4-H Horse Show Entry Form DUE JULY 1 For Office Use Only:

DUE JULY 1ST
For Office Use Only: Exhibitor Number: ___________
4-H Horse Show Entry Form
Please complete a separate form for each horse/rider combination.
If the Extension Office does not already have a copy of your horse’s most current Rabies & Coggins Certificates, please include them with this entry form!
4-H Exhibitor Last Name
Address
Street
Age Division (as of Jan. 1st)
First Name
City
Cloverbud
Junior
Senior
(K-2nd Graders)
(Age 8-13)
(Age 14-18)
State
Zip
Club Name
Is your horse a pony?
Yes
No
Note: an equine designated as a Pony is a Pony in all classes for the duration of the show.
This equine cannot be entered as a Pony in one class and a Horse in another, even if shown
by more than one exhibitor.
Horse’s Name
(as it appears on Rabies & Coggins Certificates)
Riding/Driving Level
I have been evaluated and am in the following riding level(s):
 Cloverbud Walk/Trot (6-7)
 Cloverbud Leadline (riders age 5 must be in this level)
 Walk/Trot (8-18)
 Walk/Trot Beginning Canter (8-18)
 Leadline (8-18)
 Advanced (8-18)
 Intermediate (8-18)
 Driving Walk/Trot/Extended Trot
 Mini
Their riding level:
 I am sharing a horse with:
Will you register for the Open Horse Show?
Stall Needed:
 Yes
 No
 Yes
 No
If you leave this blank, we will assume yes.
Anyone using a stall must stay in the 4-H barn until Sunday, per Fair Board requirements. If you are
only showing 4-H and not Open, you may show off the trailer and haul in and out the day of the show.
Classes
Please check all classes you want to ride in. Because classes are grouped by riding/driving level, some are listed multiple times but, you only need
to sign up for a class once. For schedule, please see Fair Book. Lunch and dinner breaks TBD. Classes will be combined if necessary.
Walk Trot Canter (Pony)- Junior and Senior
Section C: Dressage
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22. Dressage Equitation – Junior
23. Dressage Training Level Test 1 -Junior
24. Dressage Training Level Test 2 -Junior
25. Dressage Training Level Test 3 -Junior
26. Dressage First Level Test 1 -Junior
27. Dressage (choice of) First Level Test 2-3 -Junior
28. English Dressage Equitation – Senior
29. Dressage Training Level Test 1 -Senior
30. Dressage Training Level Test 2 -Senior
31. Dressage Training Level Test 3 -Senior
32. Dressage First Level Test 1 –Senior
33. Dressage (choice of) First Level Test 2-3 -Senior
34. Musical Kur-Junior and Senior
Section E: Jumping (If you do Beginner you cannot do any other
Jumping Classes.)
 59. Beginner Equitation over Fences (12” course) (Horse & Pony)
 60. Beginner Hunter over Fences (12” course) (Horse and Pony)
 61. Equitation over Fence (Pony)-Jr. and Sr.
 62. Working Hunter over Fences (Pony)-Jr. and Sr.
 63. Hunter Hack (Pony)-Jr. and Sr.
Section F: English Showmanship
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53. Beginner Showmanship (Horse and Pony)-Jr. and Sr.
54. Showmanship (Horse and Pony)-Junior
55. Showmanship (Horse and Pony)-Senior
Section I: Saddle Seat
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56. Saddle Seat Equitation (Horse and Pony)-Jr. and Sr.
57. Saddle Seat Pleasure (Horse and Pony)-Jr. and Sr.
58. Saddle Seat Road Hack (Horse and Pony)-Jr. and Sr.
Section J: English
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83. English Equitation on the Flat (Pony) -Jr. and Sr.
84. Hunter Pleasure (Pony) -Jr. and Sr.
85. Hunter Under Saddle (Pony) -Jr. and Sr.
92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr.
Section K: Western Showmanship
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102. Beginner Showmanship (Horse and Pony)-Jr. and Sr.
103. Showmanship (Horse and Pony)-Junior
104. Showmanship (Horse and Pony)-Senior
Section M: Western
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140. Western Pleasure (Pony) -Jr. and Sr.
