Distance Days Online Entry 2022 Competitive Trail, Pleasure Riding or Both?(Required) Competitive Trail Pleasure Riding Rider InfoName(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Enter Email Confirm Email Phone(Required)Rider ECTRA Number GMHA Membership Status(Required) GMHA Member Non Member Fees are based on the RIDER'S GMHA Membership status. You can Join Now and receive the member rate.Horse InfoHorse Name(Required) First Breed/Age/Color(Required) My horse is a(Required) mare gelding stallion Horse ECTRA Number Coggins and rabies on file with GMHA?(Required) yes no Upload Coggins and Rabies Drop files here or Select files Accepted file types: pdf, jpeg, Max. file size: 32 MB. Attach Coggins and Rabies. If you do not attach it digitally, please submit prior to the Ride via email or mail. Required before unloading!Owner same as rider?(Required) yes no Owner InfoOwner Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) EntryAge status(Required) Adult Junior (under 21) Junior Competitive StatusEveryone under 21 receives the Junior discount at GMHA, but age 18-21 competes as an Adult under ECTRA Rules. I qualify as a Junior under ECTRA Rules (17 and under) I qualify as an Adult under ECTRA Rules (18-21) Pass/fail or full judging?(Required) Pass/fail Full judging Rookie Status Rookie Rider Rookie Horse Both First time competing at this distance, horse, rider or both.DD 3 Day 100 Mile Fri-Sun GMHA Member Quantity Price: $330.00 Quantity DD 2 Day 75 Mile Fri-Sat GMHA Member Quantity Price: $245.00 Quantity DD 2 Day 60 Mile Sat-Sun GMHA Member Quantity Price: $245.00 Quantity DD 1 Day 35 Mile Sat GMHA Member Quantity Price: $120.00 Quantity DD 1 Day 25 Mile Sun GMHA Member Quantity Price: $120.00 Quantity DD 1 Day 40 Mile Fri GMHA Member Quantity Price: $120.00 Quantity DD 1 Day 15 Mile CDR Sat GMHA Member Quantity Price: $60.00 Quantity DD 1 Day 15 Mile CDR Sat Non Member Quantity Price: $80.00 Quantity DD 1 Day 40 Mile Fri Non Member Quantity Price: $150.00 Quantity DD 1 Day 35 Mile Sat Non Member Quantity Price: $150.00 Quantity DD 1 Day 25 Mile Sun Non Member Quantity Price: $150.00 Quantity DD 2 Day 60 Mile Sat-Sun Non Member Quantity Price: $285.00 Quantity DD 2 Day 75 Mile Fri-Sat Non Member Quantity Price: $285.00 Quantity DD 3 Day 100 Mile Fri-Sun Non Member Quantity Price: $390.00 Quantity DD 3 Day 100 Mile Fri-Sun Junior Quantity Price: $165.00 Quantity DD 2 Day 75 Mile Fri-Sat Junior Quantity Price: $122.00 Quantity DD 2 Day 60 Mile Sat-Sun Junior Quantity Price: $122.00 Quantity DD 1 Day 40 Mile Fri Junior Quantity Price: $60.00 Quantity DD 1 Day 35 Mile Sat Junior Quantity Price: $60.00 Quantity DD 1 Day 25 Mile Sun Junior Quantity Price: $60.00 Quantity DD 1 Day 15 Mile CDR Sat Junior Quantity Price: $30.00 Quantity DD Junior Pleasure Ride Friday Quantity Price: $0.00 Quantity Includes breakfast, lunch and day stall. Options to purchase overnight stabling below. DD Junior Pleasure Ride Saturday Quantity Price: $0.00 Quantity Includes breakfast, lunch and day stall. Options to purchase overnight stabling below. DD Junior Pleasure Ride Sunday Quantity Price: $12.00 Quantity Includes breakfast, lunch and day stall. Options to purchase overnight stabling below. DD GMHA Member Pleasure Ride Friday Quantity Price: $55.00 Quantity Includes breakfast, lunch and day stall. Options to purchase overnight stabling below. DD Non Member Pleasure Ride Friday Quantity Price: $70.00 Quantity Includes breakfast, lunch and day stall. Options to purchase overnight stabling below. DD Non Member Pleasure Ride Saturday Quantity Price: $70.00 Quantity Includes breakfast, lunch and day stall. Options to purchase overnight stabling below. DD Non Member Pleasure Ride Sunday Quantity Price: $70.00 Quantity Includes breakfast, lunch and day stall. Options to purchase overnight stabling below. DD GMHA Member Pleasure Ride Saturday Quantity Price: $55.00 Quantity Includes breakfast, lunch and day stall. Options to purchase overnight stabling below. DD GMHA Member Pleasure Ride Sunday Quantity Price: $55.00 Quantity Includes breakfast, lunch and day stall. Options to purchase overnight stabling below. DD GMHA Member No Frills Friday Quantity Price: $25.00 Quantity Does not include meals. Options to