PARADISE HORSEMEN'S ASSOCIATION "A-MAZE DAY" Type 1 SHOW 2026
Date
*
-
Month
-
Day
Year
Date
PHA MEMBER
*
YES
NO
RIDER NAME
*
First Name
Last Name
Horse Name:
*
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone:
*
Format: (000) 000-0000.
E-Mail address (If not already on file):
example@example.com
Birthdate(Required):
*
-
Month
-
Day
Year
Date
Age divisions may be adjusted depending upon entries submitted (Leadline and In-Hand divisions are non-competitive and not eligible for awards)
Division:(circle one)
*
Leadline
25/-
26-40
41-59
60/+
In-Hand
EVENTS; Please mark each event you wish to ride in.
*
3 in 1 Scramble
Butterfly Maze
All in One
Dizzy Cups
Crazy Flags
SELECT ENTRY FEE: Choose One
*
Each Event: $6.00 per event
Lead line: $3.00 per event
In-Hand: $3.00 per event
Enter Number of Events Riding
PHA MEMBERSHIP: CHOOSE ONE
FAMILY $ 50.00
SINGLE $ 40.00
JUNIOR $30.00
Series Fee: (4 show awards) Choose one
Members $20.00
Non Members $25.00
GROUNDS FEE
*
$5.00
Calculation
TOTAL FEES DUE:
Payment Type:
Cash
Check
Venmo
RELEASE OF LIABILITY: The Paradise Horsemen's Association and Paradise Recreation and Park District will not be responsible for any accident that may occur to be caused by any horse competing at this show or for any article of any kind or nature that may be lost or destroyed or in any way damaged. Each competitor will be responsible for any injury that may be occasioned to any person or animal or damage to any property while on the grounds by any horse owned, or in his custody, or control and shall indemnify & hold harmless the Paradise Horsemen's Association, and Paradise Recreation and Park District, clubs & arena owners, from & against all charges & expenses of every kind and nature whatsoever arising out of or which may be incurred by reason of any accident, injury, or damage to person or property caused by the ownership, competition or custody or control of any animal competition.
All riders under the age of 18 MUST wear a helmet at all times while mounted while in the arena. Please note: PHA "DOES NOT" carry medical insurance for its members. I Certify that I have read & agree to all of the above.
SIGNATURE (Parent or guardian if under age of 18)
Preview PDF
Submit
Should be Empty: