Address:__________________________________________________________________________________
Email:_______________________________________ Birthdate:___________________ Age: _________
Guardian Name (under 18 exhibitors only): _______________________________________________________
Rider Signature:______________________________ Guardian Signature: ___________________________
Lesson Program/4H Club Name (if applicable): _________________________________________________
Classes Offered July 11th: Haul in at 5pm for gaming show; Start time 6pm. Show will be held in outdoor arena.
____ Pole Bending Age Divisions
____ Single Pole $12 per class Leadline age 8 & Under: ____
____ Figure 8 Novice 18 & Under W/T Only: ____
____ Key Race Novice 19 & Over W/T Only: ____
____ Cloverleaf Barrels Rider age 9 & Under: ____
Rider age 10-13: ____
Rider age 14-18: ____
Rider age 19 & Over: ____
Classes Offered August 22nd: Haul in beginning at 8am; Start time 9am. Show will be held in outdoor arena.
Egg and Spoon Race Age Divisions
TP Partner Relay $50 flat fee - play in as many Ages 12 & Under: _____
Partner Switch Relay games as you want Ages 13 & Over: _____
Ritz Cracker Race
Simon Says
Ride a Buck
Trail Obstacle Challenge to be completed at your convenience from 8am-12pm)
Matched Piars
Reverse Lead Line
____ - $50 August 22nd Play Day Games & Obstacles = $_____
____ X Classes $12/class July 11 game show = $_____
Mandatory $5 Office Fee per horse/rider pair = $ 5
____ X $20 Day Panel Pen (outdoor, limited availability) = $_____
____ X $40 Day Stall (Indoor, email for availability) = $_____
Total Due: $_________
Silver Buckle
PO Box 636
Make Checks Payable to SBYEC
Brush Prairie, WA 98606
Registration and office fees are nonrefundable.
No Fee for day trailer parking.
Please fill out and return waiver with registration.