REGISTRATION FORM - February Jackpot
Falconwood Farms - Covington, GA
Saturday, February 23rd, 2019
9:00 am – 5:00 pm
Rider's Name *
Your answer
Horse's Name
Your answer
ID# (if CHA member)
Your answer
or Club Name (if not a CHA member)
Your answer
Address, City, ST, Zip *
Your answer
Phone # *
Your answer
Email Address *
Your answer
Emergency Contact & Phone *
Your answer
Class / Arena Fees
Competition classes are $10 each. REMINDER: To be eligible for the jackpot $$$, rider must sign up for all three classes in the SAME division (gait).
Competition *
Walk
Trot
Canter
Not Competing (see exhibitions below)
Single Barrel
Comanche Attack
Horseback Yahtzee
Exhibitions
Exhibition classes are $5 each. NOTE: You cannot exhibition in the same gait(s) you are competing in. This is an opportunity to try something else without the "pressure".
Walk
Trot
Canter
Single Barrel
Comanche Attack
Horseback Yahtzee
Arena *
Required
Additional Fees / Options
Riders may also choose from the following options (for an additional charge) below:
Horse Rental
Stall
Please select # of nights needed.
$15 night / day
Primitive Campsite
Please select # of nights needed.
$5 / night
If you cannot pay the above fees to PayPal, please contact hopiwan@me.com to make other arrangements.
*
Required
Completion of form
By clicking "Submit" below, I hereby agree to abide by and enforce the rules and regulations of the Chattahoochee Horse Archers, Inc.. By participating in a CHA event, I am agreeing that images of my horse, equipment and myself may be photographed, videoed or recorded in any way and re-used without my permission and without compensation.
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