Declaration Form - Alberta Annual Classic

It is understood that to qualify for the Alberta Annual Classic show, a member must compete in a minimum of 3 CTCPA sanctioned shows during 2011. These shows may have been in their local CTCPA association or other sanctioned associations as long as the "qualifying minimum" number of shows has been achieved. Membership in all CTCPA sanctioned associations where the individual has competed will be required. All members MUST be a member in good standing at their local association and with the CTCPA in order to compete in the 2011 Alberta Annual Classic Team Penning competition.

NOTE: Declarations must be received by the payment deadline of October 7, 2011 at 6:00 pm (MST)

Rider Name:

Address:

City:

Provice/State

Postal Code:

Zip Code (USA Only):

Phone:

Cell:

E-mail:

Fax:

Please select how you would like to receive your invoice:

E-mail Postal Mail Fax

	2011 Show Location	2011 Show Date	Host Association
Show #1
Show #2
Show #3

NOTE: You will be invoiced for all stalls requested below. That means if 4 people are sharing a tack, only 1 person should submit a tack stall request.

No Stalls Required
Number of Horse Stalls Required (inside):
Number of Horse Stalls Required (outside):
Number of Tack Stalls Required:

Please indicate with whom you are sharing a tack stall
(minimum 4 people to a tack stall):

1.	2.
3.	4.
5.	6.
7.	8.
9.	10.

Please indicate if you would like to stable near other specific competitors:

1.	2.
3.	4.
5.

Please enter the text in the image.
The text is case sensitive.