Southern California Professional Horse Show Association

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Southern California Professional Horseshow Association

Online Preshow Registration

* = Required Field

Horse Owner/Responsible Party: *

Address: *

City: *

State:

Zip: *

Phone: *

Email: *

Name of Horse: *

Gender: *

Stallion Mare Gelding

Trainer:

SIGNATURE REQUIRED: I hereby release the Southern California Professional Horseshow Association (Hereafter referred to as SCPHA) from all liability for any act of negligence or want of ordinary care on the part of SCPHA and or any of its agents. In consideration of my participation in events organized or sponsored by SCPHA I waive, release, and discharge SCPHA and their directors, officers, agents and members, their representatives, heirs, executors and assigns from any and all claims of liability for injury or damage to myself, my animals, or my property arising out of my participation in SCPHA events. This agreement is binding upon my executors, heirs and assigns.
SIGNATURE:*

Please type your name (signature) on the above line
By signing this, you agree that you have read, understand and accept the terms above.

SCHEDULE OF FEES

Payment in full must accompany entry. Your signature on this entry form is your acknowledgement that you have read, understand and agree to abide by SCPHA rules.

NOTE: Please enter Class #, Rider Name & Rider Date of Birth on each line.
Please separate each with commas.

Class #, Rider & Date of Birth
Class #, Rider & Date of Birth
Class #, Rider & Date of Birth
Class #, Rider & Date of Birth
Class #, Rider & Date of Birth
Class #, Rider & Date of Birth
Class #, Rider & Date of Birth
Class #, Rider & Date of Birth
Class #, Rider & Date of Birth
Class #, Rider & Date of Birth
Class #, Rider & Date of Birth
Class #, Rider & Date of Birth
Class #, Rider & Date of Birth
Class #, Rider & Date of Birth

Regular Class Fees	$15.00 per class (Max. Class Fee $100)
–» All Day Fee - After 7th regular class, additional classes are FREE! (per rider) Warm-up classes not included
Warm-up Class Fees	$10 per go
CDFA Drug Fee	$5 per horse
Grounds Fee	$20 per horse
SCPHA Membership Fee	$35 (required for High Point)
*Membership Fee is: Required for Awards - (High Point and Year-end). Points are NOT retroactive prior to membership payment.*
Pole Fee	$10 (per trail horse entry)
Sponsorship -$1000, $500 or $250	Class # Sponsored -

Enter Total Amount Due Here: