Name: ______________________________________________________________
Address: ____________________________________________________________
Town: ________________________ State/Prov: _______ Zip: __________________
Phone (days): ____________________(eves): _______________________________
Horse(s) name(s) and pronunciation: ________________________________________
You may enter as many classes as you wish. See the class list to make your choices (you may change them when you arrive). See page 2 (below) of this registration for a list of fees. Please fill out separate forms for each entrant.
- Which classes will you be entering?
- Will you need Inn accommodations?_____ (please call Luc at the Mad River Inn (802)496-7900 as soon as possible to make reservations) If so, For how Many?_______________________
- How many horses will you be bringing (please see information on page 2)?____________
- Will you be joining us on Friday for a trail ride?______________________________
(Pg. 2)
Our Annual Party!
will be held on Saturday evening at the Rood home. Everyone - participants and spectators, friends and families - is invited to attend. The party will feature dinner, dancing, beer or wine, and our 5th Anniversary Celebration!. There will be a $25 per person charge for the party.
Registration Fees:
$45 entry fee per rider ($25 for children under 16) =
$10 fee per extra horse (more than one horse per rider) =
$?? per horse board. Contact VIHF (see below)* =
$25 per person for dinner and party Sat. eve =
your total =
*Please call Karen at Vermont Icelandic Horse Farm (802)496-7141 to make arrangements if you need to board or lease a horse.
Please make checks payable to: Vermont Icelandic Riding Club. Mail your completed form and check to:
VIRC c/o Jill Merkel
5208 VT Rt. 100
Warren, VT 05674
or call (802)496-9225
to speak with me if you would like to fax it.
Warning:
Vermont Icelandic Riding Club strongly recommends that all participants in its events wear approved riding helmets with chin straps. Should you choose not to wear a helmet, it is AT YOUR OWN RISK.
Under Vermont State law, an equine activity sponsor is not liable for an injury to, or death of a participant in equine activities resulting from the inherent risks of equine activities that are obvious and necessary, pursuant to 12 V.S.A. 1039.
You will be asked at the show to sign a form saying that you have read and understand both of these statements and that you agree to enter this event at your own risk. That you further agree to make no claims against Vermont Icelandic Riding Club, it’s officers or directors, the property owners or the judges should an accident, injury or loss occur to any horse, rider, spectator, or article sent to this event.
