Online Entry Form Dressage

Dressage Schooling Show

Event Date: JUNE 1, 2024
Entries Close: Sunday, May 26, 2024 at 5:00pm OR SOONER IF THE SHOW FILLS – Limited to first 60 entries/ Two Rings (1 Short Court, 1 Full Court) + a Six Feet on the Ground Arena

*One Horse & Rider pair per entry* Multiple riders sharing a horse and multiple horses ridden by a single rider must be entered separately.

NOTE: Riders with multiple horses should pay particular attention to the classes they are entering as we may not be able to accommodate customary time for tack changes & warm up between rides. ADDITIONALLY: If a rider shows in two separate Levels, we cannot always schedule those in order of difficultly due to classes needing to be schedule in separate rings (this comes up most often between Intro C/Training Level and Training/ First Level)

**A horse is limited to THREE (3) total tests UNDER SADDLE per day, regardless of the number of riders. Please check with other riders sharing a horse about the number of rides each rider registers for before completing registration.

PLEASE NOTE: When you have finished filling out this online entry form, you will immediately be taken to PayPal.com where you can pay your entry fees via PayPal, Visa, Mastercard, Amex or Discover. If you do not complete the online payment transaction, your registration will not be processed.

JUNE 1 2024 Centerline on the Road

Use this form to submit your registration and pay entry fees online using a credit card.

