Show Registration Form
PITTSTON FAIR 4-H HORSE SHOW REGISTRATION FORM
Must be postmarked no later than July 13, 2017
Name of rider:
Age (as of December 31, 2016):
Mailing Address:
Phone:
Email for Show Confirmation:
County:
Club name:
Parent’s name & email:
Name of horse:
Age of horse:
Breed:
Color:
CLEARLY MARK CLASSES YOU ARE ENTERING:
Rider’s division is determined by their age as of December 31, 2016
Ages: 9-11 are Juniors, 12-13 are Intermediates & 14-18 are Seniors
1.) Fitting & Showmanship
_____ Senior, _____ Intermediate, _____ Junior
2.) _____W/T Equitation (walk/trot only) English or Western
3.) _____W/T Pleasure (walk/trot only) English or Western
4.) _____ W/T Egg on Spoon (walk/trot only)
5.) English Equitation
_____ Senior, _____ Intermediate, _____ Junior
6.) English Pleasure
_____ Senior, _____ Intermediate, _____ Junior
7.) Pattern Class
_____ Senior, _____ Intermediate, _____ Junior
8.) Western Equitation
_____ Senior, _____ Intermediate, _____ Junior
9.) Western Pleasure
_____ Senior, _____ Intermediate, _____ Junior
10.) _____ Command Class
11.) _____ Break N Out
12.) _____ Egg on a Spoon
13.) _____ Barrels
14.) _____ Single Pole
15.) _____ Fanny Ride
Mail to: Penny Poolman, 293 Blodget Road, Pittston, ME 04345 in your registration packet.