Master Entry Form - please complete one for each horse
- Horse Name -
- Registration #-
- Sex of Horse -
- Owner Name -
(as listed on registration papers)
- Mailing Address-
- City -
- Province -
- Postal Code -
- Phone -
- Fax -
- Email Address-
- Back #-
- Foaling Year -
- Type -
- Account Responsibility-
(name of person/ranch/company paying all costs for this horse - if different than owner)
- Mailing Address-
- City -
- Province -
- Postal Code -
- Phone -
- Fax -
- Email Address-
List ALL riders’ names, addresses, and ID numbers:
- Rider Name -
- Mailing Address-
- City -
- Province -
- Postal Code -
- Phone -
- Fax -
- Open #-
- Amateur #-
- Youth #-
- Birthdate -
- Relation to Owner -
- Rider Name -
- Mailing Address-
- City -
- Province -
- Postal Code -
- Phone -
- Fax -
- Open #-
- Amateur #-
- Youth #-
- Birthdate -
- Relation to Owner -
The condition of submitting entries or the first entry into the show ring by horse or exhibitor shall be deemed as acceptance of the current year A.P.H.A. Official Rule Book. Liability – I acknowledge that the sponsor of this Horse Show or any other sponsoring organization will not be responsible for any accident that may occur to, or be caused by, any horse at the show or any article of any kind or nature that may be lost, destroyed, or damaged.

Signature: _____________________________________________________________
(for Youth exhibitors, this form must be signed by Parent or legal guardian) Date: 1/6/2009
    

 

Please attach and send with completed form

For Office use Only
CHARGES
Olds
Calgary
Drayton Valley
Lloydminster
Show Fees $ $ $ $
Office $ $ $ $
Total Show $ $ $ $
PD Stall $ $ $ $
Plugs $ $ $ $
Memberships $ $ $ $
Misc Fees $ $ $ $
Total Due $ $ $ $
PAYMENTS
Olds
Calgary
Drayton Valley
Lloydminster
Cheque
#
$
#
$
#
$
#
$
Cash $ $ $ $
Total Paid $ $ $ $
Application for membership-
- Mail or Fax To -
Alberta Paint Horse Club
c/o Crystal Samela
132 Everglade Circle SW
Calgary, AB. T2Y 4N3
Email: crystal.samela@hotmail.com Phone: (403) 454-0740