NHPA MEMBERSHIP APPLICATION
CONNETCIUT HORSESHOE PICTHERS ASSOCATION
Each player must complete application annually / application must be legible
NAME: ________________________________________________________________
ADDRESS: ________________________________________________________________
City: _______________________ STATE: _________ ZIP CODE :___________
PHONE : _______________________ DATE OF BIRTH: _______________________
E-MAIL ADDRESS: _______________________________________________________
MEMBER’S NHPA CARD NUMBER: _____________________________________________
(IF NEW MEMBER … WRITE NEW MEMBER ON THE ABOVE LINE)
Circle (one) pitching category
that is applicable to you:
(M)en (full dist.) (W)omen (short dist.) (E)lders
(short dist, age 70+)
(B)oys (short dist.) (G)irls (short dist.) (H)andicap (short dist)
Note: (H) pitchers must be certified by CT HPA
Send completed form to Charter
Secretary:
Debbie Scully - 58 Maplewood Ave. East Hartford, CT. 06108
Include check or money order for
$20.49 for adults (age 18+) or $5.42 for juniors (ages thru 18) $0.429is for
postage. Annual memberships are
issued thru December 31st
Your card number is a combination NHPA/Charter
membership card. This card will allow
NHPA sanctioned tournament entry in National, Regional, State, and local
tournaments and sanction leagues, anywhere in the USA (in accordance with NHPA
Bylaws and Rules).
CT
HPA OFFICERS: Paul Jary-president, Posistion Vacant-vice
pres., Bob Carl-treasurer,
Debbie
Scully - charter secretary
CONNETCIUT HORSESHOE PICTHERS ASSOCATION
WEBSITE:
www.cthorseshoepitching.com