141. Western Horsemanship (Pony) -Jr. and Sr.
142. Stock Seat Equitation (Pony) -Jr. and Sr.
143. Western Road Hack (Pony) -Jr. and Sr.
144. Western Riding (Horse and Pony)- Jr. and Sr.
145. Western Reining (Horse and Pony)- Jr. and Sr.
Section N: Trail
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151. Trail (Pony)-Junior and Senior
Section O: Gymkhana
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157. Pole Bending-Pony
163. Stake-N-Barrel-Pony
169. Cloverleaf Barrel Race-Pony
172. Quadrangle Barrel Race-Pony
175. Straight Line Barrel Race-Pony
178. Texas T Barrel Race-Pony
181. Barrel Keyhole Race-Pony
184. Bleeding Heart-Pony
DUE JULY 1ST
Walk Trot Canter (Horse)- Senior
Section D: Dressage
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28. English Dressage Equitation – Senior
29. Dressage Training Level Test 1 -Senior
30. Dressage Training Level Test 2 -Senior
31. Dressage Training Level Test 3 -Senior
32. Dressage First Level Test 1 –Senior
33. Dressage (choice of) First Level Test 2-3 -Senior
34. Musical Kur-Junior and Senior
Section E: Jumping (If you do Beginner you cannot do any other
Jumping Classes.)
 59. Beginner Equitation over Fences (12” course) (Horse & Pony)
 60. Beginner Hunter over Fences (12” course) (Horse and Pony)
 67.Equitation over Fences (Horse)- Senior
 68.Working Hunter over Fences (Horse)- Senior
 69.Hunter Hack (Horse)- Senior
Section F: English Showmanship
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53. Beginner Showmanship (Horse and Pony)-Jr. and Sr.
54. Showmanship (Horse and Pony)-Junior
55. Showmanship (Horse and Pony)-Senior
Section I: Saddle Seat
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56. Saddle Seat Equitation (Horse and Pony)-Jr. and Sr.
57. Saddle Seat Pleasure (Horse and Pony)-Jr. and Sr.
58. Saddle Seat Road Hack (Horse and Pony)-Jr. and Sr.
For Office Use Only: Exhibitor Number: ___________
Section J: English
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89. Eng. Equitation on the Flat (Horse)- Senior
90. Hunter Pleasure (Horse)- Senior
91. Hunter Under Saddle (Horse)- Senior
92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr.
Section K: Western Showmanship
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102. Beginner Showmanship (Horse and Pony)-Jr. and Sr.
103. Showmanship (Horse and Pony)-Junior
104. Showmanship (Horse and Pony)-Senior
Section M: Western
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136. Western Pleasure (Horse)- Senior
137. Western Horsemanship (Horse)- Senior
138. Stock Seat Equitation (Horse)- Senior
139. Western Road Hack (Horse)- Senior
144. Western Riding (Horse and Pony)- Jr. and Sr.
145. Western Reining (Horse and Pony)- Jr. and Sr.
Section O: Gymkhana
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159. Pole Bending-Sr.
165. Stake-N-Barrel-Sr.
171. Cloverleaf Barrel Race-Sr.
174. Quadrangle Barrel Race-Sr.
177. Straight Line Barrel Race-Sr.
180. Texas T Barrel Race-Sr.
183. Barrel Keyhole Race-Sr.
186. Bleeding Heart-Sr.
Section N: Trail
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153. Trail (Horse) – Senior
Walk Trot Canter (Horse)- Junior
Section D: Dressage
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22. Dressage Equitation – Junior
23. Dressage Training Level Test 1 -Junior
24. Dressage Training Level Test 2 -Junior
25. Dressage Training Level Test 3 -Junior
26. Dressage First Level Test 1 -Junior
27. Dressage (choice of) First Level Test 2-3 -Junior
34. Musical Kur-Junior and Senior
Section E: Jumping (If you do Beginner you cannot do any other
Jumping Classes.)
