MSHA Membership Form

MSHA Standard Membership
Name

First NameLast Name
Parent/Guardian (If Under 18)

First NameLast Name
E-mail
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Adult Rider Age Group
Stable Affiliation
Youth Rider 1

First NameLast Name
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Youth Rider 2

First NameLast Name
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Youth Rider 3

First NameLast Name
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
MSHA show info is posted online. Would you also like to receive a print copy of Capitol Classic and State Championship prize books mailed to you?
Once you submit your application, please return to the site and submit payment. Applications can not be processed unless payment has been received. Thank you!
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MSHA Standard Membership