ONLINE SHOW ENTRY FORM

Fax: (801) 618-4029
E-mail: marlafadel@hotmail.com

To avoid Late Entry Fees, Classes must be pre-entered  no later than seven (7) days before the show.

Fill in ALL required information  and click "submit" when complete

USE THE "TAB" KEY BETWEEN FIELDS - Using the "ENTER" key will submit the form.

Submit one form per horse.  Use additional forms if necessary.

 

PLEASE SELECT SHOW DATE Heritage Classic Shows & Futurities, Sept 1-6, 2010

EXHIBITOR NUMBER # List UPHC permanent # if applicable

Name of Horse

Reg. #

Year

Sex Stallion   Mare   Gelding Regular Registry Solid Paint Bred

Sire

Dam

Email Address

Owner

Mailing Address

City

State

Zip Code

Phone Number

I do hereby consent and agree that the sponsoring Association and any cooperative person or groups shall not be held responsible for loss, damage, and/or liability sustained or suffered while on the show grounds or during participation in said horse show.

OWNER/AGENT

PARENT/GUARDIAN OF MINOR

         YOUTH EXHIBITOR -  If more than 1 Youth exhibitors, use another entry

NAME    

YOUTH  AJPHA #  EXPIRATION     (01/01/1900)

YOUTH  BIRTH DATE     (01/01/1900)

RELATIONSHIP TO OWNER OF HORSE 

ADDRESS  -  IF DIFFERENT THAN OWNER   

                                     STREET

                                 City                                                                State                   Zip
 

 CLASS ENTERED FOR YOUTH EXHIBITOR

If your Entry is Complete, Click Submit

       AMATEUR EXHIBITOR  - If more than 1 Amateur exhibitor, attach another entry

NAME 

AMATEUR #          Expiration    (01/01/1900)

AMATEUR BIRTH DATE   (01/01/1900)

 RELATIONSHIP TO OWNER OF HORSE 

ADDRESS  -  IF DIFFERENT THAN OWNER   

                                     STREET

                                 City                                                                State                   Zip
 

CLASSES ENTERED FOR AMATEUR EXHIBITOR

If your Entry is complete, click Submit

      OPEN EXHIBITOR -  If more than 1 Open exhibitor, use another entry

 NAME    

 APHA #          Expiration    (01/01/1900)

 Relationship to Owner of Horse  

 ADDRESS  -  IF DIFFERENT THAN OWNER   

                                STREET

 City                                                                                              State                   Zip

  CLASS ENTERED FOR OPEN EXHIBITOR

If your Entry is complete, Click Submit