Please provide the following information:

Name:   

Address:   

Date of  Birth:   

 Home Phone:            Alternate Phone:   

Parents:   

Are You Still In School?:                            If Yes, what grade?:   

If No, when did you graduate?:   

School attending or graduated from:  

How long have you lived in Big Horn County?:   

School And/Or Club Membership, Awards, & Honors:    


 

Do you own your own horse?:            Horses Name:   
                        Registered or Grade:   
                        Breed:   
                        Color:   
                        Age:   
                        Competitive or Pleasure riding:   
                        Will you be using this horse in the Competition?:   
Horse related Activities: