2021 APHA World Show – Entry Form Circle One: Mare Gelding Stallion BACK # __________________________ Horse’s Name: _________________________________________________________ Year Born: _________ APHA Registration #: ________________ NSBA License # _______________ NRHA License#___________ Owner/Lessee: ________________________________________________ APHA #:______________ Exp ___/___/______ Address: ________________________________________________ NSBA #: ______________ Exp ___/___/______ City: _______________________ State: _______ Zip: _________ NRHA#: ______________ Exp ___/___/______ SSN or EIN: ____________________________________________________ Email: _______________________________________ YOUTH Information – EXACTLY as it is listed on your card (Exhibitor #1) Exhibitor’s Name _______________________________________________________________ Birthday: ____/____/____ Address: ___________________________________________________ City/State/Zip: _____________________________________ APHA # ________________ Exp Date: ___/____/____ Add’l Exp Date: ___/____/_____ (For Nov, Ama, W/T Cards) NRHA # ________________ Exp. Date: ___/___/____ NSBA Card# _________________ Exp. Date: ___/___/____ Phone__________________________________________ Email _______________________________________________________ Type of APHA Card: Youth Novice Relationship to owner: _____________________________________ AMATEUR/MASTERS Information – EXACTLY as it is listed on your card (Exhibitor #2) Exhibitor’s Name _______________________________________________________________ Birthday: ____/____/____ Address: ___________________________________________________ City/State/Zip: _____________________________________ APHA # ________________ Exp Date: ___/____/____ Add’l Exp Date: ___/____/_____ (For Nov, Ama, W/T Cards) NRHA # ________________ Exp. Date: ___/___/____ NSBA Card# _________________ Exp. Date: ___/___/____ Phone__________________________________________ Email _______________________________________________________ Type of APHA Card: Amateur Novice Relationship to owner: _____________________________________ OPEN Exhibitor # 1 Information – EXACTLY as it is listed on your card (Exhibitor #3) Exhibitor’s Name ______________________________________________________________________________________________ Address: ___________________________________________________ City/State/Zip: _____________________________________ APHA # ________________ Exp. Date: ___/___/____ NSBA Card# _________________ Exp. Date: ___/___/____ NRHA #__________________ Exp. Date: ___/___/____ Phone__________________________________________ Email _______________________________________________________ OPEN Exhibitor # 2 Information – EXACTLY as it is listed on your card (Exhibitor #4) Exhibitor’s Name ___________________________________________________ Address: ___________________________________________________ City/State/Zip: _____________________________________ APHA # ________________ Exp. Date: ___/___/____ NSBA Card# _________________ Exp. Date: ___/___/____ NRHA #__________________ Exp. Date: ___/___/____ Phone__________________________________________ Email _______________________________________________________ Presentation of a signed entry form shall be deemed acceptance of all the rules pertaining to this show. In the event of failure to sign an entry form, then first entry of horse or an exhibitor into the show ring shall be deemed to be acceptance of Premium Book and current APHA Rule Book, NSBA, NRHA and NRCHA rules. I certify that all information submitted is correct, that I have read the rules for the APHA World Championship Show and that all horses and exhibitors are eligible for all classes and divisions entered. Horses are entered at your own risk and are subject to APHA rules, under which this show will be conducted. In case of death, accident, injury or theft to the exhibitor, family, horses or property, no claims will be honored against the APHA and/or all those associated. SIGNATURE OF PARTICIPANT:_____________________________________________________________ CELL PHONE of participant AT THE SHOW: __________________________________________________ INSTRUCTIONS X Class X Class #3 110. Junior Hunter Hack #1 231. Novice Youth Hunt Seat Equitation – 13 & under #3 111. NSBA Junior Hunter Hack* #1 232. NSBA Novice Youth HS Equitation – 13 & under * #2 112. Novice Amateur Hunter Hack #1 233. Youth Hunt Seat Equitation – 18 & under #2 113. NSBA Novice Amateur Hunter Hack* #1 234. NSBA Youth Hunt Seat Equitation – 18 & under* 114. Novice Youth Hunter Hack 235. Intermediate Youth HS Equitation – 18 & under* 115. NSBA Novice Youth Hunter Hack* 236. Youth Hunt Seat Equitation – 13 & under X Class X Class 110. Junior Hunter Hack 227. Jumping 111. NSBA Junior