Poss Premium Online Entry
Show Date *
Your Name *
Exhibitor Name (if Different)
Exhibtor BirthDate (if Minor)
Horse Name And Owner *
Address *
City, State, Zip *
Email *
Phone
PreEntry Youth $5.00 per Class
PreEntry Adult $10.00 Per Class
Show Day Entry Youth $7.00 Per Class
Show Day Entry Adult $12.00 Per Class
Grounds Fee $7.00
Stall Fees $12.00
Non Member Fee $10.00
(OR) Apply Fee to Membership
TOTAL FEES
Classes Entered (separate with Comma)
Permanent Number (if any)
Nomination Candidate
 Yes 
 No 
Confirmation By Phone or Email
 Phone 
 Email 
Notes
I Have Read Posted Rules And Waiver
 Yes 
Adult Signature On Site
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