Jumper Show Registration Form

Use until two hours prior to the start of the show. After that, please fill out in person at the show.

Select the date of the 2024 show *

First Name *

Last Name *

Age *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Name *

TIP #

Owner's Name *

Upload Coggins Test

Jump Rounds- $25/round. Enter the number of rounds at each height **** CAN BE ADDED OR HEIGHTS CHANGED ON THE DAY OF THE SHOW

Horse Usage Fee (Red Gate Farm students ONLY)

Horse Usage $80

Day Stall (limited supply)

Day Stall $50

Reduced Office Fee (Required) $15 *

Office / Grounds Fee $20

Current Total:

$0.00

***If under 18, parent/guardian should fill out this section.

I have read the above Liability Waiver and agree to the terms for the rider listed above. *

Yes

Name *

Date *

Signature *

clear

Enter the word in the image *
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Sunday, April 28, 9 am start	Wednesday, June 19, 4 pm start
Wednesday, July 10, 4 pm start	Wednesday, July 24, 4 pm start
Wednesday, Aug. 7, 4 pm start	Sunday, Oct. 20, 9 am start, HALLOWEEN SHOW
Sunday, Dec. 1, 10 am start CHRISTMAS SHOW	Date may be added
Date may be added	Date may be added
Date may be added	Date may be added