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Registration
Registration Deadline: 12/01/24
Agency Information
Name
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Contact Name
(Required)
Contact Email
(Required)
Competitor Information
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Emergency Contact
(Required)
Cell Phone
(Required)
Relationship
(Required)
Horse
(Required)
Breed
(Required)
Age
(Required)
Have you been with your unit for less than one year?
(Required)
Yes
No
Has your horse been with the unit unless than 1 yr?
(Required)
Yes
No
Are You Sworn or Volunteer?
(Required)
Sworn
Volunteer
Competitor
Price:
Stabling
(Required)
Stabling $200/Week
No Stabling
Add an Additional Rider?
Yes
No
Competitor 2 Information
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Emergency Contact
(Required)
Cell Phone
(Required)
Relationship
(Required)
Horse
(Required)
Breed
(Required)
Age
(Required)
Have you been with your unit for less than one year?
(Required)
Yes
No
Has your horse been with the unit unless than 1 yr?
(Required)
Yes
No
Are You Sworn or Volunteer?
(Required)
Sworn
Volunteer
Competitor
Price:
Stabling
(Required)
Stabling $200/Week
No Stabling
Add an Additional Rider?
Yes
No
Competitor 3 Information
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Emergency Contact
(Required)
Cell Phone
(Required)
Relationship
(Required)
Horse
(Required)
Breed
(Required)
Age
(Required)
Have you been with your unit for less than one year?
(Required)
Yes
No
Has your horse been with the unit unless than 1 yr?
(Required)
Yes
No
Are You Sworn or Volunteer?
(Required)
Sworn
Volunteer
Competitor
Price:
Stabling
(Required)
Stabling $200/Week
No Stabling
Add an Additional Rider?
Yes
No
Competitor 4 Information
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Emergency Contact
(Required)
Cell Phone
(Required)
Relationship
(Required)
Horse
(Required)
Breed
(Required)
Age
(Required)
Have you been with your unit for less than one year?
(Required)
Yes
No
Has your horse been with the unit unless than 1 yr?
(Required)
Yes
No
Are You Sworn or Volunteer?
(Required)
Sworn
Volunteer
Competitor
Price:
Stabling
Stabling $200/Week
No Stabling
Add an Additional Rider?
Yes
No
Competitor 5 Information
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Emergency Contact
(Required)
Cell Phone
(Required)
Relationship
(Required)
Horse
(Required)
Breed
(Required)
Age
(Required)
Have you been with your unit for less than one year?
(Required)
Yes
No
Has your horse been with the unit unless than 1 yr?
(Required)
Yes
No
Are You Sworn or Volunteer?
(Required)
Sworn
Volunteer
Competitor
Price:
Stabling
(Required)
Stabling $200/Week
No Stabling
Section Break
Arrive at Check-in with COPIES of Current Negative Coggins Report & Health Certificate issued from your vet
(Required)
I understand these documents are REQUIRED to remain on file with our show office for each horse
Total
Credit Card
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