PHA Entry Form
Please complete an entry for each Horse/ Rider combination.  If you have any questions regarding this form or about our shows please contact Emily at 954.461.6129.
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Please Select Show for Entry *
Horse's Name *
Rider's Name *
Email *
Phone Number *
Trainer or Farm's Name *
Please Check Box(s) next to divisions for Hunter/ Jumpers you want to enter.
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Please Check Box(s) next to divisions for Obstacles you want to enter. - You may not Cross enter in the same division between Novice and Advanced in the same show,
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Judged Run
2nd Run (Unjudged)
3rd Run (Unjudged)
In-Hand Novice
In-Hand Advanced
Leadline Novice
Leadline Advanced
Undersaddle Novice
Undersaddle Advanced
Total Charges From Entries - Please add $25.00 Administrative Office Fee per entry *
How will you pay?  Payment is accepted via Cash, Check, Paypal or Venmo *
Required
LIABILITY WAIVER:    I Hereby agree to the Parkland Horseman’s Association (PHA)rules and Regulations.  PHA and/or the City of Parkland assumes no liability for the participants/applicant and his/her horse or personal property. Participants/Guardians/ Owners shall not hold PHA or the City of Parkland responsible for damages or injuries to persons or personal property or livestock resulting from participation in any or all PHA sponsored events or activities.
PHOTOGRAPHY CONSENT:I hereby consent allow PHA to use photographs and or videos of me or my child to advertise and highlight PHA activities in print 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.
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