Meadowvale Farm Derby - May 25, 2024  Entry Form 
Closing date: May 18th 2024
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Rider Name (First name then last name) *
Rider phone number *
Rider email address *
Rider OE number
Horse name *
Horse Owner *
Horse owner OE number *
Coach name *
Coach phone number *
Barn travelling / attending with *
Division entry (you must enter a full division) Cost is $80/division tax included (Cross rails $50).  *
Required
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