Entry Form- GLASS-ED Annual June 27,2026

GLASS-ED Dressage Show

Open entries- May 27, 2026

Closing Date- June 18, 2026

Use a separate entry form for each horse/rider team.

GLASS-ED Annual Dressage Entry

Thank you for your entry to GLASS-ED Dressage Show on June 27. It is not complete until your paypal or check payment and coggins test have been received. Entry confirmations will be sent out after closing date. Ride times will be sent by June 25 and posted at pinelakestables.com You can click the Paypal link below for Paypal payment to info@GLASS-ED.com

GLASS-ED Annual Dressage Show

Riders First u0026amp; Last Name

Street address

City, State, Zip

Phone

Horse’s Name

Riders Status(required)

Junior/Young Rider (Under 22) Adult Amateur (AA) Open

Late entry and change fees (after May) are $5.00 per late class. enter total late fees below:

English Classes Large Ring Jr/Yr, AdAm & Open

101. First Level Test 1 Open $25 102. First Level Test 2 Open $25 103. First level Test 3 Open $25 201. Second Level Test 1 Open $25 202. Second Level Test 2 Open $25 203. Second Level test 3 Open $25 301. Third Level Test 1 Open $25 302. Third Level Test 2 Open $25 303. Third Level Test 3 Open $25

Test of Choice – English or Western- Jr/Yr, AdAm & Open

501. Test of choice- Small Ring- Open $25 502. Test of Choice- Large ring- Open $25

Test Level and # for classes 501 u0026amp; 502. May enter more than once. List all here:

Musical Tests- English or Western -Jr/Yr, AdAm & Open

600. Standard USDF Musical Freestyle (identify level below) $25 603. GLASS-ED Freestyle Anything Goes Musical $25 604. Pas De Deux GLASS-ED Anything goes Musical Freestyle $13 each rider 605. Quadrille GLASS-ED Anything Goes Musical $13.00 each rider

Identify Level of test for class #600- USDF Musical Freestyle

Group Classes- English or Western

701. Suitable for Dressage $20 702. Dressage Equitation $20 703. Walk/Trot Equitation $18.00 9(Rider not entered in any Training or higher classes) 706. Leadline Walk Trot 7 yrs u0026amp; under $16.00

Western Dressage Tests- Small Ring- Open, AA, YR/JR

811. WDAA Intro Test 1 Open $25 812. WDAA Intro Test 2 Open $25 813. WDAA Intro Test 3 Open $25 814 WDAA Intro Test 4 Open $25 821. WDAA Basic Test 1 Open $25 822. WDAA Basic Test2 Open $25 823. WDAA Basic Test 3 Open $25 824. WDAA Basic Test 4 Open $25

Western Dressage Tests- Large Ring- Open, AA, JR/YR

831. WDAA Level 1 Test 1 Open $25 832.WDAA Level 1 Test 2 Open $25 833. WDAA Level 1 Test 3 Open $25 834. WDAA Level 1 Test 4 Open $25 840. WDAA Level 2 or 3 Test of Choice Open $25

Indicate test level u0026amp; # for class 840. May enter more than one test, but you can not enter the same test twice. List all here:

Stall -One bag shavings. u003cbru003e Stalled horses must send proof of Flu/Rhino vaccine to equineline@mei.net:

Day Stall $40.00 plus proof of Flu/Rhino vaccination Stall Fri nite u0026amp; and Saturday $50.00 plus proof of Flu/Rhino vaccination No Stall

Stall my horse near (my horse’s buddy’s name):

Camping Overnight

Camping no Hookups $20.00 Camping with electrical hook up $25.00

OFFICE FEE-(required)

Office Fee- $15 per Horse/Rider team. No Office fee for Lead Line horse that is already entered and paid by another rider in another class.

u003cstrongu003eDouble check entries- As a precaution please list your class entry #’s and stall request again here.u003c/strongu003e

Every entry at this show shall constitute an agreement that the person making it (owner, lessee, trainer, manager, agent, coach, drive handler, rider, horse) shall be subject to the constitution and rules of any and all organizations sanctioning this show, and the rules of the show itself, and that every rider, handler, and or driver is eligible as entered and the owner, rider and any of his representatives are bound by the constitutions of any/all organizations sanctioning the show, and the show itself, and agree to hold the show, the officials, directors, and employers of the show and/or any/all of the organizers or bodies sanctioning the show, the employees of any of these organizations and the owners of the show grounds harmless for any action taken. The constitution of application of these rules is governed by the laws of the State of Michigan. I, the undersigned, hereby enter the above horse at my own risk and I further agree that if damage is occasioned or loss occurred to the horse exhibited, to any vehicles, or to other articles(s) which I may send with such horse, I will make no claim therefore against the management, the owners of the show grounds, the officials of any and all sanctioning organization and any person involved herein . I also agree that as a condition of entry GLASS-ED and Pine Lake Stables, may use photographs of me and my horse taken during the course of the competition for the promotion of GLASS-ED and Pine lake Stables. Those likenesses shall not be used to advertise a product and they may not be used in such a way as to jeopardize amateur status. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity , or to misappropriation.

I Agree

Total- Add costs of office fee, classes, stall, late fees u0026amp; camping fees below. You will not be entered until payment arrives.u003cbru003eEnter total $ amount due in the box below. Make note of the amount due.u003cbru003eClick form of payment and form for coggins

Payment Form:(required)

Mailing check. Complete entry by sending payment and coggins to GLASS-ED, 12417 Oakridge Rd, Plainwell, Mi 49080 Paypal payment- Complete entry by clicking Paypal, and paying total to info@GLASS-ED.com

Paypal account name:

Required Coggins test:(required)

I will attach a pdf coggins file below I will email a copy of coggins to equineline@mei.net I will mail my coggins to Mary Johnson, 12417 Oakridge rd, Plainwell, Mi 49080

Upload coggins file in PDF format: Enter PDF file name

Drag and drop or click to select a file.

Registration(required)

I understand that my entry is not complete until payment and coggins test have been received. For this show; 2025 coggins is accepted.

Click “Send Entry”

Complete entry by clicking Paypal in the reply, and paying total to info@GLASS-ED.com

If you are having trouble with the web site; you may send complete entry information to equineline@mei.net and pay to Paypal

Pay to Paypal at info@glass-ed.com