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Vermont Icelandic Riding Club's 6th Annual Summer Show Registration Form

Name: ______________________________________________________________

Address: ____________________________________________________________

Town: ________________________ State/Prov: _______ Zip: __________________

Email address: _____________________________

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 below of this registration for a list of fees. Please fill out separate forms for each entrant.

- Which classes will you be entering?

This year, we are very fortunate to have on-site stabling and/or paddocks for our horses. We encourage everyone to take advantage of this as long as the stalls remain available so that we can fully support the Sainsbury's - who have offered their farm for this event.

Stalls will be $12/night + $12 cleanup deposit + $7 per horse for shavings (2 bags). Please provide your own hay and feed. Outside temporary paddocks will also be available at $20/night/paddock. If you are bringing more than one horse and they can be boarded together, this may be best for you. Please bring a portable fencer and water buckets.

- How many horses will you be bringing?____________

- Will you be joining us on Friday for a trail ride?______________________________

Our Annual Saturday evening Party and Benefit for Andy Lott!!

This year's party is a very special event, because we are asking everyone to join us in helping to raise money for Andy Lott. Andy is our equine vet, and he was very seriously injured on July 3rd when his mare fell on top of him as they were warming up for a polo match. He will be out of work for many months, and will need a total hip replacement. Everyone - participants and spectators, friends and families - is invited to attend. The party will feature dinner, dancing, beer or wine, a silent auction, and lots of fun!. There will be a $50 per person charge for the party (or 2 tickets for $90, or $120 for a family).

Registration Fees:

$45 entry fee per rider ($30 for children under 16) =

$10 fee per extra horse (more than one horse per rider) =

$24 per horse/night board + $7 for savings (2 bags) = $31 for one night, $55 for 2 nights. =

$50 per person for dinner and party Sat. eve =

your total =

*please make your inn reservations as soon as possible. A list of inns can be found here.

Please make checks payable to: Vermont Icelandic Riding Club. Mail your completed form and check to:

VIRC c/o Jill Merkel
4219 Main St.
Waitsfield, VT 05673
or call (802)496-7632
to speak with me if you would like to fax it.

Warning:

All horses must have a current Health Certificate and current negative coggins test in order to enter the property. Please have these available in your vehicle at the gate when you arrive.

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.

Questions? email Jill

Email: jilzymerk@aol.com