Pacific Northwest Junior

Pacific Northwest Junior Paint Horse Club 2007 Membership Form (Youth club for the Northwest)
NAME						AJPHA ID #
PERMANENT #		SCHOOL GRADE		GRADUATION YEAR		BIRTHDATE
DO YOU HAVE A PNJPHC JACKET?			JACKET SIZE
HORSE'S NAME
HORSE'S REGISTRATION #					HORSE'S SHEET SIZE
2ND HORSE'S NAME
2ND HORSES' REGISTRATION #					2ND HORSE'S SHEET SIZE
ADDRESS
CITY			STATE		ZIP
HOME PHONE #			EMAIL ADDRESS (please print clearly)
PARENT (S) NAME	PARENT'S CELL PHONE
TRAINER'S NAME
SHORT SIZE		SHIRT SIZE		(CIRCLE ONE)	CHILD SIZE	OR	ADULT SIZE
(short & shirt sizes are needed for youth team tournament only)
GOALS FOR THE YEAR

WHAT IDEAS DO YOU HAVE FOR RAISING MONEY FOR PNJPHC?
WOULD YOU LIKE TO PARTICIPATE IN THE WORLD YOUTH TEAM TOURNAMENT?
WHICH EVENTS WOULD YOU BE INTERESTED IN?			HORSEMANSHIP	SHOWMANSHIP	EQUITATION	WALK/TROT	HIPPOLOGY
			RELAY RACE	PARADE
PNJPHC MEMBERSHIP FEE FOR 2007(Membership fee must accompany this form)			$20.00
Please make check payable to PNJPHC & Mail to:			PNJPHC * c/o Janne Hammer * PO BOX 501 * Stanwood, WA 98292
I agree to obey the current rules and regulations of the American Paint Horse Association, the American Junior Paint Horse Association and the Pacific Northwest Junior Paint Horse Club.
Youth's Signature						DATE
Parent's Signature						DATE