IRON OAK        COMPETITIVE CLINIC, NOVICE DRIVE, NOVICE RIDE AND COMPETITIVE RIDE

25-mile Competitive Ride, 12 mile Novice Ride, 6 and 12 mile Drives  
Saturday, April 23^th, 2005
 
Pre Registration Form:

Name ___________________________________________________                                                      

Address _________________________________________________

City ___________________________ State ______ Zip __________

Phone: ___________________________ 
email:____________________________

Horse’s name, if applicable:______________________________________________________

Audit and Lunch (no ride/drive)                                    $15     ________ Clinic,Lunch,Ride/Drive                                                $40     ________       Clinic, Lunch, Ride/Drive with new membership          $35     ________

Choose one

             Membership – Individual ($15) Family ($20)                 ________
                        Trailer Fee - if competing                    $5         ________
                        Outdoor Stall Fee - optional                $5         ________
                        Late Registration fee                           $5         ________
                        after April 18, 2005
                                                      Total Payment due             ________  

Competitive Riders (25 Miles) can register day of event - $40 plus required $5 Trailer fee

Clinic Participants need to bring their own chair.  Clinic is held in covered arena.

Make check to MDDA and return to 
Wes Licht, 2964 Hwy AB, McFarland, WI 53558

Map to Richard Loeb’s farm, N 2346 County Rd J, Lodi, WI