USHJA National Championship Nomination Form For Rated Hunter, Equitation & Jumpers

USHJA MARSHALL & STERLING

INSURANCE/USHJA NATIONAL CHAMPIONSHIPS
Application Form for Rated Hunter/Jumper/Equitation

Applications MUST be received by 5pm EST, September 27, 2022.

Owner Information
Owner's Name *

First Name Last Name
Owner's USEF #
Owner's Address Information

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Owner's Main Phone Number *

Area Code Phone Number
Owner's Email Address *
example@example.com

Trainer's Information
Trainer's Name *

First Name Last Name
Trainer's USEF #
Trainer's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Trainer's Main Phone Number *

Area Code Phone Number
Trainer's Email Address *
example@example.com

Number Of Horses Being Entered? *