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Responsible Party:     (FOR CHECK IN)

Email Address:    Phone: 

HORSE INFORMATION: (as it appears on papers)

Breed Registry:  AQHA APHA ApHC AHA ABHA IBHA PHBA Other   Horse Reg Number:    Registered Name:    

 Sex: Select Stallion Mare Gelding    Year Foaled:    NRHA Lic.:   Sire:   Dam:

OWNER INFORMATION:  (as it appears on papers)

     Name:    AQHA #:    NSBA #:    NRHA #:    NRCHA #: 

    Address:    City:    State:    Zip:   SSN: 

EXHIBITOR 1

AQHA #:   Name:   Expires: Card Type: Chose Open Amateur Novice Amateur Youth Novice Youth No Card

   Address:    City:   State:   Zip:  

Birth Date:    Relationship to Owner:  Select One Owner Parent Step-Parent Grandparent Step-Grandparent Sibling Half-Sibling Step-Sibling Siblings Spouse Half-Siblings Spouse Step-Siblings Spouse Legal Gaurdian

NSBA #:     NRHA #:   NRCHA #:    SSN: 

EXHIBITOR 2

AQHA #:   Name:   Expires: Card Type: Chose Open Amateur Novice Amateur Youth Novice Youth No Card

   Address:    City:   State:   Zip:  

Birth Date:    Relationship to Owner:  Select One Owner Parent Step-Parent Grandparent Step-Grandparent Sibling Half-Sibling Step-Sibling Siblings Spouse Half-Siblings Spouse Step-Siblings Spouse Legal Gaurdian

NSBA #:     NRHA #:   NRCHA #:    SSN: 

EXHIBITOR 3

AQHA #:   Name:   Expires: Card Type: Chose Open Amateur Novice Amateur Youth Novice Youth No Card

   Address:    City:   State:   Zip:  

Birth Date:    Relationship to Owner:  Select One Owner Parent Step-Parent Grandparent Step-Grandparent Sibling Half-Sibling Step-Sibling Siblings Spouse Half-Siblings Spouse Step-Siblings Spouse Legal Gaurdian

NSBA #:     NRHA #:   NRCHA #:    SSN: 

Class Summary

LIST CLASSES YOU WOULD LIKE TO ENTER FOR EACH EXHIBITOR

YOU WILL BE ENTERED FOR ALL DAYS UNLESS OTHERWISE SPECIFIED (INDICATE SO BEHIND CLASS NAME)

THERE WILL BE NO CHARGE FOR CLASSES NOT SHOWN IN

YOU MAY SCRATCH OR ADD ANYTIME PRIOR TO THE CLASS BEING SHOWN

( PLEASE CHECK IN AT THE HORSE SHOW OFFICE UPON YOUR ARRIVAL TO VERIFY YOUR ENTRIES )

ENTRIES FOR

EXHIBITOR     Chose Exhibitor Exhibitor 1 Exhibitor 2 Exhibitor 3

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

ENTRIES FOR

EXHIBITOR     Chose Exhibitor Exhibitor 1 Exhibitor 2 Exhibitor 3

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

ENTRIES FOR

EXHIBITOR     Chose Exhibitor Exhibitor 1 Exhibitor 2 Exhibitor 3

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

TO COMPLETE THE PRE REGISTRATION YOU MUST

FAX (719-384-2052) OR EMAIL (shows@mane-events.com)

A COPY OF REGISTRATION PAPERS AND MEMBERSHIP CARDS