June 3-4, 2017 Cowboy Dressage™ Class and Practice Gathering

Rider Name*

First Last

Is rider under 18?*

Parent or Guardian Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Would you like to receive information from Getaway Horseplay about future events?*

Horse Information*

Horse Name Breed Age

Horse Sex*

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Cowboy Dressage Morning Class - June 3, 2017

Cowboy Dressage Afternoon Class - June 3, 2017

Cowboy Dressage Practice Gathering Entry Information

Rider Division*

Lead Line Test*

Test 1

Test 2

Test 3

Test 4

Dry Camping

Dry Camping $25/night

Horse Pen

Horse Pen $10/night

Assessment Fee required by CA Equine Medication Monitoring Program*

Price:

Total