UVRHA Show Entry Form

Owner & Horse Owner Name * Email * Phone * Address * Address Line 2 (optional) City * State * Zip Code * Horse Name *

Rider 1 Rider 1 Name * Rider 1 Birth Date (youth only) Is Rider 1 eligible for the Collegiate Division? *

What Division will Rider 1 be competing in? *

Rider 1 UVRHA Membership *

Riders must be UVRHA members to receive payouts and qualify for awards. Membership fees are paid once per calendar year. A separate UVRHA Membership form is also required. See above for additional details

Rider 2 (optional — same horse) I would like to submit another rider for the same horse

Additional Fees

Additional Fees *

These fees are required for every entry.

Stalls, Shavings & RV How many stalls do you need? * Please include any tack stalls in this number. How many nights do you need your stall(s)? * How many bags of shavings would you like? Who do you prefer to be stalled with? Do you need an RV spot? *

Payment How will you be paying? *

Who should payouts go to? (UVRHA members only) Preferred payout method Notes / Comments

UVRHA Show Entry Form

Entries are closed

Entry received — thank you!