DELMARVA JUNIOR PAINT HORSE CLUB

Name: ______________________________________________

Address: ________________________________________________

City_______________________________ State_______ Zip________

Phone: __________________ Email: ______________________

Date of Birth: _____________ APHA ID#: _______________

Youth Memberships are $10.00 payable to: DJPHC
Entitles youth member to all youth club activities

All youth must be members of both the DPHC and DJPHC to qualify for year-end awards. If someone other than the youth member owns the horse, that person must also be a member of the DPHC.

Membership Deadline July 31, 2007

Mail Youth Memberships to:
Mary Stouse