Bareback” Puissance - chatthillseventing.com

“Bareback” Puissance

Saturday May 16th at 6 p.m.

Test your Jumping Skills against some of the
best Jumpers in the area and win Cash Prizes!

The competition involves a maximum of ve rounds: opening round
followed by four jump-o s, not against the clock.
The vertical jump starts at 3’3”, and goes up three inches per round,
quickly increasing to over Advanced height.
If you have a rail or a refusal, you have the option to take your shirt
o for a second chance, otherwise you are eliminated!
Being a family event, riders will be suitably dressed at all times!

To enter this fun event, please ll in the form below and either email to [email protected]
or mail to Chattahoochee Hills Eventing, 9445 Browns Lake Road, Fairburn, GA 30213
Entries must be received by Tuesday, May 12, 2015.
Late entries must be emailed with credit card information.

RIDER:- "Bareback" Puissance Entry Form
ADDRESS:- ENTRY FEE $50.00
CITY/STATE/ZIP
TELEPHONE:- WARNING: UNDER GEORGIA
EMAIL:- LAW, AN EQUINE ACTIVITY
BIRTHDATE:-
EMERGENCY SPONSOR OR EQUINE
CONTACT:- PROFESSIONAL IS NOT LIABLE
FOR ANY INJURY TO OR THE
HORSE:- DEATH OF A PARTICIPANT IN
SEX OF HORSE (M, G, S) EQUINE ACTIVITIES RESULTING
COGGINS DATE:- FROM THE INHERENT RISKS OF
ATTACH COPY EQUINE ACTIVITIES, PURSUANT
TO CHAPTER 12 OF TITLE 4 OF

THE OFFICIAL CODE OF
GEORGIA ANNOTATED.

PAYMENT TYPE CHECK __________

VISA __________

MC __________

CARD NUMBER Entries can be made up until
3pm Saturday May 16th 2015,
__________ __________ __________ __________
if space available.
EXP DATE: __________ /________

CVV CODE __________

BILLING ZIP: __________

NAME ON CARD: ______________________________

Checks payable to Chattahoochee Hills Eventing

REFUNDS: On or before Wednesday prior to show, full refund. No refunds after Wednesday.

Mail Entries to: Chattaoochee Hills Eventing, 9445 Browns Lake Road, Fairburn, GA 30213

Email Entries to: [email protected] 3

After Wednesday May 13th please email all entries with CC information. Do not mail

Entries made on the day or the competition, must be handed into the office with the correct paperwork and can!be paid with
check, cash or credit card, subject to space being available.
entry,