Quiet Rein CHJA/CHSA Entry Form

Quiet Rein CHJA/CHSA Entry Form

September 21st — New Milford CT
Name of Horse
Sex of Horse

StallionMareGelding
Check all that apply to this entry:

IEA registered free IEA Cup EntryThoroughbredSale Horse
Trainer/Stable

Stable Name

Trainer Name

CityState

Zip Code
Best Phone Number (mobile preferred)
Please enter a valid phone number.
Best Email
example@example.com
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Name of Rider # 1

First NameLast Name
Please list Rider 1’s class numbers
Name of Rider # 2

First NameLast Name
Please list Rider 2’s class numbers
Emergency Contact

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Upload Coggins and proof of vaccines

Cancelof
Please be sure to sign our Release Form.

You can find our Release Form at: https://form.jotform.com/222665445269363
Rider #1 Signature (parent/guardian if under 18 years old).

Clear
Rider #2 Signature (parent/guardian if under 18 years old).

Clear
Should be Empty:

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