PHA October 2024 “Spooktacular” Fun Show Entry

October 20, 2024 • Parkland Equestrian Center

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

Non PHA members may participate with a $15 day pass. Want to join? Click here for the PHA 2024/2025 Membership application.
Mounted classes are $10 each, or show all day for $100
Non-Mounted classes are $5 each, or $20 for all
Show begins at 10:00am
Costume Class at 12:30pm
All participants will take home a goodie bag!

Rider's/Handler's Name *

First

Last

Back #:

Horse's Name *

Age Category *

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

Parent/Guardian Phone *

Parent/Guardian Email *

Phone *

Email *

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

First

Last

Trainer's Name (if applicable)

First

Last

Barn Affiliation (if applicable)

PHA Membership Status *

I'm a PHA Member - $0.00
I'm NOT a PHA Member - $15.00

Entry Type *

Paying Per Class
All Day, Any Class Pass - $100.00

Mounted Classes - please check choice(s):

1. Suitcase Race - $10.00
2. Rider Relay Race - $10.00
3. Flag Race - $10.00
4. Clover Leaf - $10.00
5. Hair Pin - $10.00
6. Key Hole - $10.00
7. Pole Bending - $10.00
8. Egg 'n Spoon - $10.00
9. Sit a Buck - $10.00
10. Tandem Toilet Paper Race - $10.00
11. Carrot Race - $10.00

Non Mounted Classes - please check class(es):

1. Wheelbarrow Race - $5.00
2. 3-Legged Race - $5.00
3. Water Balloon Toss - $5.00
4. Bobbing for Apples - $5.00
5. Musical Buckets - $5.00
All Non-Mounted Classes - $20.00

Mounted Classes - please check class(es):

1. Suitcase Race
2. Rider Relay Race
3. Flag Race
4. Clover Leaf
5. Hair Pin
6. Key Hole
7. Pole Bending
8. Egg 'n Spoon
9. Sit a Buck
10. Tandem Toilet Paper Race
11. Carrot Race

Non Mounted Classes - please check class(es):

1. Wheelbarrow Race
2. 3-Legged Race
3. Water Balloon Toss
4. Bobbing for Apples
5. Musical Buckets

Participant/Applicant Agreement *

By checking this box, I hereby agree:

I have read and understand the Parkland Horseman’s Association (PHA) Rules & Regulations; 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.

Total

$0.00

Payment *

Card Number

Expiration Date

Security Code

Card Holder Name

Name

PHA October 2024 “Spooktacular” Fun Show Entry

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

Non PHA members may participate with a $15 day pass. Want to join? Click here for the PHA 2024/2025 Membership application.
Mounted classes are $10 each, or show all day for $100
Non-Mounted classes are $5 each, or $20 for all
Show begins at 10:00am
Costume Class at 12:30pm
All participants will take home a goodie bag!

Rider's/Handler's Name *

First

Last

Back #:

Horse's Name *

Age Category *

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

Parent/Guardian Phone *

Parent/Guardian Email *

Phone *

Email *

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

First

Last

Trainer's Name (if applicable)

First

Last

Barn Affiliation (if applicable)

PHA Membership Status *

I'm a PHA Member - $0.00
I'm NOT a PHA Member - $15.00

Entry Type *

Paying Per Class
All Day, Any Class Pass - $100.00

Mounted Classes - please check choice(s):

1. Suitcase Race - $10.00
2. Rider Relay Race - $10.00
3. Flag Race - $10.00
4. Clover Leaf - $10.00
5. Hair Pin - $10.00
6. Key Hole - $10.00
7. Pole Bending - $10.00
8. Egg 'n Spoon - $10.00
9. Sit a Buck - $10.00
10. Tandem Toilet Paper Race - $10.00
11. Carrot Race - $10.00

Non Mounted Classes - please check class(es):

1. Wheelbarrow Race - $5.00
2. 3-Legged Race - $5.00
3. Water Balloon Toss - $5.00
4. Bobbing for Apples - $5.00
5. Musical Buckets - $5.00
All Non-Mounted Classes - $20.00

Mounted Classes - please check class(es):

1. Suitcase Race
2. Rider Relay Race
3. Flag Race
4. Clover Leaf
5. Hair Pin
6. Key Hole
7. Pole Bending
8. Egg 'n Spoon
9. Sit a Buck
10. Tandem Toilet Paper Race
11. Carrot Race

Non Mounted Classes - please check class(es):

1. Wheelbarrow Race
2. 3-Legged Race
3. Water Balloon Toss
4. Bobbing for Apples
5. Musical Buckets

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 *

Total

$0.00

Payment *

Card Number

Expiration Date

Security Code

Card Holder Name

Phone