The Summer Round-Up

Riders Name: * Maximum of 100 characters

Riders Age as of Jan. 1st * Maximum of 10 characters

National EXCA #: Expiration Date: EXCA Division: (if pending please mark TBD) * Maximum of 100 characters

Address: City: State: Zip: * Maximum of 200 characters

Phone Number * Maximum of 100 characters

E-mail: * Maximum of 100 characters

#1. Horses Name, age, and breed: * Maximum of 200 characters

Horse #1 Gender Select all that apply Mare Gelding Stallion

O.H.I.O. EXCA MEMBERS CLASS FEES- HORSE #1: Select all that apply YOUNG GUNS (+ $45.00) YOUTH (+ $45.00) GREEN HORSE (+ $35.00) NOVICE (+ $55.00) INTERMEDIATE (+ $65.00) RIDE SMART (55+) (+ $75.00) NON-PRO (+ $80.00) PRO (+ $80.00)

NON-O.H.I.O. EXCA MEMBERS CLASS FEES- HORSE #1: Select all that apply YOUNG GUNS (+ $55.00) YOUTH (+ $55.00) GREEN HORSE (+ $45.00) NOVICE (+ $65.00) INTERMEDIATE (+ $75.00) RIDE SMART (55+) (+ $85.00) NON-PRO (+ $90.00) PRO (+ $90.00)

#2. Horses Name, age, and breed: Maximum of 200 characters

Horse #2 Gender Select all that apply Mare Gelding Stallion

O.H.I.O. EXCA MEMBERS CLASS FEES- HORSE #2: Select all that apply YOUNG GUNS (+ $45.00) YOUTH (+ $45.00) GREEN HORSE (+ $35.00) NOVICE (+ $55.00) INTERMEDIATE (+ $65.00) RIDE SMART (55+) (+ $75.00) NON-PRO (+ $80.00) PRO (+ $80.00)

NON-O.H.I.O. EXCA MEMBERS CLASS FEES- HORSE #2: Select all that apply YOUNG GUNS (+ $55.00) YOUTH (+ $55.00) GREEN HORSE (+ $45.00) NOVICE (+ $65.00) INTERMEDIATE (+ $75.00) RIDE SMART (55+) (+ $85.00) NON-PRO (+ $90.00) PRO (+ $90.00)

#3. Horses Name, age, and breed: Maximum of 200 characters

Horse #3 Gender Select all that apply Mare Gelding Stallion

O.H.I.O. EXCA MEMBERS CLASS FEES- HORSE #3: Select all that apply YOUNG GUNS (+ $45.00) YOUTH (+ $45.00) GREEN HORSE (+ $35.00) NOVICE (+ $55.00) INTERMEDIATE (+ $65.00) RIDE SMART (55+) (+ $75.00) NON-PRO (+ $80.00) PRO (+ $80.00)

NON-O.H.I.O. EXCA MEMBERS CLASS FEES- HORSE #3: Select all that apply YOUNG GUNS (+ $55.00) YOUTH (+ $55.00) GREEN HORSE (+ $45.00) NOVICE (+ $65.00) INTERMEDIATE (+ $75.00) RIDE SMART (55+) (+ $85.00) NON-PRO (+ $90.00) PRO (+ $90.00)