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# _____ ILLINOIS
PAINT HORSE ASSOCIATION ENTRY FORM/TABSHEET Entered
in Computer ___
(to be used for September POR/Futurity
Show Only)
THIS PRE-ENTRY FORM TO BE USED ONLY
FOR SHOW ON SEPTEMBER 25 - 26, 2010
AT GORDYVILLE USA, GIFFORD, IL
NEW in 2010
– NO office fee charged if pre-entry form is
postmarked
or emailed to show secretary by midnight 9/22/2010.
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,
For
questions, please contact Jerry Wyrick, Show Secretary, (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 25-26, 2010_____________ Relationship to Owner _____________________________
Show
Location _Gordyville USA, Gifford, IL___________ (B) Amateur Exhibitor _____________________________
APHA
Membership # _____________________________
Horse’s
Name _________________________________ Amateur #/Date of Birth _____________________________
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 _____________________________
THIS PRE-ENTRY FORM TO BE USED ONLY
FOR SHOW ON SEPTEMBER 25-26, 2010
AT GORDYVILLE USA, GIFFORD, IL
|
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 or $35 all day fee |
|
|
25. Walk Trot Showmanship (5-9) |
|
1. Am Junior Stallions (2 Years & Under) |
|
3. Weanling Stallions |
|
46. Lead Line (Ages 3-8) |
|
|
47. Walk Trot Trail (5-9) |
|
2. Am Senior Stallions (3 Years & Over) |
|
4. Yearling Stallions |
|
94. Youth Walk Trot (NON-APHA) |
|
|
73. Walk Trot Hunter Under Saddle (5-9) |
|
8. Am Solid Paint Bred Stallions |
|
5. 2 Yr Old Stallions |
|
95. Adult Walk Trot (NON-APHA) |
|
|
74. Walk Trot Hunt Seat Equitation (5-9) |
|
12. Am Junior Mares (2 Years & Under) |
|
6. 3 Yr Old Stallions |
|
|
|
|
96. Walk Trot Western Pleasure (5-9) |
|
13. Am Senior Mares (3 Years & Over) |
|
7. Aged Stallions |
|
IBOS/BREEDERS FUTURITY CLASSES |
|
|
97. Walk Trot Horsemanship (5-9) |
|
21. Am Solid Paint Bred Mares |
|
9. Solid
Paint Bred Stallions 2 Yr
Old & Under |
|
501/502. IBOS Weanling Stallions |
|
|
|
|
27. Nov Am Showmanship |
|
10. Solid
Paint Bred Stallions 3 Yr
Old & Over |
|
601/602. Breeders Futurity Weanling Stallions |
|
|
11. Youth Mares |
|
30. Am Classic Showmanship (19-44) |
|
14. Weanling Mares |
|
503. IBOS Yearling Stallions |
|
|
20. Youth Solid Paint Bred Mares |
|
31. Am Masters Showmanship (45 & O) |
|
15. Yearling Mares |
|
603. Breeders Futurity Yearling Stallions |
|
|
26. Nov Youth Showmanship |
|
33. Am Solid Paint Bred Showmanship |
|
16. 2 Yr Old Mares |
|
504/505. IBOS Weanling Fillies |
|
|
28. Youth Showmanship (13 & U) |
|
35. Am Junior Geldings (2 Years & Under) |
|
17. 3 Yr Old Mares |
|
604/605. Breeders Futurity Weanling Fillies |
|
|
29. Youth Showmanship (14-18) |
|
36. Am Senior Geldings (3 Years & Over) |
|
18. Aged Mares |
|
506. IBOS Yearling Mares |
|
|
32. Youth Solid Paint Bred Showmanship |
|
43. Am Solid Paint Bred Geldings |
|
19. Broodmares |
|
606. Breeders Futurity Yearling Mares |
|
|
34. Youth Geldings |
|
49. Nov Am Trail |
|
22. Solid
Paint Bred Mares 2 Yr Old & Under |
|
507. IBOS Yearling Geldings |
|
|
42. Youth Solid Paint Bred Geldings |
|
51. Am Trail |
|
23. Solid
Paint Bred Mares 3 Yr
Old & Over |
|
607. Breeders Futurity Yearling Geldings |
|
|
48. Nov Youth Trail |
|
54. Am Solid Paint Bred Trail |
|
24. Color Class |
|
508. IBOS 2 YO Western Pleasure |
|
|
50. Youth Trail |
|
57. Am Western Riding |
