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# _____ ILLINOIS PAINT HORSE ASSOCIATION
ENTRY FORM/TABSHEET Entered in
Computer ___
THIS PRE-ENTRY FORM TO BE USED ONLY
FOR SEPTEMBER 11, 2010 SHOW
AT RAWLINGS ARENA, HOPEDALE, IL
NO office
fee charged if pre-entry form is
postmarked or
emailed to Jerry Wyrick by midnight 9/08/2010.
Pre-entry will also automatically enter you
in the
random drawing
for free stall at show.
Please
complete pre-entry form and email to:
JWyrick300@ctechinternet.com
Pre-entry
form can also be printed out and completed.
Please
mail pre-entry form to Jerry Wyrick,
DO NOT SEND A CHECK
FOR YOUR PRE-ENTRIES.
This
form should not be used to request stalls.
Please submit the Prepaid Stall Reservation form located on www.illinoispainthorse.com with your
check. Stall checks will not be cashed
until the next business day after the horse show.
For
questions, please contact Jerry Wyrick at (309) 826-3643
Name
of Individual Responsible for Payment of Tabsheet ________________________________________________
(A)
Open Exhibitor _____________________________
Name
Stalls Reserved Under ______________________ APHA
Membership # _____________________________
City,
State _____________________________
Date
of Show __September 11, 2010_______________ Relationship to Owner _____________________________
Show
Location __Hopedale, IL______________________ (B) Amateur Exhibitor _____________________________
APHA
Membership # _____________________________
Horse’s
Name _________________________________ Amateur # _____________________________
Horse’s
APHA #_________________________________ City,
State _____________________________
Registry: □ Regular □ Solid Paint Bred Relationship to Owner _____________________________
Year
Foaled __________________ M
G S (C) Youth Exhibitor _____________________________
Coggins
Date: _________________________________ APHA Membership # _____________________________
Owner _________________________________ Youth # _____________________________
Address _________________________________ Youth Date of Birth _____________________________
City,
State, ZIP _________________________________ City, State _____________________________
Phone (_______)_________________________ Relationship to Owner _____________________________
Exh A,
B or C |
$7 per class or $35 all-day fee |
Exh A,
B or C |
$7 per class or $35 all-day fee |
Exh A,
B or C |
$7 per class or $35 all day fee |
Exh A, B or C |
$7 per class and are NOT included in all day fee |
|
|
22. Walk Trot Showmanship (5-9) |
|
1. Am Stallions |
|
2. Weanling Stallions |
|
42. Lead Line |
|
|
46. Walk Trot Hunter Under Saddle (5-9) |
|
11. Am Geldings |
|
3. Yearling Stallions |
|
66.Yth Walk Trot (NON-APHA) |
|
|
47. Walk Trot Hunt Seat Equitation (5-9) |
|
24. Nov Am Showmanship |
|
4. 2 Yr Old Stallions |
|
67. Adult Walk Trot (NON-APHA) |
|
|
68. Walk Trot Western Pleasure (5-9) |
|
27. Am Showmanship |
|
5. 3 Yr Old Stallions |
|
|
|
|
69. Walk Trot Horsemanship (5-9) |
|
31. Am Mares |
|
6. Aged Stallions |
|
$7 per class or $35 all day fee |
|
|
87. Walk Trot Trail (5-9) |
|
43. Am Yearling Longe Line |
|
12. Weanling Geldings |
|
7. Am Solid Paint Bred Stallions |
|
|
|
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49. Nov Am Hunter Under Saddle |
|
13. Yearling Geldings |
|
8. Solid
Paint Bred Stallions 2 Yr
Old & Under |
|
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10. Yth Geldings |
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52. Am Hunter Under Saddle |
|
14. 2 Yr Old Geldings |
|
9. Solid
Paint Bred Stallions 3 Yr Old & Over |
|
|
23. Nov Yth
Showmanship |
|
59. Nov Am Hunt Seat Equitation |
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15. 3 Yr Old Geldings |
|
17. Yth Solid Paint
Bred Geldings |
|
|
25. Yth Showmanship
(13 & U) |
|
62. Am Hunt Seat Equitation |
|
16. Aged Geldings |
|
18. Am Solid Paint
Bred Geldings |
|
|
26. Yth Showmanship
(14-18) |
|
71. Nov Am Western Pleasure |
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21. Color Class |
|
19. Solid Paint Bred Geldings 2 Yr
Old & Under |
|
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30. Yth Mares |
|
74. Am Western Pleasure |
|
32. Weanling Mares |
|
20. Solid
Paint Bred Geldings 3 Yr
Old & Over |
|
|
48. Nov Yth Hunter
