Name of Exhibitor (required)

    Show Date (required)

    Age Division (required)

    Birthdate of Youth Exhibitor

    Exhibitor's Address (required)

    Exhibitor's Phone # (required)

    Email Address (required)

    Name of Horse/Pony (required)

    Owner's Name of Horse/Pony (required)

    Name of Coach/Barn

    HCBC/USEF/WDAC/Eventing tests:
    1 test $252 tests $503 tests $754 tests $100EC tests:1 EC test $302 EC tests $603 EC tests $904 EC tests 120Stall Rental $20

    Please provide details for each test:

    Test 1:

    Organization

    Level

    Test

    Test 2:

    Organization

    Level

    Test

    Test 3:

    Organization

    Level

    Test

    Test 4:

    Organization

    Level

    Test

    Are you riding multiple horses? Please list horse's names:

    Requests re: times or groupings


    ***************************************************************************************************************

    Terms and Conditions:

    *Additions to any existing show entry may be made at the show for the listed price.

    *No refunds for scratched classes.

    I hereby certify that the exhibitor and horse named above is eligible to enter all Delta Riding Club shows. I further certify that I understand and agree to abide by the rules and regulations of Delta Riding Club. I recognize that equestrian activities may be dangerous and involve certain inherent risks, including but not limited to the risks of possible serious injury or death. I agree to make no claim whatsoever against that Delta Riding Club, its officers and/or directors, the owners of the property, or any agent, official, or member of the Delta Riding Club for any accident, injury, or loss that may occur to, or be caused by, any horse or person at the show; or should any article of any kind or nature be lost, destroyed, or in any way damaged.

    I agree to the terms of the waiver as given above. I have read and understand “the fine print” as provided on the Show Program. I understand that by selecting this “I agree” box I hereby accept the terms and conditions and the checking of this box constitutes my signing of the entry form.


    I agree

    **************************************************************************************

    I’m paying e-transfer

    I’m paying by cash, cheque or credit card at the show