Show Secretary: Nola Krahn P.O. Box 1321 Kamiah, ID 83536 Phone: 208-935-0709 E-mail: russnola@yahoo.com
Fill in all required information and click "submit" at the bottom of the page. Submit one form per horse. If more than 2 exhibitors, resubmit additional forms as required for each exhibitor.
PLEASE SELECT SHOW DATE: Sept. 6, 2008
Name of Horse: Registration No: Year Foaled: Sex: Stallion Mare Gelding Sire: Dam:
Owner: Mailing Address: City: State: Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code : Phone Number: Email Address: I do hereby consent and agree that the sponsoring Association and any cooperative person or groups shall not be held responsible for loss, damage, and/or liability sustained or suffered while on the show grounds or during participation in said horse show. OWNER/AGENT PARENT/GUARDIAN OF MINOR
EXHIBITOR 1 If more than 2 exhibitors, attach another entry
EXHIBITOR 2 If more than 2 exhibitors, attach another entry