EmailMe Form - VA Eventing @ Hillbrook Farm CT & Dressage

VA Eventing @ Hillbrook Farm CT & Dressage

March 21st, 2021

Due to COVID-19, please note no paper forms --submit all paperwork electronically through our online entry portal located on our website www.VAEventing.com or email your paperwork. Also please no checks--payment will be accepted as stated above by PayPal or Venmo. Everyone who comes onto the event grounds will be required to sign any waivers and wear any personal protective equipment (ie masks) required by current local, state and federal guidelines as well as USEF and USEA guidelines. Failure to do so will result in expulsion from the grounds. Thank you for your consideration and patience. Entries will be limited to 50 competitors. Entries will be accepted on a first come, first serve basis.

Rider Name *
First Last
Junior/Senior *
Junior (14 & under)
Junior (15-18 yrs)
Young Rider (18-21 yrs)
Senior (22yrs +)
Open
Rider Address *

Street Address City State / Province / Region Postal / Zip Code
Rider Email *
Rider Phone *
### - ### - ####
Rider USDF #
Owner Name (leave blank if same as rider)
First Last
Owner Address

Street Address City State / Province / Region Postal / Zip Code
Owner Phone
### - ### - ####
Owner Email
Owner USDF #
Emergency Contact Information *
First Last
Relationship to rider *
Best contact number for emergency contact *
### - ### - ####
Horse Name (*Must Match Name on Coggins) *
Horse USDF #
Upload Coggins (PDF ONLY)
Combined Test Classes
Choose Class (Multiple Classes May Be Chosen)
Class 1: Leadline or Tadpole (poles on the ground)
Class 2: Pre-Green (up to 12")
Class 3: Green (up to 18")
Class 4: Advanced Green (up to 2')
Class 5: Pre-Beginner Novice (up to 2'3")
Class 6: Beginner Novice (up to 2'7")
Class 7: Novice (up to 2'11")
Class 8: Training (up to 3'3")
Class 9: Modified or Prelim(up to 3'7")
Class 10: Show Jump Round Only
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 11: USDF 2019 Intro A
Class 12: USDF 2019 Intro B
Class 13: USDF 2019 Intro C
Class 14: USEF 2019 Training Level, Test 1
Class 15: USEF 2019 Training Level, Test 2
Class 16: USEF 2019 Training Level, Test 3
Class 17: USEF 2019 First Level, Test 1
Class 18: USEF 2019 First Level, Test 2
Class 19: USEF 2019 First Level, Test 3
Class 20: USEF 2019 Second Level, Test 1
Class 21: USEF 2019 Second Level, Test 2
Class 22: USEF 2019 Second Level, Test 3
Class 23: USEF 2019 Third Level, Test 1
Class 24: USEF 2019 Third Level, Test 2
Class 25: USEF 2019 Third Level, Test 3
Class 26: USEF 2018 Beginner Novice Test A
Class 27: USEF 2018 Beginner Novice Test B
Class 28: USEF 2018 Novice Test A
Class 29: USEF 2018 Novice Test B
Class 30: USEF 2018 Training Test A
Class 31: USEF 2018 Training Test B
Class 32: WDAA Test Available
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.
XC Schooling discounted for all competitors (*May also sign-up day of show)
Yes
No
Are you competing an IDHSNA registered horse or an ISH? If so, you can qualify for a special IDHSNA year end award
Yes
No