SPORT HORSE CLINIC REGISTRATION FORM

Please Print

Early registration assures a place for you, particularly if you are participating with a horse.
It also assures that there will be adequate printed material available for you.

Name:________________________________________________________________

Address________________________________________City____________________

State_______Zip__________ Phone: __________________Email: ____________________

Check One
____I plan to audit (attend without a horse). ($20 fee) I ____ do _____ do not own a horse.
____ I plan to enter with my horse. ($35 fee) to participate in _______ in-hand________performance.

Note: numbers of horses accepted are limited. Register early.  Participating horses will be checked for current Coggins. Horses must be halter broke, will walk and trot on a lead, and are socialized to the point that they won't create a danger in a group.

____ I will need camper hookups. ($15 per night) for ______ nights.
I will arrive: Date: _______________________________ Aprox Time _____________
My horse is a ____Mare____Gelding. Sorry, no stallions permitted.
The breed is____________________________________

Participants are asked to be on the fair grounds at 8:30, and no later than 8:45. The clinic will begin promptly at 9:00 am. with a one hour lunch break. Activities are expected to conclude around 5 pm. Each paid participant will receive a bag containing all needed information and other materials of interest. You will also receive one ticket for the drawing. Prizes will include 10 bags of Nutrena Horse Feed, limited edition horse prints, and other great items. Extra ticket will be on sale. We ask that you bring no small children, for their safety and out of respect for the other participants. Age eight and over is acceptable, provided they are supervised.

There will be concession stands for food or you may visit restaurants in town.

Enclosed is the following fees:
__________ Entry Fee
__________ Camper Fee ($15 per night)

I understand that I am participating at my own risk.

__________________________________________________________________
Signature Required

Mail this form and payment to:
EHAWA
C/O Sheila Theriot
P.O. Box 648
Mena, AR 71953