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LOWER MICHIGAN HORSE ASSOCIATION Entry Form
TODAY'S DATE________________________
BACK #_____________
Exhibitor's Name __________________________________________________ DOB______________ AGE______
Address
__________________________________________________________City______________________ ST_____ Zip________
Horses
Name ______________________________________________________ Breed ___________________________ Age ______
For Weekend
High Point CIRCLE the appropiate age division below
PeeWee WALK only 10 & Under
W/T 12 & Under W/T 13 & Over
13 & Under
14 - 18 19 - 39
40- Over GAITED
Class numbers
listed below, CIRCLE desired classes you wish to enter in & make check mark under the day.
SATURDAY
SUNDAY
1 2 3 4 ______ ______
5 6
7 8 ______ ______
9 10
11 12 ______
_____
13 14
15 16 ______ ______
17 18
19 20 ______
______
21 22 23
24 ______ ______
25 26 27 28 ______
______
29 30
31 32 ______ ______
33 34 35 36
______ ______
37 38 39 40 ______
______
41 42 43 44
______ ______
45 46 47 48 ______
______
49 50 51 52
______ ______
53 54 55 56
______ ______
57 58
______ ______
FOR
OFFICE USE ONLY
Srectary Fee $5.00 daily - per rider/horse combo
Stall Fee $40.00
flat fee (1 or 2 days)
Tack Stall $25.00 flat fee
Weekend member Blanket fee $90.00
Camping
1 day $20.00 or $35.00 for the weekend
Weekend High Point $5.00
Trailer in fee $5.00 June & July
shows only
Member Fee $45.00 family, #30.00 Adult & $25.00 Youth
Number of classes ________ X $5.00ea
= $___________
Amount Paid $ __________________________
Weekend Blanket Fee is for members
only & includes all classes & 1 stall
CHECKS PAYABLE TO Lower Michigan Horse Association **ABSOLUTELY
NO REFUNDS**
NOTE: Only one horse/Rider combition per entry and seperate back numbers required!!
Signature
_______________________________________________________________________