FQHA Last Chance NSBA Futurity Online Entry Form

FQHA Last Chance NSBA Futurity Online Entry Form

December 5-7, 2025, World Equestrian Center, Ocala, FL
Horse Name, NSBA Reg. #
AQHA/APHA/other Breed Registration #
example@example.com
Owner Name
NSBA Membership & Exp Date
example@example.com
AQHA/APHA/other Breed Membership & Exp Date
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Exhibitor #1 Name
NSBA Membership & Exp Date
example@example.com
AQHA/APHA/other Breed Membership & Exp Date
example@example.com
Relationship to Owner
Date of Birth
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Exhibitor #2 Name
NSBA Membership & Exp Date
example@example.com
AQHA/APHA/other Breed Membership & Exp Date
example@example.com
Relationship to Owner
Date of Birth
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Futurity Class to Enter

$500 NSBA 3 Yr Old Trail$500 NSBA Non-Pro 3 Yr Old Trail$500 NSBA Open Yearling Longe Line$500 NSBA Non-Pro Yearling Longe Line$500 NSBA 2 Yr Old Hunter Under Saddle$500 NSBA 2 Yr Old Non-Pro Hunter Under Saddle$500 NSBA 3 Yr Old Non-Pro Hunter Under Saddle$500 NSBA 3 Yr Old Hunter Under Saddle$500 NSBA 2 Yr Old Western Pleasure$500 NSBA 2 Yr Old Non-Pro Western Pleasure$500 NSBA 3 Yr Old Non-Pro Western Pleasure$500 NSBA 3 Yr Old Western Pleasure
By the act of entering this show, owners, lessees and exhibitors agree that NSBA, AQHA APHA, FQHA, WEC, the sponsoring charter/club, the show grounds and the show committee or any other staff members will not be held responsible for any loss, injury, damage or debts in connection with this show.

DO NOT SEND PAYMENT WITH PRE ENTRIES; all payments will be processed at the show office at check in.

Membership cards and Registration papers must be presented at check in.
Signature

Clear
Should be Empty: