ENTRY FORM
CANTERDOWN NOVICE EVENT & CLINIC
INTRODUCTION TO EVENTING
9 a.m. Friday July 1, 2011
Rider: ___________________________________ [ ] JR [ ] SR Horse: _____________________________
Telephone_____________________ Address: _________________________________________________
Division (circle all that apply)
Pre-Entry 70cm – up to 2’ 6” Dressage - Cross-Country – Stadium [ ] Chicken Little (age 30+)
Entry 80 cm – up to 2’ 9” Dressage - Cross-Country – Stadium [ ] Chicken Little (age 30+)
Total Fees: $___________
Fees: $70.00
PER DIVISION or $25.00 FOR ONE DISCIPLINE (e.g. dressage only, stadium only, or just X-C)
YOU MAY RIDE ONE, TWO OR THREE
DISCIPLINES AT ONE OR BOTH LEVELS
Waiver: As a participant and/or horse owner, I hereby acknowledge and agree to release and forever discharge the owners, operators and staff of Canterdown from all claims, demands, damages and actions arising by reason of my participation in the Novice Eventing clinic. I am also aware of the value of obtaining liability insurance to avoid claims against myself and my horse.
Rider or Guardian Signature: ______________________________________
Mail: CANTERDOWN Fax: 613-477-1731
1351 Highway #37, RR1