Coyote Classic Series 8 Membership Form

Coyote Classic Series VIII Membership Form
You Are Required To Be A Member If You Are Riding For Series Awards
There will be an Additional $5.00 Charge per Entry for Non-Members
Individual _________________$20.00 Family _________ $35.00

Date ______________ Membership #_____________

Name _______________________________________________________

Address _____________________________________________________

City ________________________ State___________ Zip Code__________

Phone # _______________________ Email _______________________________

Family Members Competing:

______________________________________________DOB__________

______________________________________________DOB__________

______________________________________________DOB__________

______________________________________________DOB__________

______________________________________________DOB __________

To Help Us Keep Your Points Organized, Please Use The Same Name Of Your Horse/s Each Time You Enter. Thank You!

Horses Name _________________________________________________

***When Riding At Coyote Run Arena, I/we Understand That I/we Ride At Our Own Risk.

Coyote Run Arena owners Or Show Officials are not responsible for any accident or injury sustained during any event or practice.***

___________________________________________Date________________________