| Rider's Name: |
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| Horse Name: |
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| Rider's Age: |
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| Trainer's Name: |
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Coggins test # &
Expiration Date: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Home Phone: |
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| Cell Phone: |
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| Email: |
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September 6th
Open Schooling Day |
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| Open Schooling Stadium Rounds $10.00: |
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| Schooling Dressage Ride-A-Test $20.00: |
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| Additional School Stadium Rounds $10.00: |
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| Additional Dressage Ride-ATest $20.00: |
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| $20.00 |
Cross Country Schooling |
| $10.00 |
Ground Fee (Horses not competing) |
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September 7th
Combined Test |
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| Entry #1: $40.00 |
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Additional Entry if
Desired: $40.00 |
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Dressage Only/Extra
Dressage Test: $25.00 |
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| $20.00 |
Cross Country Schooling |
| $20.00 |
Ground Fee (Horses not competing) |
| $20.00 |
Late Registration after 09/3/07 11:59pm |
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| Must read and acknowledge by checking box |
Rider entered on line must bring Coggins and release to show. If a rider is under 18, it must be signed by parent or legal guardian. NO EXCEPTIONS! |
| Payment may be made with credit/Debit at PayPal.com |
PayPal Payee:Lazydogranchtx@yahoo.com
After submit, page will redirect to paypal.com, select "Send Money" |
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