________________________________________________Phone:_________________email:____________________________________________

TESTS: Introductory A_______________ Introductory B________________ Training 1___________Training 2________________Training 3______________Training 4___________

First Level, test 1 __________________

Other (Quadrilles, Pas de Deux, Freestyle)___________( @ $30 per team-----Please use separate entry form for each horse/ rider)

Beginner Horse or Rider Walk Class (Medium, Extended, Free Walk) ***May walk alone, be led, or have escort in ring, @ $10 _______________

Individual Walking Test @ $10______________________________ (Call or e-mail for test)

First test $20 = ________________

Additional tests_____@ $10=________________

Limited stalls available @ $25_______________

TOTAL ENCLOSED = __________________ Make checks payable to "Paradocs Farm, Ltd." 31164 Zoar Road, Locust Grove, VA 22508

I hereby agree that I ( and /or my child/ward ) am participating voluntarily in the Competition FULLY AWARE that horse sports, competitions and ALL equine activites of any kind involve INHERENT DANGEROUS RISKS of serious injury or death , including, but not limited to 1) the propensity of an equine to behave in dangerous ways; 2) the inability to predict an equine's reaction to sound, movement, objects, persons or animals; 3) surface and subsurface conditions; and 4) the possibiblity of equipment breakage , and by participating I expressly assume all risks of injury, death of loss to my persons, animals or equipment, and agree to indemnify and hold harmless Paradocs Farm, owners, officials, employees, and any and all associated with the show from and against all claims, whether or not such claim resulted directly or indirectly from negligent acts or ommissions of said owners, agents, employees, et. al. I have read, understood and agree to abide by this and all Paradocs Farm policies in order to participate in this event.

SIGNATURE:___________________________________________________________________)In the case of a MINOR, attending adult MUST accept full responsibility for compliance of policies, and parent must sign waiver.)

DIRECTIONS:

From Fredericksburg: Take Rte 3 West to Wildnerness, turn left on Rte 20 (at Sheetz Station) Go 5 miles, turn right on Rte 611 (at Exxon Station). Go 2.6 miles, Paradocs Farm is on the left. Take second entrance .

From Orange: Take Rte 20 North 18 miles to Locust Grove. Turn left on Rt 611 (at Exxon Station). Go 2.6 miles, Paradocs Farm is on the left. Take second entrance .

From Culpeper: Take Route 3 East ~ 15 miles to Wilderness. Turn right on Route 20 (at Sheetz Station) Go 5 miles, turn right on Rte 611 (at Exxon Station). Go 2.6 miles, Paradocs Farm is on the left. Take second entrance .

ENTRY FORMS DUE BY March 17th!

Questions? Please contact Joan M. Prasse, D.V.M. Phone (540) 854-0753