Entry Form

Printable Entry Form

Pre-entries will close at 8:00pm on the Wednesday prior to the show and must be submitted electronically.  Entries received after that time will be considered post entries and will be charged $15.00.

We do need an entry form completed for each horse/rider combination that will be showing as each combination requires its own back number!

If you are human, leave this field blank.

Show Date *

May 11th, 2025June 8th, 2025July 13th, 2025August 10th, 2025September 14th, 2025A form must be filled out for each show date

SHRC Member *

Yes

No

Address *

CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabwe

City

StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin Islands

Zip code

Back Number (number is assigned at the first show that you attend for the season) *

Rider's Name *

Rider's Date of Birth *

Email *

Phone *

Barn/Trainer *

Horse's Name *

Horse's Age as of 1/1/23

Breed

Horse's Owner

Reg. #

Class Numbers *

Please separate each class number by a comma.

Showmanship Discipline *

English

Western

Not Showing

Please indicate English or a Western for SMS

Trail Discipline *

English

Western

Not Showing

Please indicate English or a Western for Trail

How did you hear about the show? *

Northeast Equestrian LifeWord of MouthOn-line SearchFacebookExisting Member

How Will You Be Paying? *

Check (please send signed, dated, blank check to the office at check-in)

Credit Card (A 3% surcharge will incur to cover the fees)

Cash

Instructions

File Upload (Please feel free to upload your current Coggins, registration form and/or parental release forms.)

File Upload (Please feel free to upload your current Coggins, registration form and/or parental release forms.)

Submit

I, Agree *

I, Agree

I hereby certify that every horse, pony, rider and/or driver is eligible as entered and agree for myself and my representatives to be bound by the by-laws of the Silver Heels Riding Club, Inc. (hereafter SHRC) and to abide by all regulations of the event and any other rules and regulations in-effect. Further, I agree that if any damage shall be occasioned or loss occur, by fire or otherwise to the equine(s) exhibited or to any vehicle or other article that I may send with such equine(s), that I will make no claim therefore. I further agree to forfeit and pay to SHRC the sum of $500.00 per animal, as and for liquidated damages if any animal that I may exhibit is suffering from any contagious or infectious disease. I further agree to hold SHRC harmless from any claim or demand of whatever kind or nature that may be occasioned by the equine(s) exhibited by me and/or the negligence of persons in charge of such equine(s) and to repay SHRC on demand all damages it may sustain by reason of any claim or demand as aforesaid. In consideration of the acceptance of this application, I hereby waive, release & discharge any and all claims for damages or death, personal injury or property damage which I might have or which may hereafter occur to me, as a result of my participation in this equine event. This release is also to discharge in advance, the promoters, sponsors, SHRC officials and their respective agents, assigns, and employees, from any negligence or carelessness on the persons or entities mentioned above. I understand that serious accidents occasionally can or may occur during equine events and that participants in equine events may sustain mortal or serious injury, and or property damage, as a consequence there of. Knowing the risks in this type of event and or equine activity, nevertheless, I hereby agree to assume those risks. (Equine Law: MA-MGL Chapter 128, Section 2D ME-Title 7: Chapter 743, Section 3 NH-NH Bill 793, 508:19)

A confirmation will appear once you submit your form.