North West Area District
4-H Horse Show
Saturday, September 10, 2016 10:00 AM Sharp
Red River Riding Club Arena, South 1 mile on Hwy 75 from Breckenridge, MN
3076 Hwy 75, Breckenridge MN 56520
Food available on the grounds Pre-registration Required by Sept. 3, 2016
The 4-H Horse Project Member& Horse combination MUST have received a BLUE RIBBON at their County Fair 4-H Horse Show in any and all classes they are entering at the District Show.
Grade: Enter classes by the school grade you have completed (not the grade you are just entering this fall).
Trail: Only the top three riders from each age group in each county register for Trail classes.
Limit of: 1 horse for games & 1 horse for performance (Whatever your county allows). Can only ride one Western Horsemanship and one Western Pleasure
Entry Fees: $3.00 per class PLUS $3.00 per exhibitor. No Fees will be refunded.
Awards: 1st – 6th Rosettes
1. Halter Showmanship – Grades 3, 4, 5
2. Halter Showmanship – Grades 6, 7, 8
3. Halter Showmanship – Grades 9 & over
4. Western Horsemanship – Pony
5. Western Horsemanship – Grades 3, 4, 5
6. Western Horsemanship – Grades 6, 7, 8
7. Western Horsemanship – Grades 9 & over
8. Western Pleasure – Pony
9. Western Pleasure – Grades 3, 4, 5
10. Western Pleasure – Grades 6, 7, 8
11. Western Pleasure – Grades 9 & over
12. Trail – Grades 3, 4, 5
13. Trail – Grades 6, 7, 8
14. Trail – Grades 9 & over
15. English Equitation – Grades 3, 4, 5
16. English Equitation – Grades 6, 7, 8
17. English Equitation – Grades 9 & over
18. English Pleasure – Grades 3, 4, 5
19. English Pleasure – Grades 6, 7, 8
20. English Pleasure – Grades 9 & over
21. Pole Weaving – Grades 3, 4, 5
22. Pole Weaving – Grades 6, 7, 8
23. Pole Weaving – Grades 9 & over
24. Key Race – Grades 3, 4, 5
25. Key Race – Grades 6, 7, 8
26. Key Race – Grades 9 & over
27. Jumping Figure 8 – Grades 3, 4, 5
28. Jumping Figure 8 – Grades 6, 7, 8
29. Jumping Figure 8 – Grades 9 & over
30. Barrels – Grades 3, 4, 5
31. Barrels – Grades 6, 7, 8
32. Barrels – Grades 9 & over
Questions? Contact Josh Tjosaas – 320-583-5056 –
Pre-Registration Form
MN Central Area District 4-H Horse Show
Red River Riding Club Arena
Breckenridge MN 56520
Entry Fee: $3.00 per class & $3.00 per exhibitor
Name:________________________________________ Grade: ___________________________________
Horses Name - Performance: __________________Horses Name - Games: ________________________
Phone Number:___________________________ Email:____________________________________________
Circle each class to be entered into:
1. Halter Showmanship – Grades 3, 4, 5
2. Halter Showmanship – Grades 6, 7, 8
3. Halter Showmanship – Grades 9 & over
4. Western Horsemanship – Pony
5. Western Horsemanship – Grades 3, 4, 5
6. Western Horsemanship – Grades 6, 7, 8
7. Western Horsemanship – Grades 9 & over
8. Western Pleasure – Pony
9. Western Pleasure – Grades 3, 4, 5
10. Western Pleasure – Grades 6, 7, 8
11. Western Pleasure – Grades 9 & over
12. Trail – Grades 3, 4, 5
13. Trail – Grades 6, 7, 8
14. Trail – Grades 9 & over
15. English Equitation – Grades 3, 4, 5
16. English Equitation – Grades 6, 7, 8
17. English Equitation – Grades 9 & over
18. English Pleasure – Grades 3, 4, 5
19. English Pleasure – Grades 6, 7, 8
20. English Pleasure – Grades 9 & over
21. Pole Weaving – Grades 3, 4, 5
22. Pole Weaving – Grades 6, 7, 8
23. Pole Weaving – Grades 9 & over
24. Key Race – Grades 3, 4, 5
25. Key Race – Grades 6, 7, 8
26. Key Race – Grades 9 & over
27. Jumping Figure 8 – Grades 3, 4, 5
28. Jumping Figure 8 – Grades 6, 7, 8
29. Jumping Figure 8 – Grades 9 & over
30. Barrels – Grades 3, 4, 5
31. Barrels – Grades 6, 7, 8
32. Barrels – Grades 9 & over
Total Classes entered ___________ x $3.00 = ________________
Exhibitor fee = $3.00
Total Fee included = _______________
I hereby certify that _________________________________ is covered by the 4-H insurance specifically for horse activities through ___________________________________, Policy # ____________________________. I also certify that the 4-H member and horses received a blue ribbon at our 2016 county 4-H Horse show in the classes entered above.
Signature of County Extension Educator _____________________ Date _________
In consideration of permission to participate in the Central Area District 4-H Horse Show, I hereby release the University of Minnesota Extension Service, Wilkin County 4-H, the Show Committee, Show Sponsors, Show Representatives, Wilkin County, the Red River Riding Club and assigns from any responsibility and liability for any damages or injuries to me, caused by me, or my animal (s).
Parent or Guardian Signature____________________________________________________________ _____________________ Date _________________________________
Pre-Registration and payment must be received by September 3, 2016 (Checks payable to Wilkin County 4-H Horse Project
Mail to: Josh Tjosaas
1357 160th St
Wolverton, MN 56594