ENTRY FORM

ENTRY FORM
FQHA LAST CHANCE SHOWS WORLD EQUESTRIAN CENTER, DECEMBER 6-8, 2024
Person Responsible for account
Email
example@example.com
CELL PHONE
Horse Name
AQHA Registration #
Yr Foaled
Sex
Owner
AQHA Membership # & Expiration Date
Address

Mailing Address

Street Address Line 2

CityState / Province

Postal / Zip Code
St
Zip
IF YOUTH OR AMATEUR RIDER GIVE RELATIONSHIP OF OWNER TO RIDER
AQHA Am Name
AQHA Membership # & Expiration Date
Bdate (Youth & Amateur)
AQHA
AQHA Yt name
AQHA Membership # & expiration date
Open rider name
AQHA Membership # & expiration date
Class numbers entered
American Quarter Horse Assoc. (AQHA) Florida Quarter Horse Association, (FQHA) World Equestrian Center (WEC), its owners, its employees, its agents, and its guests will not be held responsible for accidents, communicable diseases, or loss which may occur to an exhibitor, spectator, guest, rider, groom, other employee, animal, or equipment at the competition; nor will they be responsible for any article of any kind or nature that may be lost, destroyed, or stolen, whether or not such loss, damage, or injury is the result of AQHA, FQHA, or WEC. All exhibitors, spectators, guests, riders, grooms, or other employees are subject to the rules and regulations of AQHA,
ENTRY FORM MUST BE ACCOMPANIED BY COPY OF REGISTRATION PAPERS AND MEMBERSHIP CARD FOR ALL EXHIBITORS AND HORSES TO BE CONSIDERED ENTERED INTO SHOW AND QUALIFIED. 4% SURCHARGE FOR CREDIT CARD PAYMENTS
Should be Empty: