2012 STARTER EVENT ENTRY FORM Please indicate which Starter Event you are entering:

Open: 3/20 Close: 4/17
Open: 5/15 Close: 6/12
Open: 7/31 Close: 8/28

Select a Division to Enter
  Division Dressage Test Max Fence Height
Elementary 2011 USDF Introductory Test A 18"
Open Elementary 2010 USEF Beginner Novice Test A 18"
Introductory Rider 2010 USEF Beginner Novice Test A 2' 3"
Introductory Horse 2010 USEF Beginner Novice Test A 2' 3"
Beginner Novice Rider 2010 USEF Beginner Novice Test B 2' 7"
Beginner Novice Horse 2010 USEF Beginner Novice Test B 2' 7"
Open Beginner Novice 2010 USEF Beginner Novice Test B 2' 7"
Novice Rider 2010 USEF Novice Test A 2' 11"
Novice Horse 2010 USEF Novice Test A 2' 11"
Open Novice 2010 USEF Novice Test A 2' 11"

Horse and Rider Information:
Horse USEA #:
Rider USEA #:
Address
City State Zip  
Birth Date
Phone    E-Mail

Stabling for this horse?

RELEASE: I understand that this is a high risk sport and am participating at my own risk. I hereby assume this risk and further do hereby release and hold harmless the Fair Hill International, Inc., its organizing committee, officers, managers and/or employees, judges, officials and volunteers from all liability for negligence resulting in accidents, damage, injury, or illness to myself and my property including the horse or horses which I will compete at this event. (Parent or guardian must sign if rider is under 18).
Signature: Date:

PRINT this form and mail with Coggins Test and check made payable to FAIR HILL INTERNATIONAL to:

Fair Hill International Horse Trials, 378 Fair Hill Drive, Elkton MD 21921-2507
Phone 410-398-6911 Fax 410-398-5020 HorseTrials@FairHillInternational.com