 59. Beginner Equitation over Fences (12” course) (Horse & Pony)
 60. Beginner Hunter over Fences (12” course) (Horse and Pony)
 64. Equitation over Fences (Horse)- Junior
 65. Working Hunter over Fences (Horse)- Junior
 66. Hunter Hack (Horse)- Junior
Section F: English Showmanship
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53. Beginner Showmanship (Horse and Pony)-Jr. and Sr.
54. Showmanship (Horse and Pony)-Junior
55. Showmanship (Horse and Pony)-Senior
Section I: Saddle Seat
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56. Saddle Seat Equitation (Horse and Pony)-Jr. and Sr.
57. Saddle Seat Pleasure (Horse and Pony)-Jr. and Sr.
58. Saddle Seat Road Hack (Horse and Pony)-Jr. and Sr.
Section N: Trail
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152. Trail (Horse) – Junior
Section I: English
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86. Eng. Equitation on the Flat (Horse)- Junior
87. Hunter Pleasure (Horse)- Junior
88. Hunter Under Saddle (Horse)- Junior
92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr.
Section K: Western Showmanship
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102. Beginner Showmanship (Horse and Pony)-Jr. and Sr.
103. Showmanship (Horse and Pony)-Junior
104. Showmanship (Horse and Pony)-Senior
Section M: Western
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132. Western Pleasure (Horse)- Junior
133. Western Horsemanship (Horse)- Junior
134. Stock Seat Equitation (Horse)- Junior
135. Western Road Hack (Horse)- Junior
144. Western Riding (Horse and Pony)- Jr. and Sr.
145. Western Reining (Horse and Pony)- Jr. and Sr.
Section O: Gymkhana
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158. Pole Bending-Jr.
164. Stake-N-Barrel-Jr.
170. Cloverleaf Barrel Race-Jr.
173. Quadrangle Barrel Race-Jr.
176. Straight Line Barrel Race-Jr.
179. Texas T Barrel Race-Jr.
182. Barrel Keyhole Race-Jr.
185. Bleeding Heart-Jr.
DUE JULY 1ST
Walk/Trot Beginning Canter (or Lope)
Section C: Dressage
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17. Dressage Training Level Test 1 -WTBC
18. Dressage Training Level Test 2 -WTBC
19. Dressage Training Level Test 3 -WTBC
20. Dressage First Level Test 1 -WTBC
21. Dressage (choice of) First Level Test 2-3 -WTBC
Section E: Jumping
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59. Beginner Equitation over Fences (12” course) (Horse & Pony)
60. Beginner Hunter over Fences (12” course) (Horse and Pony)
Section F: English Showmanship
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53. Beginner Showmanship (Horse and Pony)-Jr. and Sr.
54. Showmanship (Horse and Pony)-Junior
55. Showmanship (Horse and Pony)-Senior
Section I: English
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77. English Pleasure (Horse)- Walk Trot Beg. Canter
78. English Equitation (Horse)- Walk Trot Beg. Canter
79. Command (Horse)- Walk Trot Beg. Canter
80. English Pleasure (Pony)- Walk Trot Beg. Canter
81. English Equitation (Pony)- Walk Trot Beg. Canter
82. Command (Pony)- Walk Trot Beg. Canter
92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr.
Walk/Trot
Section D: Dressage
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13. Dressage Equitation – Walk Trot
14. Dressage Test 1-Walk Trot
15. Dressage Test 2-Walk Trot
Section F: English Showmanship
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53. Beginner Showmanship (Horse and Pony)-Jr. and Sr.
54. Showmanship (Horse and Pony)-Junior
55. Showmanship (Horse and Pony)-Senior
Section J: English
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71. English Pleasure (Horse)- Walk Trot
72. English Equitation (Horse)- Walk Trot
73. Command (Horse)- Walk Trot
74. English Pleasure (Pony)- Walk Trot
75. English Equitation (Pony)- Walk Trot
76. Command (Pony)- Walk Trot
92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr.
Leadline
Section F: English Showmanship
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53. Beginner Showmanship (Horse and Pony)-Jr. and Sr.
