EQUILIBRIUM DRESSAGE SHOW ENTRY FORM Must be received by Show's Closing Date. SHOW DATE:______________________________________________________ RIDER NAME:___________________________________________________ HORSE:________________________________________________________ CLASS #s:_____________________________________________________ READER: YES______ NO ______ STALL: YES ______ NO ______ COST:_________________ RIDER NAME:___________________________________________________ HORSE:________________________________________________________ CLASS #s:_____________________________________________________ READER: YES______ NO ______ STALL: YES ______ NO ______ COST:_________________ RIDER NAME:___________________________________________________ HORSE:________________________________________________________ CLASS #s:_____________________________________________________ READER: YES______ NO ______ STALL: YES ______ NO ______ COST:_________________ EQUILIBRIUM DRESSAGE SHOW ENTRY FORM Page 2 TOTAL COST OF ALL ENTRIES: $_____________________________________ I understand that neither Equilibrium Horse Center, nor its employees and volunteers are responsible for accidents, damage, injury, or illness to horse, owners, riders, spec- tators, or any persons or property whatsoever. Signed:___________________________________________________________ (parent's signature if rider is under 18 yrs.) NAME:_____________________________________________________________ ADDRESS:__________________________________________________________ CITY:___________________________________ STATE/ZIP:______________ DAY PHONE:(_______)_______________________________________________ EVE PHONE:(_______)_______________________________________________