Name________________________________ Age_____ Horse's Name__________________________


Street _____________________________ City__________________________ Zip ___________
**only one horse and one rider per Entry Blank**


	SEE RULES AND PROCEDURES FOR AGE LIMITS AND CLASS GUIDELINES
	SAFETY HELMETS ARE REQUIRED IN ALL DISCIPLINES
I agree that if any damage shall be occasioned or loss occur to the horses exhibited or to any vehicle
or article that I may send with such horses that I will make no claim therefore, and I further agree
to hold the Granby Pony Club harmless from any claim or demand of whatsoever kind or nature that may be
occasioned by the horses exhibited by me or the negligence of the persons in charge of such horses and
to repay to the Granby Pony Club and/or the Raye family on demand all damages they may sustain
by reason of any claim or demand as aforesaid.

Owner or Parent/Guardian Signature _________________________________ Date______________


Address _____________________________________________________ Phone _____________


----------------------------------------------------------------------------------------
Circle classes desired:  (see class list for details)
Beginner:        1   2   3   4  5      Short Stirup:  6   7   8   9  26


Maiden:          10  11  12  27        Junior:        13  14  15  28 


Senior:          16  17  18  33        Adult:         19  20  21 31


Suitable Hunter: 22  32 and either 29 or 34
Lead Line and Reverse Lead Line:  23
Command:                          24
Pairs:                            25 
Silvercrest Challenge Trophy:     30a and 30b 
Gambler's Choice:                 35 - $30 Cash Prize No Ribbons
Cloverleaf Barrels:               36
Sit-a-buck:                       37 - Entry Fee $1  Winner take all
Groom's Class:                    38 - Free
---------------------------------------------------------------------------------------
Please mail your check payable to Granby Pony Club, with the completed form to:

No. of classes _________ @ $8.00 a class                   = $_________
One time post entry fee of $10 if received after 5-16-03   = $________
Number Deposit $1.00 (refundable)                          = $ 1.00
TOTAL DUE:                                                 = $________