WPHC Open Show Enrollment Form

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


		# OF DIVISIONS CHOSEN:
		X $20.00 per Division:		x 20.00
		Total Due:

MAIL THIS FORM TO:		Kim Manley
		W5716 Gorman Road
		Rio, WI 53960
		kim092@centurytel.net
		920-992-3426

			THANKS FOR YOUR INTEREST IN THIS PROGRAM!

ARE YOU A MEMBER OF THE WPHC? IF NOT INCLUDE THE MEMBERSHIP FORM AND FEE WITH YOUR
COMPLETED ENROLLMENT FORM.			Thank You!