Winter Weekend 2026 Registration
This form will accommodate up to 10 Youth registrations and 2 Adult Registrations.
Club/Center Name
*
Please Select
Bath Pony Club
Brush Run Pony Club
Harts Run Hunt Pony Club
Hunters Run Pony Club
Lost Hounds Pony Club
Rolling Rock Hunt Pony Club
Guest
Club/Center Name
If you are a guest, please list the name of the person who invited you.
Name of person submitting registration
*
Email of person submitting registration
*
example@example.com
Additional E-Mail for Receipt
example@example.com
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Attendee 1 Name
*
Attendee 1 Age
*
Attendee 1 HM Certification as of Jan. 1
*
Please Select
Unrated or Guest
D1
D2
D3
C1
C2
C3
H-B
H-HM
H
H-A
HM Certification
Attendee 1 Vegetarian Diet Restriction
Yes
Attendee 1 Gluten-Free Diet Restriction
Yes
Attendee 1 Parent Name
*
Attendee 1 Attendee E-Mail (parent if under age 15)
*
example@example.com
Attendee 1 Phone (parent if under age 15)
*
Format: (000) 000-0000.
Attendee 1 Chaperone (must be a registered, paying adult)
*
If attendee is an adult, list "self"
Are you registering another attendee?
*
Yes
No
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Attendee 2 Name
*
Attendee 2 Age
*
Attendee 2 HM Certification as of Jan. 1
*
Please Select
Unrated or Guest
D1
D2
D3
C1
C2
C3
H-B
H-HM
H
H-A
HM Certification
Attendee 2: Vegetarian
Yes
Attendee 2 Gluten-Free Diet Restriction
Yes
Attendee 2 Parent Name
*
Attendee 2 Attendee E-Mail (parent if under age 15)
*
example@example.com
Attendee 2 Phone (parent if under age 15)
*
Format: (000) 000-0000.
Attendee 2 Chaperone (must be a registered, paying adult)
*
If attendee is an adult, list "self"
Are you registering another attendee?
*
Yes
No
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Next
Save
Attendee 3 Name
*
Attendee 3 Age
*
Attendee 3 HM Certification as of Jan. 1
*
Please Select
Unrated or Guest
D1
D2
D3
C1
C2
C3
H-B
H-HM
H
H-A
HM Certification
Attendee 3: Vegetarian Diet Restriction
Yes
Attendee 3 Gluten-Free Diet Restriction
Yes
Attendee 3 Parent Name
*
Attendee 3 Attendee E-Mail (parent if under age 15)
*
example@example.com
Attendee 3 Phone (parent if under age 15)
*
Format: (000) 000-0000.
Attendee 3 Chaperone (must be a registered, paying adult)
*
If attendee is an adult, list "self"
Are you registering another attendee?
*
Yes
No
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Next
Save
Attendee 4 Name
*
Attendee 4 Age
*
Attendee 4 HM Certification as of Jan. 1
*
Please Select
Unrated or Guest
D1
D2
D3
C1
C2
C3
H-B
H-HM
H
H-A
HM Certification
Attendee 4: Vegetarian Diet Restriction
Yes
Attendee 4 Gluten-Free Diet Restriction
Yes
Attendee 4 Parent Name
*
Attendee 4 Attendee E-Mail (parent if under age 15)
*
example@example.com
Attendee 4 Phone (parent if under age 15)
*
Format: (000) 000-0000.
Attendee 4 Chaperone (must be a registered, paying adult)
*
If attendee is an adult, list "self"
Are you registering another attendee?
*
Yes
No
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Next
Save
Attendee 5 Name
*
Attendee 5 Age
*
Attendee 5 HM Certification as of Jan. 1
*
Please Select
Unrated or Guest
D1
D2
D3
C1
C2
C3
H-B
H-HM
H
H-A
HM Certification
Attendee 5: Vegetarian Diet Restriction
Yes
Attendee 5 Gluten-Free Diet Restriction
Yes
Attendee 5 Parent Name
*
Attendee 5 Attendee E-Mail (parent if under age 15)
*
example@example.com
Attendee 5 Phone (parent if under age 15)
*
Format: (000) 000-0000.
Attendee 5 Chaperone (must be a registered, paying adult)
*
If attendee is an adult, list "self"
Are you registering another attendee?
