Miscellaneous Forms (Farm Releases, Chaperone Form)

Bittersweet Farm
Misty Morning Farm
Racine County Pony Club Equestrian Center
Chaperone Form (for rallies, NOT for camp, use camp chaperone form in Camp Book)

Lake Shore Region Junior Judge Application

Interested in helping judge Horse Management at Lake Shore Region rallies?  Then this program is for you!  Fill out the above form and send to Heather K.  She'll be in touch with you with the details of each rally and the program.

Lake Shore Region INTENT TO TEST (revised & updated 9/26/13) Form

This form must be filled out by all Upper Level Testing candidates looking to test next year.  It needs to be submitted to the RS by October 15th, the year prior to the year you wish to test.  This includes HB, C3/C+, B, H-HM/H/HA, and A candidates.

***For 2013 tests, the deadline for this form is October 15, 2012.***

Questions or comments?  Please contact Marlie N., LSR RIC-it.  Please ask your DC for contact information.

Lake Shore Region INTENT TO QUALIFY Form

Lake Shore Region Concussion Information & Forms

WI Concussion Act
Explanation of WI Concussion Act
LSR Concussion Fact Sheet
LSR Concussion Parent-Athlete Acknowledgement Form (new in 2013: all riders must have a copy of this form on file for the year with LSR and their club in order to participate in mounted activities)
YouTube video on concussions

Lake Shore Region Certification Feedback Forms

Lake Shore Region is attempting to improve our certification process by providing constructive, helpful feedback to our examiners and clubs regarding the testing process. Please use the forms below to provide thoughtful comments regarding today’s certification process.

Examiner Feedback Form for Testings

Club Feedback Form for Testings

Festival 2017

Beyond the Rally: What’s Next for Older and
Upper Level Members?​