purchase overnight stabling below. DD Junior No Frills Friday Quantity Price: $12.00 Quantity Does not include meals. Options to purchase overnight stabling below. DD Junior No Frills Sunday Quantity Price: $12.00 Quantity Does not include meals. Options to purchase overnight stabling below. DD Junior No Frills Saturday Quantity Price: $12.00 Quantity Does not include meals. Options to purchase overnight stabling below. DD GMHA Member No Frills Saturday Quantity Price: $25.00 Quantity Does not include meals. Options to purchase overnight stabling below. DD GMHA Member No Frills Sunday Quantity Price: $25.00 Quantity Does not include meals. Options to purchase overnight stabling below. DD Non Member No Frills Friday Quantity Price: $30.00 Quantity Does not include meals. Options to purchase overnight stabling below. DD Non Member No Frills Saturday Quantity Price: $30.00 Quantity Does not include meals. Options to purchase overnight stabling below. DD Non Member No Frills Sunday Quantity Price: $30.00 Quantity Does not include meals. Options to purchase overnight stabling below. DD Fri-Sun 3 Day All Inclusive Pleasure Ride Member Quantity Price: $275.00 Quantity Includes stabling Thurs-Sat night. Breakfast & lunch Friday, Saturday, Sunday. Thursday night Banquet. Friday dinner.DD Fri-Sun 3 Day All Inclusive Pleasure Ride Non Member Quantity Price: $320.00 Quantity Includes stabling Thurs-Sat night. Breakfast & lunch Friday, Saturday, Sunday. Thursday night Banquet. Friday dinner.DD Fri-Sun 3 Day All Inclusive Pleasure Ride Junior Quantity Price: $137.00 Quantity Includes stabling Thurs-Sat night. Breakfast & lunch Friday, Saturday, Sunday. Thursday night Banquet. Friday dinner.Stabling & CampingIf you would like to be guaranteed a tack stall, please purchase an extra stall here. GMHA Member Wednesday night stabling Quantity Price: $35.00 Quantity GMHA Member Thursday night stabling Quantity Price: $35.00 Quantity GMHA Member Friday night stabling Quantity Price: $35.00 Quantity GMHA Member Saturday night stabling Quantity Price: $35.00 Quantity GMHA Member Sunday night stabling Quantity Price: $35.00 Quantity Non Member Wednesday night stabling Quantity Price: $50.00 Quantity Non Member Thursday night stabling Quantity Price: $50.00 Quantity Non Member Friday night stabling Quantity Price: $50.00 Quantity Non Member Sunday night stabling Quantity Price: $50.00 Quantity Non Member Saturday night stabling Quantity Price: $50.00 Quantity Stabling Requests or additional notesPlease specify here if you would like to be next to someone else or in a particular barn or stall. Requests are first come, first served. We can't guarantee to meet all requests but we will do our best. Thank you. Hay Quantity Price: $10.00 Quantity Shavings Quantity Price: $11.00 Quantity CampingIf you are interested in camping on the GMHA grounds, you must read and agree to the Rules and sign the Camping Agreement at check-in. Camping is free of charge for GMHA members but spots are limited so sign up early. Wednesday Thursday Friday Saturday Sunday Camping Rules(Required)Due to Woodstock Town Ordinances, camping opportunities on the GMHA grounds are limited. We are allowed camping permits for just a few of our events each year, with a limited number of camping spaces. Camping is first-come, first-served, so reserve and enter early. Rules: Camping is free. Camping in the parking lot is prohibited. You will be directed across the bridge or to the Upwey arena area upon check-in. All campers must be a self-contained unit- NO TENTS. No campfires or grills. No water or electricity hook ups. Running of generators is prohibited. No dumping of gray water or sewage. No littering. No temporary paddocks or tying to trailers– horses must be stabled. Awnings may only be set-up AFTER all trailers have been parked. Space is limited, it will be cozy! No loud or disorderly conduct. Not adhering to the above guidelines or breaking of GMHA Rules will prohibit individuals from future camping. Juniors may not camp unless accompanied by an adult. To sign up for camping, you MUST sign the release when you check in. I have read and will abide by the policies stated above MealsDepending on your entry, some meals may be included. Read carefully