Silver State Circuit Online Entry

EXHIBITOR#

Assigned by Show Office

Trainer:

Name of Horse*

Year Foaled*

SEX*

Select Registry*

Reg. #*

Upload Registration Papers Here

Is horse double registered & showing multiple registries?

YesNo

For double registered horses, enter secondary breed information.

Horse Name (2)

If secondary breed name is different from above

Select Registry (2)

Registration # (2)

Double Registered Horses

Upload Secondary Registration Papers Here

Will this horse be stalled on show grounds?*

YesNo

Is this horse leased?*

YesNo

Upload Lease Here

Owner*

For Leased Horses enter Lesee as Owner

Owner ID #*

Expiration Date*

MonthDayYear

Primary Owner ID Type:

Enter any additional Owner ID #'s here. Please specify Breed/Organization:(NSBA, AQHA, etc.)

Upload a File

Upload Owner Membership Card(s) Here

Owner Address*

Mailing Address

City*

State*

Zip Code*

Owner 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 the Nevada Quarter Horse Association, Silver State Paint Horse Club, Western States Versatility Ranch Horse Association, Show Office Services, AQHA, APHA 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"

Division*

BIRTH DATE Required if Yth or Ama

MonthDayYear

ID #*

Association*

Lifetime

Expiration Date

MonthDayYear

Upload a File

Upload Exhibitor 1 Membership Card(s) here

ID # (2)

Association (2)

Lifetime

Expiration Date (2)

MonthDayYear

ADDRESS if not Owner

City

State

Zip

All AQHA, APHA & ApHC classes are offered under all 4 judges. WSVRHA classes will show to 2 judges only.

All Cow classes, Ranch Reining, Ranch Conformation, Halter, & Showmanship will show to all four AQHA, APHA, ApHC judges at once. All other classes will show to two judges and will show 2 times.

If you are entering all the same classes and showing to all 4 judges, you only need to enter the class numbers one time in Show 1 and you will automatically be entered in Show 2.

If you are not entering all the same classes and showing to all judges, please enter classes by show. Show 1, showing Thursday, Friday & Saturday, or Show 2, showing Friday, Saturday & Sunday. Enter classes in the appropriate box below.

Will Exhibitor 1 be showing the same classes both shows?

YesNo

Show 1, Thurs, Fri, Sat - List Class # (101,102,103) followed by the "Enter" key for each class.

Show 2, Fri, Sat, Sun List Class # (101,102,103) followed by the "Enter" key for each class.

Do you have another exhibitor to enter for this horse?*

YesNo

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"

Type

BIRTH DATE Required if Yth or Ama

MonthDayYear

ID #

ID Type

Lifetime

Expiration Date

MonthDayYear

Upload a File

Upload Exhibitor 2 Membership Card(s) Here

ID # (2)

Type (2)

Lifetime

Expiration Date (2)

MonthDayYear

ADDRESS if not owner

City

State

Zip

Will Exhibitor 2 be showing the same classes both shows?

YesNo

Exhibitor 2, Show 1 - Thurs, Fri, Sat - List class # (101, 102, 103) followed by the "enter" key for each class

Exhibitor 2, Show 2 - Enter class # (101, 102, 103) 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, use another entry.
Thank you for using online entry! See you at the show!

Silver State Circuit Entry