TXPA Pink Out for Breast Cancer Open Playday Oct 12

Name
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Date of Birth*
MM slash DD slash YYYY
Phone*
Email*
Enter Email Confirm Email
Gender*
Entry Information
TXPA Go Gold for Cancer
Choose Your Level for 1st Horse*
If have 2nd Horse
If have 3rd Horse
Is this the 1st TXPA Playday you have competed in this yr?*
Hidden
Do you want to Nominate for Awards?
Entry Fees
$0.00
Convenience Fee (Non refundable)
$0.00
Total
$0.00
Disclaimer*
DISCLAIMER: By checking "I Agree" below, I affirm that I willingly entered this equestrian event, have read the equine liability act and will abide by the rules of the TXPA, including any "work" rules. I release the TXPA, arena host/owner and all assigns of any liability of injury, death or property damage pursuant to myself and/or my children(s) participation at this arena on this date. I have also read and agree with the Equivent purchasing policy.
- I agree to the Terms of Service
Credit Card*

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MasterCard
Visa
Supported Credit Cards: Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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