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

Sally Rohletter
1458 14th Street EN
Columbia Falls, MT 59912

Payment should be postmarked by Tuesday, June 18 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 FCTA events. ALL riders while mounted must wear ASTM/SEI approved helmet. Body protector (cross-country 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 Sally Rohletter (406-249-7852/ if you have any questions.

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
$45/mini event division
Individual/Additional Dressage Tests
$15/test for dressage tests only or $10/test if competing in mini event or working equitation divisions (does not need to be on the same horse)
Individual/Additional Jumping Rounds
$10/any level, just indicate the number of additional rounds requested
Are you a current FCTA member? *
$15 non-member fee or $35/individual to join or $50/family
Stall needed *
$25/stall/DAY payable to Flathead County Parks & Recreation (Flathead County charges per DAY used, not per night, so if you arrive on Friday and stay through Saturday, they will expect you to pay $50). No shavings are included (sorry for this inconvenience)
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 Tuesday, June 18 to avoid the $15 late fee. *Remember to add your division ($45), additional dressage/jumping rounds, non-member fee (or new membership), and stabling/camping (separate check).
Your answer
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