Registration
First Name:
Last Name:
Address:
City:
Province/State:
Postal Code/Zip (A1A 1A1):
Birth Date:
Email:
Telephone (xxx-xxx-xxxx):
Parent Info (If under 18):
Parent 1 First Name:
Parent 1 Last Name:
Parent 1 Relation:
Parent 1 Email:
Additional Rider Info
Horse Name:
Check this box if you qualify for adult amateur status:
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