Mid Atlantic Academy Finals Prize List 2016.pdf


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The Mid Atlantic Academy Finals Horse Show
October 8th and 9th
Early Entries Close September 7th
Office Use

Horse Name ( One Rider per Entry Blank)

ENTRY BLANK FOR ALL RIDERS
Registration Info

Color

Rider

Address

Phone/ Email

Owner Name

Address

Phone/ Email

Trainer Name

Address

Phone/ Email

BEDDING/FEED PRE-ORDER
Shavings..............$10/Bag

PLEASE STABLE WITH:

Sex

Height

Year

Date of Birth Classes

All Qualifying Classes

All Championship Classes $25

MAAF Class

Make Checks payable to:
Office Use only
Mid Atlantic Academy Finals
Amount Paid ___________
Mail to:
Check # _____ Cash ______
Hilary Wilcox
107 W. Woodschurch Rd
Credit Card _______
Flemington, NJ 08822
kiersonfarm@me.com
Amount Due: ___________
908.528.3307

$20

SPONSORSHIP:
______________

UP TO DATE
COGGINS AND
OUT OF STATE
HEALTH
CERTIFICATE
REQUIRED

Office Fee

$7.50

Grounds Fee

$15

Stall Fee

$75

Late Stall

$85

Shavings

$10

Late Entry Fee

$15

TOTAL ENCLOSED

$30

$ _________