Date & Location of Show you are entering:

Rider Name: _____________________________________________________________________

Owner Name (if different from rider): __________________________________________________

SR _________ JR _________ (Birthdate if junior) _____________ Disabled: __________________

Horse Name: _________________________________ Date of Negative Coggins: _____________

(Include copy of your horse’s Coggins with your entry)

VADA/Nova member: YES NO

Address: ________________________________________________________________________

Telephone Number: ___________________ E-Mail Address: ______________________________

Test: ______________________________ Test: _____________________________________

Cost per test: $25.00 VADA/Nova Members, $30.00 Non-Members

Total Amount for Entry: _________ Total “Volunteer Bucks” or vouchers enclosed: _______

Total Amount Enclosed: ________________

Make check payable to VADA/Nova, Inc.

Note that members get priority in filling the available ride times for all VADA/Nova schooling shows. You may send in your membership with your show entry. Membership form available on the web site at www.vadanova.org

Neither VADA, VADA/Nova, its officers, nor any of the facilities or officials are responsible for any accident, injury, or property damage.

Signature of Rider (or parent if junior): ___________________________________________

Ride Times: Available the Wednesday prior to the show at www.vadanova.org or from the show secretary

PLAN NOW TO QUALIFY FOR THE CHAMPIONSHIP SHOW – NOVEMBER 1, 2008
Here are the tests you need to ride and scores you need to qualify:

Intro B	62%		Training 4	60%
First 4	58%		Second 4	58%
Third 3	57%		Fourth 3	57%
FEI Levels	57%		MFS (TR – 4th)	60%