Santa Clara County Horsemen’s Association

Trail Trials

August 19, 2007

Entry Form: please send in by Aug. 13, 2007

Name:____________________________

Address:_____________________________

_____________________________

Phone #:_________________E-Mail:___________________

In case of emergency, Name:_____________________

Emergency Phone #:___________________________

(Juniors only) Name of adult responsible for the day:________________

Horse’s name________________________________

Category: (circle one) Advanced Intermediate Novice Schooling

Division: (circle one) Junior (17 or under) Senior (18-49) Senior (50 & over)

Please check one: Day rider ____ or CSHA TT member/point rider____

(Each entry includes a mandatory drug fee of $5.00) Mail this form to:

Juniors & schooling:_______________________$37.00 SCCHA

Adults___________________________________$42.00 Rena Beltran

Add Late fee of $5.00 for entries postmarked after 8/13/07 1427 Sprucewood

San Jose, CA 95118

Total __________________(make checks payable to SCCHA)

Start times (circle one) 9:00 9:30 10:00 10:30 11:00