Combined Test and Millbrook Pony Club 'D' RallyWith XC Rain Date: July 28 July, 27 2018 Judge: Mark Wertheim Judge: Sharon Santandra Contact Contact name * First Name Last Name Phone * Contact number (cell preferred) (###) ### #### Email Address * Sign Up Info Rider Name * First Name Last Name Horse/Pony * What pony will you be riding? I want to do: Combined Test Only ($50) Combined Test Plus Cross Country Round ($75) Pony Club Rally ($75) The level I am doing is: TAD POLE (2015 USEF INTRO A & X-RAILS/POLES) INTRO (2015 USEF INTRO C & 2'0") BEGINNER NOVICE (USEF BN-A & 2'7") NOVICE (USEF NOVICE A & 2'9") Pony Club Only Fill out this part if you selected "Rally" above What is your pony club rating? D1 D2 D3 Other Payment Please Send your check Payable to Rivendell Riding Academy to: PO BOX 12 Clinton Corners, NY 12514 I am a regular RRA client - please bill me. Thank you!Please Send your check Payable to Rivendell Riding Academy to:PO BOX 12 Clinton Corners, NY 12514Please don't forget to fill out the required "pink sheet" waiver is you are not a regular Rivendell client.Times will be available a few days before the show. If we have to cancel or move the event due to weather you will be contacted at the phone number listed in your form.