NEPtHA Stall and Camper Form

1. All owner information MUST be provided or the Main Person / Farm / Trainer WILL BE responsible for the entire cost of the items listed on this form.

2. Trainers please use as many forms as needed.

3. TACK STALLS will not be devided between individuals

4. THIS FORM MAY BE REJECTED IF FILLED OUT INCORRECTLY.

DateName of Show

Trainer / Individual Information*

Full NameE-Mail Address

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Requested Barn (2,3,4,5)

Stall me with;

Exhibitor Number

Person responsible for this stall/stalls;

Early Arrival Horse Stall Wed. 3pm $30.00

Number of Stalls (horse and tack)

# Bags of Bedding (zero if none)

# Bags of Bedding

Camper Size

Exhibitor Number

Person responsible for this stall/stalls;

Early Arrival Horse Stall Wed. 3pm. $30.00

Number of Stalls (horse and tack)

# Bags of Bedding (zero if none)

Camper Size

Exhibitor Number

Person responsible for this stall/stalls;

Early Arrival Horse Stall Wed. 3pm $30.00

Number of Stalls (horse and tack)

Number of Stalls Horse and Tack

# Bags of Bedding (zero if none)

Camper Size

Exhibitor Nuber

Person responsible for this stall/stalls;

Early Arrival Horse Stall Wed. 3pm $30.00

Number of Stalls (horse and Tack)

# Bags of Bedding (zero if none)

Camper Size

Exhibitor Number

Person responsible for this stall/stalls;

Early Arrival Horse Stall Wed. 3pm $30.00

Number of Stalls (horse and tack)

# Bags of Bedding (zero if none)

Camper Size

NEPtHA Stall/Camper Reservation Form