Pennsylvania Horse Show Association (PHSA)
2017 Horse Show Application
Important Information
· Points will not count until horse show payment is received in full.
· Show results must be received within 10 days of the show ending.
· Please include rider USEF #, Owner USEF #, and Horse Recording/ID for the first through 8th place winners and the number of exhibitors in the division.
· Horse Shows must adhere to PHSA specs when offering PHSA recognized divions in order for points to count.
Horse Show Information (Please print clearly) - Complete 1 form per show
Show Name______Date(s):______USEF Rating______
Location (City, State)______USEF Show ID#______
Show Manager:
Name______USEF#______
Phone ______
Address______
Email______
Select PHSA Recognized Divisions To Be Offered:
Performance / Breedingq All Performance Divisions listed below / q All Breeding Divisions listed below
q Green Pony
q Small Pony
q Medium Pony
q Large Pony
q Small Junior
q Large Junior
q Amateur Owner 3’3”
q Amateur Owner 3’6”
q Baby Green/Young Hunter
q Pre-Green Hunter
q Green Hunter
q Performance Working Htr
q Low Hunter
q Adult Jumper
q Children’s Jumper
q Pony Jumper
q 3’3” Junior Hunter / q Modified Hunter
q Short Stirrup Hunter
q Short Stirrup Equitation
q Pre-Children’s Sm/M Pony
q Pre-Children’s Large Pony
q Pre-Children’s Horse 14 & Under
q Pre-Children’s Horse 15-17
q Children’s Sm/M Pony
q Children’s Large Pony
q Children’s Horse 14 & Under
q Children’s Horse 15-17
q Preliminary Adult
q Adult Amateur 18-35
q Adult Amateur 36 & Over / q Amateur Handler
q PA Bred Yearling Colt/Gldg
q TB and Non-Registered TB Yearling Colt/Gldg
q Non-TB Yearling Colt/Gldg
q PA Bred Yearling Filly
q TB and Non-Registered TB Yearling Filly
q Non-TB Yearling Filly
q PA Bred 2 yr old Colt/Gldg
q TB and Non-Registered TB 2 yr old Colt/Gldg
q Non-TB 2 yr old Colt/Gldg
q PA Bred 2 yr old Filly
q TB and Non-Registered TB 2 yr old Filly
q Non-TB 2 yr old Filly / q PA Bred 3 yr old
q TB and Non-Registered TB 3 yr old
q Non-TB 3 yr old
q Mares 4 yr old and older
q PA Bred Yearling Pony
q Yearling Pony Colt/Gldg
q Yearling Pony Filly
q PA Bred 2 yr old Pony
q 2 yr old Pony Colt/Gldg
q 2 yr old Pony Filly
q PA Bred 3 yr old Pony
q 3 yr old Pony
q Young Pony Under Saddle
q Young Working Hunter Under Saddle
q Young Hunter Under Saddle
Payment Information (Please print clearly)
q A or AA with or without breeding: $100
q B or C with or without breeding: $50
q USEF Horse Show offering breeding classes only: $25
Credit Card Type______Name on Card:______Expiration Date:______
Billing Address (City, State, Zip)______
Credit Card Number:______3-Digit Security Code______
Mail payment along with form in order for points to count to: Mail results for Performance and Breeding to:
PHSA PHSA
c/o Doris MacDonald c/o Locke Ellen Kelly
1892 Little Road, Perkiomenville, PA 18074 600 Green Hill Road, West Chester, PA 19380
Payment Method: __Check OR __Credit Card email: