Ellis River Riders Entry Form 
Evening Gymkhana Show July 2, 2011

LEAD LINE/WALK TROT START AT 3 PM, ALL YOUTH & ADULT CLASSES START AT 6 PM

Please do not use this form for anything besides the Evening Show!

This is a double pointed show!

Please fill in the information below: Please note that a separate form will need to be filled out for each horse. If you do not have a number assigned yet please leave it blank & you can pick up your number on show day.

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

Horses Name

  Horses Number   [Leave blank if first time showing]

 Rider's Name

 

           Please click in the small box next to the classes that you wish to enter with the above horse and rider team 

* VERSATILITY BELT BUCKLE CLASSES

Class No Class Name  Check 
Class 1 Leadline Fanny Ride
Class 2 Leadline Pony Express
Class 3 Walk Trot Pony Express
Class 4 Leadline Single Ring Toss
Class 5 Walk Trot Ring Toss
Class 6 Leadline Hole in One
Class 7 Leadline Egg & Spoon
Class 8 Walk Trot Pole Bending
Class 9 Walk Trot Single Pole
Class 10 Walk Trot Keyhole Barrels
Class 11 Walk Trot Cloverleaf Barrels
Dinner Break & Ring Maintenance
Restarting at 6 PM SHARP!
Class 12 Junior Novice Pole Bending
Class 13 JUNIOR Pole Bending *
Class 14 SENIOR NOVICE Pole Bending *
Class 15 SENIOR Pole Bending *
Class 16 JUNIOR Novice Single Pole
Class 17 Junior Single Pole
Class 18 SENIOR Novice Single Pole
Class 19 SENIOR Single Pole
Class 20 Junior Novice 4 Pole Keyhole Barrel
Class 21 Junior 4 Pole Keyhole Barrel
Class 22 SENIOR Novice 4 Pole Keyhole Barrel
Class 23 Senior 4 Pole Keyhole Barrel
Class 24 Hourglass *
Class 25 Lancer *
Class 26 Junior Novice Cloverleaf Barrels
Class 27 Junior Cloverleaf Barrels *
Class 28 SENIOR Novice Cloverleaf Barrels *
Class 29 SENIOR Cloverleaf Barrels *
Class 30 Junior Novice Cat's Cradle
Class 31 Junior Cat's Cradle
Class 32 SENIOR Novice Cat's Cradle
Class 33 Senior Cat's Cradle

Liability Release 

Neither I or any member of my family will hold the Ellis River Riders  or their members or affiliates liable for any injury to myself, my children or my animal(s) or for damage to or loss of property while I am the Ellis River Riders Show Grounds. By checking the box below, I release the Ellis  River Riders of all liabilities, and acknowledge  the inherent risks involved in riding/showing horses. I also have read and will abide by all the rules and restrictions in the Show Program and rulebook. 

Liability Release 

On show day you are required to visit the Secretaries Booth and make arrangements to pay for your classes and to sign an liability release form (if you have not checked the box above), before you can show.  

 
Revised: July 22, 2011