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)

________________________________________________