Under Saddle |
|
81. Nov Am Horsemanship |
|
33. Yearling Mares |
|
28. Yth Solid Paint Bred
Showmanship |
|
|
50. Yth Hunter Under
Saddle (13 & U) |
|
84. Am Horsemanship |
|
34. 2 Yr Old Mares |
|
29. Am Solid Paint Bred
Showmanship |
|
|
51. Yth Hunter Under
Saddle (14-18) |
|
89. Nov Am Trail |
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35. 3 Yr Old Mares |
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38. Yth Solid Paint Bred Mares |
|
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58. Nov Yth Hunt Seat
Equitation |
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91. Am Trail |
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36. Aged Mares |
|
39. Am Solid Paint Bred Mares |
|
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60. Yth Hunt Seat
Equitation (13 & U) |
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97. Am Western Riding |
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37. Broodmares |
|
40. Solid
Paint Bred Mares 2 Yr
Old & Under |
|
|
61. Yth Hunt Seat
Equitation (14-18) |
|
100. Am Reining |
|
44. Yearling Longe Line |
|
41. Solid
Paint Bred Mares 3 Yr
Old & Over |
|
|
70. Nov Yth Western
Pleasure |
|
103. Am Pole Bending |
|
53. Junior Hunter
Under Saddle |
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45. Solid Paint Bred Longe Line |
|
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72. Yth Western
Pleasure (13 & U) |
|
107. Am Barrel Racing |
|
57. Senior Hunter
Under Saddle |
|
54. Yth Solid Paint
Bred
Hunter Under Saddle |
|
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73. Yth Western
Pleasure (14-18) |
|
|
|
65. Two Yr Old Snaffle Bit
Western Pleasure |
|
55. Am Solid Paint Bred
Hunter Under Saddle |
|
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80. Nov Yth
Horsemanship |
|
|
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75. Junior Western Pleasure |
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56. Solid Paint Bred Hunter
Under Saddle |
|
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82. Yth Western
Horsemanship (13 & U) |
|
|
|
79. Senior Western Pleasure |
|
63. Yth Solid Paint
Bred Hunt
Seat Equitation |
|
|
83. Yth Western
Horsemanship (14-18) |
|
|
|
92. Trail |
|
64. Am Solid Paint Bred Hunt
Seat Equitation |
|
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88. Nov Yth Trail |
|
|
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98. Western Riding |
|
76. Yth Solid Paint
Bred
Western Pleasure |
|
|
90. Yth Trail |
|
|
|
101. Reining |
|
77. Am Solid Paint Bred
Western Pleasure |
|
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96. Yth Western Riding |
|
|
|
104. Pole Bending |
|
78. Solid Paint Bred
Western Pleasure |
|
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99. Yth Reining |
|
|
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108. Barrel Racing |
|
85. Yth Solid Paint
Bred
Horsemanship |
|
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102. Yth Pole Bending |
|
|
|
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86. Am Solid Paint Bred
Horsemanship |
|
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106. Yth Barrel Racing |
|
|
|
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93. Yth Solid Paint
Bred Trail |
|
|
|
|
|
|
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94. Am Solid Paint Bred Trail |
|
|
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|
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95. Solid
Paint Bred Trail |
|
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|
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105. Solid Paint Bred Pole Bending |
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109. Solid Paint Bred Barrel Racing |
Total Amount of Class
Fees From Above __________ X Number of Judges (__2___) __________
APHA Fees - $2 per
judge X Number of Judges (_2_) _______4.00
Number of stalls
(____) x Stall fee ($_35_)
OR Jumpout
Fee (________) __________
Misc Fees (Electrical
__________, Other ____________________) __________
IPHA Office Fee ($5
per horse) _ 5.00
IPHA Membership (Yth $10, Single $15, Family/Business $20) __________
Permanent Number Fee,
$5 each, proceeds to IJPHC. Number(s)
_______________ __________
Total Amount Due (Paid: Cash __________ Check#
__________) __________