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VA Eventing at Keystone Acres
Combined Test & Dressage Show
Sunday, June 4th, 2023
Rider Name
*
First
Last
Junior/Senior
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Junior (14 & under)
Junior plus (15-18 yrs)
Senior (18yrs +)
Rider Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Rider Email
*
Rider Phone
*
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Emergency Contact Information
*
First
Last
Relationship to rider
*
Best contact number for emergency contact
*
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Horse Name (*Must Match Name on Coggins)
*
Upload Coggins (PDF ONLY)
Combined Test Classes
Choose Class (Multiple Classes May Be Chosen)
Class 1: Leadline (poles on the ground)
Class 2: Tadpole (poles on ground)
Class 3: Pre-Green (up to 12")
Class 4: Green (up to 18")
Class 5: Advanced Green (up to 2')
Class 6: Pre-Beginner Novice (up to 2'3")
Class 7: Beginner Novice (up to 2'7")
Class 8: Novice (up to 2'11")
Class 9: Training (up to 3'3")
Class 10: Modified or Prelim(up to 3'7")
Class 11: Show Jump Round Only
IF competing in class 11 Show Jumping Round ONLY, please state which height(s) you would like to jump
Dressage Only Classes
Choose Class (Mulitple Classes May Be Chosen)
Please only choose the classes below if you ONLY want to ride a dressage test. If you entered a CT, there is already a dressage test assigned to your "class" and there is no need to enter an additional dressage class unless you want to ride a second test.
Class 12: USDF 2023 Intro A
Class 13: USDF 2023 Intro B
Class 14: USDF 2023 Intro C
Class 15: USEF 2023 Training Level, Test 1
Class 16: USEF 2023 Training Level, Test 2
Class 17: USEF 2023 Training Level, Test 3
Class 18: USEF 2023 First Level, Test 1
Class 19: USEF 2023 First Level, Test 2
Class 20: USEF 2023 First Level, Test 3
Class 21: USEF 2023 Second Level, Test 1
Class 22: USEF 2023 Second Level, Test 2
Class 23: USEF 2023 Second Level, Test 3
Class 24: USEF 2023 Third Level, Test 1
Class 25: USEF 2023 Third Level, Test 2
Class 26: USEF 2023 Third Level, Test 3
Class 27: USEF 2022 Beginner Novice Test A
Class 28: USEF 2022 Beginner Novice Test B
Class 29: USEF 2022 Novice Test A
Class 30: USEF 2022 Novice Test B
Class 31: USEF 2022 Training Test A
Class 32: USEF 2022 Training Test B
Class 33: Dressage Test of Choice
Class 34: Working Equitation Tests
Class 35: WDAA Tests Available
Class 36: NWHA Tests Available
XC Schooling--Beginner Novice & above ONLY
Yes!
No
Weather permitting, can sign up day of show
Limited stabling available
$50 per day/MUST strip at end of day
Yes!
No
By submitting this entry, you acknowledge that refunds will NOT be permitted AFTER closing date unless show management cancels the event.
Partial refunds are permitted prior to closing date.
No entry will receive ride times without payment prior.
*
I agree to the above refund policy
Total
$5.00
