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Horse Information

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Registered Name

Gender

Year Foaled

Registration Number #

Owner Information

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Owner Name

AQHA #

Mailing Address

City

Email Address

State

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Zip

Contact Number

Exhibitor Information

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Exhibitor Name

AQHA #

Mailing Address

City

Email Address

State

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Zip

Contact Number

Stall With Information

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Trainer Name/Group Name

Trainer Email/Group Leader Email

Trainer Cell Phone/Group Leader Phone

Class Entries

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AMA and Rookie Classes

JACKPOT

CLASS

YTH and Rookie YTH Classes

JACKPOT

CLASS

Confirm and Checkout

Cart

Stall : $150

Shavings (4 bags per stall): $44

Shavings (2 mats per stall): $40

Additional Stalls:

Add

Stall Total:

Admin Fee $35

Drug Fee $35

Level 1 Class Fee $65  x

=

Rookie and WT Class Fee $55  x

=

Jackpot Classes $50 x

=

Trail Obstacle Fee $10 x

=

Over Fence Class Fee $10 x

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Classes Total:

Total Due

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