Office Use Only: Entry Number:__________________ Coggins Verified: ________________
	HOWARD COUNTY FAIR 4-H HORSE AND PONY ENTRY SENIOR - Ages 14 to 18 DUE: JULY 1 with A Current Copy of Coggins
		Name: ____________________________________________________________________________ Address: __________________________________________________________________________ Home Telephone Number: _______________________    Cell Number: _____________________ Age (as of January 1): ___________________   4-H Club: _______________________________ Parents Names: ____________________________________________________________________ Entry Number (located on your Fair pass):  _________________  Horse/Pony Name: ________________________________________________________________                    Coggins Number__________________
			Choose up to 6 English Performance Classes and 3 Western or 6 Western and 3 English from the classes listed below (see class descriptions in the Fair book)
				____19. Senior Equitation Walk/Trot/Canter ____20. Senior Equitation Over Fences (2'6") ____33. Senior Pleasure Under Saddle ____34. Senior Pleasure Over Fences (2'3") ____35. Senior Pleasure Command ____43. Senior Hunter Under Saddle ____44. Senior Hunter Over Fences (2'6") ____45. Senior Handy Hunter (2'6") ____62. Western Horsemanship Walk/Jog ____63. Western Horsemanship Walk/Jog/Lope ____64. Western Stock Seat Equitation ____67. Western Pleasure Walk/Jog ____68. Western Pleasure Walk/Jog/Lope ____69. Western Command The following classes may also be entered in addition to your above selection. Showmanship: Choose one ____5. Showmanship - First year of showing in Showmanship ____8. Senior Showmanship Trail: Choose one ____61. Senior Trail Pairs: Choose one ____72/73. Pairs Walk/Trot ____74/75. Pairs Walk/Trot/Canter INSPECTION is mandatory for ALL exhibitors. Times will be assigned for all registrants. Inspection points will be used as the final tie breaker in all divisions and for Grand Champion. Choose one ____1. First Year Inspection ____4. Senior Inspection PARENT SIGNATURE (if rider under 18): __________________________  Date: ________________ RIDER SIGNATURE (18 or older): ________________________________  Date: ________________