SILVER
JUBILEE AMHA SHOW
June 5 & 6, 2010
Champions
Center, Springfield, OH
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I certify that I am a Youth or Amateur as required
by the Rules of AMHA. 1_________________________________AMHA#_________ 2_________________________________AMHA#_________ 3_________________________________AMHA#_________ 4_________________________________AMHA#_________ Youth Must provide Date of Birth – Age group
determined by Age on January 1st of current year. |
Farm Name:
__________________________________
Owner Name:
_________________________________
Address:
______________________________________
City, State, Zip
_________________________________
Phone &
Email_______________________________________________________________________________________
I herby enter miniature horse(s) in the classes
below. In entering the horse(s) in
participation in such events and in making use of property privileges, I will
abide and be bound by all rules and regulations. I hereby hold harmless the
show manager, show secretary, show organizers, sponsors or sponsor management
from any loss, damage or injury to any person or property resulting from such
entry, participation or use of such property or privileges.
Exhibitor
Signature: __________________________________________________________________
Parent or
Guardian (for Youth Exhibitor)
_____________________________________________________
Must be
Signed before Participation
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Office
Office Use
Use Registered Name Reg. No. Sex DOB
Registered Owner Entry#
Height of
Horse |
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Exhibitor____________________________________ Exhibitor ____________________________________
Class # (One class number per square) Class#
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Exhibitor____________________________________ Exhibitor
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Class # Class#
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Exhibitor____________________________________ Exhibitor
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Class # Class#
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Exhibitor____________________________________ Exhibitor
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Class # Class#
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Exhibitor____________________________________ Exhibitor
____________________________________
Class # Class#
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THIS FORM MAY BE REPRODUCED
This
show is approved by and conducted under the rules of the American Miniature
Horse Association, Alvarado, Texas. All
entered horses must be registered with AMHA.
All Youth/Amateur Exhibitors must provide their Current (2010)
AMHA Youth/Amateur number in the space provided on the front of the entry blank. Show Management reserves the right to settle
and determine all questions, differences and disputes arising out of or
connected with or incidental to this show within the boundaries of AMHA’s show
rules.
The
following must be enclosed with submitted entries:
1.
Copy
of each horse’s Registration Papers (front and back)
2.
Copy
of Stallion Inspection Certificate on Senior Stallions
3.
Copy
of Current (2010) Youth/Amateur Card
4.
Check
for monies due. Make checks payable to
Mid America Miniature Horse Club (MAMHC)
ENTRIES POSTMARKED
AFTER SATURDAY, MAY 15, 2010 WILL BE CHARGED A $5.00 PER CLASS POST-ENTRY FEE.
ENTRIES
ARE TO BE SENT TO: Laura Mullen, 2724
Olivia Road, Sanford, NC 27332.
Inquiries can be made at 919-499-4777, by email at winectry@aol.com or on website:
www.winecountryhorseshows.com.
COMPLETE THE FOLLOWING
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OPEN
CLASSES ________ @ $40.00 Per Class $
___________
If
Postmarked after May 15, 2010 ________ @ $45.00 Per Class $
___________
AMATEUR
CLASSES ________
@ $35.00 Per Amateur Class $
___________
If
Postmarked after May 15, 2010 ________ @ $40.00
Per Amateur Class $
___________
YOUTH
& SPECIAL NEEDS CLASSES _________
@ $25.00 per Youth Class $
___________
If
Postmarked after May 15, 2010 _________ @ $30.00 per Youth
Class $
___________
FLAT
FEE PER HORSE _________ @ $100.00 Per Horse
(See Prize List) $ ___________
FLAT
FEE PER HORSE (POST ENTRY) _________
@ $125.00 Per Horse (After 5/15) $ ___________
STALLS
_________
@ $47.50 per stall $
___________
SHAVINGS _________ @ $ 7.00 per bag $
___________
Please
stall with:
____________________________________________________________________________
CAMPER
HOOKUP _________
@ $25.00 per night $
___________
(Order
and pay through Champions Center 937-324-4353 with credit card or order with
show
management)
OFFICE
FEE _________
@ $5.00 per horse $
___________
AMHA
FEE _________
@ $3.00 per horse $
___________
EARLY ARRIVAL FEE (Thurs. 6/3) _________ @ $20.00 per horse $
___________
TOTAL $ ___________
Make Checks Payable To: Mid America Miniature Horse Club (MAMHC)
Mail To: Laura Mullen, 2724 Olivia Road,
Sanford, NC 27332.
I
plan to arrive (Date and approximate time):
___________________________________________________________________
In
case of emergency I can be reached at (phone) _________________________
Hotel/Room ____________________________
Please note any special requests
here:__________________________________________________________________________
WE
WELCOME ALL EXHIBITORS WITH SPECIAL NEEDS