Ellis River Riders Entry Form 
Gymkhana Shows 2010 


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

Show Date  mm/dd/yr

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 WALK-TROT PONY EXPRESS
Class 3 LEADLINE PONY EXPRESS
Class 4 LEADLINE SINGLE RING TOSS
Class 5 WALK-TROT SINGLE RING TOSS
Class 6 LEADLINE HOLE IN-ONE
Class 7 LEADLINE EGG AND SPOON
Class 8 WALK-TROT POLE BENDING
Class 9 YOUTH NOVICE POLE BENDING
Class 10 YOUTH POLE BENDING
Class 11 ADULT NOVICE POLE BENDING
Class 12 ADULT POLE BENDING
Class 13 WALK TROT SINGLE POLE
Class 14 YOUTH NOVICE SINGLE POLE
Class 15 YOUTH SINGLE POLE
Class 16 ADULT NOVICE SINGLE POLE
Class 17 ADULT SINGLE POLE
Class 18 RIBBON RACE ( Pairs)Partner
Class 19 LANCER ~ OPEN *
Class 20 THREE LEGGED RACE ( Pairs)Partner
Class 21 TURN ~N~ BURN ~OPEN
Class 22 WALK TROT KEYHOLE BARREL
Class 23 YOUTH NOVICE KEYHOLE BARREL
Class 24 YOUTH KEYHOLE BARREL
Class 25 ADULT NOVICE KEYHOLE BARREL
Class 26 ADULT KEYHOLE BARREL
Class 27 WALK TROT CLOVERLEAF BARRELS
Class 28 YOUTH NOVICE CLOVERLEAF BARRELS
Class 29 YOUTH CLOVERLEAF BARRELS *
Class 30 ADULT NOVICE CLOVERLEAF BARRELS *
Class 31 ADULT CLOVERLEAF BARRELS *
Class 32 RELAY RACE (Pairs)Partner
Class 33 DOUBLE BOWTIE ~ OPEN
Class 34 SHOT GUN BARRELS (Pairs)Partner
Class 35 FLAG RACE
Class 36 YOUTH NOVICE CATS CRADLE
Class 37 YOUTH CATS CRADLE
Class 38 ADULT NOVICE CATS CRADLE
Class 39 ADULT CATS CRADLE
Class 40 4 LEAF CLOVER ~ OPEN
Class 41 HOURGLASS ~ OPEN *
Class 42 BREAKOUT (PAIRS)Partner

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: June 22, 2010