Prairie Horse Productions — December 5 Sorting Shootout Entry

Prairie Horse Productions — December 5 Sorting Shootout Entry

Submit one rider entry for the December 5 sorting shootout at Domer Arena—include rider and (if minor) parent/guardian details, emergency contact, horse info, and acknowledge the $200 eight-ride format and payback rules.
Rider Information
Rider Full Name

First NameMiddle NameLast Name
Email
example@example.com
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Horse Name
Are you an Adult or Minor?
Notes
Parent/Legal Guardian Name
Parent/Legal Guardian Contact
Please enter a valid phone number.Format: (000) 000-0000.
Entry Acknowledgments and Signatures
Event and Entry Rules
Participant Signature
Parent/Guardian Signature (if entrant is a minor)
Facility Requests
Facilities Needed
Check any facilities you need. Availability and any additional fees will be confirmed by the organizer.
Payment

$200 Entry Package

December 5 Sorting Shootout entry package

$200.00

Day fee

Mandatory day fee per rider

$10.00

RSNC $3

$3.00 Quantity

Total

Facility Requests