Crystal Crown JPR

Name of Rider

First NameLast Name
Rider's Age
As of ride date. Rider's age is used for age division placings and ribbons
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Horse's Name
Use Registered Name if applicable
Registered Breed of Horse
Must provide a copy of breed registration papers below if competeing for end-of-year points in your specific breed catagory. If unregistered leave blank
Upload Breed Registration Papers

Cancelof
YESNO
YES-Novice RiderNO- Not Novice Rider
YES- Novice HorseNO- Not Novice Horse
Vegetarian SandwichHam & Cheese SandwichTurkey Sandwich
Coggins Upload*

Cancelof
I have read and understand Alanwood Farm's EQUINE ACTIVITY LIABILITY RELEASE, WAIVER OF RIGHT TO SUE AND ASSUMPTION OF ALL RISKS*
Signature*

Clear
I wish to ride with the following people.

First Name   Last Name
First Name   Last Name
First Name   Last Name
First Name   Last Name
First Name   Last Name
First Name   Last Name
9:30-10:3010:30-11:3011:30-12:30Anytime is fine
Check Out
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Pre-Registration ** Ends Monday June 19th**
Lunch is included

$65.00

Guest Lunch
Lunch Includes Water or soda and chips

$10.00 Quantity

Total

$0.00
If paying with credit or debit card click either PayPal or Venmo and you will see the Credit/Debit card option
Payment Methods

Choose from one of the PayPal options to make your payment.
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