Moccasin Stables Dressage Show
Closing Date to register May 10th, 2023
Rider Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Rider Division
Please Select
Junior Up to 12 y.o. by October 1st
Junior Up to 13-18 y.o. by October 1st
AA (Adult Amateur 19-49 y.o.)
Master 50 y.o
Open
Horse Name
Horse Owner Name
Flat Classes
Walk/Trot
Walk/Trot/Canter
Dressage Test
Intro A
Intro B
Intro C
Training Level 1
Training level 2
Training Level 3
First Level 1
First Level 2
First Level 3
My Products
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Flat Classes
Walk/Trot & Walk/ Trot/ Canter
$
15.00
Quantity
0
1
2
Item subtotal:
$
0.00
Dressage Test
$
20.00
Quantity
0
1
2
3
4
5
6
7
8
9
Item subtotal:
$
0.00
Registration Fee
Office fee
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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the form.
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