2019 Point Series Registration

2019 POINT SERIES REGISTRATION Member's Name: ______________________________________________________________ 4-H Club: ____________________________________________________________________ Horse’s Show Name (Must stay the same all year): ___________________________________ Horse Description: _____________________________________________________________ Phone Number: _______________________________________________________________ Address: ____________________________________________________________________ Circle the division you will be showing:

Walk/Trot

Novice

Advanced

Number of years in this Division (Include this year): _________________________________ Jacket Size (circle one) Youth: Small, Medium, Large,

Adult: Small Medium Large, XLarge

Horse Blanket Size: 60, 62, 64, 66, 68, 70, 72, 74, 76, 78, 80, 82, 84 _____ Halter size Cob, Horse, Oversize *Please Read and Sign below *I have read all the point series rules and understand how the point series operates. I understand that 4H rules apply and that the Saddle Horse Committee and the Lake County Extension office have final authority in any situation that may occur. 4H Member's Signature:___________________________________ Date:_________________ Parent/Guardian Signature: ________________________________ Date:_________________ ------------------------------------------------------------------------------------------------------------------------------Office Use Only Date Received: Time Received: ___________________________ Paid By: Cash Check # _______ **Make checks payable to Lake County 4-H Saddle Horse** Received By: ___________________________________________________________ ***If received at a horse show, what class is currently in the ring: ________________________ ***This is important since points are not accumulated until registration and payment are received***