Hunter Hack* 228. NSBA Jumping * 112. Novice Amateur Hunter Hack 229. Novice Youth Hunt Seat Equitation – 18 & under 113. NSBA Novice Amateur Hunter Hack* 230. NSBA Novice Youth HS Equitation – 18 & under* 114. Novice Youth Hunter Hack 231. Novice Youth Hunt Seat Equitation – 13 & under 115. NSBA Novice Youth Hunter Hack* 232. NSBA Novice Youth HS Equitation – 13 & under * 116. Amateur Hunter Hack 233. Youth Hunt Seat Equitation – 18 & under 117. NSBA Amateur Hunter Hack* 234. NSBA Youth Hunt Seat Equitation – 18 & under* 118. Youth Hunter Hack 235. Intermediate Youth HS Equitation – 18 & under* 119. NSBA Youth Hunter Hack* 236. Youth Hunt Seat Equitation – 13 & under 120. Senior Hunter Hack 237. NSBA Youth Hunt Seat Equitation – 13 & under* 121. NSBA Senior Hunter Hack* 238. Intermediate Youth Hunt Seat Equitation – 13 & under* 201. Preliminary Working Hunter 239. Youth Bareback English Equitation – 18 & under 202. NSBA Preliminary Working Hunter* 240. Youth Yearling Mares 203. Junior Working Hunter 241. Youth 2 year old Mares 204. NSBA Junior Working Hunter* 242. Youth 3 year old Mares 205. Novice Amateur Working Hunter 243. Youth Aged Mares 206. NSBA Novice Amateur Working Hunter* 244. SPB Youth Mares – all ages 207. Novice Youth Working Hunter – 18 & under 300. APHF Hunter Under Saddle Paid Practice – 6/27 6:30 AM 208. NSBA Novice Youth Working Hunter* 301. APHF Hunter Under Saddle Paid Practice – 6/27 7:00 AM 209. Amateur Working Hunter 302. Novice Youth Hunter Under Saddle – 18 & under 210. NSBA Amateur Working Hunter* 303. NSBA Novice Youth Hunter Under Saddle – 18 & under * 211. Youth Working Hunter – 18 & under 304. Novice Youth Hunter Under Saddle – 13 & under 212. NSBA Youth Working Hunter* 305. NSBA Novice Youth Hunter Under Saddle – 13 & under* 213. Senior Working Hunter 306. SPB Youth Hunter Under Saddle – 18 & under 214. NSBA Senior Working Hunter* 307. NSBA SPB Youth Hunter Under Saddle – 18 & under* 215. Novice Amateur Equitation Over Fences 308. Youth Walk-Trot Hunter Under Saddle – 5-10 216. NSBA Novice Amateur Equitation Over Fences* 309. NSBA Youth Walk-Trot Hunter Under Saddle – 5-10* 217. Novice Youth Equitation Over Fences – 18 & U 310. Youth Hunter Under Saddle – 18 & under 218. NSBA Novice Youth Equitation Over Fences* 311. NSBA Youth Hunter Under Saddle – 18 & under* 219. Amateur Equitation Over Fences 312. Intermediate Youth Hunter Under Saddle – 18 & under* 220. NSBA Amateur Equitation Over Fences* 313. Youth Hunter Under Saddle – 13 & under 221. Youth Equitation Over Fences – 18 & under 314. NSBA Youth Hunter Under Saddle – 13 & under* 222. NSBA Youth Equitation Over Fences* 315. Intermediate Youth Hunter Under Saddle – 13 & under* 223. Amateur Jumping 316. SPB Youth Hunt Seat Equitation – 18 & under 224. NSBA Amateur Jumping* 317. NSBA SPB Youth Hunt Seat Equitation – 18 & under* 225. Youth Jumping – 18 & under 318. Youth Walk-Trot Hunt Seat Equitation – 5-10 226. NSBA Youth Jumping* 319. NSBA Youth Walk-Trot Hunt Seat Equitation – 5-10* 320. Youth Disciplined Rail English – 18 & under 321. Youth Ideal Paint English – 18 & under 427. SPB Youth Western Pleasure – 18 & under 322. Novice Amateur Hunt Seat Equitation 428. NSBA SPB Youth Western Pleasure – 18 & under* 323. NSBA Novice Amateur Hunt Seat Equitation* 429. Masters Amateur Senior HUS – 45 & over 324. Amateur Hunt Seat Equitation – 19 & over 430. NSBA Masters Amateur Senior HUS – 45 & over* 325. NSBA Amateur Hunt Seat Equitation – 19 & over* 431. Intermediate Masters Amateur Senior HUS – 45 & over* 326. Intermediate Amateur Hunt Seat Equitation 19 & over* 432. SPB Hunter Under Saddle 327. Masters Amateur Hunt Seat Equitation – 45 & over 433. NSBA SPB Hunter Under Saddle* 328. NSBA Masters NSBA HSeat Equitation 45 & over* 434. Green Hunter Under Saddle 329. Intermediate Masters Hunt Seat Equitation 45 & over* 435. NSBA Green Hunter Under Saddle* 332. Non-Pro 4-year-old & over HUS Sweepstakes 436. Intermediate Green Hunter Under Saddle* 333. NSBA Non-Pro 4-year-old & over HUS Sweepstakes* 437. SPB Youth Western Horsemanship – 18 & under 336. Amateur Pleasure Driving 438. NSBA SPB Youth Western Horsemanship – 18 & U* 337. NSBA Amateur Pleasure Driving 439. Pleasure Driving 338. Amateur Yearling Mares 440. NSBA Pleasure Driving* 339. Intermediate Amateur Yearling Mares* 441. Amateur Yearling Stallions 340. SPB Amateur Yearling Mares 442. SPB Amateur Yearling Stallions 341. Amateur 2 year old Mares 443. Amateur Yearling Geldings 342. Intermediate Amateur 2 year old Mares* 444. Intermediate Amateur Yearling Geldings* 343. SPB Amateur Mares 2 & over 445. SPB Amateur Yearling Geldings 344. Amateur 3 year old Mares 446. Amateur 2 year old Stallions 345. Intermediate Amateur 3 year old Mares* 447. SPB Amateur 2 & over Stallions 346.