Derby @ the Vineyard at Penns Woods Winery
Our September Derby will be held at Penns Wood Winery on September 18th & 19th :)  

THIS ENTRY FORM IS FOR SATURDAY the 18th!

Please Pre-Enter using this form by Sunday 9/12.  ENTRIES MUST BE PAID FOR IN FULL BY 9/12 or no number will be given out day of show.  

ENTRIES ARE LIMITED AND WILL BE COUNTED ONCE YOUR PAYMENT HAS BEEN RECEIVED.

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Email *
Trainer's Name/Barn Name
Contact Number (Please include area code) *
Horse's Name *
Horse or Pony *
Rider's Name *
Junior/Amateur/Professional Status: *
T.I.P. Number - required if going for TIP awards.  (Thoroughbred Incentive Program)
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