PLEASE FILL OUT THIS FORM THOROUGHLY AND COMPLETELY - THANK YOU!
HORSE INFORMATION
*Trak ?
Select Sex of Horse*
Clinic Inspection Gala or Other
Stalls are $50 per day or $200 for the week. Tack stalls are available at the same price.
IF YOU WISH THIS HORSE TO BE STALLED NEXT TO OR NEAR ANOTHER HORSE, PLEASE INDICATE BELOW:
Stabling Group: Horse Owner / Horse Name:
Tell us anything else you need us to know to safely stable your horses:
If you need a RV Hookup - please contact Dr Pat Luttgen: patricialuttgen@gmail.com or 303-880-3773
OWNER/AGENT INFORMATION
Phone:
Email:
Street:
City:
State/Province/Zip:
PAYMENT: 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 or I will call in a credit card - Phone: (386) 776-1269
I will mail a check to the ATA office:
Note: The ATA office must be in receipt of payment for stalls no later than ?
DON’T FORGET YOU WILL NEED TO PROVIDE A CURRENT COGGINS TEST AND VETERINARY HEALTH CERTIFICATE ON ARRIVAL
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