Make your own free website on

Click form icon for printable version of the form.


> Menu

> Home
> Map
> Tournaments
> Club Map
> Results
> Pictures
> Links
> Sponsors
> Classifieds
> Chukkars
> NW Circuit
> Web Master
> Mail in Form

Electronic Registration for:

JUNE 18 - 19 Tournament

Individual Player Registration

Player Name?

Your E-Mail?

Telephone Number
Number of Horses?

Number of Chukkars?

Tournament Level

Expected Arrival date?

Currently USPA Member Y/N and USPA Rating


Team Registration

Team Name?

Your E-Mail?

Telephone Number

Tournament Level

Player Number 1 Name

Player Number 1 USPA Rating

Player Number 2 Name

Player Number 2 USPA Rating

Player Number 3 Name

Player Number 3 USPA Rating

Player Number 4 Name

Player Number 4 USPA Rating

Player 5 and 6 for splitting chukkars

Player Number 5 Name

Player Number 5 USPA Rating

Player Number 6 Name

Player Number 6 USPA Rating


Expected Arrival date?

2 Goal
8 Goal
Goal Levels