PLEASE DO NOT PRESS "ENTER" KEY UNTIL YOU HAVE COMPLETED THE FORM

TO COMPLETE THE PRE REGISTRATION YOU MUST

FAX (719-384-2052) OR EMAIL (mooreco@rural-com.com)

A COPY OF REGISTRATION PAPERS AND MEMBERSHIP CARDS

RESPONSIBLE PARTY:    (FOR CHECK IN)

Email Address:

HORSE INFORMATION: (as it appears on papers)

Breed Registry:   

Horse Reg Number:   Registered Name:    Year Foaled:  

Sex:                              NRHA License:

Sire:      Dam:

OWNER INFORMATION:  (as it appears on papers)

     Name:    AQHA #: 

NSBA #:   NRHA #:   SSN:  

    Address: City: State: Zip:  

1. OPEN EXHIBITOR:

AQHA #:   Name:   Expires:

NSBA #:   Expires:   NRHA #:   SSN:  

    Address: City: State: Zip:

2. AMATEUR EXHIBITOR:

 AQHA #:    Name:   Expires:

NSBA #: Expires:   NRHA #:   

   Address:   City: State:   Zip:

   Birth Date:   Relationship to Owner:   SSN:  

3. YOUTH EXHIBITOR:

   AQHA #: Name:   Expires:

NSBA #:   Expires:   NRHA #:   

    Address:   City:   State:   Zip:

   Birth Date:   Relationship to Owner:   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    

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

ENTRIES FOR:

EXHIBITOR  

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

ENTRIES FOR:

EXHIBITOR  

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME:

CLASS #  CLASS NAME: