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Riders Name:
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Address:
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City:
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Zip Code:
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(5 digits)
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Home or Cell Phone:
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Emergency Phone:
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Email:
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** Required
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Horses Name:
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** Required
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POINT HORSE:
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** Required YES or NO
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Sharing Horse:
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** Required YES or NO
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Ribbons:
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** Required YES or NO
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$5.00 arena fee per rider
PLUS
$5.00 Park Day Use fee (waived if you show Parks card)
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$3.00 per class - Leadline ($6.00 for all)
$4.00 per class - Beginner & Novice ($12.00 for all)
$5.00 per class - All AGE GROUPS ($20.00 for all)
$4.00 per class - NON-POINT (2nd horse class) ($16.00 for all)
If riding more then one horse please select the NON-POINT class for your 2nd horse.
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Division:
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Please select all events you are riding in
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1. Barrels
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2. Cupids Arrow
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3. Washington Poles ** Modified for Beginner & Novice classes
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4. Speed Barrels
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~ 3D Speed Horse ($15.00 entry fee)
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# of Time Onlys:
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@ $2.00 each
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CLUB MEMBER:
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** Please send this form 48hrs PRIOR to the gymkhana **
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** If you do NOT receive a confirmation in 24hrs please email **
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Cassi Libonati: klove4c@yahoo.com
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You still need to come over to the sign in booth to sign your form (it will be printed for you), pay for your fees and pick up any time only tickets you may have bought. It will be a MUCH shorter line and a lot LESS wait. You will have more time to get ready, run time onlys, and be with your family and friends.
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