Pine Lake On line entry May

On line entry and pay for Pine Lake Dressage May

Pine Lake May Dressage Show entry


Horse Name:*
Photocopy of negative Coggins MUST be attached or entry will be rejected. Horse's name on Coggins must match name on entry. Click button to choose file: jpg, jpeg, png, gif, doc, docx, xls, xlsx


Rider Name:*
Glass-Ed Member #:

Riders under 21 or turning 21 during the current show year ride as a Junior/Young Rider. Riders over 22, or who will turn 22 during the current show year, compete as adults, either Amateur or Open.

Rider Status:*
Birthdate if Jr/YR:

HORSE OWNER (not required if rider is owner)

Horse Owner Name (if different than rider):
Owner Glass-Ed #:
Owner Address:
Owner Phone:
Owner E-mail:

TRAINER (optional)

Trainer Name:
Trainer Glass-Ed #:
Trainer Phone:
Trainer E-mail:


A horse at Introductory Level may enter a maximum of six classes per day. Horses entered in any class at Training Level or above (including Basic Level western dressage or ANY class that includes canter) may enter a maximum of four classes per day.
Entry 1:
Entry 2:
Entry 3:
Entry 4:
Entry 5:
Entry 6:
Specify Test(s) of Choice:
Musical Freestyle Level:
Pas de Deux Team Name:
Quadrille Team Name:
Leader for Leadline Entry:


Oak box stalls. Stabling is very limited; please phone (269) 664-4223 for availability before mailing entry. No arrivals prior to 6:00pm on previous day of showing.
Stable with:
Late Fee:


Total Entry Fees, Non Member Fees, Camping and Stabling:


Every entry at this show shall constitute an agreement that the person making it (owner, lessee, trainer, manager, agent, coach, drive handler, rider, horse) shall be subject to the constitution and rules of any and all organizations sanctioning this show, and the rules of the show itself, and that every rider, handler, and or driver is eligible as entered and the owner, rider and any of his representatives are bound by the constitutions of any/ all organizations sanctioning the show, and the show itself, and agree to hold the show, the officials, directors, and employers of the show and/or any/all of the organizers or bodies sanctioning the show, and employees of any of these organizations and the owners of the show grounds harmless for any action taken. The constitution of application of these rules is governed by the laws of the State of Michigan. I, the undersigned, hereby enter the above horse at my own risk and I further agree that if damage is occasioned or loss occurred to the horse exhibited, to any vehicles, or to other article(s) which I may send with such horse, I will make no claim therefore against the management, the owners of the show grounds, the officials of any and all sanctioning organizations and any person involved herein. I also agree that as a condition of entry, GLASS-ED may use photographs of me and my horse taken during the course of the competition for the promotion of GLASS-ED. Those likenesses shall not be used to advertise a product and they may not be used in such a way as to jeopardize amateur status. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation.*

Covid Statement. - Only 3 people per horse at the show grounds.  All people agree that they have shown NO Covid symptoms currently and in the last 2 weeks. They agree to observe social distancing.  Only 1 person in the registration area at a time.

I agree that everyone in my group will follow Covid Guidelines.*
Who to contact with entry questions?*
Word Verification:

Questions with an * must be answered or the form will not get submitted.

Payments-  If you are not connected automatically to Paypal when you submit your registration then you will need to make note of the total due.  Go to your paypal account and pay amount due to

Notice about PayPal Refunds-  PayPal will no longer refund the service fee portion of your payments.