AQHA Classes Championship Show Entry Form

CCBA Championship Show Entry Form

August 2nd-4th, 2024
Exhibitor Name*

First NameLast Name
Exhibitor or Guardian Email*
example@example.com - used for conformation
Back Number
Back number Every Horse/Rider combination will receive their own back number for purpose of year end points.
Age
Age as of 1/1/2024.
Exhibitor AQHA Membership card *

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Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Horse's Name*
Horse Owner Name*
Horse's AQHA Papers*

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Horse's Coggins

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AQHA Level 1 Youth WT

10. Level 1 Youth Showmanship20. Level 1 Youth WT Western Pleasure28. Level 1 Youth WT Horsemanship97. Level 1 Youth WT Hunter Under Saddle103. Level 1 Youth WT Equitation
AQHA Level 1 Youth

10. Level 1 Youth Showmanship34. Level 1 Youth Western Pleasure42. Level 1 Youth Horsemanship113. Level 1 Youth Hunter Under Saddle122. Level 1 Youth Equitation
AQHA Level 1 Amateur WT

12. Level 1 Amateur Showmanship13. Level 1 Amateur Select Showmanship23. Level 1 Amateur WT Pleasure28. Level 1 Amateur WT Horsemanship97. Level 1 Amateur WT Hunter Under Saddle104. Level 1 Amateur WT Equitation
AQHA Level 1 Amateur

12. Level 1 Amateur Showmanship13. Level 1 Amateur Select Showmanship37.Level 1 Amateur Western Pleasure43. Level 1 Amateur Horsemanship116. Level 1 Amateur Hunter Under Saddle123. Level 1 Amateur Equitation
# of Classes *
Total Amount Due ($15 per class)
Office Fee: $10 Applies to Horse/rider combination

AQHA Judge Fee: $15

Every Horse/Rider combination will receive their own back number for purpose of year end points.

There are no minimum amount of classes to be entered for the division awards.
Coggins/Rabies

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Papers, if needed to show Breeding stock or Solid Bred color.

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Parent/Guardian Name (if exhibitor is under 18)

First NameLast Name
By clicking yes you agree to adhere the rules of CCBA and the FCF show grounds for myself or child.*

Yes
Should be Empty:

CCBA Championship Show Entry Form