Working Equitation Registration Form
Join us on Saturday, June 22nd, 2019 at Herron Park! JUDGED TRIALS www.weunited.us
Please complete this form, print and sign the required Liability Release (https://goo.gl/O00Oyr), 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 (charpay57@gmail.com 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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