Exhibitor #_______
One Entry per form
Class #_____ Class Name__________________________________________________
Name of Horse_________________________________________Sex_______________
Breed & Number________________________________Foaling Date_______________
Sire:_________________________________Dam:______________________________
Owner Name____________________________________________________________
Address:________________________________________________________________
__________________________________________Phone:__________________
(Must have for sending checks)
Shown by________________________________________
Signature_________________________________________
___________Amt Paid
Office Use
_______________Proof of ownership checked
_______________Stall Fee
_______________Shavings
_______________Total