Discover Western Riding
At Drumcoura City Equestrian centre, Co. Leitrim. Please enter your details & payment below.
Is this registration for a Youth U18 or an Adult Over 18?
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Youth
Adult
Full Name of Youth Participant. Ages 5+
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First Name
Last Name
Youth Date of Birth
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of accompanying parent or guardian over 18
*
Please note ALL U18's MUST be accompanied by a parent or guardian at all times.
Full Name of Adult Participant. Ages 18+
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Are you or have you ever been a member of the IQHA or AQHA?
*
Please Select
No I am not a member of either .
My membership has expired
Participant
PHOTOGRAPHY/VIDEO Consent:
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Adult/Parent or Guardian Signature (Over 18)
*
Optional adult upgrade: Pay an additional €20 to unlock the full AQHA membership experience
Yes - Add the full AQHA membership for special rate of €20.00
No Thank You
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