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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 *
Your answer
Phone # of Participant *
Your answer
Email address (where information about event should be sent) *
Your answer
Emergency Contact Person - Please list First & Last name of person, relationship to participant, phone # *
Your answer
Secondary Emergency Contact Person - Please list a second name and contact phone number.
Your answer
Competitor Age (as of January 1, 2020. Adults 18 and older please enter Senior *
Your answer
Competitor Club/Center/Region Affiliation *
Horse Management Certificate Level *
Age Division I am competing in *
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