Van Buren County 4-H Eligibility
for Jumping Approval Form

  Due:  June 15

Exhibitor Name:   ______________________________________________     

 SS #:  ____________________________________

Horse’s Name:  _______________________________________________     

Club name: ____________________________________________ 

  

The signatures of a parent and a leader knowledgeable in jumping are required on this form for any exhibitor to participate in the jumping classes offered at the Van Buren Youth Fair.

The requirements for signatures on this form are either:    

a.       The leader has seen this horse and exhibitor combination jump safely.

b.      This exhibitor and horse have participated in schooling for jumping events.

c.       This exhibitor and horse have participated in the spring jumping clinic.

By signing this form the parent and leader are both agreeing that they give permission for this exhibitor to enter the jumping classes as listed on the original Class Entry sheet. 

This exhibitor will only be allowed to enter jumping classes that he/she has previously signed up for.  Exhibitors may not enter in any jumping classes should a change of horse be necessary after the June 15th deadline. 

______________________________________________    Date:  ________________

                                Signature of Parent

 

 _____________________________________________________________     Date:   ________________

                                 Signature of Leader
 

Verified by Horse Show Superintendent:   _____________________________________                

Date:  ____________________________


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Last modified: February 19, 2002