Show Entry Form

SHOW DATE*

PAYEE INFORMATION

PAYEE NAME*

BACK NO.*

ADDRESS

Street Address City State ZIP Code

SIGNATURE*

PHONE #*

HORSE INFORMATION

HORSE NAME*

AQHA HORSE REG#*

ROM*

DIVISION*

Open
Youth
Amateur

GENDER*

STALLION
MARE
GELDING

OWNER NAME*

CITY,STATE*

#1 YOUTH EXHIBITOR

CHOOSE ONE

NOV
NON-PRO

BIRTHDATE

RELATION TO OWNER

NAME

AQHA ID#

EXP DATE

CLASSES

#2 AMATEUR EXHIBITOR

CHOOSE ONE

NOV
NON-PRO
SELECT

BIRTHDATE

RELATION TO OWNER

NAME

AQHA ID#

EXP DATE

CLASSES

#3 OPEN EXHIBITOR

RELATION TO OWNER

NAME

AQHA ID#

EXP DATE

CLASSES

TRAINER INFORMATION

TRAINER'S NAME

ADDITIONAL INFORMATION

SHOW LENGTH*

2 day show
4 day show

Days*

Thursday
Friday
Saturday
Sunday
Monday

# STALL(S)

Price: $85.00

# STALL(S)

Price: $125.00

# SHAVINGS

Price: $7.00

HOOK-UP/PLUG IN ($80 for 2 day)*

No
Yes

HOOK-UP/PLUG IN ($160 for 4 day)*

No
Yes

Grounds fee - ($10 fee if hauling in without stall)*

No
Yes

****** SERVICE FEE OF 3.25% WILL BE CHARGED TO ALL CREDIT OR DEBIT CARDS*******

Price: $0.00

Total

$0.00