List Class No. Entered and the initials of Exhibitor beside the Class
No.
Horses cannot be shown by another Exhibitor in the
same Class No.
Class No. 0 Three by One Owner is FREE for all Participants.
Enter only one horse for the group of three.
Post Entry Fees of $3 per horse per class if entry form not received
or postmarked by September 15, 2011.
Enter under the Horse's Name that appears above on
this Entry Form.. No refunds on stalls.
Total Classes
x $12 =
Per Class
Total FREE Classes 1 free
class for every 10 paid classes postmarked by 09/15/2011
Late Fees
x $ 3=
Per Class Per Horse if not
postmarked by 09/15/2011 Classes may be added w/o late
fees if pre-entered by 9/15/2011.
Total # Stalls
x $25 =
Per Stall Arrive on September 23,
2011 Departure before 9 a.m. Sunday, September 25, 2011.
Stalls Extra Days
x $15
Per Stall per additional days,
if any. Arrival before Friday 10 a.m. July 17, 2011 or
after September 25, 2011.
Shavings
x $ 6 =
Per bag of shavings Fee charged by
Spring Valley Horse Farm & Cabins.r. May also be purchased at show.
Ground Fees
x $5 = Per Horse Per
Show if not stalled.
.Class Sponsor
x$25 =
$25 per class
Champion, Grand Champion, or Supreme World Champion
Name of Class
Grand Total
sent in with entriesCheck/
money order enclosed
Visa ,Mastercard , Discover
PayPal will also be accepted
wcmhr@aol.com you may use the email address at paypal.
$50 return check fee
Entries paid by Visa, Mastercard or Discover may be mailed to address below
or faxed to 540-890-0856.
Card No.______________________________________________________ Expiration
Date: ___/___ Security Code __/__/__
Name on Card:_____________________________________
Signature:________________________________Date_________
Waiver of Liability-Must
be Signed by all Participants Parent or Legal Guardian required to sign for
youths under the 18. My signature below indicates
that I understand the intent of this Waiver of Liability and that I
understand that World Class Miniature Horse Registry, Inc. including show
staff and sponsors
along with The Virginia Horse Center are not responsible for any injuries,
deaths, or losses or any type or liability whatsoever involving the 2011
WCMHR
World Championship Miniature as well as all additional protections afforded
the Show under the Laws of Virginia concerning equine activities.
§ 3.1-796.132 and 3.1-796. Further, World Class Miniature Horse Registry ,
Inc. reserves the right to use all forms of media from show in
advertisements
without any type of compensation paid to subjects. Arrival on showground
indicates acceptance to this waiver. Copy of Negative Coggins
required on all Horses.
and health certificate if out of state. Have available when arriving
a the Horse Show Entrance. . Scooters and Golf Carts not permitted in barns
or buildings.
Dogs are not allowed in buildings and must be leashed at all times.
Dogs must be crated if in the office or buildings. Announcements at
the show will take precedence
over any written materials Show Office in the Auction Barn.
Check-in after 10 a.m. , Friday,September 23, 2011
. and before 10 p.m. that evening unless prior arrangements have been
made.
Owner's
Signature:________________________________________________________
Exhibitor's Signature:________________________________________
Exhibitor's Signature:______________________________________________
Exhibitor's Signature:_________________________________________
.
Date of Arrival if known Stall
Horse with
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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