Entry Form – Sept – Pine Lake Stables

Pine Lake Sept 9, 2023 Dressage show

Closing Date- Aug 31, 2023

Riders First & Last Name(required)

Street address

City, State, Zip

Phone

Email(required)

Horse's Name(required)

Riders Status

Junior Adult Amateur (AA) Open

All prices listed include fees charged by Paypal

Late entry fees (after Sept 8) are $5.00 per late class. enter total late fees below:

English Classes Large Ring

101. First Level Test 1 Open $23 102. First Level Test 2 Open $23 103. First level Test 3 Open $23 201. Second Level Test 1 Open $23 202. Second Level Test 2 Ope $23 203. Second Level test 3 Open $23 301. Third Level Test 1 Open $23 302. Third Level Test 2 Open $23 303. Third Level Test 3 Open $23

Test of Choice – English or Western- Open

501. Test of choice- Small Ring- Open $21 502. Test of Choice- Large ring- Open $23

Test Level and # for classes 501 & 502. May enter more than once, but not the same test twice. List all here:

Musical Tests- English or Western

600. Standard Musical Freestyle (identify level beow) $23 603. Freestyle Anything Goes Musical $23 604. Pas De Deux Anything goes Musical Freestyle $13 each rider 605. Quadrille anything Goes Musical $11.oo each rider

Identify Level of test for class #600- Musical Freestyle

Group Classes- English or Western

701. Suitable for Dressage $19 702. Dressage Equitation $19 703. Walk/Trot Equitation $16.00 706. Leadline Walk Trot 7 yrs & under $16.00

Western Dressage Tests- Small Ring- Open

811. WDAA Intro Test1 Open $21 812. WDAA Intro Test 2 Open $21 813. WDAA Intro Test 3 Open $21 814 WDAA Intro Test 4 Open $21 821. WDAA Basic Test 1 Open $23 822. WDAA Basic Test2 Open $23 823. WDAA Basic Test 3 Open $23 824. WDAA Basic Test 4 Open $23

Western Dressage Tests- Large Ring- Open

831. WDAA Level 1 Test 1 Open $23 832.WDAA Level 1 Test 2 Open $23 833. WDAA Level 1 Test 3 Open $23 834. WDAA Level 1 Test 4 Open $23 840. WDAA Level 2 or 3 Test of Choice Open $23

Indicate test level & # for class 840. May enter more than once. List all here

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

Day Stall $37.00 Stall Fri night & and Saturday $47.00 No Stall

Camping Overnight

Camping no Hookups $8.00 Camping with electrical hook up $17.00

Coggins Test

Email a copy of current negative coggins test to equineline@mei.net Slow mail coggins to Pine Lake Entry, 12417 Oakridge Rd, Plainwell, Mi 49080

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 an 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, Pine lake Stables and ADA may use photographs of me and my horse taken during the course of the competition for the promotion of Glass-ed, Pine lake Stables and ADA. 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(required)

Covid Statement- All people associated with this entry agree that they have not been exposed to or have shown NO covid symptoms currently and in the last 2 weeks. They agree to observe social distancing. Everyone in my group will follow Covid Guidelines

I agree(required)

Paying with Paypal- Add costs of classes, stall, camping & non member fees here. Prices listed include Paypal feesEnter total due here. Make note of the amount dueClick sendComplete entry by clicking Paypal and making payment to frontier_carriage@yahoo.com and emailing coggins to equineline@mei.net

Paying by Check- Add costs of classes, stall, camping & non member fees here. For checks; you may deduct 4%. Enter total due here. Make note of the amount dueClick send. then complete entry by sending payment and coggins to Julie Bunnell, 12417 Oakridge Rd, Plainwell, Mi 49080

Registration

I understand that my entry is not complete until the payment and coggins tests have been received.

Pay to Paypal at frontier_carriage@yahoo.com