LCAC Fall In Hand Show Horse Entry Form
Please DO NOT use this form after 9/5/2025. Your entry will not be reviewed.
Requested Back Number(you will be notified if this number cannot be used)
Name of Horse (As appears on Registration Papers)
*
Horse ApHC Registration #
*
Put N/A if not applicable
Sex
*
Mare
Stallion
Gelding
Year Foaled
*
Owner(s)
*
Owner(s) ApHC#
*
Put N/A if not applicable
Owner Phone #
*
Please enter a valid phone number.
Owner Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owner E-mail:
example@example.com
Bill Show Entry To:
*
First Name
Last Name
EXHIBITOR #1 ENTRY - CLICK TO EDIT
EXHIBITOR NUMBER 1
Exhibitor #1 Name
*
First Name
Last Name
Exhibitor #1 ApHC #
*
Put N/A if not applicable
Exhibitor #1 Phone #
*
Please enter a valid phone number.
Exhibitor #1 Address:
*
Street Address (Write same as owner on this line if applicable)
Street Address Line 2
City
State / Province
Postal / Zip Code
Exhibitor #1 Relation To Owner:
*
Exhibitor #1 Date of Birth
-
Month
-
Day
Year
Date
Exhibitor #1 Select option if applicable
Walk Trot 10 & Under
Non Pro
13 & Under
14-18
Leadline
Open All Breed
Exhibitor #1 Class Entry #'S
*
Enter Class Numbers and then Comma ex: 1 , 24 , 30, 10
EXHIBITOR #2 ENTRY - CLICK TO EDIT
EXHIBITOR NUMBER2
Exhibitor #2 Name
First Name
Last Name
Exhibitor #2 ApHC #
Put N/A if not applicable
Exhibitor #2 Phone #
Please enter a valid phone number.
Exhibitor #2 Address:
Street Address (Write same as owner on this line if applicable)
Street Address Line 2
City
State / Province
Postal / Zip Code
Exhibitor #2 Relation To Owner:
Exhibitor #2 Date of Birth
-
Month
-
Day
Year
Date
Exhibitor #2 Select option if applicable
Walk Trot 10 & Under
Non Pro
13 & Under
14-18
Leadline
Open All Breed
Exhibitor #2 Class Entry #'S
Enter Class Numbers and then Comma ex: 1 , 24 , 30, 10
EXHIBITOR #3 ENTRY - CLICK TO EDIT
EXHIBITOR NUMBER 3
Exhibitor #3 Name
First Name
Last Name
Exhibitor #3 ApHC #
Exhibitor #3 Phone #
Please enter a valid phone number.
Exhibitor #3 Address:
Street Address (Write same as owner on this line if applicable)
Street Address Line 2
City
State / Province
Postal / Zip Code
Exhibitor #3 Relation To Owner:
Exhibitor #3 Date of Birth
-
Month
-
Day
Year
Date
Exhibitor #3 Select option if applicable
Walk Trot 10 & Under
Non Pro
13 & Under
14-18
Leadline
Open All Breed
Exhibitor #3 Class Entry #'S
Enter Class Numbers and then Comma ex: 1 , 24 , 30, 10
BILLING
Classes
# of ApHC Classe X $10
# of Open All Breed x $10
If not using a blanket fee
National Point Fee $5
Applies to ApHC Classes only enter #1 if you apply
Exhibitor Fee
10.00 per Exhibitor
# Exhibitors x $10
Camping
$35 per night *Water, Sewer & Electric Available .
# Nights X $35
Stalls
$20 a night - All stalls MUST be stripped, you must bring your own bedding
# Stalls x $20
Estimated Total $
Use this form to upload ApHC Papers front & back, Coggins & Rabies Paperwork, ApHC Membership Card Proof
Browse Files
Drag and drop files here
Choose a file
Horses stabled within New York State must have a Negative Coggins dated 2024 or 2025. Horses stabled outside New York State including Canada must have a negative Coggins Test dated within 6 months. Current 2025 Rabies Certificate required.
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ENTRY FEE PAYMENTS
Online payment is accepted via Paypal to LCACAppClub@gmail.com - Friends & Family only. Any other methods will be rejects. If paying by check , Please mail all pre-entry check payments to Mail payment to:Lake Champlain Appaloosa Club, 55 Elm St, Champlain, NY 12919 Please make checks payable to LCAC
How will you be paying?
*
Paypal - LCACAppClub@gmail.com - Friends & family only
Cash or Check
I herby enter at my own risk and agree to abide by all the rules of the LCAC Horse Show. I further agree to indemnify the LCAC and owners of the property upon which the show is held, against any claims, demands, or suits and expenses arising out of any injury to any person or damages to any property caused by or to my horse (s), attendants, or myself. Presentation of a signed entry form shall be deemed acceptance of these rules and in the event of failure to sign the entry form, the first entry into the show ring shall be deemed as acceptance of said rules.
Agreement
*
Checking this box indicates that you have read and understand all of the risk noted above.
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