The road to glory    

                          November 3 - 5, 2006

                Amarillo Cowboy Church Indoor Arena     

                                       Cost $175.00 for the weekend 

         For more information Contact: Lynn at 806-290-5352 email:

Name__________________________________________________ Phone_________________________

Address ______________________________________ e-mail address____________________________

City____________________________________ State __________________Zip____________

If under 18: _________________________________________ has my permission to attend the Lynn McKenzie Road To Glory

Parents signature ____________________________________________________________

American Express / Discovery

Visa or M/C number ________________________________________(3% added convenience fee)

Exp. Date ____________Name on account _________________________________________

Mailing Address for Credit Card


Every effort will be made to insure the safety of each student and their horse(s). I hereby release Lynn & Murray McKenzie, Lanette & Shane Pritchard, the Lynn McKenzie & Tanner Time Lab or Clinic, the Amarillo Cowboy Church & the Arena of Life and any of the sponsors or helpers from liability in case of accident.

____________________________________                 ______________________________________

SIGNATURE Student or (PARENT IF MINOR)                                                                     Notary

Mail check and entry form to Lynn McKenzie, P. O. Box 7573, Amarillo, TX 79114