Exhibitor Name:

Exhibitor Birth Date ((mm/dd/yyyy):

Street Address:

City State: Zip:

Telephone Number:    

Email Address:        

This registration is for: Junior: Adult:

Horse's Registered Name: 

USTA/Tattoo No :  

Horse's Show Name: 

Ridden (please check one):
Rookie:   Green:   Novice: Senior:

Driven (please check one):
Rookie:   Green:   Novice: Senior:

Must be a member of SPHO-NJ and have a Horse and Exhibitor form for each combination. A junior that shares a horse(s) will only need to complete one form for Exhibitor only. Only members with paid dues will be eligible for Year End Awards.

*A $15.00 fee will apply and is due when this form is completed and mailed to the Points Secretary. You may enclose a check / money order / or cash.

After Completion, print and mail with your check to: