PAHA Points Form 2021
Points Secretary Ashlee Maggie 724-856-9344
$15.00 if payment & form received by May 1, 2021
$20.00 if payment & form received after May 1, 2021
ABSOLUTELY NO REFUNDS
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Email *
Back # *
Rider's Name: *
Rider's Date of Birth *
MM
/
DD
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Address
Phone # *
Email address
Horse's Name: (as it will appear on awards) *
Horse's Barn Name
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