2024 May 4 HR Open Show Entry Form 
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One form for Horse and Rider team! Thank you.
THERE WILL BE A CONCESSION STAND!!!  OFFICE WILL BE UPSTAIRS!!!
Rider's Name (first and last)
Rider's Date of Birth
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Rider's Age as of 1/1/2024
Rider High Points (check each one you are qualified for - NO CHARGE for high points)
Rider's Address
Rider's City, State, Zip
Rider's Phone Number
Rider's E-mail
Rider's Farm/Stable/Ranch
Trainer's Name (First and Last)
Trainer's Phone Number
Trainer's E-mail
Trainer's Farm/Stable/Ranch
Parent/Guardian Name (First and Last)
Parent/Guardian Phone Number
Parent/Guardian E-mail
Horse's Name (Use same name at every Highlander show)
Horse's Date of Birth (at least the year)
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DD
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Horse's Sex
Clear selection
Horse's Breed
Name of OWNER on COGGINS (To save time, consider bringing a copy of the Coggins to leave in the office . If you have a Coggins in the office, type "on file" and skip the other Coggins questions.)
Horse's Name on COGGINS
Accession Number on COGGINS
Date on COGGINS
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DD
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Laboratory Name on COGGINS
Class numbers rider is entering (example 1, 5, 9, 22...)
Stalls $30 per night - 2 bags bedding included
Clear selection
Extra bedding for stall
Clear selection
Do you plan to arrive on Friday?
Clear selection
If you are arriving on Friday, what time will you be arriving? We want to make sure the gates are to the facility are open for you.
Is this horse a Highlander Ranch School horse?
Clear selection
Are you 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)
Comments, suggestions or requests.
Who is responsible for this invoice?
Please give us an emergency contact and phone number
4-H Member Number
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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