1. Select Show Date. Closing date 2 days before show.
Apple Tree Farm South
Windsor, SC
2-Phase Entry
Select Show Date. Closing date 2 days before show.
□ January 12, 2017 □ January 21, 2017 □ January 25, 2017
□ February 2, 2017 □ February 16, 2017 □ February 23, 2017
□ March 2, 2017 □ March 16, 2017 □ March 23, 2017
SELECT COMPETITION LEVEL
COMBINED TEST LEVELS $50 DRESSAGE ONLY $30
□ Starter – 2015 Intro Test B. Jump 12” □ Intro Test B
□ Pre-Elementary– 2015 Intro Test B. Jump 18” □ BN Test A
□ Elementary – 2014 BN Test A. Jump 2’ □ BN Test B
□ Advanced Elementary– 2014 BN Test A. Jump 2’3” □ Novice Test A
□ Beginner Novice– 2014 BN Test A. Jump 2’7” □ Novice Test B
□ Novice – 2014 Novice Test A. Jump 2’11” □ Training Test A
□ Training – 2014 Training Test A. Jump 3’3” □ Training Test B
□ Preliminary Preliminary Test A. Jump 3’7” □ Prelim. Test A
□ Intermediate – 2014 Intermediate Test A. Jump 3’11” □ Prelim. Test B
□ Intermediate A
□ Intermediate B
□ Other___________________
□ Extra Jump Round $10 □ Level: ___________________ □Extra Dressage Round $20
□ Unlimited jump rounds $30/same horse/rider combo Level: ___________________
Rider Name: _______________________________________ Horse Name: ________________________
Phone Number: (_____) _____-_______ _____________________________
Address: __________________________________ City, State, Zip: __________________, ____, ________
□ Professional □ Non-Professional Trainer: __________________________TIP #_________________
Please send all entries, payment and coggins to:
Apple Tree Farm South
1530 Oak Ridge Club Road
Windsor, SC 29856 /
Please make checks payable to: Apple Tree Farm
Payment:
Combined Test (one level) $50 ______
Jump Round Only $20 ______
Unlimited jump rounds/horse $30 ______
Dressage Only Test $30 ______
Extra Dressage Test $20 ______
TOTAL _________
I am aware that riding horses is an athletic event which poses potentially serious risks of injuries.  I understand that I may be injured as a results of my negligence, the negligence of others or through no fault of my own or anyone else due to the activity in which I am engaged.  I hereby hold harmless Apple Tree Farm, its owners and agents, the organizers and volunteers of this event for any injury or death I might sustain as a result of my participation in this event or by being on the grounds. 
Signature of Rider and/or Parent (rider under 18) ____________________________________________ Date: _______________________________________