Registration Step 1 of 3

Please complete the form below to tell us more about you and your horse:

Which Immersion 2026 Session are you signing up for?

About You

Full Name *

Address *

City *

State *

Postal code *

Email *

Phone *

For Minors Under 18 Years of Age

Minors under 18 MUST wear a helmet.

Name of Parent(s) or Guardian

Participant Birth Date

About Your Horse

Your Horse's Name *

Your Horse's Breed

Age

Sex *

Mare

Gelding

Stallion

Owner Name and Phone Number *

Vet Name and Phone Number *

Allergy/Medical Conditions

If possible, please submit your horse's negative coggins and vaccine record:

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Emergency Contacts

Emergency Contact Name and Relationship #1 *

Emergency Contact Cell #1 *

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