Full Moon Farm's 2010 ‘Pipe-openers' Entry Form

Event Date April 10

June 19

 Aug 7 Sept 26 Oct 16 Nov 13
Opening Date March 6 May 15 July 3 Aug 21 Sept 11 Oct 9
Closing Date April 7 June 16 Aug 4 Sept 23 Oct 13 Nov 10

Scheduling with what is in hand at 6:00PM on the Closing date
Late entries accepted to capacity with a $10 late fee

Entering for (circle one) April 10 June 19 August 7 Sept 25 Oct 16 Nov 13

Rider:
Office Use Only
Coggins Date:
Rhino Date:
Payment:
Address:
Phone:
Email address:
Horse:
Division(s)
Please Circle		 Elementary
18" 		Baby Beginner
Novice 2' 		Beginner Novice
2'6" 		Novice and up
2'11"
On Course With?  
Scheduling Requests
i.e. morning or afternoon, near someone else, with group, time between rides... 		 
June 19, Aug 7,
Oct 16 only 		Jumper Show Div ___________ Circle one     Jumpers First     or     PipeOpener First

Total Entry fees included $________________

Release: I (we) understand that horseback riding is a dangerous sport and serious injury or disability may result from accident while riding or handling horses. The above entries are being ridden at my (our) own risk. I (we) understand that FULL MOON FARM, its employees and volunteers are not responsible for accidents, damage, injury to horses, owners, riders, spectators or any persons or property whatsoever. ASTM or SEI approved helmets are required for all riders at all times while mounted.

SIGNATURES: RIDER:_____________________________________PARENT/GUARDIAN:_________________________________

Rules: You may only jump each fence once, in the direction in which it was flagged. You may have up to 5 refusals at a fence, after that you need to proceed to the next fence or be eliminated. You may enter more than one time, on the same horse at a different or the same level. Your first ride must be pre-entered so we can assign a starting time. Entries after the closing date will be accepted if space is available. Time permitting we may be able to let you ride again (no promises), but pre-entering for a second ride guarantees it! This competition will be run under USEA rules. Protective vests, medical armbands, and an approved helmet secured by a harness is mandatory for all riders at all times while mounted! Times will posted on the website at www.fullmoonfarm.com on Thursday before the PipeOpener or you may call the stable at 410.795.8371 between 12-3 or e-mail the Secretary (fmf@vermontel.net).

Entries: Elementary is $25.00 per course and Baby Beginner thru Novice is $35.00 per course. Proof of a current negative coggins dated within 12 months is required with entry. Please make checks out to Full Moon Farm. No refunds after the closing date. Refund less $5 office fee for scratches before the closing date. $25 returned check fee. Please only 1 horse/rider combo per form.

Mail entry form, copy of current coggins, proof of vaccination for Equine Influenza and Rhinopneumonitis (EVH) from 7 to 180 days (0-180 days for revaccination) before the date of the PipeOpener and payment to ~ Full Moon Farm - Entries, 4326 Louisville Rd, Finksburg, MD 21048
A copy of an invoice from your vet with the vaccine information and your horse's name is sufficient proof for Rhino. If your barn does its own vaccinations then include a copy of the vaccine invoice with your horse's name and date of vaccination signed by the person who administered the vaccine. If this is your horse's barn name be sure to write something so that the secretary can match it to your coggins and entry.