2010-2011 USHJA International Hunter Derby
Spring Gathering Charity Horse Show
Entry Information: please provide to announcer for use when horse/rider is in the ring. Horse’s Name
Rider’s Name
Color
Sex
Height
Yr. Foaled
USEF Horse #
Sire
Dam
Division for Points to be Credited (Classic Points Credited to Rider’s Division)
Horse Owner Information (Mandatory) Signature______________________________ Print Name____________________________ City, State, Zip__________________________
Trainer Information (Mandatory) Rider Information (Mandatory) Signature______________________________ Signature_________________________ Print Name____________________________ Print Name________________________ City, State, Zip__________________________ City, State, Zip______________________
RIDER BIOGRAPHY: ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________
HORSE BIOGRAPHY/AWARDS: ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________