WinterCircuitOnlineEntry

Winter Circuit Online Entry

Entry Deadline:
Any entry form not filled out in its entirety will be rejected.
Trainer:*
Name of Horse*
Year Foaled*
SEX*
Reg. #*
Select Registry*
Upload Registration Papers here

Upload Registration Papers Here

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All NSBA horses must have an NSBA Registration. If your horse is not registered, NSBA Registration can be done at the show with a copy of breed registration papers.
Will this horse enter NSBA classes?

YesNo
NSBA Horse Name
If NSBA registration name is different from above
NSBA Registration #
Upload NSBA Certificate here

Upload Registration Papers Here

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Will this horse be stalled on show grounds?*

YesNo
$45/per day trailer in fee applies to all unstalled horses.
In case of emergency, where will you be staying during the show?*
Name & Address of Hotel or Airbnb   Name of Hotel*
Street Address*
City* State*   Zip*
Is this horse leased?*

YesNo
Upload Lease Here

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Owner*
For Leased Horses enter Lesee as Owner
Owner AQHA ID #*
AQHA Expiration Date*

MonthDayYear
Owner NSBA ID #
NSBA Expiration Date

MonthDayYear
Upload Owner Membership Cards Here:

Upload a File

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Mailing Address*
City*
State*
Zip Code*
Phone*
Email Address*
I am aware of and understand that there are inherent risks associated with equine activities. I do hereby consent and agree that Fox Lea Farm, Mark Harrell Equine Marketing, AQHA, NSBA and/or any cooperative person or group is not liable for an injury to or death of a participant due to the inherent risks associated with these activities and shall not be held responsible for loss, damage and/or liability sustained or suffered while on the show grounds or during participation in this horse show.

As owner/agent I agree to abide by all rules of the association(s) and to pay all costs and fees associated with this entry including but not limited to class entry fees, stall, feed, bedding, association and membership fees. In the event this entry is unsigned, then first entry of this horse into the arena shall be deemed agreement and acceptance of these rules.
OWNER/AGENT*
PARENT/GUARDIAN OF MINOR
Exhibitor #1
NAME *
Relationship to Owner*
Are you related to the owner? If not, Relationship is "None"
Exhibitor #1 - Division

OpenAmateur/SelectYouthLevel 1 Youth/AmateurWalk Trot Youth/Amateur
BIRTH DATE Required if Yth or Ama

MonthDayYear
AQHA ID #*
Expiration Date

MonthDayYear
Upload Exhibitor #1 Membership Cards Here:

Upload a File

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NSBA ID#
Expiration Date (2)

MonthDayYear
ADDRESS if not Owner
City
State
Zip
Are classes the same for Exhibitor #1 for both shows? If so, click "Yes" and enter class numbers one time for both shows. (Class numbers are the same for both shows.) If classes are not the same, click "No" and enter the class numbers for each show in the appropriate box.
*

YesNo
Show 1 Classes - enter class # followed by the "Enter" key for each class.
Show 2 Classes - enter class # followed by the "Enter" key for each class.
If your entry is complete, click Submit Form. If not, continue to next exhibitor.
Exhibitor #2
NAME
Relationship to Owner*
Are you related to the owner? If not, Relationship is "None"
Exhibitor #2 - Division

OpenAmateur/SelectYouthLevel 1 Youth/AmateurWalk Trot Youth/Amateur
BIRTH DATE Required if Yth or Ama

MonthDayYear
AQHA ID #
Expiration Date

MonthDayYear
Upload Exhibitor #2 Membership cards here

Upload a File

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Exhibitor #2 NSBA ID #
Expiration Date (2)

MonthDayYear
ADDRESS if not owner
City
State
Zip
Are classes the same for Exhibitor #2 for both shows? If so, click "Yes" and enter class numbers one time for both shows. (Class numbers are the same.) If classes are not the same, click "No" and enter the class numbers for each show in the appropriate box.
YesNo
Show 1 Classes - Enter each class # followed by the "enter" key for each class
Show 2 Classes - Enter each class # followed by the "enter" key for each class
Message to Show Secretary (optional)
If your entry is complete click Submit Form.
If more than 2 exhibitors, please use another entry.

Thank you for using online entry! See you at the show!
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Winter Circuit Online Entry