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