Teddy Bears Picnic - 2012 Entry Form - Fair Hill  Elkton, MD
Fill in the information below to complete your entry:

Driver
First Name:    Last Name:  

                        Age: Only required if less than 18

Navigator
First Name:  Last Name:

                        Age: Only required if less than 18

Owner
First Name:  Last Name:

Driver Information - Fill in only if it is different than what is in the BVDC Directory
 
                 Street:  
                             
                    City:  
   State/Province:  
Zip/Postal Code:  Country:

Day Phone:   Night Phone:    
Email:  

Competition:


 
Level of Entry:


Type of Entry:


Size of Equine:

Horse1:

 
Name:
      Sex:  
     Age:  
Height:  
   Color:     Breed:

Horse2:

 
Name:
      Sex:  
     Age:  
Height:  
   Color:     Breed:

Horse3:

 
Name:
      Sex:  
     Age:  
Height:  
   Color:     Breed:

Horse4:

 
Name:
      Sex:
     Age:  
Height:  
   Color:     Breed:

Number of Clinic Participants:
Participant Names:






I would like to do Preliminary Test 3 as an Extra Test; not counted for placing (Yes or No)

Total Number of Box Lunches You Want:
# Chicken: # Beef: # Turkey: # Ham: # Veggie:  Please check this line matches the total!

Saturday/Sunday Stalls:    Friday Stalls:      Sunday Stalls:   Stalls to Clean:  

Camper Nights with Hookup     Camper Nights without Hookup

Late Fee after October 15  Enter 15 if entered after Oct.15


Arrival Date/Time:

Comments: Do you have any scheduling constraints, i.e., shared carriage, shared gator, start time, end time, helping another competitor, etc.?

Entry Priority:   1st entries will be slotted first.  2nd and 3rd entries will be wait listed.  If  slots remain after Oct. 12, they will be slotted in postmark/online date order.
Check over your entry; then click Submit.
Only click Submit ONCE to avoid duplicate submissions!