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Use Separate Form for Each Horse IF NOVICE PERMIT USED ENTER

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Zone 4 Texas Spectacular 2021 EX #: _______________________________ Pre-entries received by May 21 eligible for drawing for free stall. Horse Name: __________________________________________________ COGGINS: Date: _______________ Ascension # __________________ State ________ Horse Reg. No.:_____________________________________ Sex: ________ Year Foaled: _____________ Owner: ___ ____ __ Owner APHA ID:___________________ Address: _____________________________________ Phone:_______________________ Email:________________________________________________________________ Exhibitor A Exhibitor Name:_____________________________________________________ DOB:_______________________ Relationship ________________________ APHA ID Number:______________________________Exp___________ A Address:________________________________________________ City State Zip____________________________________ Phone:______________________ Email:___________________________________________________ Type of exhibitor : Youth Amateur Open Exhibitor B Exhibitor Name:______________________________________________________ DOB:_____________________ Relationship_________________________ APHA ID Number:______________________________Exp___________ B Address:________________________________________________ City State Zip____________________________________ Phone:______________________ Email:___________________________________________________ Type of exhibitor : Youth Amateur Open Exhibitor C Exhibitor Name:______________________________________________________ DOB:_____________________ Relationship__________________________ C APHA ID Number:______________________________Exp___________ Address:________________________________________________ City State Zip____________________________________ Phone:______________________ Email:___________________________________________________ Type of exhibitor : Youth Amateur Open FEES: I (We) hereby release show management and the above APHA Class Fee $54/class _________________ $________________ referenced show from any claim or loss to myself, OR Flat Fee $300 per horse / Ranch - $225 Flat Fee employees, horses and/or equipment. Under Texas Law Practice Classes $5 each ______________ $________________ (Chapter 87, Civil Practices and Remedies Code, an Equine Professional is not liable for any injury to or Cattle: $50/per run _______________ $________________ death of a participant in equine activities resulting from the inherent risks of Equine Activities. By signing this Office/APHA $70 per horse _____________ $________________ release, I agree to the health guidelines for this event and assume all risk. Stall $35 per stall per day _______________ $________________ Signature: ____________________________________ Shavings $11/bag _______________ $________________ Date:_____ _________________________________ Trail Practice $10/horse (entered in any trail class)________________ $________________ RV $25/night _______________ $ _______________ Diane Gage Grounds Fee $35/day(horses without stall) $________________ [email protected] (316) 737-3309 TOTAL $_______________ th All fees reflect a 4% discount for cash or check. Credit/debit card prices are 4% 1000 E 117 ST N Sedgwick, KS 67135 higher. Mark exhibitor A, B, or C for classes being shown 1 Ranch Cow Work 40 SPB Am Ranch Pl 79 SPB Am Longe Line 2 SPB Ranch Cow Work 41 Nov. Am Ranch Trail 80 SPB Yr Longe Line 3 Amateur Ranch Cow Work 42 Nov. Am Ranch Pleasure 81 Am Longe Line 4 SPB Am Ranch Cow Work 43 Youth Ranch Trail 82 Yearling Longe Line 5 Nov. Am Ranch Cow Work 44 Youth Ranch Pleasure 83 Youth Perform Mares 6 Youth Ranch Cow Work 45 SPB Youth Ranch Trail 84 Youth Mares (All Ages) 7 SPB Yth R Cow Work 46 SPB Yth Ranch Pleasure 87 Am Performance Mares 8 Nov. Yth Ranch Cow Work 47 Nov. Youth Ranch Trail 88 Performance Mares 9 Ranch Rail Pleasure 48 Nov. Yth Ranch Pleas. 