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MEMBERSHIP FORM
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2007 VSA BANQUET


VERMONT STOCKHORSE ASSOCIATION, INC.
MEMBERSHIP APPLICATION

* * * YOU MUST BE A MEMBER TO COMPETE IN THE
YEAR-END PROGRAM * * *

Name of Membership:_______________________________________________________
(Family Name if Family Membership)
Mailing Address:____________________________________________________________

City, State, Zip:____________________________________________________________

Telephone No:_________________________  E-Mail Address ______________________
Type of Membership: Individual  15.00  Family 20.00  Membership Amount

Membership Dues:______________________________

AWARDS PROGRAM ENROLLMENT INFORMATION
Awards Program fees must be paid prior to entering first show or event.

Name of Competitor:____________________________________  Age:________________
                                                                                         (Age As of January 1st)
Name of Horse:_____________________________________________________
(PRINT CLEARLY--THIS INFORMATION USED ON AWARDS--not necessary for Lead Line Program)

COUNTY IN THAT YOU WISH TO COMPETE FOR COUNTY AWARDS: ___________________
(Check V.S.A. calendar and counties/districts to be certain you can attend the minimum required number of shows)

Please Note: Each riding unit (one horse / rider) must be registered separately for each awards program. You may enter both the Highest Average and High Point Awards Programs. Each competitor must submit a record of all points earned by October 15th of current year to the Awards Program Recording Secretary:

DIVISION IN WHICH YOU WILL BE COMPETING (CIRCLE ONE)
1) Lead Line(10 yrs & under)                                      2) Beginner (12 yrs & under)
3) Adv Beginner (18 yrs & under, Individual loping)        4) Junior (13 yrs & under);                 
5) Senior (14-18 yrs)                                                6)Adult (19 yrs & over)
7) Green Horse (see award page)                               8) Adult Walk/Jog (see award page)  
9) IN-HAND 2 Year Old Horse & Under (see award page)

Do you wish to compete for the HIGHEST AVERAGE AWARDS? Yes  10.00 / Riding Unit _______
Awards include County and State Levels - based on average of best placing of three classes at each V.S.A. pointed show competed and pointed by same horse/rider unit. Must show a minimum of 2 in-county shows for county awards, a minimum of 2 in-county and 1 out-of-county for state awards.

Do you wish to compete for the HIGH POINT AWARD?   10.00 / Riding Unit  _______________

Do you wish to compete for the HALTER AWARD?  10.00 / Rider ___________

Do you wish to enroll in the LEAD LINE AWARD PROGRAM?   10.00 / Rider  ________________

Do you wish to compete for the Western Pleasure Maturity Award?  20.00/ Rider __________

Do you wish to compete for the Equitation Challenge Award? 20.00/ Rider ______________

TOTAL DUE (Membership/Awards Program Enrollment): _________________________________

MAKE CHECKS PAYABLE TO: Vermont Stockhorse Association, Inc.
MAIL TO: Sue Ring, 1618 Jericho Street, White River Jct., VT 05001