Entry Form

Mix and Match Division - indicate dressage test and jump height 2 phase: $85 3 phase: $120

BY TYPING YOUR SIGNATURE, YOU ARE VIRTUALLY SIGNING THE RELEASE OF LIABILITY FORM.*

Attach Coggins (less than 1 year old)

Accepted file types: pdf, jpg, docx, png, heic, Max. file size: 6 MB.

Please note: entries are not refundable. A CROSS COUNTRY BIB WILL BE REQUIRED TO HOLD THE CROSS COUNTRY NUMBER. LIMITED NUMBER OF BIBS WILL BE AVAILABLE FOR SALE. RIDE TIMES WILL BE AVAILABLE ON FACEBOOK AND THE WEB PAGE THURSDAY PRIOR TO THE SHOW.

If paying by Venmo, please complete this form and send Venmo payment to @juliesweetie

If paying by check, make it payable to Victory Gallop Green Acres and bring to the show.

Victory Gallop at Green Acres

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