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Registration Form for Trail Challenge, Saturday July 13, 2013

Make checks payable to PCHLV

Print and send to WSU Extensions Office, Attn: Val Rowe PO Box 88, South Bend, WA. 98586

For More Info: Call Val Rowe 360-942-7422 or e-mail:

$25.00 pre register by 7/1/13


$30.00 after 7/1/13


Stall Fee: $10.00/day


Camping Fee: $20.00/day (Camper, RV, etc.)


                       $10.00/day (Tent)



TOTAL: $__________________


*If you would like a practice run through course, sign up Saturday morning at the show office ($5.00/run)


Name: _______________________________________________


Age Group: ____________________ Age: _______


Horse’s Name: _________________________________


Address: ________________________________________________________________


E-Mail: _____________________________________________________________


Phone Number: ______________________________________


Parent’s Signature (if under 18): _______________
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