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2024 May 5 HR Ranch Show
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One form for Horse and Rider team! Thank you.
Rider's Name (first and last)
Your answer
Rider's 4H Number
Your answer
Rider Youth? Adult?
Adult
Youth
Clear selection
Rider's Date of Birth
MM
/
DD
/
YYYY
Rider's Address
Your answer
Rider's City, State, Zip
Your answer
Rider's Phone Number
Your answer
Rider's E-mail
Your answer
Rider's Farm/Ranch/Stable
Your answer
Trainer's (Coach) Name (First and Last)
Your answer
Trainer's (Coach) Phone Number
Your answer
Trainer's (Coach) E-mail
Your answer
Trainer's (Coach) Farm/Ranch/Stable
Your answer
Parent/Guardian Name (if YOUTH First and Last)
Your answer
Parent/Guardian Phone Number (if YOUTH)
Your answer
Parent/Guardian E-mail (if YOUTH)
Your answer
Owner of Horse
Your answer
Owner of Horse Full Address including Zip
Your answer
Owner of Horse Phone
Your answer
Horse's Name (Use same name at every Highlander show)
Your answer
Horse's Date of Birth (at least the year)
MM
/
DD
/
YYYY
Horse's Sex
Choose one
Mare
Gelding
Stallion
Clear selection
Horse's Breed
Your answer
Name of OWNER on COGGINS
Your answer
Horse's Name on COGGINS
Your answer
Accession Number on COGGINS
Your answer
Date on COGGINS
MM
/
DD
/
YYYY
Laboratory Name on COGGINS
Your answer
Class numbers rider is entering (example 1, 5, 9, 22...)
Your answer
Stalls $30 per night - 2 bags bedding included
NO STALLS
1 Stall 1 Night ($30)
1 Stall 2 Night ($60)
2 Stalls 1 Night ($60)
2 Stalls 2 Nights ($120)
Clear selection
Extra bedding for stall
None
1 bag $7
2 bags $14
Clear selection
Is this horse a Highlander Ranch School horse?
No, not a school horse
Yes, is a school horse
Clear selection
Are you using a Highlander Ranch Coach?
No, I am not using a Highlander Ranch Coach
Yes, I am using a Highlander Ranch Coach
Clear selection
I would like to give a sponsorship. (Any amount will help the show with ribbons, awards and paying staff)
Your answer
When will you be arriving? Day and time. (If you are going to be late and need someone to let you in the gate)
Your answer
Comments, suggestions or requests.
Your answer
We would like an emergency contact
Your answer
4-H Member Number
Your answer
Thank you for entering. When you click on submit, you agree to all Highlander Ranch Show rules and regulations. Save time in the office by bringing a filled out Liability Form. These will be kept in the office for 1 year.
A copy of your responses will be emailed to the address you provided.
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