Registration form - Faith Equestrian Therapeutic Center

Faith Equestrian
Therapeutic Center
243 Appaloosa Way
Guyton GA. 31312
Phone: 912-655-1480
Faith Equestrian
DATE:
TIME:
PLACE:
Saturday, May 9, 2015
10am to 4pm
Lost Creek Equine Center
Sylvania, GA.
INFO: 912-728-3728 / 912-655-1480
Second annual
2015
Registration form
DON’T MISS OUT on a
chance to ...
Lost Creek Equine Center
to Benefit

Be inspired

Be part of the team

Be a part of helping others

Caring and giving hope
Be a Fan!!
Faith Equestrian Therapeutic
Center Inc. and the Special
Olympics of GA are hosting a
sanctioned invitational horse
show for children and adults with
intellectual challenges.
If you have athletes who wish to
participate, please fill out this
registration form and return to
Faith Equestrian Therapeutic
Center by April 15th 2014.
The Special Olympics Pledge “Let me win, but if I cannot win, let
me be brave in the attempt”
WWW.FAITHETC..ORG
This show dedicated to the memory
of Danielle Collins
Loved and missed dearly
GEORGIA HORSE SHOW INDIVIDUAL ENTRY FORM
Directions to show and camp
grounds
MAY 9, 2015
RAIN DATE: SUNDAY 10TH
Athlete Name: ______________________________________________ D.O.B._______________
Area: ____Gender:__________
For more directions
Contact Deb or Mary at:
912-857-5935
Lost Creek Equine Center
Sylvania GA.
1251 Airport Road
Horse Name: _________________________ Delegation: ___________________________________________________
SOGA Certified Equestrian Coach: ______________________________________________________________________
Email: ______________________________________________________________
Airport
“Let me win, but if I cannot win, let me be
brave in the attempt”
ABOUT FAITH EQUESTRIAN THERAPEUTIC
CENTER INC. (FETC) is a local 501 ( c ) 3 non profit,
PATH Intl. ( Professional Association for Therapeutic
Horsemanship Intl.) operating center. We offer Equine
assisted activities and Therapies (EAAT) and Equine
Facilitated Learning (EFL) for children and adults with
disabilities. Please visit our website for detailed information on who we are, what we do, and what you can
do to help horses help people at : www.faithetc.org
Phone Number: ________________________
From Savannah take
Augusta rd which
turns into hwy 21 to
sylvania
Hwy 21
From Statesboro
take Hwy 301 turn
right onto Hwy 21 to
Airport Rd.
Lost Creek Equine Center
1251 Airport Rd. Sylvania
To Benefit
IMPORTANT– YOUR ATHLETE MUST HAVE A CURRENT SOGA MEDICAL FORM TO PARTICAPATE IN THIS INVITATIONAL– ALL RULES OF THE SHOW ARE GOVERNED BY THE STANDARDS OF THE SPECIAL OLYMPICS
GUIDEBOOK REVISED 2014. NO HORSES WILL BE ALLOWED WITHOUT CURRENT COGGINS WHICH WILL BE
CHECKED AT ENTRY TO GROUNDS.
Beg I
Beg I-A
Please check all events that apply to this rider:
English Equitation: Horse Name
Beg II
Inter I
Inter II
Inter III
Inter IV
Beg I
Beg I-A
Beg II
Beg I
Beg I-A
Adaptive
Beg
Trail: Horse Name
Inter I
Inter II
Inter III
Western Horsemanship: Horse Name
Beg II
Inter I
Inter II
Inter III
N/A
Showmanship: Horse Name
Inter
Adv
Adv I
Adv II
Inter IV
Adv I
Adv II
Inter IV
Adv I
Adv II
*Additional Requests– On the additional requests line above please list any of the following that you would like to request...
Faith Equestrian Therapeutic Center INC.
Equine assisted activities and therapies program
Horses helping people help people
Stalls– 14 indoor (Shavings included), 2 outdoor $15 PER NIGHTRV hook ups - 4 hook ups available $20 per night - Wheelchair ramp
Hotel- (recommended) /Sylvania Inn, 404 W. Ogeechee St, Sylvania, GA.
912-564-2490. Mention Lost Creek or Special Olympics for a 10% discount!
Sponsor Information
The Presenting Sponsor story:
Lost Creek Equine Center is a privately owned riding
and boarding facility, located in Sylvania Ga. We offer
both western and English riding lessons instructed by
Jeremiah Lucas, owner of Jeremiah Lucas Show
Horses.
LCEC offers 53 beautiful acres, 2 (200' × 110')
riding arenas, round pen, wash rack, lockers, ample
trails, and full/ pasture board. The humans can enjoy the
riders lounge with fireplace, dish network, and free WiFi;
or simply sit in the shade at one of the many picnic areas. RV / horse trailer hook-ups with H2O are available
for overnight stays.
Together with Faith Equestrian Center, we are
proud to be the hosting venue for the 2014 Special
Olympic Invitational.
RETURN YOUR FILLED OUT REGISTRATION FORM
WITH APPLICABLE FEES FOR RVS and/or STALLS by
April 17TH.
To: Attention Bonnie Rachael / CEO/FETC
243 Appaloosa Way Guyton, GA. 31312
Make checks payable to: