Faith Equestrian Therapeutic Center 243 Appaloosa Way Guyton GA. 31312 Phone: 912-655-1480 Faith Equestrian DATE: TIME: PLACE: Saturday, May 9, 2015 10am to 4pm Lost Creek Equine Center Sylvania, GA. INFO: 912-728-3728 / 912-655-1480 Second annual 2015 Registration form DON’T MISS OUT on a chance to ... Lost Creek Equine Center to Benefit Be inspired Be part of the team Be a part of helping others Caring and giving hope Be a Fan!! Faith Equestrian Therapeutic Center Inc. and the Special Olympics of GA are hosting a sanctioned invitational horse show for children and adults with intellectual challenges. If you have athletes who wish to participate, please fill out this registration form and return to Faith Equestrian Therapeutic Center by April 15th 2014. The Special Olympics Pledge “Let me win, but if I cannot win, let me be brave in the attempt” WWW.FAITHETC..ORG This show dedicated to the memory of Danielle Collins Loved and missed dearly GEORGIA HORSE SHOW INDIVIDUAL ENTRY FORM Directions to show and camp grounds MAY 9, 2015 RAIN DATE: SUNDAY 10TH Athlete Name: ______________________________________________ D.O.B._______________ Area: ____Gender:__________ For more directions Contact Deb or Mary at: 912-857-5935 Lost Creek Equine Center Sylvania GA. 1251 Airport Road Horse Name: _________________________ Delegation: ___________________________________________________ SOGA Certified Equestrian Coach: ______________________________________________________________________ Email: ______________________________________________________________ Airport “Let me win, but if I cannot win, let me be brave in the attempt” ABOUT FAITH EQUESTRIAN THERAPEUTIC CENTER INC. (FETC) is a local 501 ( c ) 3 non profit, PATH Intl. ( Professional Association for Therapeutic Horsemanship Intl.) operating center. We offer Equine assisted activities and Therapies (EAAT) and Equine Facilitated Learning (EFL) for children and adults with disabilities. Please visit our website for detailed information on who we are, what we do, and what you can do to help horses help people at : www.faithetc.org Phone Number: ________________________ From Savannah take Augusta rd which turns into hwy 21 to sylvania Hwy 21 From Statesboro take Hwy 301 turn right onto Hwy 21 to Airport Rd. Lost Creek Equine Center 1251 Airport Rd. Sylvania To Benefit IMPORTANT– YOUR ATHLETE MUST HAVE A CURRENT SOGA MEDICAL FORM TO PARTICAPATE IN THIS INVITATIONAL– ALL RULES OF THE SHOW ARE GOVERNED BY THE STANDARDS OF THE SPECIAL OLYMPICS GUIDEBOOK REVISED 2014. NO HORSES WILL BE ALLOWED WITHOUT CURRENT COGGINS WHICH WILL BE CHECKED AT ENTRY TO GROUNDS. Beg I Beg I-A Please check all events that apply to this rider: English Equitation: Horse Name Beg II Inter I Inter II Inter III Inter IV Beg I Beg I-A Beg II Beg I Beg I-A Adaptive Beg Trail: Horse Name Inter I Inter II Inter III Western Horsemanship: Horse Name Beg II Inter I Inter II Inter III N/A Showmanship: Horse Name Inter Adv Adv I Adv II Inter IV Adv I Adv II Inter IV Adv I Adv II *Additional Requests– On the additional requests line above please list any of the following that you would like to request... Faith Equestrian Therapeutic Center INC. Equine assisted activities and therapies program Horses helping people help people Stalls– 14 indoor (Shavings included), 2 outdoor $15 PER NIGHTRV hook ups - 4 hook ups available $20 per night - Wheelchair ramp Hotel- (recommended) /Sylvania Inn, 404 W. Ogeechee St, Sylvania, GA. 912-564-2490. Mention Lost Creek or Special Olympics for a 10% discount! Sponsor Information The Presenting Sponsor story: Lost Creek Equine Center is a privately owned riding and boarding facility, located in Sylvania Ga. We offer both western and English riding lessons instructed by Jeremiah Lucas, owner of Jeremiah Lucas Show Horses. LCEC offers 53 beautiful acres, 2 (200' × 110') riding arenas, round pen, wash rack, lockers, ample trails, and full/ pasture board. The humans can enjoy the riders lounge with fireplace, dish network, and free WiFi; or simply sit in the shade at one of the many picnic areas. RV / horse trailer hook-ups with H2O are available for overnight stays. Together with Faith Equestrian Center, we are proud to be the hosting venue for the 2014 Special Olympic Invitational. RETURN YOUR FILLED OUT REGISTRATION FORM WITH APPLICABLE FEES FOR RVS and/or STALLS by April 17TH. To: Attention Bonnie Rachael / CEO/FETC 243 Appaloosa Way Guyton, GA. 31312 Make checks payable to:
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