NORTHUMBERLAND COUNTY RIDERS' HORSE CLUB
Number:_____________
Rider ___________________________________  Horse: ________________________________
Check Class # Classes    Adult: ___________ Member: ________ $4.00/class
     Youth: __________ Non-member: _____ $5.00/class
  1 Open Showmanship  (17 & under as of Jan 1st) Date of Birth__________________
  2 Lead Line Under 4yrs must have a side walker(s)
  3 Walk Only - off lead line (Attendants allowed - but must not lead)
  4 Walk Trot/Jog Pleasure  
  5 Walk Trot/Jog Pattern    
  6 Green Horse Pleasure    
  7 Special Needs  
  8 Youth Western Pleasure
  9 Open Western Pleasure
  10 Open Western Horsemanship
  11 Youth English Pleasure
  12 Open English Pleasure              
  13 Youth English Equitation
  14 Adult Engilsh Pleasure
  15 Open Hunter Under Saddle  
  16 Open Pairs  
  17 Mystery Class
  18 Open Command
  19 Open Trail  
  20 Open Barrels  
  21 Open Pole Bending  
  22 Open Keyhole  
  23 Cross Rail   Number of Classes:
  24 Hunter Hack - 2'0   _________ X $3.00 = $ ________
  25 Baby Jumper - 2'0   _________ X $4.00 = $________
  26 Low Hunter - 2'3   Paid Cash ______
  27 Open Hunter - 2'6   Cheque ______ # _______
  28 Open Jumper - 2'6
  29 Jumper Special - 2'6
LIABILITY INSURANCE & WAIVER ON THE OTHER SIDE MUST BE SIGNED