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603-494-7768
Entry Form
Submit your entry for upcoming shows and events.
"
*
" indicates required fields
Name
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First
Last
Email
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Address
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Street Address
Address Line 2
City
State
ZIP / Postal Code
Cell phone number
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Emergency Contact Name/Relationship
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Emergency Contact Cell Phone #
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Horse Name
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Show Date:
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August 1, 2026
October 10, 2026
Phase/Class
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Pre-elementary Three Phase ($110)
Pre-elementary Two Phase ($85)
Elementary Three Phase ($120)
Elementary Two Phase ($85)
Advanced Elementary/Starter Three Phase ($120)
Advanced Elementary/Starter Two Phase ($85)
Beginner Novice Three Phase ($120)
Beginner Novice Two Phase ($85)
Novice Three Phase ($120)
Novice Two Phase ($85)
Dressage Only ($40)
Cross Country Schooling Only ($35)
Overnight or Day Stabling ($50)
Mix and Match (dressage test of choice and stadium, height of choice) ($85)
Lead Line Division ($35)
If signing up for Dressage Only, please indicate which test(s) you wish to ride. Please note only a small ring (20x40) is available at this time.
Intro A
Intro B
Intro C
Eventing Starter Test A (2026)
Eventing Starter Test B (2026)
Eventing Beginner Novice Test A
Eventing Beginner Novice Test B
Eventing Novice Test A
Eventing Novice Test B
Eventing Training Test A
Eventing Training Test B
USDF Training 1
USDF Training 2
USDF Training 3
Other
Mix and Match Division - indicate dressage test and jump height 2 phase: $85 3 phase: $120
Release of Liability
*
I have reviewed and hereby virtually sign the Victory Gallop Release of Liability form.
Release of Liability
BY TYPING YOUR SIGNATURE, YOU ARE VIRTUALLY SIGNING THE RELEASE OF LIABILITY FORM.
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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.
I have read and understand that I need to bring a cross country bib and that entries are not refundable.
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I have read and understand that I need to bring a cross country bib and that entries are not refundable.
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Payment Method
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Credit Card
Venmo
Check
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.
Credit Card
