Convention Stall Form

Host Farm:

Majestic Farm
5700 State Route 132
Batavia, OH 45103

Please note; this information will be used to prepare stall tags and programs - please be accurate

Complete additional forms for additional horses
(* = Required Fields )

HORSE INFORMATION

*Registered name: *Registration number:

Horse’s show name:

Is this horse for sale?

Yes No

*Sex:

Mare

Stallion

Gelding

Age:

Horse is participating in:
(Check all that apply)

*Check days stalls are needed	Horse	Tack	Stall Accommodation Notes
Tues, Oct. 30			Horse stall required; no horse may be shown from a trailer. There will be no refund of stall fees. Bagged shavings are available on site for $6/bag.
Wed, Oct. 31
Thurs, Nov. 1
Fri, Nov. 2
Sat, Nov. 3
Sun, Nov. 4

Hilda Gurney Clinic
Mare/Young Horse Show
Inspection / Evaluation
Stallion Parade
Jumper Calcutta
Other clinic/education session

Stall Fees:

$30 if paid on or before October 1
$35 if paid after October 1

*Total Due:

Notes: A reasonable attempt will be made to place your stall/s according to your request (near other owner, etc.)

HORSE OWNER INFORMATION

*Name:

*eMail Address: *Phone#:

*Street: *City: *State: Country: *Zip:

EMERGENCY CONTACT

*Name:

*eMail Address: *Cell Phone:

*Address or place staying during convention:

ATA
1536 West Church Street, Newark, Ohio 43055
Phone 740-344-1111 Fax 740-344-3225
Email: ata@americantrakehner.com