PHA Intro Hunter/Jumper Shows & Entry

Please complete an entry for each Horse/Rider combination. If you have any questions regarding this form or about our shows please contact Emily at 954.461.6129.

Intro Hunter/Jumper Classes & Rules

Entry

Please complete the entry form below and submit your payment via our secure payment processor. NOTE:

You must be a PHA Member in order to compete. If you haven’t submitted your 2020/2021 Membership application and dues, click here.
Be sure to familiarize yourself with our COVID-19 Guidelines.
Intro Hunter/Jumper Show Office Fee is $25.

Show Date *

Horse's Name *

Rider's/Handler's Name *

First

Last

Age Category *

I am under 18 years of age
I am 18 years of age or over

D.O.B. *

Phone *

Parent/Guardian Phone *

Email *

Parent/Guardian Email *

Horse Owner's Name (if different than Rider/Handler)

First

Last

Trainer's Name (if applicable)

First

Last

Barn Affiliation (if applicable)

Show Fees *

Office Fee - $ 25.00

Hunter Divisions & Classes - please check choice(s):

100. Beginner Lead-Line (Walk) 101,102,103 - $ 40.00
200. Advanced Lead-Line (Walk/Trot Pole) 201,202,203 - $ 40.00
350. Walk-Trot Jump (1 Crossrail) 351,352,353 - $ 50.00
300. Crossrails (4 Crossrails) 301,302,303 - $ 50.00
400. Short Stirrup (18"-2') 401,402,403 - $ 50.00
500. Novice Hunter (2'-2'3) 501,502,503 - $ 50.00
600. Open Hunter (2'3-2'6) 601,602,603 - $ 50.00

Jumper Classes - please check choice(s):

700. Beginner Jumper (18”-2’ - Speed) 701,702 - $ 40.00
800. Novice Jumper (2’3-2’6 - Speed) 801,802 - $ 40.00
900. Open Jumper, (2'3-2'6 - P&S) 901,902 - $ 40.00

Total

$ 0.00

Participant/Applicant Agreement *

By checking this box, I hereby agree:

I have read and understand the Parkland Horseman’s Association (PHA) Rules & Regulations, including its COVID-19 Plan; PHA and/or the City of Parkland assumes no liability for the Participant/Applicant and his/her horse or personal property; Participant/Guardians/Owner shall not hold PHA and/or the City of Parkland liable for damages or injuries to person, personal property or livestock resulting from participation in any or all PHA sponsored event or activities.

Participant/Applicant Agreement *

By checking this box, I, Parent/Guardian, hereby agree:

Participant/Applicant Photo and/or Video Consent *

I consent to allow PHA to use photographs and or videos of me to advertise and highlight PHA activities on print and digital media, television, publications and advertising, providing such uses are not made so as to constitute a direct endorsement by me of any product or service.

Participant/Applicant Photo and/or Video Consent *

I, Parent/Guardian of Rider/Handler, consent to allow PHA to use photographs and or videos of my child to advertise and highlight PHA activities on print and digital media, television, publications and advertising, providing such uses are not made so as to constitute a direct endorsement by me of any product or service.

PHA Intro Hunter/Jumper Shows & Entry

Please complete an entry for each Horse/Rider combination. If you have any questions regarding this form or about our shows please contact Emily at 954.461.6129.

Intro Hunter/Jumper Classes & Rules

Entry

Please complete the entry form below and submit your payment via our secure payment processor. NOTE:

You must be a PHA Member in order to compete. If you haven’t submitted your 2020/2021 Membership application and dues, click here.
Be sure to familiarize yourself with our COVID-19 Guidelines.
Intro Hunter/Jumper Show Office Fee is $25.

Show Date *

Horse's Name *

Rider's/Handler's Name *

First

Last

Age Category *

I am under 18 years of age
I am 18 years of age or over

D.O.B. *

Phone *

Parent/Guardian Phone *

Email *

Parent/Guardian Email *

Horse Owner's Name (if different than Rider/Handler)

First

Last

Trainer's Name (if applicable)

First

Last

Barn Affiliation (if applicable)

Show Fees *

Office Fee - $ 25.00

Hunter Divisions & Classes - please check choice(s):

100. Beginner Lead-Line (Walk) 101,102,103 - $ 40.00
200. Advanced Lead-Line (Walk/Trot Pole) 201,202,203 - $ 40.00
350. Walk-Trot Jump (1 Crossrail) 351,352,353 - $ 50.00
300. Crossrails (4 Crossrails) 301,302,303 - $ 50.00
400. Short Stirrup (18"-2') 401,402,403 - $ 50.00
500. Novice Hunter (2'-2'3) 501,502,503 - $ 50.00
600. Open Hunter (2'3-2'6) 601,602,603 - $ 50.00

Jumper Classes - please check choice(s):

700. Beginner Jumper (18”-2’ - Speed) 701,702 - $ 40.00
800. Novice Jumper (2’3-2’6 - Speed) 801,802 - $ 40.00
900. Open Jumper, (2'3-2'6 - P&S) 901,902 - $ 40.00

Total

$ 0.00

Participant/Applicant Agreement *

By checking this box, I hereby agree:

Participant/Applicant Agreement *

By checking this box, I, Parent/Guardian, hereby agree:

Participant/Applicant Photo and/or Video Consent *

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