Before Entering, I agree to the following Blake Equestrian & Iron Horse Farm Show Policies*
1) A horse may not have more than 3 rides in a day, regardless of how many riders it is entered with 2) Each Horse & Rider pair needs a separate Entry 3) I understand that rides in different levels may not be scheduled in order of difficulty & may include lengthy time gaps 4) I may have short time gaps between rides if a) I bring multiple horses to ride myself b) I enter more than one horse in the same class 5) Ride times are scheduled for optimum show flow, not to accommodate group ride schedules 6) Classes may be split or combined at Show Management discretion & varies show to show based on unpredictable entry results. 7) I am subject to a $10 Change Fee if I choose to change my a) class level b) test number or c) add a class, after the entry has been completed 8) Overnight Upgrades are $15 if not included in original entry 9) I will arrive after 3:00pm on Friday if I am selecting overnight stabling 10) I will not block driveways or fire lanes for any length of time 11) I agree to clean my stall of solid waste and soiled bedding, depositing it in a bedding dumpster 12) Awards are located on the deck of the large Indoor Arena and will be available once the announcements are made and/or posted 13) Cancellation Requests made before the Close of Entries (if filled early) or the Entry Deadline, whichever comes first will be subject to a $25 processing fee 14) Cancellations after the Close of Entries or Entry Deadline forfeit funds unless it is horse or human health related in which case, the individual Class Entry fees may be refunded with the submission of a Vet or Doctor note/excuse.
- I have read the above policies and agree to uphold & be subject to them.
Rider's Name*
First Last
Horse's Name*
Series Competitor Number*
Have you entered a show in this series and already have a Competitor Bridle Number that you wish to use throughout the series? If so, please enter that number here:
Horse Owner's Name (if different from rider)
First Last
Horse is a*
- Mare
- Gelding
- Stallion
Breed
Please Indicate your horse's Breed
TIP Number
In order to qualify for the Thoroughbred Incentive Program (TIP) Daily/Series High Score Award, you must provide your TIP number:
Current Vaccine
The Centerline Series requires all horses participating in events at all locations to be current on Vaccines. You may upload a copy of your current vaccine record, receipt from your vet or photo of the package of showing Vaccine Lot & Expiration Date (please note the date it was administered in the "Note To Secretary" section toward the end of this entry. You may also email that documentation to horseshowjet@hotmail.com if you do not have it handy now. Proof should be submitted by Show Date **NOTE** New Proof of Vaccination must be submitted for the 2024 Centerline Show Series.
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.
Address*
Street Address City State ZIP Code
Email*
Please enter the email address you want to receive Important Show Information at. This will include questions, follow-up, stabling assignments & the most up to date Ride/Schedule information.
Phone*
Rider's Age*
- 17 or under
- 18 or over
Rider's Division*
- Jr/Yr
- Adult Amateur
- Open
Parent or Guardian Name*
First Last
Emergency Phone Number*
Release of Liability
Donida Farm, members of the show committee, staff and their associates will not be responsible for any loss or damage or injury to horses exhibited or for any article of any kind that may be lost or destroyed in any way injured. Each exhibitor will be responsible for any injury that may be associated with any person whom so ever by any horses owned by, exhibited by, or handled by him and shall indemnify the aforementioned individuals and organizations against all claims and demands of any kinds or nature that may grow out of and injury associated by any horses owned or exhibited by him or arise from the negligence of the person in charge of any such horse. The owner, driver, handler, and rider, and any other agents or representatives acknowledge that they participate voluntarily in the competition fully aware that horse sports and the competition involve inherent dangerous risk, and that by participating they expressly assume any risks of injury and loss, and they agree to hold the competition and its officials, directors, employees, or agents. All horses exhibited will be at the owners/lessee’s risk.
Rider signature (or Parent/Guardian Signature if under 18)*
Printing your full name in the box will act as a signature to indicate that you agree to the terms of the Release of Liability above.
Stabling and any group name
All horses are subject to a Haul-In fee that is separate from an Optional Show Day Paddock fee. Please note if you are an IRON HORSE FARM Boarder of the Hosting Facility or a SHARED HORSE.
Stabling Options
Please scroll down if you are an IRON HORSE FARM BOARDER or are riding a SHARED HORSE. Selecting one of these options will charge you for a stall!
- Same Day Haul-In (Work from Trailer)
- Same Day Haul-in + Day use of a 70x70' fenced paddock.
Iron Horse Farm Boarder
Please choose this option if you are a current Iron Horse Farm Boarder.
- Iron Horse Boarder
Shared Horse
**If you are riding a horse who is already entered in the show with another rider, Please select this option and provide the Name of who has already paid for this horse's stabling. Please do not enter before you have confirmed with that person that they have already entered/paid for stabling.
- Shared Horse
Person Paying for "Shared Horse"
Please provide the name of the person who has already entered/Paid for the sabling for the horse you will be sharing. Please do not complete your entry until you have verified with that person that their entry has been completed.
Same Day Haul-In Fee (work from Trailer)
Saturday arrival / Saturday departure
Price:
Same Day Haul-In + 70x70' Fenced Paddock
Saturday arrival / Saturday departure
Price:
Barn/Trainer/Team Group Name
Name of barn or group you are attending with. This information will be used to assign paddocks (if selected) and will allow us to track group participation. Please have all members of your group use the same name, not a list of the names of other competitors (Ex: Barn name, Trainer's Business name or think of a unique group name)
Class Registration
Classes may be combined, divided or cancelled upon manager’s decision. Riders may ride more than once in each class.
Dressage Classes- 2023 tests used where applicable. 2022 Eventing Dressage Tests will be used. *PLEASE NOTE: Limit of Three (3) Under Saddle Classes Per Horse
Classes
Please select up to three(3) Under-Saddle Classes. Each ride at any particular level is initially one(1) Class. Show management reserves the right to split or combine any classes.
- 1. Intro Level A
- 1. Intro Level B
- 1. Intro Level C
- 2. USEA Eventing Dressage TOC
- 2. USEA Eventing Dressage TOC (second ride)
- 3. Training Level Test 1
- 3. Training Level Test 2
- 3. Training Level Test 3
- 4. First Level Test 1
- 4. First Level Test 2
- 4. First Level Test 3
- 5. Second Level Test 1
- 5. Second Level Test 2
- 5. Second Level Test 3
- 6. Third Level Test 1
- 6. Third Level Test 2
- 6. Third Level Test 3
- 7. Fourth Level Test 1
- 7. Fourth Level Test 2
- 7. Fourth Level Test 3
- 8. FEI TOC
- 8. FEI TOC (2nd Ride)
- 9. Six Feet on the Ground Foundation 1
- 9. Six Feet on the Ground Foundation 2
- 9. Six Feet on the Ground Foundation 3
- 9. Six Feet on the Ground Foundation 4
- 9. Six Feet on the Ground Foundation 5
- 9. Six Feet on the Ground Foundation 6
- 10. Six Feet on the Ground Progression 1
- 10. Six Feet on the Ground Progression 2
- 10. Six Feet on the Ground Progression 3
2. USEF Eventing Dressage TOC- 2022 tests
Please indicate test.
- Beginner Novice: Test A
- Beginner Novice: Test B
- Novice: Test A
- Novice: Test B
- Training: Test A
- Training: Test B
2. USEF Eventing Dressage TOC (second ride)-2022 tests used
Please indicate test.
- Beginner Novice: Test A
- Beginner Novice: Test B
- Novice: Test A
- Novice: Test B
- Training: Test A
- Training: Test B
15. FEI TOC-2023 tests used
Please indicate test
- Prix St Georges
- Intermediate I
- Intermediate A
- Intermediate B
- Intermediate II
- Grand Prix
- Grand Prix Special
- FEI Young Rider Team Test
- FEI Junior Team Test
- FEI Junior Individual Test
- FEI Pony Team Test
- FEI Pony Individual Test
- USEF Four-Year-Old Test
- FEI Five-Year-Old Final
- FEI Six-Year-Old Final
- USEF Developing Horse Prix St Georges
- USEF Developing Horse Grand Prix
- FEI Children's Individual
- FEI Children's Team
15. FEI TOC (second ride)-2023 tests used
Please indicate test
- Prix St Georges
- Intermediate I
- Intermediate A
- Intermediate B
- Intermediate II
- Grand Prix
- Grand Prix Special
- FEI Young Rider Team Test
- FEI Junior Team Test
- FEI Junior Individual Test
- FEI Pony Team Test
- FEI Pony Individual Test
- USEF Four-Year-Old Test
- FEI Five-Year-Old Final
- FEI Six-Year-Old Final
- USEF Developing Horse Prix St Georges
- USEF Developing Horse Grand Prix
Note to show secretary
Please use this to communicate any variances from the offered class lists (example: a Second Intro B test that you paid for by entering Intro C but really want to enter B twice).
Office Fee*
Price:
Paypal Fee*
Price:
Total
$0.00

JUNE 1 2024 Centerline on the Road

Release of Liability

Stabling and any group name

Class Registration