LITTLE MISS OUTRIDER REGISTRATION

Please fill out a separate form for each registrant

* Required Field

	*First name of participant:
	*Last name of participant:
	*First name of guardian:
	*Last name of guardian:
	*Age:
	*T-shirt size:
	*Has your daughter participated before?:	Yes No
	*Phone number:
	*Email:
	*Confirm email:
	*Address:
	*City:
	*Postal code:
	Province:	Alberta
	If you would like to purchase additional tickets in the section, please indicate how many: