OPEN – ALL BREEDS HORSE SHOW ENTRY FORM

NEBA ENTRY FORM

                                    One Form Per Horse and Exhibitor Combination                                           

 

 

                                                                                                                                               Back Number

  

 1.  Horse Name: ______________________________________Reg. Number________ Year foaled: _______

      Owners Name :__________________________________________(Circle one)    STALL     JUMP-OUT

    (Circle one)  YOUTH  AMATEUR   OPEN

     Owner Email: ___________________________________________

     Owner Address: ___________________________________________________________________________

                                                        Street                                  City                        State                              Zip

2.  Exhibitor Name: _________________________________________________

     (Circle one)  YOUTH   AMATEUR   OPEN (Amateur #)_________________

     Relationship to Owner: (Circle one)       SAME    FAMILY    NOT RELATED

     Birth Date: (AM & YA only) _____________________________Email:_______________________________

     Exhibitor Address: __________________________________________________________________________

                                                        Street                                  City                        State                              Zip

3.       CLASS NUMBERS

                                                                                            Pre-enter for the NEBA 2007 season by checking the dates

                                                                                            below.  You will not be charged for scratches if they are made                                                                                            at least three classes before the event.

  

                       

                                                                                            

                                                                                                                 May 5                                  July 7

                                                                                            

                                                                                                                  May 6                                 July 8

                                                                                            

                                                                                                                  June 16                               Aug 18

 

                                                                                                                  June 17                                Aug 19

                                                                                                           

Text Box: All pre-entries postmarked at least 14 days before the show will receive a $10.00 discount on their total fees. Mail to: Kim Flemming                         Make a copy for your records 32758 West Gate Rd.             Do not send a check. Pay at the Minden, Iowa 51553                show. 

 

                                        

                                                                                           

                                        

 

 

 

  

BE SURE TO INCLUDE: CURRENT COPY OF REGISTRATION PAPERS IF REGISTERED (FRONT AND BACK), AMATEUR CARDS AND OUT OF STATE HORSES ARE REQUIRED TO HAVE COGGINS PAPERS.

The management of this show and/or owners of show grounds are not responsible for any accident, theft, or injury to any person or animal on premises.

 

_________________________________________________________             ___________________________________________________

             Parent or Guardian if under 18                                                                                                 Exhibitor