Rider Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Horse Owner *

First Name

Last Name

Horse Owner Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Horse Owner Phone *

(###)

###

####

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Office Fee *

$15.00 Per Horse

Payment *

Please pay for your entry via Venmo or bring check day of show.

Paying with Venmo (@gfs2013)

Bringing check to show (payable Grand Finale Stables)

*For Office Use Only*

Paid (check or Venmo)

Signed Release