LOWER MICHIGAN HORSE ASSOCIATION - 2010
Member Application - www.lmha.net  |
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☺ Please Print ☺☺ | | | | | | | | | | |
| | | | | | | | | | BACK #__________ | |
| Date________________________________ | | | | | | | | | |
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| Name:________________________________________________________________________ | Ph #:__________________________ | |
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| Address:________________________________________________________City:_________________________________Zip:_______________ | |
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| E-mail Address ___________________________________________________ | | | | | | |
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| Please circle appropriate Membership: FAMILY
= $45.00 ADULT = $30.00 YOUTH
= $25.00 | | |
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| NOTE: for year end
awards you MUST DECLARE one division w/the exception of JR/SR Horse & Pony/Mini | |
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| 1). Lead Line
2). PeeWee Walk 10 & Under 3). W/T 12 & Under
4). W/T 13 & Over
5). 13 & Under 6). 14 - 18 |
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| 7. 19 - 39
8). 40 & Over 9). Pony/Mini
10). Gaited 11). Driving
12). JR Horse 13). SR
Horse |
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| Age of RIDER and Horse
as of Jan 1 2010 | | | | | | | |
| NOTE:
A separate back numbers is needed for each Horse/Rider Combination. | | | | | | |
| NOTE:
Stalls will be assigned by LMHA staff ONLY, reserve in advance e-mail Kathy: lkberger@sbcglobal.net - cell: 586-484-5521, | |
| NOTE: Stall reservation deadline is
Wednesday before each show weekend, CANNOT guarantee group stalls if not reserved in advance! |
| NOTE: Absolutely NO arrivals allowed before 2:00
pm on Friday of each show weekend, early arrivals will be charged an additional day! |
| Stallions welcome, handler/exhibitor must
be 18 or older | | | | | | | | |
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| Exhibitor: _____________________________________________________________________D.O.B.
_________________ 01-01-10 AGE ______________ |
| BACK #______________
DIVISION #______________ | | | | | | | |
| Horse:______________________________________________________ Breed:______________________
Horses age if 5 & under (01-01-10)___________ |
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| Exhibitor: _____________________________________________________________________D.O.B.
_________________ 01-01-10 AGE ______________ |
| BACK #_______________
DIVISION #______________ | | | | | | | |
| Horse:______________________________________________________ Breed:______________________
Horses age if 5 & under (01-01-10)___________ |
| | | | | | | | | | | | | |
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| Exhibitor: _____________________________________________________________________D.O.B.
_________________ 01-01-10 AGE ______________ |
| BACK #______________
DIVISION #______________ | | | | | | | |
| Horse:______________________________________________________ Breed:______________________
Horses age if 5 & under (01-01-10)___________ |
| | | | | | | | | | | | | |
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| Exhibitor: _____________________________________________________________________D.O.B.
_________________ 01-01-10 AGE ______________ |
| BACK #______________
DIVISION #______________ | | | | | | | |
| Horse:______________________________________________________ Breed:______________________
Horses age if 5 & under (01-01-10)___________ |
| | | | | | | | | | | | | |
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| Exhibitor: _____________________________________________________________________D.O.B.
_________________ 01-01-10 AGE ______________ |
| BACK #______________
DIVISION #______________ | | | | | | | |
| Horse:______________________________________________________ Breed:______________________
Horses age if 5 & under (01-01-10)___________ |
| | | | | | | | | | | | | |
| | | | | | | | | | | | |
| Exhibitor: _____________________________________________________________________D.O.B.
_________________ 01-01-10 AGE ______________ |
| BACK #______________
DIVISION #______________ | | | | | | | |
| Horse:______________________________________________________ Breed:______________________
Horses age if 5 & under (01-01-10)___________ |
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| You
may add another sheet if needed for Horse/Rider combination. | | | | | | | |
| WARNING: Under the Michigan Equine Activity Liability Act
an Equine professional is not liable for an injury to or the death of a participant in an Equine |
| activity resulting from an inherent risk of the Equine Activity. | | | | | | | | |
| L.M.H.A. and or individuals assisting at these shows will
not be individually or collectively responsible for any loss, damage, injury to any person, horse or |
| property in connection with this show. | | | | | | | | | | |
| Current Year NEGATIVE COGGINS IS REQUIRED TO SHOW…absolutely NO EXCEPTIONS. | | | | | |
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| THANK YOU for your membership Sincerely, Lower Michigan Horse Association | | 2010 Show Dates
& Judges | | |
| Contacts: Karol Holzhei 517-663-1736
or Laurie Haring 517-490-1607 showinfo@lmha.net | April 17 Mason Indoor - Laura Standon | |
| NOTE: absolutely NO arrivals allowed before 2:00 pm Friday of show weekend, early arrivals | April 18 Mason Indoor
- Ron Strefling | |
| will be charged an additional day! | | | | | | May 15 Mason Indoor - Doug Cline | |
| Please mail membership forms to: Laurie Haring | | | | | May
16 Mason Indoor - Trevor Walton | |
| 1288 Strange Hwy Grand Ledge,
MI 48837 | | | | June 12 Mason South End - Aftin Rhule |
| | | | | | | | June 13 Mason South End - Jill Avis-Phillips |
| | | | | | | | | July 24 Mason South End - Amy Franks |
| | | | | | | | | July 25 Mason South End - Laura Fisher |
| | | | | | | | Aug 28 Mason Indoor - Shelly Dunneback | | |
| Signature: __________________________________________________________________ | Aug 29
Mason Indoor - Kathy Whitmer | |
|
(Application MUST be signed by an adult) |
