2017 Tournament Registration Eastern Zone Championships 2017 Eastern Zone Championships 2017 Close EASTERN ZONE CHAMPIONSHIPS 2017 Event InformationEastern Zone Championships 2017 will be at the Pinehurst Harness Track in Pinehurst, NC from September 30th to October 1st. Entries will close September 20th. There will be a late fee of $20 starting September 19th. Arrivals may begin at noon on Friday, September 29th.Your Information* ALL asterisked fields must be completed for the entry to be accepted.Membership: the APA requirement for Regional Championships is that all players must be current full APA members, not day members. If you are not a current member, please sign up online.Preferred Division*A Grade ($120)B Grade ($120)C Grade ($120)D Grade ($120)E Grade ($120)Masters ($120)Adult Women ($120)Are you an international player?*YesNoAPA Club:*No Club AffiliationAbajoAlamoAPAAuburnBay AreaBig SkyBucks CountyCamp StewartCarolinaCharlie HorseConroeCountry ClubDartmouthDixieDurangoFlamin' HotGood TimesGrand BayHabanerosHappy ValleyHeart of DixieHeartlandHill CountryHoustonIowa RiotKentuckyKirby HillKokopelliLone StarMemphis AreaMichigan Cherry BombersMiddle MississippiMinnesota ExtremeNorth CascadesNorth TexasNorthern LightsOrange CountyPeak PolocrossePit CrewPortlandPromised LandRocky MountainRocky TopSandie CreekSnowmassSouthforkSpring ValleyStay-To-PlaySugarloaf MountainSundanceSunshineSusitna SwingersTahomaTennessee ValleyThe Horse LotTimber Ridge FarmWaldemarWarwick ValleyWill you be Camping or Shipping In Daily?*Horses shipping in need to pay a $10 shipping in fee. There is no fee for camping, and there are no hook ups.CampingShipping InFirst Name:*Middle Initial:Last Name:*Address:*City:*State:*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyomingZip*Phone*Email* Team InformationTeam Name:Player #1 Name (Please indicate team captain with a *)Player #2 NamePlayer #3 NamePlease indicate section captain with a **Player #1 Name (Please indicate section captain with a *)2. Player #23. Player #3Do you:I need a teamI need a player to fill out a teamneitherHorse InformationPlease list the horses you are bringing. Coggins papers need to be mailed to Deb Zito, dycharliehorse@yahoo.com Playing Horse Name (same as on Coggins)*Extra Horses Names (same as on Coggins). Please include umpire horses* and spare playing horses.1.2.4.5.6.*Umpire Horses:This sport cannot be played without umpire horses. Each team is required to supply an umpire horse that is fit for the grade game that you are registered for.StablingStall Fee is $50 per weekend per horse and is not required. ALL BARNS stalls must be stripped before leaving. Shavings are NOT included. NO ELECTRIC PENNING.How many stalls would you like to request? ($50/weekend) Price: $50.00 Quantity: Number of horses I am stablingShavingsPenning is not available for this event. Shavings Bags are available at a cost of $6 per bag.How many shavings bags would you like ($6 ea.) Price: $6.00 Quantity: Paddock Fees Paddocks: This event has an additional optional fee for paddocks. - $60/weekend- paddocks will be assigned first come first served with paid entry. These are done by club. Contact Sarah Desai at 336.254.1477. Paddock fee ($60)Please include this fee for my club.Dinner InformationSaturday night dinner is included for players and is not refundable in your entry fee. Please confirm that you DO want your Saturday dinner by indicating below and indicate the number of extras you would like to reserve. This information is needed to get a head count for the caterer.Do you want your included Saturday Night Dinner?*YesNoWould you like extra Saturday night dinners ($25 ea.)? Price: $25.00 Quantity: Late fee starts September 19th.* Price: $20.00 Quantity: SummaryTotal $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name