Multiple Horse Entry Form 2006 WCMHR World Championship August 4-6, 2006 $16 per class
 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 July 25, 2006  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.   $16 per class   18 per class if not postmarked before 7/25/2006
Class No.  use one form per class for Multiple Entry Classes $15 per class, not per horse

1st. Horse's Name
Sex: (Stallion, Mare, Gelding)  WCMHR  No.WC
 Date submitted if pending Owner(s)
Current Member Renewal sent in with Entry New Member sent in with Entry
Farm Name (if any)
Include age if under 18 years of age.  Exhibitor 1
Current Member Renewal sent in with Entry New Member sent in with Entry

2nd.. Horse's Name WCMHR  No.WC
Date submitted if pending Owner(s)
Current Member Renewal sent in with Entry New Member sent in with Entry
Farm Name (if any)
List all exhibitors and include age if under 18 years of age. Exhibitor 2
Current Member Renewal sent in with Entry New Member sent in with Entry

3rd. Horse's Name WCMHR  No. WC
Date submitted if pending Owner(s)
Current Member Renewal sent in with Entry New Member sent in with Entry
Farm Name (if any)
Include age if under 18 years of age. Exhibitor 3
Current Member Renewal sent in with Entry New Member sent in with Entry

Sire if 3 of the Sire's Get are shown and not the Sire and 2 of his get  or Dam information Produce of Dam
 Horse's Name WCMHR  No. WC
Date submitted if pending Owner(s)
Current Member Renewal sent in with Entry New Member sent in with Entry
Farm Name (if any)

AddressCity
StateZipCountry
TelFaxemail
Post Entry Fees of $2 per horse per class if entry form not received or postmarked by July25, 2006 .

.Late Fees x $ 2= 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.
Name of Person Submitting Entry for this Class __________________________________________________

Address_________________________________________________________________________________

City_________________________State______________________________Zip_______________________

Tel.________________________________ email________________________________________________
Check or money order enclosedVisa or Mastercard    PayPal will also be accepted wcmhr@aol.com  you may use the email address at paypal.       $50 return check fee.                                                  
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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