Name:______________________________ Horse:____________________________

Address:____________________________________________________

City:________________________________________________________

Area Code & Phone Number:________________________________________

Email Address:__________________________________________________

Age as of January 1st 2007: _____________

High Point year is from October 1st, 2006 to September 30th 2007.

Make checks payable to Tri-Cities Horsemen

Send Registration and fee to :

Sue Madison
4260 Santa Rita Road
El Sobrante, CA 94803

Questions, contact Sue Madison on 510-669-9768 or via e-mail at suedmadison@sbcglobal.net

Requirements:

• $10.00 annual fee
• $20.00 sponsor donation
• one raffle item per show
• other requirements, see High Point rules.