Missouri Equine Council

Ride Missouri Log Sheet
 
Name:
Street:
City, St Zip:
Email:
Phone:

Note:  You must be a Member of MEC AND be Enrolled in the Ride Missouri Program. 
Enrollment is a one-time fee.  Fill in, print and mail completed form to:

Lori Burroughs, 1246 Sand Run Road, Troy, MO 63379
       
Date

Location of Ride

 Equine's Name

Hours

 

Total Hours Logged This Sheet   

I, the undersigned, do hereby testify that the above information is truthful and correct.


_____________________________________________________________________

Member Signature

Office Use:  Total Official Hours to Date:

 50 Hours100 Hours200 Hours250 Hours500 Hours
1,000 Hours 1,500 Hours