Please list each person in your party attending the Convention - NOTE Fees are $25 for Membership Meeting, Lunch & Education Session

  NAME* Phone/Cell Email* *Address
(Street, City, State, ZIP, Country)
*Convention Participation ATA Member?
1 /
2 /
3 /
4 /
5 /
6 /

FULL REGISTRATION includes the award banquet and any other dinners; all educational sessions; and all horse events. Earlybird rate of $TBD is effective through October 5, 2020. After that, full conference registration fees are $TBD.

REFUND POLICY: If cancellation is submitted before October 5, 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.

*Payment: (Note: There is a $5 service charge for credit card payments)

   I want to pay by credit card - Please Invoice Me

   I will call my credit card into the ATA office: (386) 776-1269

   I will mail a check to the ATA office: 

Are you or anyone in your group planning to: (pick all that apply)

Attend clinic as auditor (TBD)

 

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 (will be available on site)

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