Pensacola Hunter Jumper Association
2021 Membership Application
$35 single ____ $50 for family (2)____
RIDER INFORMATION
Rider Name
Rider Junior Junior Birthdate Senior Professional
Address
City State Zip
Cell Phone
Email Address
Sex
HORSE INFORMATION
Horse Name
Breed ________________ Height (hands)
Owner's Name (owner must be member)
State Zip
Address
City
Cell Phone
Email Address
If pony, measurement card? yes no Height in Hands
Date: _________ Renewal ______ New ______
Mail to: Pensacola Hunter Jumper Assn. 11274 E. Sorrel Lane, Scottsdale, AZ 85259
$35 for lifetime horse recording
Required for Juniors
Email phja@phja.org
____________________________________________________________