89 Y. Perform Geldings 10 SPB Ranch Rail Pleasure 49 Ranch Riding 90 Y. Geldings (All Ages) 11 Am. Ranch Rail Pleas 50 SPB Ranch Riding 93 Am Perform Geldings 12 SPB Am Ranch Rail Pl 51 Am Ranch Riding 94 Performance Geldings 13 Nov. Yth R. Rail Pleasure 52 SPB Am Ranch Riding 95 Am Junior Mares 2&u 14 Yth Ranch Rail Pleasure 53 Nov Am Ranch Riding 96 Am Senior Mares 3+ 15 SPB Youth R. Rail Please 54 Y Ranch Riding 99 SPB Am Mares 16 Nov. Am Ranch Rail Pleas 55 SPB Yth Ranch Riding 100 SPB Mares (2 & Under) 17 Ranch Reining 56 Nov. Youth Ranch Riding 101 SPB Mares (3 & Over) 18 SPB Ranch Reining 57 Senior Trail 104 Yearling Mares 19 Am Ranch Reining 58 SPB Trail 105 2 Year Old Mares 20 SPB Am Ranch Rein 59 Junior Trail 106 3 Year Old Mares 21 Nov Am Ranch Reining 60 Green Trail 107 Aged Mares 22 Y Ranch Reining 61 SPB Am In Hand Trail 110 SPB Youth Geldings 23 SPB Yth R. Reining 62 SPB In Hand Trail 111 SPB Am Geldings 24 Nov. Youth R. Reining 63 Am In Hand Trail 112 SPB Geldings (2 & u) 25 Nov. Y Reining 64 Yearling In Hand Trail 113 SPB Geldings (3 & o) 26 Youth Reining 65 Y. WT Trail 5-10 116 Am Geldings (2 & u) 27 SPB Yth Reining 66 SPB Y WT Trail 5-10 117 Am Geldings (3 & over) 28 Nov Am Reining 67 Y WT Trail 11-18 120 Yearling Geldings 29 Am Reining 68 SPB Y WT Trail 11-18 121 2 Year Old Geldings 30 SPB Am Reining 69 Amateur WT Trail 122 3 Year Old Geldings 31 Reining all age 70 SPB Am WT Trail 123 Aged Geldings 32 SPB Reining 71 Nov Youth Trail 126 SPB Am Stallions 33 Ranch Trail 72 Nov Am Trail 127 SPB Stallions (2 & u) 34 Ranch Pleasure 73 SPB Youth Trail 128 SPB Stallions (3 & over) 35 SPB Ranch Trail 74 Youth Trail 13 & under 131 Am Stallions (2 & under) 36 SPB Ranch Pleasure 75 Youth Trail all age 132 Am Stallions (3 & over) 37 Am Ranch Trail 76 Amateur Trail 133 Am Perfm Stallions 38 Am Ranch Pleasure 77 SPB Amateur Trail 136 Yearling Stallions 39 SPB Am Ranch Trail 78 Masters Am Trail 137 2 Year Old Stallions Mark exhibitor A, B, or C for classes being shown 138 3 Year Old Stallions 180 Am West Pl 220 Y Walk Trot Eq 5-10 139 Aged Stallions 181 Master Am West Pl 45+ 221 Y WT HUS 5-10 140 Performance Stallions 182 SPB Am West Pl 222 SPB Y WT HUS 5-10 143 Youth Tobiano Color 183 SPB Western Pleasure 223 Y WT HUS 11-18 144 Tobiano Color 184 Green Western Riding 224 Y WT SPB HUS 11-18 145 Amateur Tobiano Color 185 Nov Youth West. Riding 225 Am WT HUS 146 Youth Overo Color 186 Nov Am Western Riding 226 Am WT SPB HUS 147 Overo Color 187 Youth Western Riding 227 Senior HUS 148 Amateur Overo Color 188 SPB Yth West Riding 228 Green HUS 149 Practice Horsemanship 189 Western Riding 229 Nov Y HUS 150 Youth Lead Line (3-8yr) 190 SPB West. Riding 230 Nov Am HUS 151 Green Western Pl 191 Am Western Riding 231 Y. HUS - 13 & u 152 Am WT SPB Hrsmshp 192 SPB Am Western Riding 232 Y HUS - all age 153 Am WT Hrsmshp 193 Practice Showmanship 233 Junior HUS 154 Y WT SPB HMS11-18 194 Yth WT Show 5-10 234 SPB Youth HUS 155 Y WT Horsmanship11-18 195 Yth SPB WT Show 5-10 235 Am Hunter U Saddle 156 Y WT SPB Hrmshp 5-10 196 Yth WT Show 11-18 236 Am HUS Masters 157 Y WT Horsemanship 197 Yth SPB Wt Show 11-18 237 SPB Am Hunt U Saddle 158 Y WT West Pleasure 5-10 198 Am WT Showmanship 238 Nov Youth Equitation 159 Y SPB WT WP 5-10 199 Am SPB WT Show 239 Nov Am Equitation 160 Y WT West Pl 11-18 200 Nov Y Showmanship 240 Youth Eq 13 & under 161 Y SPB WT WP 11-18 201 Nov Am Showmanship 241 Youth Eq 18 & under 162 Am WT Western Pl 202 Youth Show. 13 & under 242 SPB Youth Equitation 163 Am SPB WT WP 203 Youth Show. 18 & under 243 Am Equitation 164 Sr Western Pl (6 & O) 204 SPB Youth Show. 244 Masters Am Eq 165 Nov Y Horsemanship 205 Am Showmanship 245 SPB Am Equitation 166 Nov Am Horsemanship 206 Am Masters Show. (45+) 246 SPB Hunt U Saddle 167 Y Hrsmshp 13 & under 207 SPB Am Showmanship 247 Youth Barrel Racing 168 Y Hrsmshp 18 & under 208 Youth Hunter Hack 248 SPB Yth Barrels 169 SPB Y Hrsmnship 209 SPB Yth Hunter Hack 249 Nov Am Barrels 170 Am Horsemanship 210 Amateur Hunter Hack 250 Amateur Barrels 171 Masters Am Hrsmshp 211 SPB Am Hunter Hack 251 SPB Am Barrels 172 SPB Am Hrsmshp 212 Hunter Hack 252 Barrel Racing all age 173 Jr West Pl (5 & U) 213 SPB Hunter Hack 253 SPB Barrel Racing 174 Nov Y Western Pl 214 Practice Equitation 254 Youth Pole Bending 175 Nov Am West. Pleasure 215 Am WT Equitation 255 SPB Yth Pole Bending 176 Yth W. Pleasure 13 & u 216 Am SPB WT Equitation 256 Nov Am Poles 177 Youth W. Pleasure 18 & u 217 Y WT Equitation 11-18 257 Amateur Pole Bending 178 SPB Y West. Pl 218 Y SPB WT Eq 11-18 258 SPB Am Pole Bending 179 2 Yr Old West Pl 219 Y SPB WT Eq 5-10 259 Pole Bending 260 SPB Pole Bending .
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