Directions:
1. Fill in the form below.
2. Click the 'Continue' button to proceed to the Summary page.
3. Print the Summary page by clicking the 'Print This Page' button.
4. Return the printout and remittance to the W.Pa.P.H.A.
APPLICATION AND HORSE SHOW DUES OF $50.00 MUST BE RECEIVED 30 DAYS PRIOR TO SHOW
*
indicates required fields
Date of Show
*
Start Date:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
02
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05
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Year
2008
2009
2010
2011
2012
End Date:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
02
03
04
05
06
07
08
09
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11
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23
24
25
26
27
28
29
30
31
Year
2008
2009
2010
2011
2012
Name of Show
*
Show Location
*
City
State
Pennsylvania
Ohio
West Virginia
New York
Kentucky
Virgina
Horse Show Manager
*
Horse Show Contact
*
Address
*
City
*
State
*
Pennsylvania
Ohio
West Virginia
New York
Kentucky
Virgina
ZIP Code
*
Phone Number
*
(
)
-
FAX Number
(
)
-
E-Mail Address
*
Size of Show Ring(s)
*
Footing Type
*
Size of Schooling Area(s)
*
Footing Type
*
Divisions Offered
*
A minimum of 5 divisions must be offered
Walk/Trot
Very Green Hunter
Intermediate
Beginner Rider
Low Adult Rider
Short Stirrup
Low Children's
Judge(s)
*
(minimum of one)
Name
Judges must have a USEF rating or WPaPHA Board Approval
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