High Point Nomination – Rider

Forms and fees must be received by the High Point Secretary by June 1st
Nomination fee is $10.00 per division

 

Name of Rider: _______________________________________

EC # ____________________ AHA # _____________________

Amateur Status: Yes No

*Note that in order for points to qualify rider must be a full member of SAHA

Please circle the division(s) rider is being nominated for

Div #

12. Adult Amateur
13. Youth 13 & Under
14. Youth 14 – 17
15. Open Heritage Circuit

$10.00 x # of Divisions = $______________


Please make cheques payable to SAHA
Mail completed forms and fees to the High Point Secretary:

Laurel Golemba
Box 611
Ituna, SK
S0A 1N0
(306) 795-3459
jgolemba@sasktel.net