Magnolia Miniature Classic Entry Form
Name:____________________________________. Address____________________________________.
City/State/Zip:_____________________________. Phone:_____________________________________.
Youth Name/Birthday:______________________. Amateur/Youth #’s (Required) __________________
________________________________________________________________________________________.
|
Horse # (Office Use) |
Name of Horse (enter one class # per box under name of horse) |
Reg # |
Sex |
Date of Birth |
Registered Owner(s) of Horse |
|||||||||||||||||||
|
|
|
|
|
|
|
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Below list Horse, name/amateur or Youth number and all classes entered. You must enter an exhibitor for each class entered, Open classes
Included. You may use farm names on open classes, BUT you must list all classes entered for farm name.
Reminder: Youth is an individual who has not attained eighteen as of December 1 of the current year.
|
Horses Name |
List Handler with Amateur or Youth Number |
List All Class #’s Entered from above |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health Papers: _______. Coggins Papers: _____.
Fees Schedule
A copy of the horse’s registration papers must accompany each horse entered. Youth and amateur exhibitors must be members of AMHA and AMHR MUST provide their amateur/youth numbers in order to show. Payment must be sent with entries, make checks payable to SMHCMMC: Please mail entries to: David Wright, 350 NW 110 RD, Harper, KS. 67058. If you have questions please call 620-896-7959 or email: davkim1@cyberlodge.com.
All returned checks will be accessed a $30.00 late fee, plus all charges associated with collection of the check.
Regular Entries per horse per class # _____X$20.00 _________.
Youth classes: Single class rate: # _____X$10.00 _________.
Stalls: $30.00 for Fri/Sat #_____ @$30.00 _________ .
Administration Fee: $3.00 Per Horse # ______@ $ 4.00 _________ .
Shavings: MUST be paid for at the arena and paid to them
No bedding allowed to be brought in.
RV Hook-up: $15.00 Per night _____#Nights X $15.00_______
Total Amount Due:_________.
In case of emergency we will be staying at______________________.Phone #____________.
We Plan on arriving on Date:______________________.
This form must be signed in order to participate in the show:
This show is approved and conducted under the rules of AMHA and AMHR is open only to horses registered with AMHA and AMHR. I hereby enter these horses in the above listed classes, by doing so I agree to abide by and be bound by all rules and regulations of AMHA and AMHR. I agree to hold harmless the management staff, members and officers of the show from all liability in case of accident, theft, injuries or loss in any way associated with my participation in this event equine
Authorized Signature DATE__________________________
Parent or guardian signature required for all youth exhibitors. DATE_____________________________