PORQUIS PLEASURE HORSE CLUB

2017 MEMBERSHIP FORM

PRICES: Family ……. $ 50.00 ______

Single ……..$ 30.00 ______

Associate (Non-Riding)……..$ 20.00 ______

DAY PASS is $ 10.00 _____ (Day pass for one show and no points will be awarded)
NAME(S):
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MAILING ADDRESS:

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PHONE #: _________________________________

EMAIL ADDRESS: __________________________________________________

Insurance Company and Policy #: _______________________________________

 Please read and sign the insurance waiver form. Please don’t forget to take
a moment and read your PPHC regulation book as well.
 We, the Porquis Pleasure Horse Club would like to remind everyone that it is
requested that we clean up our trailer sites prior to leaving the horse shows.
This is kindly appreciated!

MEMBERSHIP #: __________________
*** PLEASE BE AWARE THAT ALL UNDER AGED (18 years and under) RIDERS MUST WEAR AN
APPROVED SAFETY HELMET WHILE COMPETING***