First Name     Last Name      Date of Birth use this format XX/XX/XXXX 

Address    City     State    Zip    Age as of 12/1/2007

Phone Number    e-mail address*    Age Group for Year End Awards  Choose One 13 & Under 14 - 17 18 - 30 31 & Over Leadline

Name of Parent or Guardian if under 18 

Seat for Year End Awards Choose One English Western Walk Trot - 10 & Under Walk Trot Open Halter Leadline   Choose One English Western Walk Trot - 10 & Under Walk Trot Open Halter Leadline   Choose One English Western Walk Trot 10 & Under Walk Trot Open Halter Leadline   Choose One English Western Walk Trot 10 & Under Walk Trot Open halter Leadline
 

Lead Line Membership  First Name    Last Name    Age 

Date of Birth use this format XX/XX/XXXX     Relationship Choose One Daughter Son Brother Sister Granddaughter Grandson Niece Nephew

*  Must be kept current.  We do not sell or give away or provide in any way our members information.  It is your responsibility to keep this current so that you will be kept up to date on club information.  We do not have mandatory meetings, all communication will be via e-mail.