CHA Region 10 Conference 2014 Registration

CHA Region 10 Conference
“A Day of Equine Education”

September 20, 2014

Rider spots still available! Call today to reserve your slot.

Registration Form
Mail In registration must be postmarked by 9/16/14. Riders please call 714-693-4886.

Name- ___________________________________________________________________

Address- _________________________________________________________________

_________________________________________________________________________

Phone # Email- ______
May we add you to our email list? Yes_ No___

SPECTATOR TICKET(s)

Adult(18 & up # _ X $45.00 each= $_________

Child (6-14 yrs) #_X $25.00 each = $ ________

Dinner, Drinks & Discounts # _ X $18.00 = $ __________

Total Due $ ______________________

RIDERS- One form per rider please- Rider’s Name __________________________________

Session Total $$

Sideways- Sidepass & Pivot $25.00

Exercises on Horseback $25.00

Working Obstacles $25.00

Jumping $25.00

Cancelled- Equine Massage for your horse $25.00 ________

Western Dressage $25.00

________ Private 30 min. Lesson (not included in all day rate) $25.00

Saturday _ Sunday ____

Rider All Day Rate (Private Lessons excluded) $100.00_____

TOTAL – Make Checks payable to CHA Region 10 $_________________