Entry Form

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 _______________________________________________________________________