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Name
First
Last
Age as of DEC. 1ST
Phone
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Email
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
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Costa Rica
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Dominica
Dominican Republic
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Grenada
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Nauru
New Zealand
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Samoa
Solomon Islands
Tonga
Tuvalu
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Algeria
Angola
Benin
Botswana
Burkina Faso
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Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
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Gabon
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Kenya
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Liberia
Libya
Madagascar
Malawi
Mali
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Mauritius
Morocco
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Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
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Sudan
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United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Horse Name
TIP Number
Owner Name
Trainer's Name
Size of Pony
Small
Medium
Large
Coggins Date
Accession Number
HUNTER CLASS ENTERED
LEADLINE
1. 100% Rider
2. 50% Rider 50% Mount
3. 100% Suitability of mount
PRE-SHORT STIRRUP
4. Walk
5. Walk/Trot
6. Walk/Trot/Jump Position
SHORT STIRRUP HUNTER
7. O/F 18"
8. O/F 18"
9. U/S - Walk/Trot/Canter
SHORT STIRRUP EQ
10. O/F 18"
11. O/F 18"
12. U/S - Walk/Trot/Canter
LONG STIRRUP EQ
13. O/F four fences at 18"
14. O/F four fences at 18"
15. U/S - Walk/Trot/Canter
PONY PLEASURE
16. Walk/Trot
17. Walk/Trot/Go as you please
18. Walk/Trot/Canter
GREEN PONY HUNTER
19. O/F - SMALL 2'/MEDIUM 2'3"/Large 2'6"
20. O/F - SMALL 2'/MEDIUM 2'3"/Large 2'6"
30. U/S- Walk/Trot/Canter
PONY HUNTER
22. O/F - SMALL 2'/MEDIUM 2'3"/Large 2'6"
23. O/F - SMALL 2'/MEDIUM 2'3"/Large 2'6"
24. U/S- Walk/Trot/Canter
PONY MEDAL
25. O/F - SMALL 2'/MEDIUM 2'3"/Large 2'6"
PONY EQ
26. O/F - SMALL 2'/MEDIUM 2'3"/Large 2'6"
EQUITATION ON THE FLAT 14 & UNDER
27. U/S - Walk/Trot/Canter
LOW HUNTER
28. O/F - 8 fences at 2'
29. O/F - 8 fences at 2'
30. U/S - Walk/Trot/Canter
JR/ADULT HORSE PLEASURE
31. Walk/Trot
32. Walk/Trot/Go as you please
33. Walk/Trot/Canter
THOROUGHBRED HUNTER
37. O/F - 2'6"
38. O/F - 2'6"
39. U/S - Walk/Trot/Canter
CHILD/ADULT HUNTER HORSE
40. O/F - 2'6"
41. O/F - 2'6"
42. U/S - Walk/Trot/Canter
GREEN HUNTER HORSE
34. O/F - 2'6"
35. O/F - 2'6"
36. U/S - Walk/Trot/Canter
CHILD/ADULT EQ
43. O/F - 2'6"
JR/ADULT MEDAL
44. O/F - 2'6" OR 3'
ADULT EQUITATION ON THE FLAT
45. Walk/Trot/Canter
SCHOOLING HUNTER
46. O/F - Choice of 2’6”/2’9”/3’0”
47. O/F - Choice of 2’6”/2’9”/3’0”
48. U/S - Walk/Trot/Canter
JUMPER CLASS ENTERED
SCHOOLING JUMPERS 3' - 3'6"
1. TABLE II SEC.1
2. TABLE II SEC. 2C
3. TABLE II SEC. 2B
MODIFIED JUMPERS 3'6" - 4'
4. TABLE II SEC.1
5. TABLE II SEC. 2C
6. TABLE II SEC. 2B
GROUND POLE JUMPERS
7. TABLE II SEC. 1
8. TABLE II SEC. 2C
9. TABLE II SEC. 2B
CROSSRAIL JUMPERS
10. TABLE II SEC. 1
11. TABLE II SEC. 2C
12 TABLE II SEC. 2B
PUDDLE JUMPERS 2' - 2'3"
13. TABLE II SEC. 1
14. TABLE II SEC. 2C
15. TABLE II SEC. 2B
NOVICE CH/AD JUMPERS 2'3" - 2'6"
16. TABLE II SEC. 1
17. TABLE II SEC. 2C
18. TABLE II SEC. 2B
NOVICE JUMPERS 2'3" - 2'6"
19. TABLE II SEC. 1
20. TABLE II SEC. 2C
21. TABLE II SEC. 2B
THOROUGHBRED JUMPERS 2'6" - 3'
22. TABLE II SEC. 1
23. TABLE II SEC. 2C
24. TABLE II SEC. 2B
LOW JUMPERS 2'6" - 3'
25. TABLE II SEC. 1
26. TABLE II SEC. 2C
27. TABLE II SEC. 2B
CH/AD JUMPERS 2'6" - 3'3"
28. TABLE II SEC. 1
29. TABLE II SEC. 2C
30. TABLE II SEC. 2B
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