2026 Shaggy Dressage Show Registration Form

Entry Form

2026 Shaggy Horse Dressage Show
Saturday, May 2nd, 2026
A fundraiser to benefit CORNHUSKER PONY CLUB and HUNTER’S PRIDE 4‐H CLUB

Middle Cross Stables
500 W Sprague Rd, Roca, NE 68430

Opening Date: March 2st, 2026, Closing Date: April 27th, 2026

Judge: Eileen N. Ostund - L Graduates

Show Manager: Rebecca Robinett 402-202-2363 (text)
Athlete Information
Horse Name*
Horse Age
MareGeldingStallion
Breed
Rider Name*

First NameLast Name
Rider Address*

Street Address

Street Address Line 2

CityState

Zip Code
AA - Adult Amateur 22+ yrsJr/Yr - Junior/Young Rider 14-21 yrsChildren's 8-14Open
Jr/Children's Birthdate

MonthDayYear
Date
Note: Rider divisions may be combined at the show manager's discretion based on the total number of entries to ensure optimal class size/placement.
Rider / Guardian Phone*
Format: (000) 000-0000.
Rider / Guardian E-mail *
example@example.com
Horse Stables At
Name of boarding facility / Home
Emergency Contact*

First NameLast Name
Emergency Contact Phone*
Format: (000) 000-0000.
YesNo
Classes - 2025 Shaggy Dressage Show

Prices below are per each class.
EnglishWestern
Intro Level AIntro Level BIntro Level C
Training 1Training 2Training 3
First Level 1First Level 2First Level 3
Second Level 1Second Level 2
Intro Level 1Intro Level 2Intro Level 3Intro Level 4
Basic Level 1Basic Level 2Basic Level 3Basic Level 4
Level One 1Level One 2Level One 3Level One 4
Level Two 1Level Two 2Level Two 3Level Two 4
Walk / TrotWalk / Trot / Canter
Intro LevelTrainingFirst LevelSecond Level
Training LevelFirst LevelSecond Level
Yes *No Ribbons
Which Test of Choice?
Name, Division, or Sanctioning Body of Test
Total Class Fees
$30 (applied)
Yes *Very Limited Basis
Total Fees Due
Signature required on the release and liability form below.
Participant Signature:

Clear
Signature of Parent or Legal Guardian for Participant under 18yrs old:

Clear
Signature Print Name*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

Entry Form

Classes - 2025 Shaggy Dressage Show