2022 Center of Nation Appaloosa Show Located at WH Lyons Fairgrounds

2022 CON Appaloosa Show Entry Form

August 10-11th 2022, Double Judged - 3 sets of Points - Located at WH Lyons Fairgrounds
EXHIBITOR # HORSE
If you do not have a number, we will assign one at the show
Horse Name
Horse Reg. No.
Sex

Stallion Mare Gelding
Foaled

Month Day Year
Date
Upload copy of Papers

Cancel of
Pic of Registration Papers Back if using mobile phone
Pic of Registration Papers Front if using mobile phone
Owner Name
Owner ApHC ID
Owner Expiration Date - ApHC ID Card

Month Day Year
Date
Owner Phone Number
Please enter a valid phone number.
Owner Email
example@example.com
Address

Address

Street Address Line 2

City State

Zip
Exhibitor #1 Name
Exhibitor #1 DOB

Month Day Year
Date
Exhibitor #1 Relationship to owner
Exhibitor #1 ApHC ID Number
Upload copy of Exhibitor #1 Card

Cancel of
Pic Of Membership Card Exhibitor #1 (if using mobile)
Exhibitor #1 Expiration Date - ApHC ID Card

Month Day Year
Date
Exhibitor #1 Address

Address

Street Address Line 2

City State

Zip
Exhibitor #1 Phone Number
Please enter a valid phone number.
Exhibitor #1 Email
example@example.com
Exhibitor #1 Type of Exhibitor

Youth Open Non Pro
Exhibitor #1 Entries for Wednesday
Exhibitor #1 Entries for Thursday
Exhibitor #2 Name
Exhibitor #2 DOB
Exhibitor #2 Relationship to owner
Exhibitor #2 ApHC ID Number
Upload copy of Exhibitor #2 Card

Cancel of
Pic Of Membership Card Exhibitor #2 (if preferred)
Exhibitor #2 ID ApHC Card Expiration Date

Month Day Year
Date
Exhibitor #2 Address

Address

Street Address Line 2

City State

Zip
Exhibitor #2 Phone
Exhibitor #2 Email
example@example.com
Exhibitor #2 AQHA Exhibitor Type

Youth Open Non Pro
Exhibitor #2 Entries for Wednesday
Exhibitor #2 Entries for Thursday
WARNING: Under South Dakota Law, an equine professional is not liable for injury to or death of a participant in equine activities resulting from the inherent risks of equine activities.

I(we), the owner(s), exhibitor, hereby request to enter the show indicated and agree to abide by the bylaws, standing rules, judging and show rules of the respective organization, i.e. Appaloosa Horse Club (ApHC), and CON App Club.

I (we), hereby release ApHC/CON App Club and its members, employees from any loss to myself, employees, agents, horses and/or equipment while attending and/or participating in this show. I further agree that my likeness or horse may be used in promotional materials for the show. The provisions contained herein are hereby made a part of this entry agreement.
Signature

Clear
Date

Month Day Year
Date
Should be Empty:

2022 CON Appaloosa Show Entry Form