Vermont Morgan Heritage Days – Entry Form
Entries Close:
(One Owner Per Entry Blank)
June 15, 2012
Name of First Horse
Sire
Reg. #
Reg. #
Color
Dam
Age, if Jr. Exhibitor
Name of Second Horse
Reg. #
Reg. #
Color
Age, if Jr. Exhibitor
Reg. #
Reg. #
Color
Age, if Jr. Exhibitor
Reg. #
Reg. #
Class Numbers
Entry Fees
Class Numbers
Entry Fees
Class Numbers
Entry Fees
Class Numbers
Entry Fees
VMHA
Member
Age
Height
VMHA
Member
Age
Height
Reg. #
Rider/Driver/Handler
Sire
Sex
Dam
Name of Fourth Horse
Height
Reg. #
Rider/Driver/Handler
Sire
Sex
Dam
Name of Third Horse
Age
Reg. #
Rider/Driver/Handler
Sire
Sex
Color
Sex
Dam
VMHA
Member
Age
Height
Reg. #
Rider/Driver/Handler
Age, if Jr. Exhibitor
VMHA
Member
Class Sponsorships:
Stall Reservations – Please list the days you need stalls.
Camping – If you plan on sleeping at the Fairgrounds, please
include the Camping Fee with your entry. A Camping
Voucher to be obtained from the Show Secretary. Camping
Vouchers must be displayed prominently.
Camping Fees:
Campers -connected power/water $35/night/day $60/weekend
All tents/campers/trailers- no hookups
$20/night/day $40/weekend
Please make your check/money order payable to:
Morgan Heritage Days
Both sides of this form must be completed
and signed and fees enclosed.
Horse #1 Total Entry Fee
Horse #2 Total Entry Fee
Horse #3 Total Entry Fee
Horse #4 Total Entry Fee
$
$
$
$
TOTAL CLASS FEES: $
Box Stalls @ $50.00 for one day/night
Box Stalls @ $90.00 for 2+ nights
Temporary Stalls @ $135.00/weekend
Tack Stalls @ $50.00 for one night
Tack Stalls @ $90.00 for 2+ nights
Processing Fee ($5.00 per horse)
Camping Fee
Class Sponsorship
TOTAL CHECK 1
$
$
$
$
$
$
$
$
$
Helmets are required for ALL Junior Exhibitors.
Refundable Stall Deposit @ $25.00/stall $
Please check_____if you do not wish to have photos
containing your image used in Heritage Days’
promotional material or on our website.
TOTAL CHECK 2 $
(Check 2 returned if stall is completely stripped on departure)
STABLING/CAMPING RESERVATION
(OFFICE USE ONLY)
No. of horse stalls______ No. of tack stalls______
Date of Arrival________________________
Camp Site: Hookup______ NO Hookup______
Date Leaving________________________
Disclaimer
Please read this disclaimer carefully. It must be personally signed by: The horse owner, or a legally authorized agent; Each
person riding, driving, or handling the horse; The parent or legal guardian of each owner, rider, driver, or handler under the age
of 18 years.
NO ENTRY WILL BE ACCEPTED WITHOUT ALL REQUIRED SIGNATURES!
The undersigned, in consideration of accepting this entry, does hereby for himself, his heirs, executors, and administrators,
affirm and agree that all participants (hereinafter to include, without limitation: the owner, lessee, trainer, manager, agent,
coach, rider, driver, handler, and horses):
1.
Shall be subject to all rules and regulations of the competition, and agree to hold the competition (hereinafter to include,
without limitation: Heritage Days, The Vermont Morgan Horse Association, Inc., the Tunbridge Fair, Inc., all landowners,
and their officials, directors, trustees, members, volunteer workers, employees and agents) harmless for any action taken;
2. Represent that every horse, rider, driver and handler is eligible as entered;
3. Agree that they participate voluntarily in this competition, fully aware that horse sports and the competition involve
inherent dangerous risk of serious injury and death, and by participating they expressly assume all risks of injury or loss;
4. Agree to indemnify and hold the competition harmless against all liability, claims, suits, and expenses including attorney’s
fees incurred, for any injury to any person or animal or damage to any property suffered during or in connection with the
competition whether or not such claim, injury, or loss resulted directly or indirectly from the negligent acts or omissions of
said officers, directors, trustees, members, volunteer workers, employees or agents;
5. Agree to indemnify and hold the competition harmless from and against all liability, claims, suits, and expenses including
attorney’s fees incurred, arising out of injury to any person or animal or damage to any property caused by the
participants.
Owner(s) or Lessee(s), as it appears on registration papers or contract:
Name
Farm or Ranch
Address
City, State, Zip
Phone
E-mail
Owner’s Signature*
Date
Rider/Driver’s Signature*
Date
Rider/Driver’s Signature*
Date
Rider/Driver’s Signature*
Date
Rider/Driver’s Signature*
Date
*Parent or guardian must sign for Jr. Exhibitors. Helmets required for ALL Junior Exhibitors.
Return entry form and direct all
inquiries to:
Cheryl Reed
109 Karilyn Drive
Sharon, VT 05065
802-356-1208 cell
*** REMINDERS ***


All horses must have a current (2012) Coggins and Rabies
Certificate.
Entries close June 15, 2012. Any entry postmarked after
June 15th will be considered a post-entry and will be
assessed a fee of $5.00 per class.
Are copies of Coggins & Registration Papers enclosed? ______