O.H.I.O. EXCA
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THE OBSTACLES
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EXCA RACE ENTRY FORM
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
NAT. EXCA MEMBERSHIP ID
*
Please put N/A for none or Pending if you are still awaiting your NExCA Card
EXPIRATION DATE:
*
RIDING DIVISON
*
YOUNG GUN 7-11
YOUTH 12-18
NOVICE
INTERMEDIATE
RIDE SMART 55+
NON-PRO
PRO
HORSE #1 INFO
NAME
*
BREED
*
AGE
*
GENDER
*
N/A
MARE
GELDING
STALLION
1 STALL $15 PER NIGHT
*
NONE TIEING OUT
1 NIGHT
2 NIGHTS
3 NIGHT
4 NIGHT
5 NIGHT
OHIO EXCA MEMBER FEES
*
YOUNG GUN $45
YOUTH $45
NOVICE $55
INTERMEDIATE $65
RIDE SMART $75
NON-PRO $80
PRO $80
NON-MEMBER FEES
*
YOUNG GUNS $55
YOUTH $55
GREEN HORSE $45
NOVICE $65
INTERMEDIATE $75
RIDE SMART $85
NON PRO $90
PRO $90
HORSE #2 INFO
NAME:
*
BREED
*
AGE
*
GENDER
*
N/A
MARE
GELDING
STALLION
1 STALL $25 PER NIGHT
*
NONE
1 NIGHT
2 NIGHTS
3 NIGHTS
4 NIGHTS
5 NIGHTS
OHIO MEMBER FEES
*
YOUNG GUNS $45
YOUTH $45
GREEN HORSE $35
NOVICE $55
INTERMEDIATE $65
RIDE SMART $75
NON-PRO $80
PRO $80
NON-OHIO MEMBERS
*
YOUNG GUNS $55
YOUTH $55
GREEN HORSE $45
NOVICE $65
INTERMEDIATE $75
RIDE SMART $85
NON-PRO $90
PRO $90
HORSE #3 INFO
NAME
*
BREED
*
AGE
*
GENDER
*
N/A
MARE
GELDING
STALLION
1 STALL
*
NONE
1 NIGHT
2 NIGHTS
3 NIGHTS
4 NIGHTS
5 NIGHTS
O.H.I.O. MEMBER FEES
*
NONE
YOUNG GUNS $45
YOUTH $45
GREEN HORSE $35
NOVICE $55
INTERMEDIATE $65
RIDE SMART $75
NON-PRO $80
PRO $80
NON-MEMBERS FEES
*
NONE
YOUNG GUNS $55
YOUTH $55
GREEN HORSE $45
NOVICE $65
INTERMEDIATE $75
RIDE SMART $85
NON-PRO $90
PRO $90
OTHER FEES
CAMPING $10.00 PER NIGHT
*
NONE
1 NIGHT
2 NIGHTS
3 NIGHTS
4 NIGHTS
TOTAL SHOW AMOUNT DUE:
*
PAYMENT TYPE
*
PAYPAL: elisa.holmes60@gmail.com
VENMO: Elisa-holmes-5
CHECK: OHIO EXCA- P.O. BOX 5, HIRAM, OH 44234
ENTER
HOME
ABOUT THE RACES!
SCORING, DRESS CODE, & MORE
THE OBSTACLES
RACE ENTRIES/VOLUNTEER INFO
RACE ENTRY FORM
Volunteer Sign Ups!
EXCA Forms
Sponsorship Links!
Contact Us
