Entry Form 2004 WCMHR World Championship August 7-8, 2004 Open to all current WCMHR Members.
 One Horse Per Entry Form. Fill in or Print . .All Horses must be registered WCMHR. Negative Coggins within past 12 months required. Interstate and intrastate requirements shall prevail.    No refunds without Veterinary Certification. Tab run at the show only with credit card on file or signed check.   $15 per class
Horse's NameDate of Foaling
Sex: (Stallion, Mare, Gelding) HeightDivision
WCMHR Registration No. Date submitted if pending
ColorSolid Pinto Appaloosa or Pintaloosa
Owner(s)
Current Member Renewal sent in with Entry New Member sent in with Entry
Farm Name (if any)
AddressCity
StateZipCountry
TelFaxemail
List all exhibitors and include age if under 18 years of age.
Exhibitor 1 Exhibitor 2
Exhibitor 3 Exhibitor 4
 

List Class No. Entered and the initials of Exhibitor below the Class No.
Class
Initial
Classx $15=
Initial
Post Entry Fees of $2 per horse per class if entry form not received or postmarked by July 31, 2004.
Enter under the Horse's Name that appears above on this Entry Form. Only one entry name required and only
Post Entry Fees of $2 per horse per class if entry form not received or postmarked by July 31, 2004.
Total Classes x $15 =
Total # Stalls x $35 = Stalls charged per show, not per day (Horse or Tack)
No. Shavings x$ 6 = Per bag of shavings
RV Site        x$40 =RV Sites per show includes water & electricity dumping station on premises
Grounds Fee x$ 15=Per Horse at Show For Horses who will not have stalls
Tot.Late Fees x $ 2=Per Class Per Horse if not received or postmarked by July 31, 2004
Class Sponsor x(_ ) =$35 per class or $50 per Supreme Championship-Special Recognition
        Grand Total               sent in with entries
Date of Arrival if known Stall Horse with
Signature of Owner:____________________________ Exhibitor:__________________________
Trainer:_________________________ 
My Signature above signifies that I understand the rules and regulations of the show and that I hereby enter the above listed horse and/or ponies at my own risk and subject to all rules of the show.  I further agree that if loss or damage to animal, person, or equipment, that I will make no claims against the show. WARNING: Under North Carolina law, an equine activity sponsor or equine professional is not liable for an injury oto or the death of a participant in equine activities. (Chapter 99E of the North Carolina Statutes)
Check or money order enclosedVisa or Mastercard    PayPal will also be accepted wcmhr@aol.com  you may use the email address at paypal.                                                         
Entries paid by Visa or Mastercard may be mailed to address below or faxed to 540-890-0856
Card No.__________________________________________________ Expiration Date: ___/___

Name on Card:_________________________ Signature:_____________________Date_________
 

Mail Entry and Fees payable in US funds only to:
WCMHR, Inc.   12009 Stewartsville Rd.,   Vinton, VA  USA  24179
Tel./Fax: (540) 890-0856
Looking forward to seeing you and your Horses at the Show!
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