WISCONSIN PAINT HORSE CLUB

OPEN SHOW PROGRAM ENROLLMENT FORM

       
DATE:        

NAME:        

ADDRESS:        

TELEPHONE:     EMAIL:  

HORSE NAME:      (Copy of papers required)

       

DIVISIONS:  (Circle your choices)

       
1A YOUTH HALTER/SHOWMANSHIP 1B ADULT HALTER/SHOWMANSHIP
       
2A YOUTH WESTERN PLEASURE 2A ADULT WESTERN PLEASURE
       
3A YOUTH HUNT SEAT PERFORMANCE 3B ADULT HUNT SEAT PERFORMANCE
       
4A YOUTH SPEED 4B ADULT SPEED
       
5A YOUTH DRESSAGE 5B ADULT DRESSAGE
       
6A TINY TOT  6B JUMPING
       
       
    # OF DIVISIONS CHOSEN:

    X $20.00 per Division:

  Total Due:  

Are you a member of WPHC? If not, include the

membership form and fee with your completed
enrollment form.

         

MAIL THIS FORM TO:   Jennifer Disch  

    N5440 Center Road
    Monroe, WI  53566  
         
       
THANKS FOR YOUR INTEREST IN THIS PROGRAM!