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 10, 2019 □ January 19, 2019 □ January 24, □ January 31,2019
□ February 14, 2019 □ February 21, 2019 □ February 28, 2019
□ March 14, 2019 □ March 28, 2018
SELECT COMPETITION LEVEL
COMBINED TEST LEVELS $55 DRESSAGE ONLY $35
□ Starter – 2015 Intro Test B. Jump 12” □ Intro Test B
□ Pre-Elementary– 2015 Intro Test B. Jump 18” □ BN Test A
□ Elementary – 2018 BN Test A. Jump 2’ □ BN Test B
□ Advanced Elementary– 2018 BN Test A. Jump 2’3” □ Novice Test A
□ Beginner Novice– 2018 BN Test A. Jump 2’7” □ Novice Test B
□ Novice – 2018 Novice Test A. Jump 2’11” □ Training Test A
□ Training – 2018 Training Test A. Jump 3’3” □ Training Test B
□ Preliminary Preliminary Test A. Jump 3’7” □ Prelim. Test A
□ Intermediate – 2018 Intermediate Test A. Jump 3’11” □ Prelim. Test B
□ Intermediate A
□ Intermediate B
□ Other___________________
□ Extra Jump Round $25 □ Level: ___________________ □Extra Dressage Round $25
□ Unlimited jump rounds $35/same horse/rider combo Level: ___________________
Rider Name: _______________________________________ Horse Name: ________________________
Phone Number: (_____) _____-_______ _____________________________
Address: __________________________________ City, State, Zip: __________________, ____, ________
□ Professional □ Non-Prof. Master (40+) □ Non Prof. –Jr. & Am. (39 or younger) Trainer: ________________
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) $55 ______
Jump Round Only $25 ______
Unlimited jump rounds/horse $35 ______
Dressage Only Test $35 ______
Extra Dressage Test $25 ______
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: _______________________________________