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Quiz Rally INDIVIDUAL Registration Form 3.14.2020 - 3.15.2020
Welcome to the Lake Shore Region Pony Club's Quiz Rally! All Quiz competitors must fill out this form.
**New this year** Non-member youth and adults may compete! Non-members will compete alongside youth members and Senior Members (formerly known as Horsemasters HMX). This will not affect championship qualification for members in any way. Club/Center leadership should help non-members choose the appropriate certification level to compete at. Non-members, who are past members should compete under their last achieved certification level.
Entry fee: $35 per person
First & Last Name of Participant
Phone # of Participant
Email address (where information about event should be sent)
Emergency Contact Person - Please list First & Last name of person, relationship to participant, phone #
Secondary Emergency Contact Person - Please list a second name and contact phone number.
Competitor Age (as of January 1, 2020. Adults 18 and older please enter Senior
Competitor Club/Center/Region Affiliation
Pony Club Curious Non-Member
Full Circle Farm Riding Center
Hillside Farm Riding Center
Kuenzi Equestrian Riding Center
Misty Morning Farm Riding Center
Run O' the Mill
Horse Management Certificate Level
H-HM / H / A
Age Division I am competing in
Youth Member (under age 18 as of January 1, 2020)
Senior Member (18 years and older - this includes Adult Horsemasters (now known as Senior))
Pony Club Curious Non-Member Youth (under age 18 as of January 1, 2020)
Pony Club Curious Non-Member Adult (age 18 and over as of January 1, 2020)
Regional / Club or Center Officer
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