2025 MISHO membership form

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Please complete this form and remit payment. If membership is completed by March 1, points are retroactive to Dec. 1. After March 1, points will accrue from date of membership.

Email *

Type of membership *

Individual--$35

Family--$50 PLEASE COMPLETE A SEPARATE FORM FOR EACH RIDER

Rider's first name *

Rider's last name *

Rider's age as of DEC. 1, 2024 *

Rider's discipline(s) *

hunter

jumper

eventing/combined training

classical dressage

western dressage

Required

Rider/parent mailing address (SNAIL MAIL) *

Rider/parent phone number with area code *

Parent/guardian name if rider is a minor

Trainer's name

Nominated horse #1 (no added fee--included in membership)--USE THE NAME THE HORSE WILL SHOW UNDER. If no horse nomination at this time, please type "none".

Owner of horse #1

Nominated horse #2 ($10 extra)--USE THE NAME THE HORSE WILL SHOW UNDER.

Owner of horse #2

Nominated horse #3 ($10 extra)--USE THE NAME THE HORSE WILL SHOW UNDER.

Owner of horse #3

Do you want to add the USDF membership for $24.00 ($10 each additional family member)? *

yes

Please calculate your total: $35 individual (includes 1 horse nomination; $50 family (includes 1 horse nomination per person); $10 each extra horse nomination; $24 USDF membership; $10 each additional UDSF membership. If membership is completed by March 1, points are retroactive to Dec. 1. After March 1, points will accrue from date of membership. *

Mail check payable to MISHO to Jessica Hasemann 2072 Borcher Lane, O'Fallon, IL 62269

Pay via PayPal (midilsporthorseorg@gmail.com)--please note that it is for "membership"

A copy of your responses will be emailed to the address you provided.

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