asho4u and region 7 championship mail entry … 7entry.pdf · asho4u and region 7 championship...
Post on 30-Jun-2018
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Total Class Fees…………………………..…...…….$___________
Post Entry Fees
(if entered after March20, 2018)
______ASHO4U @ $15 per class $___________
Additional to class fee
______Region 7 @ $45 per class $___________
Additional to class fee
______R7 Opprty. Sale Class $100.00 $___________
If entered in Region 7 show
______R7 Opprty. Sale Class $150.00 $___________
If not enteredin Region7 show
______Courtesy Post Entry Fee $300 $___________
See Page 2
______Horse Stalls $190ea (no bedding) $___________
______Tack Stalls $190ea (no bedding) $___________
______Grounds Fee $30 per horse/day $___________
______Office Fee $35 per horse $___________
______USEF Fee $23 per horse
$8 USEF, $15D&M $___________
______USEF Show Pass $45 (non member) $___________
______Reining Schooling Fee $25/horse $___________
______Ring Charge Warmup $35/horse $___________
(Trail, Dressage, H/J includes both shows)
ASHO4U FEES (applicable if entered in classes 1-340)
______AHA 9-90 Res Fee $4 per horse $___________
______AHA Single Event Fee $35 ea $___________
______AHA Show Recog. Fee $4/horse $___________
REGION 7 FEES (applicable if entered in classes 500-821)
______AHA 9-90 Res Fee $15 per horse $___________
______AHA Show Recog. Fee $4/horse $___________
SPONSORSHIPS (See page 30 for sponsorship form)
______ASHO4U Reg. Class $35 per class $___________
______ASHO4U Champ Class $60/class $___________
______TBA CLASSES $25 $___________
______Region 7 Champ. Class $150 $___________
______Hospitality $100 $___________
TOTAL FEES ENCLOSED $___________
A 3.5% PROCESSING FEE WILL BE CHARGED FOR ALL CREDIT CARD TRANSACTIONS
Stabling Information Stall With Barn Preference
Please check here if adding classes
For a horse already entered
ASHO4U and REGION 7 CHAMPIONSHIP Arabian & Half-Arabian /Anglo Arabian Horse Show
April 23-29, 2018 WestWorld, Scottsdale, AZ
No. Name of Horse Reg. # DOB Sex Color Sweepstakes
Sire Dam Height Horse USEF #
Rider/Driver/Handler #1
UPHA#
Please type or Print/Only One Horse per Entry Form.
All entries must be complete and include correct and complete fees. Enclose copies of horse registration papers-purchase contract if applicable. USDF membership cards (if appli-cable), USEF/IEC membership cards, AHA membership cards and amateur certification for each rider, handler, owner and trainer. For more than one horse please request addi-tional entry forms or make copies.
AHA# Classes Entered (Please use Show Class #s—NOT AHA Class Codes) Entry Fees
USEF/IEC#
USDF#
For more than three (3) riders on the same horse, use additional entry form leaving horse data blank (with the exception of Horse’s name). Owners with more than one horse use additional forms.
$
Rider/Driver/Handler #2
UPHA#
AHA# Classes Entered (Please use Show Class #s—NOT AHA Class Codes) Entry Fees
USEF/IEC#
USDF# $
Rider/Driver/Handler #3
UPHA#
AHA# Classes Entered (Please use Show Class #s—NOT AHA Class Codes) Entry Fees
USEF/IEC#
USDF# $
Owner Name (as appears on Registration Papers or Contract
Each person signing this entry form acknowledges that he/she has read the FRONT and REVERSE OF THE Entry Form and agrees to all applicable terms, conditions, waivers, re-leases, indemnifications and consents as set forth herein. Each person agrees that the information is accurate to the best of their knowledge. ALL OWNERS, TRAINERS, COACHES, RIDERS, DRIVERS AND HANDLERS MUST SIGN ON THE BACK of this ENTRY FORM. MINOR ENTRANT must have a PARENT/GUARDIAN signature and phone number on the back of this ENTRY FORM.
AHA#
EXP
USEF/IEC# Farm USEF/IEC#
Owner Address City, State, Zip Cell Phone #
Trainer Name (Mandatory –must be 19 years of age or older) AHA#
EXP
USEF/IEC# USDF#
Trainer Address City, State, Zip Cell Phone #
Trainer Phone Trainer Email
Amateur/Junior (A/J) Exhibitor Name A/J DOB A/J Age A/J Relationship to Owner A/J Complete Address (if NOT the owner)
Dressage Horses Owner USDF# Rider USDF# Horse USDF#
PAYMENT INFORMATION (Please print legibly)
ENTRIES WISHING TO BE STABLED TOGETHER
MUST BE SUBMITTED IN THE SAME ENVELOPE
Check # Check Amt. Make Checks Payable to Region 7
Credit Card Payment ____Visa ____Discover ____MC (a 3.5% processing fee will be assessed
Card # Exp Date CVV
Name on Card Cardholder Phone
Cardholder Address State Zip
FOR OFFICE USE ONLY Date Received
Mail Entry Forms and Fees to:
Melanni Hershberger
13031 N. 76th St (Miller Rd)
Scottsdale, AZ 85260
480-443-3372 FAX 480-905-1142
Minor exhibitor consent form-see reverse side of entry form. Adult Signatures for Rider, Owner & Trainer required
on the reverse of this form
Email Address for entry confirmation (optional)
________________________________________________
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