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 remitance 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
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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
10
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28
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30
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Year
2008
2009
2010
2011
2012
USEF Rating
*
A Rated
B Rated
C Rated
AA Rated
Not Rated
Name of Show
*
Show Location
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City
State
Pennsylvania
Ohio
West Virginia
New York
Kentucky
Virginia
Horse Show Manager
*
Horse Show Contact
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Address
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City
*
State
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Pennsylvania
Ohio
West Virginia
New York
Kentucky
Virginia
ZIP Code
*
Phone Number
*
(
)
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FAX Number
(
)
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E-Mail Address
*
Name of Judge(s)
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Divisions Offered
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Pre Green Hunter
Junior Hunter
Amateur Owner Jumper
Green Working Hunter
Childrens Pony
Hunter Breeding
Regular Working Hunter
Childrens Hunter Pony
Yearling Breeding
Amateur Owner Hunter
Pony Hunter
2 year old Breeding
Adult Amateur Hunter
Horsemanship 14-17
3 year old Breeding
Low Amateur Hunter
Junior Jumper
Very Green Hunter
WPaPHA Adult Rider
Childrens Jumper
Walk Trot
Beginner Rider
Training Jumper
Open Jumper
Intermediate Rider
Level 5-6 Jumper
Short Stirrup Hunter
Adult Jumper
Equitation Classes
*
USA Eq Hunter Seat Medal
Ariat National Medal
ASPCA Horsemanship Class
Show Circuit Magazine National
USA Eq Pony Equitation
USA Eq Adult Equitation
USA Eq Equitation Class
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