2025 Winter Weekend Registration

Winter Weekend 2025 Registration

This form will accommodate up to 10 Youth registrations and 2 Adult Registrations.
Club/Center Name*
Club/Center Name
If you are a guest, please list the name of the person who invited you.
Name of person submitting registration*
Email of person submitting registration*
example@example.com

Attendee 1 Name*
Attendee 1 Age*
Registered Member*

YesNo
Attendee 1 HM Certification as of Jan. 1*
HM Certification
Attendee 1 Gluten-Free Diet Restriction

Yes
Attendee 1 Parent Name*
Attendee 1 Attendee E-Mail (parent if under age 15)*
example@example.com
Attendee 1 Phone (parent if under age 15)*
Attendee 1 Chaperone (must be a registered, paying adult)*
If attendee is an adult, list "self"
Are you registering another attendee?*

YesNo

Attendee 2 Name*
Attendee 2 Age*
Attendee 2: Registered Member*

YesNo
Attendee 2 HM Certification as of Jan. 1*
HM Certification
Attendee 2 Gluten-Free Diet Restriction

Yes
Attendee 2 Parent Name*
Attendee 2 Attendee E-Mail (parent if under age 15)*
example@example.com
Attendee 2 Phone (parent if under age 15)*
Attendee 2 Chaperone (must be a registered, paying adult)*
If attendee is an adult, list "self"
Are you registering another attendee?*

YesNo

Attendee 3 Name*
Attendee 3 Age*
Attendee 3: Registered Member*

YesNo
Attendee 3 HM Certification as of Jan. 1*
HM Certification
Attendee 3 Gluten-Free Diet Restriction

Yes
Attendee 3 Parent Name*
Attendee 3 Attendee E-Mail (parent if under age 15)*
example@example.com
Attendee 3 Phone (parent if under age 15)*
Attendee 3 Chaperone (must be a registered, paying adult)*
If attendee is an adult, list "self"
Are you registering another attendee?*

YesNo

Attendee 4 Name *
Attendee 4 Age*
Attendee 4: Registered Member*

YesNo
Attendee 4 HM Certification as of Jan. 1*
HM Certification
Attendee 4 Gluten-Free Diet Restriction

Yes
Attendee 4 Parent Name*
Attendee 4 Attendee E-Mail (parent if under age 15)*
example@example.com
Attendee 4 Phone (parent if under age 15)*
Attendee 4 Chaperone (must be a registered, paying adult)*
If attendee is an adult, list "self"
Are you registering another attendee?*

YesNo

Attendee 5 Name *
Attendee 5 Age*
Attendee 5: Registered Member*

YesNo
Attendee 5 HM Certification as of Jan. 1*
HM Certification
Attendee 5 Gluten-Free Diet Restriction

Yes
Attendee 5 Parent Name*
Attendee 5 Attendee E-Mail (parent if under age 15)*
example@example.com
Attendee 5 Phone (parent if under age 15)*
Attendee 5 Chaperone (must be a registered, paying adult)*
If attendee is an adult, list "self"
Are you registering another attendee?*

YesNo

Attendee 6 Name *
Attendee 6 Age*
Attendee 6: Registered Member*

YesNo
Attendee 6 HM Certification as of Jan. 1*
HM Certification
Attendee 6 Gluten-Free Diet Restriction

Yes
Attendee 6 Parent Name*
Attendee 6 Attendee E-Mail (parent if under age 15)*
example@example.com
Attendee 6 Phone (parent if under age 15)*
Attendee 6 Chaperone (must be a registered, paying adult)*
If attendee is an adult, list "self"
Are you registering another attendee?*

YesNo

Attendee 7 Name *
Attendee 7 Age*
Attendee 7: Registered Member*

YesNo
Attendee 7 HM Certification as of Jan. 1*
HM Certification
Attendee 7 Gluten-Free Diet Restriction

Yes
Attendee 7 Parent Name*
Attendee 7 Parent Email*
example@example.com
Attendee 7 Phone (parent if under age 15)*
Attendee 7 Chaperone (must be a registered, paying adult)*
If attendee is an adult, list "self"
Are you registering another attendee?*

YesNo

Attendee 8 Name *
Attendee 8 Age*
Attendee 8: Registered Member*

YesNo
Attendee 8 HM Certification as of Jan. 1*
HM Certification
Attendee 8 Gluten-Free Diet Restriction

Yes
Attendee 8 Parent Name*
Attendee 8 Parent Email*
example@example.com
Attendee 8 Phone (parent if under age 15)*
Attendee 8 Chaperone (must be a registered, paying adult)*
If attendee is an adult, list "self"
Are you registering another attendee?*

YesNo

Attendee 9 Name *
Attendee 9 Age*
Attendee 9: Registered Member*

YesNo
Attendee 9 HM Certification as of Jan. 1*
HM Certification
Attendee 9 Gluten-Free Diet Restriction

Yes
Attendee 9 Parent Name*
Attendee 9 Parent Email*
example@example.com
Attendee 9 Phone (parent if under age 15)*
Attendee 9 Chaperone (must be a registered, paying adult)*
If attendee is an adult, list "self"
Are you registering another attendee?*

YesNo

Attendee 10 Name *
Attendee 10 Age*
Attendee 10: Registered Member*

YesNo
Attendee 10 HM Certification as of Jan. 1*
HM Certification
Attendee 10 Gluten-Free Diet Restriction

Yes
Attendee 10 Parent Name*
Attendee 10 Parent Email*
example@example.com
Attendee 10 Phone (parent if under age 15)*
Attendee 10 Chaperone (must be a registered, paying adult)*
If attendee is an adult, list "self"

Adult Registration

Includes lodging & all meals. One adult for every 6 attendees is required.
Adult 1 Name
Adult 1 Email
example@example.com
Adult 1 Phone Number
Please enter a valid phone number.
Adult 1 Gluten-Free Diet Restriction

Yes
Are you registering another adult?*

YesNo

Total Due

Please make sure to enter the number of each type of registration you are paying for. The form does not tally the total for you.
*
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Winter Weekend: Pony Club Member
$160.00 Quantity
Item subtotal:$0.00



Winter Weekend: Non-Member
$185.00 Quantity
Item subtotal:$0.00



Adult Chaperone Registration
$120.00 Quantity
Item subtotal:$0.00



Subtotal

$0.00

Tax

$0.00

Total

$0.00
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Payment Methods

Debit or Credit Card

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

Adult Registration