Entry Form 2005 WCMHR World Championship July 29-31, 2005 $15 per class Open to all current WCMHR Members. Check-In Thursday, July 28, 2005 after 1:00 p.m. Exhibitor's Welcome Party hosted by Sandy Croote, Due Process Stable & Alison King, Briarwood Minis, Free Exhibitor's Show Clinic conducted by Jackie Hooks, Little Wonder Horse Farm. 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. Full Class Refund if received by WCMHR, Inc. before June 28, 2005. After June 28, 2005, No class refunds without Veterinary Certification for each horse. No refunds on stalls. 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 Click Here Multiple Horse Class Entry Form Class Nos. 11-15, 66, and 000
List Class No. Entered and the initials of Exhibitor below the Class No. Class Initial Classx $15= Initial Post Entry Fees of $3 per horse per class if entry form not received or postmarked by July 5, 2005. Enter under the Horse's Name that appears above on this Entry Form.. No refunds on stalls. Total Classes x $15 = Total # Stalls x $55 = Stalls charged per show, not per day (Horse/ Tack)incl. 1 bag shavings No. Shavings x$ 6 = Per bag of shavings RV Site x$55 = RV Sites per show water & electricity dumping station on premises Tot.Late Fees x $ 3= Per Class Per Horse if not received or postmarked by July 5, 2005 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:_________________________ Parent or Legal Guardian's Signature required if Exhibitor is youth under the age of 18. 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 or the death of a participant in equine activities. (Chapter 99E of the North Carolina Statutes). All dogs must be on leash and rabies certificate available. 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! [2005 Classlist][2005 WCMHR World Championship] [Lease form] [wcmhr:membership] [horse registration application] [Become a Sponsor]