NorthEast Regional Show Entry Form
(One sheet per pony/rider Combination) Entry#_____________
Exhibitor:____________________
Circle One: Boy Girl Adult Age Division:______________
Date of birth:_______________________
Social Security #_____________________
Address:____________________________
City/State/Zip:_______________________
Phone:__________________________
email: (optional)_____________________
Pony Name: _____________________
Reg. #:__________________________
Height__________ PHC:_______________
Year foaled: ______________________________
Regional Show:
No. of classes :______X $5.00 = __________
After August 1
No. of classes:______X $8.00 = ___________
National Pony Fee
Halter only $5.00 = ____________
Performance: $10.00 =____________
NY Office Fee: $10.00 =____________
Total for Regional Show. = ____________
Other Fees: (All ponies must be stalled)
No; of Stalls _____________X $50.00=_____________
( includes 1 bag of shavings
additional bags available for purchase)
Camping Fee ( per day)____X $15.00 =________
Total for Other Fees =______
Grand Total =____________
Paid Cash Check #________
.In accepting my entry, I hereby release the sponsor their officers, members and co-sponsors of this show from any claim or right for damages, which may occur to me or my pony. I also assume and accept full responsibilty for any damages done by me or my pony at this show.
Signature:_____________________________
Mail Entries and Fees by Aug 1st to :
Melissa Riehl
18 Crooked St.
Charlton, NY 12019
For further information or forms
for the B&P August 15 and IBC August 18th shows, call Linda. Burger 518-783-6211 or visit our website
http://www.geocities.com/nypoa
2003 NORTH EAST REGIONAL
3 SHOW WEEKEND
AUGUST 15,16, 17 & 18 : B&P, Regional, IBC . .
Sponsored by the NYSPOAC
at the Cobleskill Fairgrounds
Cobleskill, NY
NorthEast Regional Classes
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32 33 34 35 36 37 38 39 40
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51 52 53 54 55 56 57 58 59 60
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71 72 73 74 75 76 77 78 79 80
81 82 83 84 85 86 87 88 89 90
91 92 93 94 95 96 97 98 99 100
101 102 103 104 105 106 107 108 109 110
111 112 113 114 115 116 117 118 119 120
121 122 123 124 125 126 127 128 129 130 131 .