Online Membership Registration I hereby make application for 2016/2017 membership: Please note: For Hunter/Jumper/Pleasure owner must be a member. For Equitation rider must be a member. Membership Type*High Score ($35.00)Professional ($55.00)Associate ($40.00)Membership Status*Renewal MembershipNew MembershipCompetitor's Name* First Last Do you have a USEF #*YesNoDate of birth* MM DD YYYY USEF Number*Please enter a value between 1000 and 100000000.Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Phone*Do you have a trainer?*YesNoTrainer's Name* First Last Is the competitor 18+ years old?*YesNoParent / Legal Guardian's Name* First Last Reference #1 (Must be a current P.H.A member)* First Last Reference #2 (Must be a current P.H.A member)* First Last Regulations Agreement* If accepted, I agree to abide by all the regulations & by-laws governing the association. Signature (Parent or legal guardian if applying for a minor)*Total $0.00 CaptchaCommentsThis field is for validation purposes and should be left unchanged.