2017
Back Number
8/20/2017
This form must be COMPLETED to receive point credits.
Only ONE horse per entry-Both Horse, Rider & Owner must be registered to receive SHSA Points.
Show Program    Show Date:                          Show Location:    Directions
Exhibitor/Rider Name:        Phone#:
Address:
OWNER Name (if different from above):
MEMBERSHIP     VHSA   #                  SHSA   #
RIDER Status:
Horse/Pony Name:
Size:            
Email:
Please Check the box to the left of the class that you would like to enter. Divisions show with two or three classes, check all if you would like to ride in the whole division.
ClassDescriptionJump Height
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