Rider Registration - Daryl Kinney
Sep 12 - Sep 13, 2026
Rider Information
Name
Date of Birth
Level you have competed to
None
Starter
Beginner Novice
Novice
Training
Preliminary
Medical Information
Contact information
To be filled out by legal guardian
Name
Email
Address
Phone Number
Contact Preference
Email
SMS
Phone Call
Guest/groom (optional)
Name
Email
Horse Information
Name
Sex
Mare
Gelding
Stallion
Level horse has competed to
None
Starter
Beginner Novice
Novice
Training
Preliminary
Trailer Spot
$25.00
Board September 11
$30.00
Board September 12
$30.00
Board September 13
$30.00
Emergency contacts
Name
Phone
Relationship
Name
Phone
Relationship
Consent
I have read and I accept the
rules
