SSPHC 2018 Online Entry

October 19-21, 2018
Las Vegas, Nevada

EXHIBITOR NUMBER #

If you have purchased an permanent Exhibitor # enter it here. If not, Exhibitor # will be assigned by office.

Name of Horse*

Year Foaled*

SEX*

Reg. #*

Select Registry*

Upload Registration Papers Here

Double Registered Horses: Enter secondary breed information:

Horse Name (2)

Registration # (2)

Select Registry (2)

Upload Registration Papers Here

Secondary Registration Papers

Will this horse be stalled on show grounds?*

YesNo

Is this horse leased?*

YesNo

Upload Lease Here

Owner*

For Leased Horses enter Lesee as Owner

Owner ID #*

Expiration Date*

MonthDayYear

Primary Owner ID Type:

Enter any addtional Owner ID #'s here. Please specify Breed/Organization:(NSBA, AQHA, etc.)

Upload a File

Upload Owner Membership Card(s) Here

Mailing Address*

City*

State*

Zip Code*

Phone*

Email Address*

I am aware of and understand that there are inherent risks associated with equine activities. I do hereby consent and agree that the Silver State Paint Horse Club, Nevada Quarter Horse Association, APHA, AQHA, PtHA and/or any cooperative person or group is not liable for an injury to or death of a participant due to the inherent risks associated with these activities and shall not be held responsible for loss, damage and/or liability sustained or suffered while on the show grounds or during participation in this horse show.

OWNER/AGENT*

PARENT/GUARDIAN OF MINOR

Exhibitor #1

NAME *

Relationship to Owner*

Are you related to the owner? If not, Relationship is "None"

Type*

BIRTH DATE Required if Yth or Ama

MonthDayYear

Upload a File

Upload Exhibitor 1 Membership Card(s) here

ID #*

Select ID Type*

Lifetime

Expiration Date

MonthDayYear

ID # (2)

Select ID Type

Lifetime

Expiration Date (2)

MonthDayYear

ADDRESS if not Owner

City

State

Zip

Enter Class # (101,102,103) followed by the "Enter" key for each class.

If your entry is complete, click Submit Form. If not, continue to next exhibitor.

Exhibitor #2

NAME

Relationship to Owner*

Are you related to the owner? If not, Relationship is "None"

Type

BIRTH DATE Required if Yth or Ama

MonthDayYear

Upload a File

Upload Exhibitor 2 Membership Card(s) Here

ID #

Type

Expiration Date

MonthDayYear

Lifetime

ID # (2)

Type (2)

Expiration Date (2)

MonthDayYear

Lifetime

ADDRESS if not owner

City

State

Zip

Enter class # (101, 102, 103) followed by the "enter" key for each class

Message to Show Secretary (optional)

If your entry is complete click Submit Form. If more than 2 exhibitors, use another entry.
Please be patient if you are uploading documents....
it may take a few minutes to complete your submission.

Thank you for using online entry! See you at the show!