Responsible Party:      (FOR CHECK IN)

Email Address:    Phone: 

HORSE INFORMATION: (as it appears on papers)

Breed Registry:  AQHAAPHAApHCAHAABHAIBHAPHBAOther  Horse Reg Number:    Registered Name:   

 Sex:SelectStallionMareGelding   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:ChoseOpenAmateurNovice AmateurYouthNovice YouthNo Card

   Address:    City:   State:   Zip:

Birth Date:    Relationship to Owner:  Select OneOwnerParentStep-ParentGrandparentStep-GrandparentSiblingHalf-SiblingStep-SiblingSiblings SpouseHalf-Siblings SpouseStep-Siblings SpouseLegal Gaurdian

NSBA #:     NRHA #:    NRCHA #:    SSN:  

EXHIBITOR 2

AQHA #:   Name:   Expires: Card Type:ChoseOpenAmateurNovice AmateurYouthNovice YouthNo Card

   Address:    City:   State:   Zip:

Birth Date:    Relationship to Owner:  Select OneOwnerParentStep-ParentGrandparentStep-GrandparentSiblingHalf-SiblingStep-SiblingSiblings SpouseHalf-Siblings SpouseStep-Siblings SpouseLegal Gaurdian

NSBA #:     NRHA #:    NRCHA #:    SSN: 

EXHIBITOR 3

AQHA #:   Name:   Expires: Card Type: ChoseOpenAmateurNovice AmateurYouthNovice YouthNo Card

   Address:    City:   State:   Zip:

Birth Date:    Relationship to Owner:  Select OneOwnerParentStep-ParentGrandparentStep-GrandparentSiblingHalf-SiblingStep-SiblingSiblings SpouseHalf-Siblings SpouseStep-Siblings SpouseLegal 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 ExhibitorExhibitor 1Exhibitor 2Exhibitor 3

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

ENTRIES FOR

EXHIBITOR   Chose ExhibitorExhibitor 1Exhibitor 2Exhibitor 3

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

ENTRIES FOR

EXHIBITOR   Chose ExhibitorExhibitor 1Exhibitor 2Exhibitor 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

PLEASE INDICATE WHICH SHOW ON YOUR FAX OR EMAIL