Jambalaya AMHR Miniature Horse Show - MAMHC Sponsored Show - June 25^th 2010

Name:	Office fee Per Horse	x $ 5.00
Address:	Amateur/Open Class Entry	x $25.00
City, State, Zip:	Youth Class Entry	x $15.00
Phone:
Email:	Stalls (See Reservation Sheet*)	x $20.00*
	(If you are also showing in the AMHA show Please use the AMHA entry form for your stalls and leave this blank)
	Total Enclosed

Full AMHR Registered	Exhibitor		AMHR			Registered Owners	Office Use Only
Name of Horse	Name(S)	Class Number	Reg #	Age	Sex	Name and Address	Height	Show #
	1)
	2)
	1)
	2)
	1)
	2)
	1)
	2)
	1)
	2)

______________________________ _______________________________ _______________________________ ______________________________

Signature of Amateur and Number Signature of Amateur and Number Signature of Youth and Number Signature of Youth and Number

This form must be signed in order to participate in the show. This show is approved and conducted under the rules of AMHR and is open only to horses registered with AMHR. I hereby enter these horses in the classes listed above. By so entering, I agree to abide by and be bound by all rules and regulations of AMHR, Hoosier Horse Park, and Mid-America Miniature Horse Club. I agree to hold harmless the managers and sponsors of the show from all liability in case of accident, theft, injuries or loss in any way associated with my participation in this event. Under Indiana Law (an equine professional is not libel for any injury to or the death of a participant in equine activities resulting from the inherent risk of equine activities. My signature is proof that I have read, understand, and agree to accept this Statement.

Make Checks payable to: MAMHC

______________________________________ ________________________________________ Mail Entries to: Kimberly Sullivan

Signature of Exhibitor Signature of Parent or Legal Guardian 289 Galloway Rd. Stamping Ground, KY 40379