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LAKEHEAD LIGHT HORSE

ASSOCIATION
POKER RUN/TRAIL RIDE ENTRY FORM
RIDER’S
NAME:___________________________________________________________JUNIOR____SENIOR______

ADDRESS:________________________________________________________________PHONE_____________
___

OWNER’S
NAME:_________________________________________________________________________________

ADDRESS:_________________________________________________________________PHONE____________
____

HORSES
NAME:_________________________________________AGE_____________BREED___________________

$20.00 Entry fee______________ **PLEASE FILL OUT AND SIGN WAIVER BEFORE HANDING
IN ENRTY FORM**

* Signature of owner/rider
(18+)______________________________________________________DATE_________________
OR
*Signature of
parent/guardian________________________________________________________DATE_________________
(Under 18)

LAKEHEAD LIGHT HORSE


ASSOCIATION
POKER RUN/TRAIL RIDE ENTRY FORM
RIDER’S
NAME:___________________________________________________________JUNIOR____SENIOR______
ADDRESS:________________________________________________________________PHONE_____________
___

OWNER’S
NAME:_________________________________________________________________________________

ADDRESS:_________________________________________________________________PHONE____________
____

HORSES
NAME:_________________________________________AGE_____________BREED___________________

$20.00 Entry fee______________ **PLEASE FILL OUT AND SIGN WAIVER BEFORE HANDING
IN ENRTY FORM**

* Signature of owner/rider
(18+)______________________________________________________DATE_________________
OR
*Signature of
parent/guardian________________________________________________________DATE_________________
(Under 18)

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