what you have signed up for and if you need to purchase meals or extra meals for friends or family you may do so here. Food PreferencesAlthough we can not guarantee to accommodate all food requests, we will certainly try if you share them with us. We are not an allergic free facility. Vegetarian Gluten Free Other Sunday Breakfast & Lunch Quantity Price: $25.00 Quantity Thursday Banquet Quantity Price: $50.00 Quantity This is included in your entry if you signed up for the 100 Mile. If you are not signed up for the 100-mile but would like to attend the banquet, you may purchase a ticket. Friday Breakfast & Lunch Quantity Price: $25.00 Quantity Friday Dinner Quantity Price: $30.00 Quantity Included in 100-Mile entry. If you are not entered the 100-mile but would like dinner Friday night, you may purchase a ticket. Saturday Breakfast & Lunch Quantity Price: $25.00 Quantity PaymentPost Entry Fee Quantity(Required) Price: $25.00 Quantity Late entry fee for entries received after the closing date of 8/24Non-cash Adjustment $0.00 TotalTotal Credit CardCard Details Cardholder Name Read Before SubmissionRefund policy: Refunds, less a $25 processing fee, will be granted when requested in writing by August 24, 5PM. If you switch divisions after the closing date we can not refund the difference but will charge the addition if applicable. We regret that we can not provide refunds after the closing date as our costs are fixed by that time. Refunds of entry fees will not be given in the event all or part of the rides are cancelled due to a storm, accident, or other emergency. Individual Agreement & Waiver of Liability Warning(Required)Under Vermont Law, an equine activity sponsor is not liable for an injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities that are obvious and necessary, pursuant to 12 V.S.A. § 1039. (Added 1995, No. 136 (Adj. Sess.), § 2.) I understand that the sport of horseback riding and driving is inherently dangerous and that serious injury and death can occur. I understand that participation in equine activities involves necessary risks. I agree that if any harm occurs to me or my horse or to any equipment that I may use or intend to use, I will make no claim against the Green Mountain Horse Association, Inc. or any of the Officers, Directors, Trustees, Employees and Volunteers. I further agree to hold the Green Mountain Horse Association, Inc., the Officers, Directors, Trustees, Employees, Volunteers and Landowners free and harmless from any liability, claims, suits or damages of whatsoever kind or nature that may be occasioned by the horse(s) used by me or the negligence of the person(s) in charge of such horse(s) and I agree to indemnify and hold harmless this organization and individuals against all liability claims, suits, and expenses including attorney fees incurred arising out of any injury to any person or damage to any property caused by me, my horse(s) or attendants.I agree that as a condition of acceptance of entry, GMHA may use photographs, videos, and or other likenesses of the participant and horse taken while at GMHA for the promotion, coverage, or benefit of this event and/or GMHA.I agree that if I am injured while participating in this event, the Woodstock Emergency Services personnel treating my injuries may provide a description of the accident, a description of the suspected injury, a description of the treatment administered and information about transport to a hospital to GMHA personnel for the purpose of completing the official GMHA Accident/Injury report. This authorization will expire once the information is given to GMHA personnel or at the end of the event, whichever is later.DRUG RELEASE: I hereby certify that my horse is not under the influence of medication. If entered in competitive trail, I hereby give permission to ECTRA or any duly appointed agent to check for possible administration of drugs to my horse, by any appropriate or reasonable necessary method. SPORTSMANLIKE CONDUCT STATEMENT: I agree to: 1) Know the rules of my sport and abide by them; 2) Respect and abide by GMHA management’s and show officials’ decisions; 3) Maintain control of my emotions; 4) Be courteous to all at all times. I have read and understand the policies stated above.