All Kidding Aside Entry Form

Rider name:______________________________________________________ 

Address:________________________________________________________ 

City:______________________________ State:____________ Zip:_________ 

Phone: (        )_______________R&T number____________ Junior age_______ 

Horse name:__________________________ Breed___________#___________ 

R&T#____________ Age:_________ Owner:____________________________ 

Partner name (R&T):_______________________________________________ 

Address:________________________________________________________ 

City:______________________________ State______________ Zip________ 

Phone: (        )______________________R&T#_________ 

 
Fees:

                  adult                junior

25 CTR       $50                   $25

50 CTR         70                     35

16 CTR         25                     20            

25 R&T         60

50 R&T         80

10 R&T         40

 $5 discount for entries received before 8/24 

Please circle distance/ride type entered 

Ride and Tie non-member fee can be paid on site (just join ahead of time!) 

Extra t-shirt needed? ____@$10 ea=_____

Total enclosed_________

Mail entries to:

Maggie and David Herlensky
1934 Buchanan Rd
Waverly OH 45690

 or email and PayPal to maggieszoo@dragonbbs.com

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