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VHSA Hunter Show Registration Form
Use Until 6 AM Day of Show
Rider Information
First Name
*
Last Name
*
Age, as of Dec. 1
*
BHSA #
Show Dates
Select the date of the show
*
Sunday, April 6, 2025
Sunday, May 4, 2025
Sunday, June 22, 2025
Sunday, July 20, 2025
Sunday, Aug. 3, 2025
Sunday, Sept. 14, 2025
Sunday, Oct. 5, 2025
MAKE-UP Date
MAKE-UP date
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Zip Code
*
Phone Number
*
Email Address
*
Horse Information
Horse Name
*
TIP #
Owner's Name
*
Trainer's Name
Size
*
Small Pony
Medium Pony
Large Pony
Horse
Coggins Date
Accession Number
Classes Entered
Select Classes
*
42- Pony Medal (V)
43- Leadline
44- Leadline (B)
45- Leadline
46- Pattern Ride
47- Pre-Short Stirrup Eq (B)
48- Pre-Short Stirrup Eq (B)
49- Pre-short Stirrup Eq (B)
50- Novice Eq - W/T
51- Novice Eq - individual canter
52- Novice Eq - 2 crossrails
53- Short Stirrup Eq (B)
54- Short Stirrup Eq (B)
55- Short Stirrup Eq (B)
56- Short Stirrup Hunter (V)
57- Short Stirrup Hunter (V)
58- Short Stirrup Hunter (V)
59- Long Stirrup Equitation (B)
60- Long Stirrup Equitation (B)
61- Long Stirrup Equitation (B)
62- Student Equitation (B)
63-Student Equitation (B)
64-Student Equitation (B)
11- VHSA Adult EQ on the Flat Medal (V)
30- EMO Adult Amateur Medal (V)
31- Pony Pleasure (V)
32- Pony Pleasure (V)
33 - Pony Pleasure (V)
40- Pony Hunter (V)
41- Pony Equitation over fences(V)
34- Pony on the Flat Medal (V)
35- Green Pony Hunter (V)
36- Green Pony Hunter (V)
37- Green Pony Hunter (V)
38- Pony Hunter (V)
39- Pony Hunter (V)
7- Adult/Jr Horse Pleasure (V/TIP)
8- Adult/Jr Horse Pleasure (V/TIP)
9- Adult/Jr Horse Pleasure (V/TIP)
10- Jr/Adult Am. Eq on the Flat (V)
1- Low Hunter (B, TIP)
2- Low Hunter (B, TIP)
3- Low Hunter (B, TIP)
4 - Limit Hunter (B)
5 - Limit Hunter (B)
6 - Limit Hunter (B)
12 - Schooling Hunter (B)
13 - Schooling Hunter (B)
14- Schooling Hunter (B)
15- TB Hunter (V/TIP)
16-TB Hunter (V/TIP)
17- TB Hunter (V/TIP)
18- Green Hunter Horse (V)
19- Green Hunter Horse (V)
20- Green Hunter Horse (V)
21- Child/AA Hunter (V)
22- Child/AA Hunter (V)
23- Child/AA Hunter (V)
24- Child/AA EQ over fences(V)
25- HUNTER DERBY 2'6" or 3'
26- Working Hunter (V)
27- Working Hunter (V)
28 - Working Hunter (V)
29 - EMO Children's Amateur Medal (V)
Oct. show only: costume class ($15)
Discounted Online Office Fee ($20)
*
Office Fee
Red Gate Farm Students Only: Horse Usage Fee ($80)
Horse Usage Fee
Stall ($50/$80) includes shavings/hay (LIMITED AVAILABILITY)
Day stall
Overnight/day stall
California Warmup ($20)
California Warmup
DISCOUNT FOR ENTERING A FULL DIVISION. Number of DIVISIONS (NOT CLASSES) (-$10 each) NOTE A DIVISION CONSISTS OF 3 CLASSES WITH THE SAME NAME. ie. short stirrup hunter. If you use # classes instead of divisions, your entry will be adjusted at registration
*
0 divisions
1 division discount (3 classes with same name)
2 division discount ( 6 classes with 2 names only)
3 division discount ( 9 classes with 3 names only)
4 division discount (12 classes with 4 names only)
5 division discount
6 division discount
Are you paying by Credit Card or Venmo?
*
Yes (will add 3% processing fee and charge now)
No (pay by check, cash or Venmo at show)
Current Total:
$0.00
Calculate
Release Waivers
***If under 18, parent/guardian should fill out this section.
Liability Waiver
I have read the above Liability Waiver and agree to the terms for the rider listed above.
*
Yes
Name
*
Date
*
Signature
*
clear
Payment
Payment options on next screen include credit card, check at show, or also VENMO or PayPal at show. For VENMO or PayPal, use option for "Check".
Enter the word in the image
*