2026 WPtHA Membership Form
 It will be your responsibility to secure membership prior to your first WPtHA horse show/first class in order to be eligible for WPtHA Show High Point Awards and WPtHA Year-End Awards.  

You are not an official member of Wisconsin Pinto until payment has been received and processed. 

Payment can be made via this form, OR 
Cash, Check, or PayPal (wpthaisspoton@gmail.com)
 Make checks payable to Wisconsin Pinto Horse Association. 

Please send all checks to: WPtHA c/o Olivia Lamont
1401 Tyranena Terrace Lake Mills, WI 53551

For any questions regarding membership please contact
 Cailyn Ray, WPtHA Membership Coordinator,  Email: cailyn@orchardviewec.com  
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Email *
First Name *
Last Name *
Address:  *
City:  *
State: *
Phone Number:  *
National PtHA Membership #:  *
Type of Membership *
If you chose YOUTH membership, Please list name & age of the individual membership YOUTH (18 & Under) member as of January 1st of the current year, with their date of birth.
If you chose INDIVIDUAL membership, Please list name & age of the individual membership ADULT (19 & Over) member as of January 1st of the current year, with their date of birth.
If you choose a FAMILY membership, please list name(s) & age(s) of all ADULT FAMILY members with their date of birth.
If you choose a FAMILY membership, please list name(s) & age(s) of all YOUTH FAMILY members with their date of birth.

For future potential award purposes, please provide the horses sizes:

 1) Halter 

2) Blanket/Sheet

For future potential award purposes, please provide the human sizes: 

1) Jacket

2)T-shirt/shirt

 I/We hereby agree to abide by the rules and regulations of the Wisconsin PtHA as outlined in the Constitution, Bylaws, Year-End & Weekend Award Rules, and on WisconsinPinto.com.

(Must be signed by a Parent or Guardian for a Youth Membership 18 & Under.)  

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