Northeast Zone
Trails and Pleasure Division
Sign-Up and Record
Name:
______________
Month:
WSH#
Hours are calculated from October 1st through September 30th
Yearly fee $10.00
$10.00 administration fee if not paid through the Games Division or Horse Show Division.
Please return form to:
Jennifer Holmes (rockinghorse5511@msn.com)
4725 N. Billy Jack Rd. Otis Orchard WA 99027
Land Type (Place you hours for each ride in appropriate box)
Date
Sheet
totals
Private
Military
State
Parks
DNR
USFS
Other
Total
Miles
Location of Ride