MQHA OUTSIDE ACTIVITIES PROGRAM

Member’s Name_________________________________________

Horses’s Name__________________________________________Reg. No._________________

Name of Event_________________________________________Event Date________________

Signature of Event Official_________________________________________
Please sign to the correctness of the provided information

Mail to: MQHA, Joyce McDonald, 313 - 26th Street N.W., Great Falls, MT 59404 along with $2.00 per show 
within 15 days of the event.  Please use one form per show.

Class Name

No. of Entries

Placing

Office Use