NYS Peruvian Horse Championships (Double Show) – Entry Form

NYS Peruvian Horse Championships (Double Show ) – Entry Form

2026
Name

First NameLast Name
Announced as:
Ranch Name for Example
Emergency Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Are you a current PHAC 2026 Member?
Are you a current NPHC 2026 Member?
PHAC Membership ID #
If you are a member, please enter your #

#1 Horse Information
Horse Name
Sex
Date of Birth

MonthDayYear
Date
PHAC Registration #
NAPHA Registration #
Registration Pending
Class Number + Handler (s)
Enter all separated by comma
If entering directly into Champion or Champion of Champion Class(s), please provide year and show this horse qualified from:
Do you have more horses to enter?

#2 Horse Information
Horse Name
Sex
Date of Birth

MonthDayYear
Date
PHAC Registration #
NAPHA Registration #
Registration Pending
Class Number + Handler (s)
Enter all separated by comma
If entering directly into Champion or Champion of Champion Class(s), please provide year and show this horse qualified from:
Do you have more horses to enter?

#3 Horse Information
Horse Name
Sex
Date of Birth

MonthDayYear
Date
PHAC Registration #
NAPHA Registration #
Registration Pending
Class Number + Handler (s)
Enter all separated by comma
If entering directly into Champion or Champion of Champion Class(s), please provide year and show this horse qualified from:
Do you have more horses to enter?

#4 Horse Information
Horse Name
Sex
Date of Birth

MonthDayYear
Date
PHAC Registration #
NAPHA Registration #
Registration Pending
Class Number + Handler (s)
Enter all separated by comma
If entering directly into Champion or Champion of Champion Class(s), please provide year and show this horse qualified from:
Do you have more horses to enter?

#5 Horse Information
Horse Name
Sex
Date of Birth

MonthDayYear
Date
PHAC Registration #
NAPHA Registration #
Registration Pending
Class Number + Handler (s)
Enter all separated by comma
If entering directly into Champion or Champion of Champion Class(s), please provide year and show this horse qualified from:
Do you have more horses to enter?

#6 Horse Information
Horse Name
Sex
Date of Birth

MonthDayYear
Date
PHAC Registration #
NAPHA Registration #
Registration Pending
Class Number + Handler (s)
Enter all separated by comma
If entering directly into Champion or Champion of Champion Class(s), please provide year and show this horse qualified from:
Do you have more horses to enter?

#7 Horse Information
Horse Name
Sex
Date of Birth

MonthDayYear
Date
PHAC Registration #
NAPHA Registration #
Registration Pending
Class Number + Handler (s)
Enter all separated by comma
If entering directly into Champion or Champion of Champion Class(s), please provide year and show this horse qualified from:
Do you have more horses to enter?

#8 Horse Information
Horse Name
Sex
Date of Birth

MonthDayYear
Date
PHAC Registration #
NAPHA Registration #
Registration Pending
Class Number + Handler (s)
Enter all separated by comma
If entering directly into Champion or Champion of Champion Class(s), please provide year and show this horse qualified from:
Do you have more horses to enter?

#9 Horse Information
Horse Name
Sex
Date of Birth

MonthDayYear
Date
PHAC Registration #
NAPHA Registration #
Registration Pending
Class Number + Handler (s)
Enter all separated by comma
If entering directly into Champion or Champion of Champion Class(s), please provide year and show this horse qualified from:
Do you have more horses to enter?

#10 Horse Information
Horse Name
Sex
Date of Birth

MonthDayYear
Date
PHAC Registration #
NAPHA Registration #
Registration Pending
Class Number + Handler (s)
Enter all separated by comma
If entering directly into Champion or Champion of Champion Class(s), please provide year and show this horse qualified from:
If you need to enter more than 10 horses, please start another form once this one is completed. Thank you.

Attach a copy of both the FRONT and the BACK of the registration certificate, or proof of “pending” registration for each horse entered.

*Please upload PDF files only. jpeg, gif, png and any other files other than PDF are not accepted.

** Include both PHAC and NAPHA papers if dual registration exists.
File Upload - PDF FILES ONLY

Cancelof