54. Showmanship (Horse and Pony)-Junior
55. Showmanship (Horse and Pony)-Senior
Section J: English
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70. English Equitation- Lead Line
92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr.
Section N: Trail
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148. Trail- Lead Line
For Office Use Only: Exhibitor Number: ___________
Section K: Western Showmanship
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102. Beginner Showmanship (Horse and Pony)-Jr. and Sr.
103. Showmanship (Horse and Pony)-Junior
104. Showmanship (Horse and Pony)-Senior
Section M: Western
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126. Western Pleasure (Horse)- Walk Jog Beg. Lope
127. Western Horsemanship (Horse)- Walk Jog Beg. Lope
128. Command (Horse)- Walk Jog Beg. Lope
129. Western Pleasure (Pony)- Walk Jog Beg. Lope
130. Western Horsemanship (Pony)- Walk Jog Beg. Lope
131. Command (Pony)- Walk Jog Beg. Lope
Section N: Trail
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150. Trail- Walk Trot Beg. Canter
Section O: Gymkhana
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156. Pole Bending-Walk Trot Beg. Canter
162. Flag Race-Walk Trot Beg. Canter
168. Cloverleaf Barrel Race – Walk Trot Beg. Canter
Section K: Western Showmanship
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102. Beginner Showmanship (Horse and Pony)-Jr. and Sr.
103. Showmanship (Horse and Pony)-Junior
104. Showmanship (Horse and Pony)-Senior
Section M: Western
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120. Western Pleasure (Horse)- Walk Jog
121. Western Horsemanship (Horse)- Walk Jog
122. Command (Horse)- Walk Jog
123. Western Pleasure (Pony)- Walk Jog
124. Western Horsemanship (Pony)- Walk Jog
125. Command (Pony)- Walk Jog
Section N: Trail
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149. Trail- Walk Trot
Section O: Gymkhana (Riders will not canter in any classes. If they canter
there will be a 10 second penalty for every 3 strides.)
 155. Pole Bending-Walk Trot
 161. Flag Race-Walk Trot
 167. Cloverleaf Barrel Race-Walk Trot
Section K: Western Showmanship
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102. Beginner Showmanship (Horse and Pony)-Jr. and Sr.
103. Showmanship (Horse and Pony)-Junior
104. Showmanship (Horse and Pony)-Senior
Section M: Western
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119. Western Equitation- Lead Line
Section O: Gymkhana (Riders will not canter in any classes. If they canter
there will be a 10 second penalty for every 3 strides.)
 154. Pole Bending-Lead Line
 160. Flag Race-Lead Line
 166. Cloverleaf Barrel Race-Lead Line
DUE JULY 1ST
Cloverbud Walk/Trot
Section E: Cloverbud Only English Classes
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41.Pleasure (Horse)- Cloverbud Walk Trot
42. Equitation (Horse)- Cloverbud Walk Trot
43. Simon Says (Horse)- Cloverbud Walk Trot
44. Egg & Spoon (Horse)- Cloverbud Walk Trot
48. Pleasure (Pony)- Cloverbud Walk Trot
49. Equitation (Pony)- Cloverbud Walk Trot
50. Simon Says (Pony)- Cloverbud Walk Trot
51. Egg & Spoon (Pony)- Cloverbud Walk Trot
52. Costume (Horse and Pony) (Eng. or West. tack)- Cloverbud
For Office Use Only: Exhibitor Number: ___________
Section L: Cloverbud Only Western Classes
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Section N: Trail
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Cloverbud Leadline
Section G: Cloverbud Only English Classes
 38. Equitation (Horse)- Cloverbud Lead Line
 39. Simon Says (Horse)- Cloverbud Lead Line
 40. Egg & Spoon (Horse)- Cloverbud Lead Line
 45. Equitation (Pony)- Cloverbud Lead Line
