CT Show Entry Form January 6th 
Entry form for January 6th Show
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Rider Name *
Email *
Phone Number *
Horse's Name *
Division Choice  *
Current Coggins?
Please send a copy via email, when you submit this entry form to AppyAcresLLC@gmail.com
*
Required
Release of Liability  
Please send to AppyAcresLLC@gmail.com, when you submit this entry form to AppyAcresLLC@gmail.com
*
Required
I understand there are no dogs allowed at Appy Acres LLC.  *
Required
Payment is due upon registration. 
Choosing one division will total $55, if you choose more than one division, or more than one horse, each additional ride will be $50. 
Please fill out a new entry form for each separate ride, to help us stay organized. 

I will pay via the following method:
*
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