NJHA 2016 Show Registration

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TIME/DATE STAMP

MonthDayYearHourMinutesAM/PM Option
Event Date

MonthDayYear
NJHA 2016 Show Season PRE- Registration
Pre-registrations will close at 9:00 p.m., Saturday before All Shows !

All Registration Fees and Proof of Negative Coggins/Rabies are due PRIOR to Showing in ANY/ALL classes (Office opens at 7:30 a.m.)

Show Dates: April 17th SALEM County (2 Judge), May 8th Salem County (2 Judges), June 12th, DREAM PARK (2 Judges), July 24th - SALEM County (2 Judges), August 21st, Cumberland County (2 Judges), September 11th Cumberland County (2 Judges)

All Shows Start at 8:30am SHARP !

All Classes run no matter the number of entries.

RING CREW VOLUNTEERS WILL BE PAID AT THE COMPLETION OF THE SHOW, ASK THE SHOW SECRETARY FOR DETAILS !!!
Exhibitors Name

First NameLast Name
NJHA Back #
NJHA 2016 MEMBER
Exhibitors Sex
Age as of 01/01/2016
Contact E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Horses Name
Year Foaled
Horses Sex
Coggins Accession #
Rabies Vaccine Date
Leadline
Walk Trot - 11 Under
Novice Walk-Trot -12+
Junior - Ages 14 and Under
Intermediate - Ages 15- 19
Senior - 20 and older
JACKPOT: MUST BE PAID IN CASH - $10.00
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Your Signature/CheckBox below signifies that the Exhibitor or Exhibitor’s Parent/Legal Guardian, in the case of a minor, agrees to indemnify and hold harmless New Jersey Horse Association, Inc. for any injuries and/or damages suffered while exhibiting or spectating at this event. Additionally, NJHA will not be held responsible for any submission errors, YOU are responsible for verifying ALL SUBMISSIONS. Failure to provide the proper signature, Fees, Forms or complete this form in its entirety may result in the disqualification of any points earned at this show.
Comments or Notes
Printed Signature
E-mail
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NJHA 2016 Show Season PRE- Registration