Name of First Horse
Sire
(One Owner Per Entry Blank)
Reg. #
Reg. #
Dam
Color Sex Age
Reg. #
Height
Rider/Driver/Handler Age, if Jr. Exhibitor VMHA
Member
Name of Second Horse
Sire
Rider/Driver/Handler
Reg. #
Reg. #
Dam
Color Sex
Age, if Jr. Exhibitor
Age Height
Reg. #
VMHA
Member
Name of Third Horse
Sire
Rider/Driver/Handler
Reg. #
Reg. #
Dam
Color Sex
Age, if Jr. Exhibitor
Age Height
Reg. #
VMHA
Member
Name of Fourth Horse
Sire
Rider/Driver/Handler
Reg. #
Reg. #
Dam
Color Sex
Age, if Jr. Exhibitor
Age Height
Reg. #
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:
Both sides of this form must be completed and signed and fees enclosed.
Helmets are required for ALL Junior Exhibitors .
Please check_____if you do not wish to have photos containing your image used in Heritage Days’ promotional material or on our website.
Entries Close:
June 15, 2013
Class Numbers Entry Fees
Class Numbers
Class Numbers
Class Numbers
Entry Fees
Entry Fees
Entry Fees
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 @ $140.00/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 $
Refundable Stall Deposit @ $25.00/stall $
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______ Camp Site: Hookup______ NO Hookup______
Date of Arrival________________________ 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
Owner’s Signature *
Rider/Driver’s Signature
*
Rider/Driver’s Signature *
Rider/Driver’s Signature
*
E-mail
Date
Date
Date
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


All horses must have a current (2013) Coggins and Rabies
Certificate. Out of state horses need health certificate.
Entries close June 15, 2013. Any entry postmarked after
June 15 th will be considered a post-entry and will be assessed a fee of $5.00 per class.
Are copies of Coggins & Registration Papers enclosed? ______