Show Registration Form

Show Registration Form

Please fill out one form per horse/rider combination. We will assign back numbers upon receipt of payment.
Rider Name*

First NameLast Name
Horse Name*
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number*
Emergency Contact*
Emergency Contact Phone Number*
Please select ALL classes that you would like to enter.*

1. Western Halter - Geldings/Stallions2. Western Halter - Mares3. Weanling/Yearling Halter4. Mini Halter - Geldings/Stallions (A)5. Mini Halter - Geldings/Stallions (B)6. Mini Halter - Mares (A)7. Mini Halter - Mares (B)8. *PeeWee Showmanship9. **W/T Showmanship 13 & Under10. **W/T Showmanship 14 & Over11. Showmanship 13 & Under12. Showmanship 14-1913. Showmanship 20 & Over14. Mini Showmanship - OPEN15. English Halter - OPEN16. Lunge Line17. Lead Line (7 & Under)18. *PeeWee English - Walk Only19. **W/T English Pleasure 13 & Under20. **W/T English Pleasure 14 & Over21. W/T English OPEN22. English Pleasure 13 & Under23. English Pleasure 14-1924. English Pleasure 20 & Over25. **W/T English Equitation 13 & Under26. **W/T English Equitation 14 & Over27. English Equitation 13 & Under28. English Equitation 14-1929. English Equitation 20 & Over30. JR English Pleasure (5 & Under)31. SR English Pleasure (6 & Over)32. Reinsmanship33. Pleasure Driving34. Mini Obstacle35. In Hand Trail - All Ages (Horse cannot enter any riding classes)36. *PeeWee Trail - Walk Only37. W/T Trail - All Ages38 . Trail - All Ages39. *PeeWee Western - Walk Only40. **W/T Western Pleasure 13 & Under41. **W/T Western Pleasure 14 & Over42. W/T Western OPEN43. Western Pleasure 13 & Under44. Western Pleasure 14-1945. Western Pleasure 20 & Over46. **W/T Horsemanship 13 & Under47. **W/T Horsemanship 14 & Over48. ***PeeWee (only) Begin to trot/jog49. Horsemanship 13 & Under50. Horsemanship 14-1951. Horsemanship 20 & Over52. ****W/T (Only) Begin to lope/canter53. JR Western Pleasure (5 & Under)54. SR Western Pleasure (6 & Over)55. W/T Bareback (Any Seat) - All Ages56. Bareback (Any Seat) - All Ages57. Ranch Riding
Classes x $7.00 each =blank
Office Fee (one per horse/rider combination) x $5.00
Total = $ enter total amount here
Please select your method of payment. Payment is due the day of the show. *STALLS MUST BE RESERVED IN ADVANCE - contact Erinn at 810-304-2421**

CashCheck
**MUST BRING PROOF OF NEGATIVE COGGINS ON THE DAY OF THE SHOW**
Under the Michigan Equine Activity Liability Act, an equine professional is not liable for an injury to or the death of a participant in an equine activity resulting from the inherent risk of the equine activity. History: 1994, Act 351, Eff.
Smith's Creek Equestrian Center is not responsible for any lost, damaged, or stolen property, as well as held harmless from injury, loss or death resulting from any and all equine activities.
Exhibitor Signature: (if over 18)

Clear
Parent or Guardian Printed Name
Parent or Guardian Signature

Clear
Should be Empty:

Show Registration Form

**MUST BRING PROOF OF NEGATIVE COGGINS ON THE DAY OF THE SHOW**

Under the Michigan Equine Activity Liability Act, an equine professional is not liable for an injury to or the death of a participant in an equine activity resulting from the inherent risk of the equine activity. History: 1994, Act 351, Eff.

Smith's Creek Equestrian Center is not responsible for any lost, damaged, or stolen property, as well as held harmless from injury, loss or death resulting from any and all equine activities.

MUST BRING PROOF OF NEGATIVE COGGINS ON THE DAY OF THE SHOW