*
Yes
No
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Next
Save
Attendee 6 Name
*
Attendee 6 Age
*
Attendee 6 HM Certification as of Jan. 1
*
Please Select
Unrated or Guest
D1
D2
D3
C1
C2
C3
H-B
H-HM
H
H-A
HM Certification
Attendee 6: Vegetarian Diet Restriction
Yes
Attendee 6 Gluten-Free Diet Restriction
Yes
Attendee 6 Parent Name
*
Attendee 6 Attendee E-Mail (parent if under age 15)
*
example@example.com
Attendee 6 Phone (parent if under age 15)
*
Format: (000) 000-0000.
Attendee 6 Chaperone (must be a registered, paying adult)
*
If attendee is an adult, list "self"
Are you registering another attendee?
*
Yes
No
Back
Next
Save
Attendee 7 Name
*
Attendee 7 Age
*
Attendee 7 HM Certification as of Jan. 1
*
Please Select
Unrated or Guest
D1
D2
D3
C1
C2
C3
H-B
H-HM
H
H-A
HM Certification
Attendee 7: Vegetarian Diet Restriction
Yes
Attendee 7 Gluten-Free Diet Restriction
Yes
Attendee 7 Parent Name
*
Attendee 7 Parent Email
*
example@example.com
Attendee 7 Phone (parent if under age 15)
*
Format: (000) 000-0000.
Attendee 7 Chaperone (must be a registered, paying adult)
*
If attendee is an adult, list "self"
Are you registering another attendee?
*
Yes
No
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Next
Save
Attendee 8 Name
*
Attendee 8 Age
*
Attendee 8 HM Certification as of Jan. 1
*
Please Select
Unrated or Guest
D1
D2
D3
C1
C2
C3
H-B
H-HM
H
H-A
HM Certification
Attendee 8: Vegetarian Diet Restriction
Yes
Attendee 8 Gluten-Free Diet Restriction
Yes
Attendee 8 Parent Name
*
Attendee 8 Parent Email
*
example@example.com
Attendee 8 Phone (parent if under age 15)
*
Format: (000) 000-0000.
Attendee 8 Chaperone (must be a registered, paying adult)
*
If attendee is an adult, list "self"
Are you registering another attendee?
*
Yes
No
Back
Next
Save
Attendee 9 Name
*
Attendee 9 Age
*
Attendee 9 HM Certification as of Jan. 1
*
Please Select
Unrated or Guest
D1
D2
D3
C1
C2
C3
H-B
H-HM
H
H-A
HM Certification
Attendee 9: Vegetarian Diet Restriction
Yes
Attendee 9 Gluten-Free Diet Restriction
Yes
Attendee 9 Parent Name
*
Attendee 9 Parent Email
*
example@example.com
Attendee 9 Phone (parent if under age 15)
*
Format: (000) 000-0000.
Attendee 9 Chaperone (must be a registered, paying adult)
*
If attendee is an adult, list "self"
Are you registering another attendee?
*
Yes
No
Back
Next
Save
Attendee 10 Name
*
Attendee 10 Age
*
Attendee 10 HM Certification as of Jan. 1
*
Please Select
Unrated or Guest
D1
D2
D3
C1
C2
C3
H-B
H-HM
H
H-A
HM Certification
Attendee 10: Vegetarian Diet Restriction
Yes
Attendee 10 Gluten-Free Diet Restriction
Yes
Attendee 10 Parent Name
*
Attendee 10 Parent Email
*
example@example.com
Attendee 10 Phone (parent if under age 15)
*
Format: (000) 000-0000.
Attendee 10 Chaperone (must be a registered, paying adult)
*
If attendee is an adult, list "self"
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Save
Adult Registration
Includes lodging & all meals. One adult for every 6 attendees is required.
Adult 1 Name
Adult 1 Email
example@example.com
Adult 1 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Adult 1 Gluten-Free Diet Restriction
Yes
Adult 1: Vegetarian Diet Restriction
Yes
Are you registering another adult?
*
Yes
No
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Next
Save
Adult 2 Name
Adult 2 Email
example@example.com
Adult 2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Adult 2 Gluten-Free Diet Restriction
Yes
Adult 2: Vegetarian Diet Restriction
Yes
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Total Due
Please make sure to enter the number of each type of registration you are paying for. The form does not tally the total for you.
*
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( X )
Winter Weekend: Pony Club Member
$
110.00
Quantity
Item subtotal:
$
0.00
Adult Chaperone Registration
$
66.50
Quantity
Item subtotal:
$
0.00
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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