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 $_________________