Green Spring Valley Point-to-Point JUNIORS Entry Payment Form 2021 Green Spring Valley Point-to-Point JUNIORS Entry Payment Form 2021 Step 1 of 2 50% Please complete the following form. You can enter and pay for up to 5 horses at one time. Entries will not be successfully submitted until payment is received. Payment with a PayPal account, a credit card, or a bank balance must be made through PayPal, our safe and secure payment processor at the completion of the entry process.TRAINER INFOTrainer's Name* First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mobile Phone*Email* Pony/Horse 1 INFOHorse/Pony 1's Name*Junior 1 Which Race?*Race 1.0 Race Small Pony Flat raceRace 1.2 Medium Pony Flat RaceRace 1.3 Large Ponies - Large Pony Flat RaceRace 2.0 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Small PoniesRace 2.2 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Medium PoniesRace 2.3 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Large PoniesRace 2.4 The Stuart S. Janney, Jr. Memorial - JFMC - TB HorsesRace 2.5 The Stuart S. Janney, Jr. Memorial - JFMC - Non-TB-HorsesJockey 1's Name* First Last Jockey 1's Mobile Phone*Jockey 1's Email* Do you want to register a 2nd horse or go to checkout?*Register a 2nd horseGo to checkoutPony/Horse 2 INFOPony/Horse 2's Name*Pony/Horse 2 Which Race?*Race 1.0 Race Small Pony Flat raceRace 1.2 Medium Pony Flat RaceRace 1.3 Large Ponies - Large Pony Flat RaceRace 2.0 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Small PoniesRace 2.2 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Medium PoniesRace 2.3 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Large PoniesRace 2.4 The Stuart S. Janney, Jr. Memorial - JFMC - TB HorsesRace 2.5 The Stuart S. Janney, Jr. Memorial - JFMC - Non-TB-HorsesJockey 2's Name* First Last Jockey 2's Mobile Phone*Jockey 2's Email* Do you want to register a 3rd horse or go to checkout?*Register a 3rd horseGo to checkoutPony/Horse 3 INFOPony/Horse 3's Name*Pony/Horse 3 Which Race?*Race 1.0 Race Small Pony Flat raceRace 1.2 Medium Pony Flat RaceRace 1.3 Large Ponies - Large Pony Flat RaceRace 2.0 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Small PoniesRace 2.2 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Medium PoniesRace 2.3 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Large PoniesRace 2.4 The Stuart S. Janney, Jr. Memorial - JFMC - TB HorsesRace 2.5 The Stuart S. Janney, Jr. Memorial - JFMC - Non-TB-HorsesJockey 3's Name* First Last Jockey 3's Mobile Phone*Jockey 3's Email* Do you want to register 4th horse or go to checkout?*Register a 4th horseGo to checkoutPony/Horse 4 INFOPony/Horse 4's Name*Pony/Horse 4 Which Race?*Race 1.0 Race Small Pony Flat raceRace 1.2 Medium Pony Flat RaceRace 1.3 Large Ponies - Large Pony Flat RaceRace 2.0 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Small PoniesRace 2.2 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Medium PoniesRace 2.3 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Large PoniesRace 2.4 The Stuart S. Janney, Jr. Memorial - JFMC - TB HorsesRace 2.5 The Stuart S. Janney, Jr. Memorial - JFMC - Non-TB-HorsesJockey 4's Name* First Last Jockey 4's Mobile Phone*Jockey 4's Email* Do you want to register a 5th horse or go to checkout?*Register a 5th horseGo to checkoutPony/Horse 5 INFOPony/Horse 5's Name*Pony/Horse 5 Which Race?*Race 1.0 Race Small Pony Flat raceRace 1.2 Medium Pony Flat RaceRace 1.3 Large Ponies - Large Pony Flat RaceRace 2.0 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Small PoniesRace 2.2 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Medium PoniesRace 2.3 The Stuart S. Janney, Jr. Memorial - Jr Field Masters Chase - Large PoniesRace 2.4 The Stuart S. Janney, Jr. Memorial - JFMC - TB HorsesRace 2.5 The Stuart S. Janney, Jr. Memorial - JFMC - Non-TB-HorsesJockey 5's Name* First Last Jockey 5's Mobile Phone*Jockey 5's Email* Check Out - Submit Entries and PaymentAfter you identify the number of horses you are entering in the quantity field below, your total charge will be calculated. Upon submitting your form, you will be redirected to PayPal where you can pay for your entries by using a PayPal account, a credit card, or a bank balance.Number of Pony/Horse entered* Price: $50.00 Quantity: Total $0.00 CAPTCHA
