Rose Circuit Entry

2022 Rose Circuit Online Entry

Please use one entry form per horse.

Trainer:

Permanent Exhibitor #

Pre-Purchased Only

Name of Horse *

Reg. # *

Year Foaled *

SEX *

Select Registry *

Upload Registration Papers here.

Upload a File

Double Registered Horses Only: Enter secondary breed information if this horse is being entered in classes for more than one Breed Registry.

Secondary Breed Registry (2)

Name of Horse (secondary breed only)

If name is different on secondary breed registration.

Secondary Breed Registration # (2)

Secondarty Breed Only

Upload secondary breed registration papers here.

Upload a File

Will this horse be stalled on show grounds? *

Yes No

Is this horse leased? *

Yes No

Upload Lease here.

Upload a File

Horse Owner *

For Leased Horses, enter Lesee as Owner

Owner AQHAAPHA Membership #

Owner AQHA/APHA Expiration

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 Utah Quarter Horse Association, American Quarter Horse Association, Silver Stae Paint Horse Club, American Paint Horse Association 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.

As owner/agent I agree to abide by all rules of the association(s) and to pay all costs and fees associated with this entry including but not limited to class entry fees, stall, feed, bedding, association and membership fees. In the event this entry is unsigned, then first entry of this horse into the arena shall be deemed agreement and acceptance of these rules.

OWNER/AGENT *

PARENT/GUARDIAN OF MINOR

Exhibitor #1

NAME *

Division *

Select ID Type *

ID # *

Expiration Date

Month Day Year

Lifetime

BIRTH DATE Required if Yth or Ama

Month Day Year

Upload Exhibitor Membership Cards here.

Upload a File

Relationship to Owner *

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

ID # (2)

Select ID Type (2)

Lifetime

Expiration Date (2)

Month Day Year

ADDRESS if not Owner

City

State

Zip

Exhibitors entering the same classes for both shows, select "Yes" below and enter the class numbers one time in the "Show 1" box. If this exhibitor is not entering the same classes for both shows, select "No" and enter class numbers in the appropriate box for each show.

Is exhibitor entering the same classes for both shows?

Yes No

Show 1 Classes:

Enter class number followed by the "enter" key to list classes

Show 2 Classes:

Enter class number followed by the "enter" key to list classes

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

Exhibitor #2

NAME 2

Type 2

Division 2

ID # 2

Expiration Date 2

Month Day Year

2

Lifetime

Upload Exhibitor 2 Membership Cards here.

Upload a File

BIRTH DATE 2 Required if Yth or Ama

Month Day Year

Relationship to Owner 2 *

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

ID # (2)

Type (2)

Lifetime

Expiration Date (2)

Month Day Year

ADDRESS 2 if not owner

City 2

State 2

Zip 2

Exhibitors entering the same classes for both shows, select "Yes" below and enter the class numbers one time in the "Show 1" box. If this exhibitor is not entering the same classes for both shows, select "No" and enter class numbers in the appropriate box for each show.

Is Exhibitor 2 entering the same classes for both shows?

Yes No

Show 1 Classes:

Enter class number followed by the "enter" key to list classes

Show 2 Classes:

Enter class number followed by the "enter" key to list classes

Message to Show Secretary (optional)

If your entry is complete click Submit Form. If more than 2 exhibitors, use another entry.
Thank you for using online entry! See you at the show!