W.Pa.P.H.A. SHOW APPLICATION

DATE OF HORSE SHOW:____________________________________

USA EQ RATING :__________________________________________

NAME OF HORSE SHOW:____________________________________

LOCATION (City, State) :_____________________________________

HORSE SHOW MANAGER:___________________________________

HORSE SHOW CONTACT :___________________________________

ADDRESS :________________________________________________

__________________________________________________________

PHONE # :_________________________________________________

FAX #: ____________________________________________________

E-MAIL: ___________________________________________________

NAME OF JUDGE :__________________________________________
              *NOTE: WPaPHA Shows must have a USA Equestrian recorded Judge (small "r")

DIVISIONS OFFERED: Please check.

[ ] Pre Green Hunter   [ ] Junior Hunter [ ] Amateur Owner Jumper
[ ] Green Working Hunter [ ] Children’s Hunter [ ] Hunter Breeding
[ ] Regular Working Hunter [ ] Children’s 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 [ ] Children’s Jumper [ ] Walk Trot
[ ] Beginner Rider [ ] Training Jumper [ ] Open Jumper
[ ] Intermediate Rider [ ] Level 5-6 Jumper
[ ] Short Stirrup Hunter [ ] Adult Jumper

EQUITATION CLASSES: Please check.

[ ] 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

Application required 45 days prior to show. Horse show dues of $50.00 are payable 30 days prior to show date. Check and application should be sent to:

W.Pa.P.H.A.
C/O Pat Sanders
243 Ash Court
Wexford, PA 15090
724.934.3316 or e-mail: pks@zbzoom.net

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