ENTRY FORM: CONES PALOOZA – Saturday, September 2, 2023 – Ontario Carriage Driving Association

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

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Are you an current OCDA member?

Yes
No

Ontario Equestrian membership number

Driver's Name *

First

Last

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Email *

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

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Name of Equine/Breed/Colour

Age of Equine

Height of Equine

Sex of Equine

Mare
Gelding
Stallion

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Sex of 2nd Equine

Mare
Gelding
Stallion

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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.

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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