Student Show Registration Form

Our Website

Fall 2024 Student Show - Sun. Nov. 10

TIMES ARE APPROXIMATE AND WILL BE UPDATED ON WEBSITE. ARRIVE 30 MINUTES PRIOR TO YOUR SCHEDULED RIDE TIME.

Division, each division $150 *

Current Total:

$0.00

Please list your horse choices (first choice, second choice, third choice) *

Rider Information

First Name *

Last Name *

Notes

Parent/Adult Information

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Release Waivers

Liability Waiver

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

Yes

I understand that cancellation results in a forfeit of entry fee. *

Yes

I give permission for my (child's) picture to be used for Red Gate Farm promotional material. *

Yes

Name *

Date *

Signature *

clear

Payment Information

The next page of the form will default to the payment of check. Payment is due now at time of registration. However, you can pay via Venmo @RedGateFarm, PayPal RedGateFarmVA@aol.com, or by credit card on our website. I understand that payment of $150 is due now at the time of booking. *

Yes

Enter the word in the image *
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Beginner 1: 10:00 am	Beginner 2: 10:30 am
Beginner 3: 11:15am	Beginner 4: noon
Intermediate 1: 12:45 pm	Intermediate 2: 1:30 pm
Intermediate 3: 2:15 pm	Adult: 3:00 pm