Starter Horse Trial / Combined Test Registration Form

Show Dates

Select the date of the 2024 show *

Sunday, May, 19: Starter/CT	Sunday, September 29: Starter/ CT
Date may be added	Date may be added

Rider Information

First Name *

Last Name *

Age *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Horse Information

Horse Name *

TIP #

Owner's Name *

Upload Coggins Test

Show Options

Combined Test Divisions (Include Dressage Test, Jump Round, and Ribbons/Prizes)

Discount:

CDCTA or Pony Club Member - $5

Jump Rounds (à la carte)- $30/round

	Introductory (18")
	Elementary (2')
	Beginner Novice (2'7")
	Novice (2'11")
	Training (3'3")
	Modified
	Prelim

Dressage Tests à la carte - $40/test (Bring 3 copies of test)

	Introductory
	Elementary
	Beginner Novice
	Novice
	Training
	Modified
	Prelim
	Dressage fix-a-test per test

XC unjudged round - $40

	Introductory
	Elementary
	Beginner Novice
	Novice

Horse Usage Fee (Red Gate Farm students ONLY)

Horse Usage Starter $100

Horse Usage CT $80

Late Fee (REQUIRED after closing date)

Late Fee $25

Day Stall

Day Stall $50

Current Total:

$0.00

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 *

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Intro Starter Horse Trial (18" - 2') $135	Elementary Starter Horse Trial (2'-2'3") $135
Beginner Novice Starter Horse Trial (2'7") $135	Novice Starter Horse Trial (2'11") $135
Walk/Trot Intro CT with Crossrails	Intro CT (18") $85
Elementary CT (2') $85	Beginner Novice CT $85
Novice CT $85	Training CT $85
Modified CT	Prelim CT