HELP MELT DOWN CANCER, MINI HUNTER PACE!

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$20.00

$0.00 - $23.00

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per item

BENEFIT MINI HUNTER PACE FOR MRS.KRUMPAK!

For all ages and disciplines! English or Western!

All Riders must wear a helmet. Protective vest are optional but not mandatory.

Theme: Science

$3.00 Processing Fee

N0 REFUNDS!

Spots may be filled with another horse/rider combo.

Riders under the age of 16 must be accompanied by an adult rider.

Ride at your own risk.

PLEASE DO ONE SIGNUP PER DIVISION! TEAMS MAY COMPETE IN MULTIPLE DIVISIONS!

YOU DO NOT NEED A TEAM TO ENTER! PLEASE PUT NA IN TEAM NAME.

Team Name (please keep it appropriate) * Maximum of 50 characters

TEAM CONTACT PERSON * Maximum of 100 characters

Email: Maximum of 100 characters

#1 RIDERS FIRST AND LAST NAME * Maximum of 50 characters

#1 RIDER- EMERGANCY CONTACT NAME AND PHONE #: * Maximum of 100 characters

#2 RIDERS FIRST AND LAST NAME

#2 RIDER- EMERGANCY CONTACT NAME AND PHONE #: Maximum of 100 characters

#3 RIDERS FIRST AND LAST NAME

#3 RIDER- EMERGANCY CONTACT NAME AND PHONE #: Maximum of 100 characters

#4 RIDERS FIRST AND LAST NAME

#4 RIDER- EMERGANCY CONTACT NAME AND PHONE #: Maximum of 100 characters

# OF EXPERIMENTAL RIDERS Select all that apply 1 (+ $20.00) 2 (+ $40.00) 3 (+ $60.00) 4 (+ $80.00) 5 OR MORE (+ $100.00)

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Our Location: 3325 State Route 45, Salem,Oh