Name: __________________________________
Address: __________________________________
City, State, Zip: ____________________________
Phone (day): _________________
Phone (evening): _________________
E-Mail:
Male: _____ Female:_____ Age:
________
Age of Horse: _________ Sex of Horse: _______
Part-Time Non-Rider Participant
Friday: $ 50.00
= ______
Saturday: $ 50.00
= ______
TOTAL: _________
(Checks payable to:
Agricultural Development Council or ADC)
Horse and Riders Limited to
first 12 with payment.
No Limit on non rider
participants
Mail to:
Steven M. Jones
P.O. Box 391
Little Rock, AR 72203
For You: For
Your Horse:
Open Mind Saddle
Riding Clothes Saddle
Pad
Riding Boots Lunge
Whip
Gloves Snaffle
Bit
Head
Stall/Reins
(If
you have one)
Grooming
Supplies
Feed
and Hay
Current
EIA Test