Working Equitation Registration Form
Join us on Saturday, June 22nd, 2019 at Herron Park! JUDGED TRIALS
Please complete this form, print and sign the required Liability Release (, and send your payment (checks made out to HPE) to show secretary:

Charline Payne
316 Morning View Dr
Kalispell, MT 59901

Payment should be postmarked by Friday, June 14th to avoid $15 late fee. You will need to complete one form for each horse. Make sure you click "submit" when you finish filling out the form.

*USEF rules will apply as guidelines for all HPE events. ALL riders while mounted must wear ASTM/SEI approved helmet. BodyProtector vests are strongly encouraged. Every participant must sign release form or have parent/guardian sign if they are less than 18 years old.

Please contact Charline Payne ( or 406-253-1821) if you have any questions.

Email address *
Rider's Name *
Your answer
Rider's Mailing Address *
Your answer
Rider's Phone Number
Your answer
Rider's Email
Your answer
Rider's Age *
Your answer
Parent/Guardian's Name
Enter N/A if rider is an adult.
Your answer
Horse's Name *
Your answer
Horse Owner's Name and Phone Number *
Your answer
Level Competing *
$35/working equitation division
Individual/Additional Dressage Tests
$15/test for dressage tests only or $10/test if competing in mini event or working equitation divisions
Individual/Additional Obstacle Course Rounds (Working Equitation)
$10/any level, just indicate the number of additional rounds requested
Are you a current HPE member? *
$15 non-member fee or $35/individual to join or $50/family
Stall needed *
$15/stall/night payable to Flathead County Parks & Recreation
Camp site needed *
$10/night/site payable to Flathead County Parks & Recreation
Total Amount of Payment Sent *
If you are planning on camping and/or using a stall, please send a separate check made payable to Flathead County Parks and Recreation. Payment needs to be postmarked by Friday, June 14th to avoid the $15 late fee. *Remember to add your division ($35), additional dressage/obstacle rounds, non-member fee (or new membership), and stabling/camping (separate check). Please indicate your "Other" additional dressage test if the one you want is not listed also.
Your answer
A copy of your responses will be emailed to the address you provided.
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