PATTERNED SPEED HORSE ASSOCIATION

Show Approval Application

 

Mail Application To:  Dan Salkawske                              Qualifying Season:_______

                                       P.O. Box 4401                 Approval Fee: $10.00

                                       Wenatchee, WA                           For Each One Day Show                    

                                        98807

 

Please Print All Information

 

Show Date___________ Show Sponsor______________________ Sat. Start____ Sun. Start____

 

Show Location and Address:_______________________________________________________

 

In Case of Rain:  Reschedule________ Cancel_______ Alternate Arena____________________

 

JABCD________ Times Only________ Jackpot _________Payback %__________

 

Entry Fee:_______ Arena Fee:_______ Open Jackpot Fee_______ Payback %_______

 

Optional Team Jackpot Fee_______ Payback %________Camping _______ Stalls_______

 

Other Awards___________________________________________________________________

 

Other Format (Jr., Sr., 4D, etc.)_____________________________________________________

 

Buckaroo Fee:_________ Awards___________ Leadline Fee:__________ Awards____________

 

Additional Information:___________________________________________________________

 

Show Chairperson & Phone # ______________________________________________________

 

State Approved Events:                                                                     Additional Events:

 

P-Polebending                      RR-Rescue Race                                     *-Buckaroo

B- Texas Barrels                   3B-2 Man 3 Barrel                                **-Leadline

K-Keyhole                             2S-2 Man Stake                                      #-Other

8-Figure 8                              TB-Team Baton

F-Individual Flags                TP-Team Polebending

CS-California Stake              TF-Team Flags

KR-Keyrace                          RL-Bareback Relay

                                                CH-Cowhide

 

List below by letter designation, the order in which events will be run.  Designate unapproved events to be run in the proper sequence with State Approved events by using the appropriate “additional events designators.”

 

(1)________ (2)________ (3)________ (4)_________(5)________ (6)________ (7)_______ (8) ________

 

(9)_________ (10)________(11)________(12)________ (13)_________ (14)_________ (15)___________

 

 

The Zone Chairperson must sign this application before the PSHA President will accept it. 

This form must be filled out in its entirety and sent along with the approval fees.

 

                Zone                                       Zone Chairperson                                                                Date

 

                Address                                 City                         Zip                                          Phone