4066 Pea Ridge Road
Mill Spring, NC 28756
Please complete one form for each person in your party attending the Convention
FULL REGISTRATION includes Audit ticket for the Andreas Dibowski clinic (1st clinic begins Oct 31, 2nd on Nov 1st); Welcome Reception on Thursday evening; Awards Banquet on Friday evening; BBQ dinner on Saturday evening with entertainment and the annual Trakehner Gala and jumping competition; all educational sessions; all horse events
REFUND POLICY: If cancellation is submitted before Oct 18th, a refund minus $25 administrative fee will be made.
No refund after that date but requests may be considered on a case-by-case basis for exceptional circumstances.
*Please select one option below for the above-named person:
Full Registration: $200 if submitted and payment received NLT October 3rd
Late Registration: $250 if submitted or received after October 3rd
Full Jr/Youth Registration: $75 for Jr/Youth Member
Partial Registration: I can only attend some events.
(If you check this box, you will be contacted for information and costs; deadlines as noted above still apply.)
*Payment: (Note: There is a $5 service charge for credit card payments)
I want to pay by credit card - Please Invoice Me
I want to use the payment type I have on file with the ATA office and authorize its charge today
I will mail a check to the ATA office: 663 Hopewell Drive, Heath OH 43056 Phone: 740-344-1111 - (must arrive by Oct 3rd or $50 penalty)
*Is the Registrant currently an ATA Member?
Is this the Registrant's first ATA Convention?
If you have previously attended an ATA Convention, please tell us when you last attended:
Are you planning to: (pick all that apply)
PLEASE PRINT THIS FORM FOR YOUR RECORDS PRIOR TO SUBMITTING YOUR ONLINE APPLICATION AND PAYING THE FEE. YOU WILL RECEIVE AN EMAIL CONFIRMATION AT THE EMAIL ADDRESS ENTERED ABOVE
IF YOU ARE BRINGING HORSES OR PLAN TO AUDIT OR VOLUNTEER IN THE BARNS, YOU MUST COMPLETE THE ATA WAIVER FORM
it will bring information up for you to review on the next page and ask you to Confirm and Submit
- NOTE: YOU MUST HIT SUBMIT on next page to complete registration