Nebraska 4-H Foundation

Trail Ride Registration

2009 4-H Foundation Trail Ride Benefit - REGISTRATION FORM
Please complete all information applicable to your registration

YES! I/we will participate in the 2009 Nebraska 4-H Foundation Trail Ride to support the Nebraska 4-H Program.

*Name: *Mailing Address: *City, State, Zip Code: *Phone Number: *Email Address

Please sign me up for:

Trail Rides: Individual Rider @ $50.00 per person if submitted before September 25 (includes four trail rides, Saturday night dinner and Sunday Breakfast). Registrations submitted after September 25 are $65.00 per person and subject to availability.

Adults: First and Last Name(s):
Youth: First & Last Name(s) and Age(s):

Wagon riding: Non-Riding Participant @ $50.00 per person (Includes wagon rides and Saturday night dinner and Sunday Breakfast) Horse-drawn wagons provided on site.

First and Last Name(s):

Saturday Night ONLY - Steak Fry, Charity Auction & Entertainment @ $15.00 per person

First & Last Name(s) of Steak Fry only attendees:

Lodging at the State 4-H Camp:

Friday with bedding @ 26.00 per person

Friday without bedding @ 16.00 per person

How many Males? How many Females? How many at $26 each? How many @ $16 each?

Lodging at the State 4-H Camp:

Saturday with bedding at $26 per person

Saturday without bedding at $16 per person

How many males? How many females? How many @ $26 each? How many @ $16 each?

Extras:
        Saturday lunch @ $7 per person (not included in registration fee)
         Sunday lunch @ $7 per person (not included in registration fee)
         Make your own Horse Craft item (set of hobbles) @ $10 per person (6:30 p.m. Saturday)

Saturday lunch number @ $7 each? Sunday lunch number @ $7 each? Horse Craft number @ $10 each? NEW to 2009 Trail Ride -- T-shirts with Trail Ride logo

T-shirts with the Trail Ride logo are available for $10 each
in 5 sizes -- M, L, XL, 2XL, and 3XL. Please indicate
what size(s) you need and take the total number times $10.

T-shirt size(s) needed. Add $10 for each t-shirt. Options for Non-Riders -- You Are Welcome, too
*Payment Method
Bill Me
VISA
MasterCard
Discover
Name on Card Card Number Card Expiration Date (Mo/Year)

Thank you for your registration! Please note that since this is a charitable event, there will be no refunds.

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