|
37. Weanling Geldings |
|
608. Breeders Futurity Two Year Old
Western Pleasure – Non Pro |
|
|
53. Youth Solid Paint Bred Trail |
|
60. Am Reining |
|
38. Yearling Geldings |
|
509. IBOS Yearling Longe Line |
|
|
56. Youth Western Riding |
|
63. Am Pole Bending |
|
39. 2 Yr Old Geldings |
|
609. Breeders Futurity Longe Line |
|
|
59. Youth Reining |
|
67. Am Barrel Racing |
|
40. 3 Yr Old Geldings |
|
510. IBOS 2 & 3 YO Hunter Under Saddle |
|
|
62. Youth Pole Bending |
|
70. Am Yearling Longe
Line |
|
41. Aged Geldings |
|
610. Breeders Futurity Two Year Old
Hunter Under Saddle |
|
|
65. Youth Solid Paint Bred Pole Bending |
|
76. Nov Am Hunter Under Saddle |
|
44. Solid Paint Bred Geldings 2 Yr
Old & Under |
|
611. Breeders Futurity Two Year Old
Western Pleasure |
|
|
66. Youth Barrel Racing |
|
79. Am Classic Hunter Under Saddle |
|
45. Solid
Paint Bred Geldings 3 Yr
Old & Over |
|
511. IBOS 3 & 4 YO Western Pleasure |
|
|
69. Youth Solid Paint Bred Barrel Racing |
|
80. Am Masters
Hunter Under Saddle |
|
52. Trail |
|
|
|
|
75. Nov Youth Hunter Under Saddle |
|
83. Am Solid Paint Bred |
|
55. Solid
Paint Bred Trail |
|
|
|
|
77. Youth Hunter Under Saddle (13 & U) |
|
87. Nov Am Hunt Seat Equitation |
|
58. Western Riding |
|
|
|
|
78. Youth Hunter Under Saddle (14-18) |
|
90. Am Hunt Seat Equitation |
|
61. Reining |
|
|
|
|
82. Youth Solid Paint Bred Hunter
Under Saddle |
|
92. Am Solid Paint Bred Hunt Seat Equitation |
|
64. Pole Bending |
|
|
|
|
86. Nov Youth Hunt Seat Equitation |
|
99. Nov Am Western Pleasure |
|
65. Solid Paint Bred Pole
Bending |
|
|
|
|
88. Youth Hunt Seat Equitation (13 & U) |
|
102. Am Classic Western Pleasure (19-44) |
|
68. Barrel Racing |
|
|
|
|
89. Youth Hunt Seat Equitation (14-18) |
|
103. Am Masters Western Pleasure (45 & O) |
|
69. Solid Paint Bred Barrel
Racing |
|
|
|
|
91. Youth Solid Paint Bred Hunt
Seat Equitation |
|
106. Am Solid Paint Bred Western Pleasure |
|
71. Yearling Longe Line |
|
|
|
|
98. Nov Youth Western Pleasure |
|
110. Nov Am Horsemanship |
|
72. Solid Paint Bred Longe Line |
|
|
|
|
100. Youth Western Pleasure (13 & U) |
|
113. Am Horsemanship |
|
81. Jr Hunter Under Saddle |
|
|
|
|
101. Youth Western Pleasure (14-18) |
|
115. Am Solid Paint Bred Horsemanship |
|
84. Solid Paint Bred
Hunter Under Saddle |
|
|
|
|
105. Youth Solid Paint Bred
Western Pleasure |
|
|
|
85. Sr Hunter Under Saddle |
|
|
|
|
109. Nov Youth Horsemanship |
|
|
|
93. Two Yr Old Snaffle Bit
Western Pleasure |
|
|
|
|
111. Youth Western Horsemanship |
|
|
|
104. Jr Western Pleasure |
|
|
|
|
112. Youth Western Horsemanship (14-18) |
|
|
|
107. Sr Western Pleasure |
|
|
|
|
114. Youth Solid Paint Bred Horsemanship |
|
|
|
108. Solid Paint Bred
Western Pleasure |
|
|
Total
Amount of Class Fees From Above __________ X Number of Judges (__4___) __________
APHA
Fees - $5 per judge X Number of Judges (_4_) __________
Futurity
Office Fee (if not entered in any APHA or IPHA non-futurity class) _____ 20.00
Number
of Stalls (____) x Stall fee ($40)
OR Jumpout
Fee (___$5.00____) __________
Misc
Fees (Electrical __________, Other ____________________) __________
IPHA
Office Fee ($5 per horse) _ 5.00
IPHA
Membership (Youth $10, Single $15, Family/Business $20) __________
Permanent
Number Fee, $5 each, proceeds to IJPHC.
Number(s) _______________ __________
Total
Amount Due (Paid: Cash __________
Check# __________) __________