Académique Documents
Professionnel Documents
Culture Documents
All entries must be complete. Enclose copies of horse registration papers (both sides), purchase contract (if applicable), USEF membership cards, amateur certification (if applicable), AHA membership cards for each rider, trainer, handler, owner and correct fees.
HORSE
REG# Sire
AGE
SEX Dam
COLOR
FOALED
QTY.
*
EA .
TOTAL
FEES
$ $
FEES
$ $
FEES
DO FORM
USEF NON-MEMBER
RES, 9-90 AHA EDUCATION
P/HORSE-MANDATORY
HANDLER HANDLER
CLASSES CLASSES
HORSE
$ $
REG# Sire AGE SEX Dam
COLOR FOALED
DO FORM
AHA NON-MEMBER
SINGLE EVENT FEE
PACKAGE
POST ENTRY
FEES
HANDLER HANDLER
CLASSES CLASSES
$ $
Papers___ (papers in owner's name for AOTR/JOTR classes ) Coggins___ Contract___ Amateur Certification__________________________________________________
ONE OWNER PER ENTRY FORM: ALL TRAINERS / OWNERS / RIDERS / HANDLERS MUST FILL IN INFO BELOW AND COMPLETE INFORMATION ON BACK
OWNER: name on horse papers (use farm name if papers are in farm name.)
TRAINER: (Junior cannot sign) If no trainer, parent must
$20
is________________showing Amateur? Juniors consent signature / birthdate Amateur Owner's relationship to owner
sign.
Print name ___________________________________ Address______________________________________ City_________________________________________ State/Zip_____________________________________ Phone: ______________________________________ AHA #_______________ USEF#__________________ Farm AHA#____________ Farm USEF#____________ USDF #______________ Horse USDF#____________ Email:_______________________________________
ADDITIONAL RIDER/HANDLER: (If not owner/trainer) Print name___________________________________ Address______________________________________ City_________________________________________ State/Zip_____________________________________ Phone: ______________________________________ AHA #________________ USEF#_________________ Email:_______________________________________ USDF#_______________
Print name____________________________________ Address______________________________________ City_________________________________________ State/Zip_____________________________________ Phone: ______________________________________ AHA#_________________ USEF#________________ Email: _______________________________________ USDF#________________
ADDITIONAL RIDER/HANDLER: (If not owner/trainer) Print name___________________________________ Address______________________________________ City_________________________________________ State/Zip_____________________________________ Phone: ______________________________________ AHA #________________ USEF#_________________ Email: _______________________________________ USDF#_______________
STALLS
ORDERED________USED________CHARGED_______
DRESSAGE MUST SEND COPY OF ENTRY FORM TO MARIE TAYLOR NOT ENTERED IF COPY IS NOT SENT!!
STABLE WITH
REQUEST FOR JOINT STABLING MUST ARRIVE IN THE SAME ENVELOPE
BY SIGNING BELOW, I AGREE to be bound by all applicable Federation Rules and all terms and provisions of this entry blank and all terms and provisions of this Prize List. If I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force and effect as if I affixed my signature by my own hand. BOD 1/23/11 Effective 12/1/11 Owner-**Mandatory No Junior Signature Print Name Print Name Print Name Print Name Print Name Print Name Print Parent/Guardian Name Here Print Parent/Guardian Name Here Signature X Signature X Signature X Signature X Signature X Signature X Signature X Signature X AHA or USEF/EC Membership is NOT required for Parents/Guardians signing for minors.
Trainer or Custodian of horse @ show-**Mandatory No Junior Signature Adult Owner must sign if no trainer Rider 1-**Mandatory Rider 2-**Mandatory Rider 3-**Mandatory No Junior Signature No Junior Signature No Junior Signature
Coach - (if applicable) USEF # Print Minor Name Here Print Minor Birthdate **** EMERGENCY PHONE NUMBER FOR EXHIBITOR****