 46. Simon Says (Pony)- Cloverbud Lead Line
 47. Egg & Spoon (Pony)- Cloverbud Lead Line
 52. Costume (Horse and Pony) (Eng. or West. tack)- Cloverbud
111. Pleasure (Horse)- Cloverbud Walk Trot
112. Equitation (Horse)- Cloverbud Walk Trot
113. Simon Says (Horse)- Cloverbud Walk Trot
114. Egg & Spoon (Horse)- Cloverbud Walk Trot
115. Pleasure (Pony)- Cloverbud Walk Trot
116. Equitation (Pony)- Cloverbud Walk Trot
117. Simon Says (Pony)- Cloverbud Walk Trot
118. Egg & Spoon (Pony)- Cloverbud Walk Trot
147. Trail- Cloverbud Walk Trot
Section L: Cloverbud Only Western Classes
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105. Equitation (Horse)- Cloverbud Lead Line
106. Simon Says (Horse)- Cloverbud Lead Line
107. Egg & Spoon (Horse)- Cloverbud Lead Line
108. Equitation (Pony)- Cloverbud Lead Line
109. Simon Says (Pony)- Cloverbud Lead Line
110. Egg & Spoon (Pony)- Cloverbud Lead Line
Section N: Trail
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Mini (Juniors and Seniors)
Section A: Miniature Horse
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1. Showmanship (Mini)-Junior and Senior
2. Open Obstacle at Halter (Mini)-Junior and Senior
3. Open Hunter at Halter (Mini)-Junior and Senior
4. Open Jumper at Halter (Mini)-Junior and Senior
146. Trail- Cloverbud Lead Line
Section B: Driving
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8. Pleasure Driving (Mini, Pony, and Horse)
9. Country Pleasure Driving (Mini, Pony, and Horse)
10. Reinsmanship (Mini, Pony, and Horse)
11. Combination Ride/Drive (Pony and Horse)
12. Obstacle Driving (Mini, Pony, and Horse)
Section H: Costume for All (Reminder: Boots & Helmets are needed)
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92. Costume (Horse and Pony) (Eng. or West. tack)- Jr. and Sr.
Mini (Cloverbuds)
Driving
Section A: Miniature Horse
Section B: Driving
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5. Open Obstacle at Halter (Mini)-Cloverbud
6. Open Hunter at Halter (Mini)-Cloverbud
7. Open Jumper at Halter (Mini)-Cloverbud
8. Pleasure Driving (Mini, Pony, and Horse)
9. Country Pleasure Driving (Mini, Pony, and Horse)
10. Reinsmanship (Mini, Pony, and Horse)
11. Combination Ride/Drive (Pony and Horse)
12. Obstacle Driving (Mini, Pony, and Horse)
DUE JULY 1ST
Team Events
For Office Use Only: Exhibitor Number: ___________
Section C: Drill & Parade
(Note: to be eligible for State Fair, teams must include only Junior and Senior members)
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35. Drill Team
36. Parade Team
37. Quadrille Team
Drill
(minimum of 6 riders and maximum of 12)
Rider 1:
Rider 2:
Rider 3:
Rider 4:
Rider 5:
Rider 6:
Rider 7:
Rider 8:
Rider 9:
Rider 10:
Rider 11:
Rider 12:
Quadrille
(5 riders)
Rider 1:
Rider 2:
Rider 3:
Rider 4:
Rider 5:
Parade
(5 riders)
Rider 1:
Rider 2:
Rider 3:
Rider 4:
Rider 5:
Section P: Mounted Games
(Note: to be eligible for State Fair, teams must include only Junior or only Senior members)
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93. Special Delivery
94. Mug Race
95. Four Flag
96. Tennis Tournament
97. Junk Mail
98. Straight Line
99. Pyramid Race
100. Veggie Stew
101. Ball and Cone
Mounted Games
(minimum of 3 riders and maximum of 4)
Rider Name
Division (circle one)
Mounted Rider 1:
Senior
Junior
Cloverbud
Mounted Rider 2:
Senior
Junior
Cloverbud
Mounted Rider 3:
Senior
Junior
Cloverbud
Mounted Rider 4:
Senior
Junior
Cloverbud
Team Captain:
Senior
Junior
Cloverbud
Please note: Cloverbud Walk Trot riders may ride for fun in the games; however they are not eligible for State Fair.
Riders and teams will be combined as necessary so that everyone can play.