Foundation : org ASSOCIATION 2011 MEMBERSHIP REGISTRATION FORM Junior Amateur Registration In….

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For the Horse Horses-store.comFoundation : org ASSOCIATION 2011 MEMBERSHIP REGISTRATION FORM Junior Amateur Registration In….

Trainer’s Name _________________________________________________________________ Your trainer MUST be a member if you ride in any LAHJA medal class CALIFORNIA 10153 ½ Riverside Drive, Suite 391 – Toluca Lake, CA 91602 PROFESSIONAL PHONE 818.955.9500 FAX 818.558.5772 HORSEMEN’S Email: HYPERLINK “mailto:info@cpha.org” info@cpha.org www.cpha.org ASSOCIATION 2011 MEMBERSHIP & REGISTRATION FORM Junior & Amateur Registration In order to compete in all CPHA Medal Classes: CPHA Junior & Amateur Hunt Seat, CPHA Foundation Equitation, CPHA Foundation WCE, Child-Adult, and Horsemanship classes, junior and amateur riders must register with the CPHA.

Trainers of riders must also be members.

Non-Professional who wish to access the H-2B Visa program need not list a trainer.

Please check if you are joining solely for the H-2B Visa program.

Non-Showing members may join as a contributing member. Name _________________________________________ Junior____ Amateur ____ H-2B Visa______ Contributing ______ Address__________________________________________________________New____ Renewal______ #____________ City/State/Zip _________________________________________________________________________________________ Home Phone (_________)__________________________ Work/Cell Phone (__________)_________________________ Email __________________________________________ FAX Number (___________)__________________________ Trainer ________________________________________________________ Junior Birth Date________________________ Registration Fee: $50.00 Office Use Only: Ck.#__________ Amount:__________ Date Rec’v:_______________ — Name of Beneficiary__________________________________________________ Relationship _______________________ Address of Beneficiary __________________________________________________________________________________ Annual Fee: $120.00 New _________ Renewal ____________ # __________ Office Use Only: Ck.#__________ Amount:_____________ Date Rec’v:______________ Since 1964 the California Professional Horsemen’s Association has represented professional horsemen in California.

The CPHA provides a forum, voice, and many valuable programs and benefits for professionals working in California’s large horse show industry.

Through its many programs and benefits, the CPHA effectively reaches all professional members of California’s horse show community. CPHA Professional Members are defined as any person earning 50% or more of their income in an equestrian related business.

Professionals are covered by an Excess Accident insurance policy, which covers them to and from work and while at work.

Please specify whether you are a trainer or a professional working in a horse related business.

Memberships allow all members to be eligible for programs offered by the CPHA like the H-2B Visa program which enables grooms and stable hands from foreign countries to work legally in the United States.

They can also benefit from the CPHA Foundation which sponsors such programs as a Scholarship Program that awards college scholarships to children of professionals.

To the public, CPHA’s most visible actions are its yearlong programs that foster horse show competition, especially for up-and-coming junior and amateur riders.

CPHA’s special classes attract every level or horse show participation, from the beginning rider to the nationally ranked junior rider. Please Note: Complete specifications for the CPHA medal classes are detailed in the PCHA rulebook and on the CPHA website at HYPERLINK “http://www.cpha.org” www.cpha.org.

Although point standings are listed on the CPHA website, ultimately it is the rider’s responsibility to keep track or his/her qualifying points.

If you have questions, please contact the CPHA office at 818.955.9500 or email us: HYPERLINK “mailto:info@cpha.org” info@cpha.org. Langer Equestrian Group Is Pleased to Present The 2011 CPHA Regional Horsemanship Finals CPHA Regional Child-Adult Finals — 167.

PLATINUM PERFORMANCE/USEF SHOW JUMPING TALENT SEARCH CLASS 21 & Under 3’6” 6 USEF For additional specifications, check HYPERLINK “http://www.usef.org” www.usef.org Class # Name Age Fences # To Fill Membership 168.

CPHA FOUNDATION EQUITATION 17 & Under/18 & Over 3’3” 3 CPHA For additional specifications, check HYPERLINK “http://www.cpha.org” www.cpha.org PCHA 169.

LAHJA/LA SADDLERY SENIOR MEDAL 18 & Over 3’3” 3 LAHJA For additional specifications, check HYPERLINK “http://www.lahja.org” www.lahja.org 170.

USEF ADULT EQUITATION CLASS 18 & Over 3’3” 3 USEF For additional specifications, check HYPERLINK “http://www.usef.org” www.usef.org 171.

FOXFIELD MEDAL CLASS 18 & Over 3’3” 3 PCHA For additional specifications, check HYPERLINK “http://www.pchorseshows.org” www.pchorseshows.org 172.

PCHA/VICTOR HUGO-VIDAL ADULT HORSEMANSHIP CLASS 35 & Over 3’3” 3 PCHA For additional specifications, check HYPERLINK “http://www.pchorseshows.org” www.pchorseshows.org

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