Rider Name:                                                                                                                                                            

Team Name:                                                                                           (indicate Independent here if applicable)

Home Farm Name:                                                                          Coach's Name:                                         

Telephone (Home Farm):                                                    Telephone (Coach):                                           

Discipline(s) Showing in:                                                                                                                             

Division(s) Showing in:                                                                                                                                       

Fee Paid:  $                                                                              Credit Card #:_______________________

By signing this document I verify that, to the best of my knowledge, the above information is true. 

Rider Signature:                                                                 Date:                                  

Parent/Guardian Signature:                                                       Date:                        

Coach’s Signature:                                                                       Date:                       

RIFNA Prize List

Place	Points
First	16
Second	12
Third	10
Fourth	8
Fifth	6
Sixth	4
Seventh	2
Eighth	1
Ninth*	0

*Ninth Place receives no points, but does receive an honorable mention.

Jamboree Sign-up

	Western Classes Entered	Hunter Classes Entered	Dressage Classes Entered
Rider Name:
Rider Back Number: