ENTRY FORM: CONES PALOOZA – Saturday, September 2, 2023

In order to register for this event, participants must hold a 2023 Ontario Carriage Driving Association and a Ontario Equestrian membership. Space will be alloted on a “first come; first served” basis with payment. OCDA membership registration forms can be found at www.carriagedriving.ca

Are you an current OCDA member?

Yes
No

Ontario Equestrian membership number

Driver's Name

First

Last

Email

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Name of Equine/Breed/Colour

Age of Equine

Height of Equine

Sex of Equine

Mare
Gelding
Stallion

Sex of 2nd Equine

Mare
Gelding
Stallion

Rates and fees

Entry fee – $50.00
Mandatory Medic fee – $10.00

Total

$0.00

Although we encourage people to leave their dogs at home, pets must be contained at competitor’s trailer. Any dogs found roaming will be held and a $50 bail-out fee will be required to release the dog. Special entry fees are available for Youth (under 18 years old) and Para drivers. Please contact Vicki Cork at 519-429-1607 for more details.

After Entry Closing Date of August 26, there will be NO REFUND of entries without a Veterinarian Certificate or a Doctor’s note.

Signature

Clear Signature

Do you have any special considerations (e.g. first show, sharing a carriage, time limitations)?

How will you be paying?

PayPal
E-transfer

Date