List Class No. Entered and the initials of Exhibitor
beside the Class No.
Post Entry Fees of $2 per horse per class if entry form not received
or postmarked by July 25, 2006.
Enter under the Horse's Name that appears above on
this Entry Form.. No refunds on stalls.
Total Classes x $16 =
Total # Stalls x $60 = Stalls charged per show, not per day (Horse/ Tack)incl.
1 bag shavings
Extra Shavings x$ 6 = Per bag of shavings (1 bag of shavings already included with
stall)
RV Site x$65 = RV Sites per show water & electricity dumping station on premises
.Late Fees x $ 2= Per Class Per Horse if not received or postmarked
by July 25, 2006
Class Sponsor x(_ ) = $35 per class or $50 per Supreme Championship
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.
$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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Class List][2006
WCMHR WORLD CHAMPIONSHIP]
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