2008 On-Line Entry Form

Enter all information and press submit button at the bottom of page.

*Denotes Required Information!
*E-mail
     use lowercase email addresses
*Requested Back Number
*Horse Name

*Horse's PHBA Number
 MareGeldingStallion

*Year Foaled
*Owners name *Owner's PHBA Number
*Address
*City St  Zip *Phone

 
Stalls requested:
 for #nights
 Estimated Time of Arrival:
# bags of shavings requested total:
RV hook ups requested: for #nights

 

 

 

EXHIBITOR INFORMATION

 

Youth Exhibitor: 
                  PHBA ID 
Date of Birth:  

All Around High Point (Each Day - minimum 3 classes , 2 must be performance)

 

 

Amateur Exhibitor: 
          PHBA ID  
Date of Birth:  

All Around High Point (Each Day - minimum 3 classes , 2 must be performance)

 

 

Open Exhibitor: 
          PHBA ID:

All Around High Point (Each Day - minimum 3 classes , 2 must be performance) 

 

Do you wish to declare for High Point(s)?  Check Appropriate Box(s):

Open  Horse

Amateur

A Select

N Amt.

Y Walk Trot

Y 13& Under

Y 14 - 18

N Youth

 

CLASS SELECTION

FRI

SAT

SUN

  CLASS

OPEN

AMT.

NOV. AMT.

SELECT AMT.

YTH 13& UNDER

YTH 14& UNDER

YTH 18& UNDER

WALK TROT

NOVICE YOUTH

Hunter in Hand Stallions

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Hunter in Hand Geldings

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Hunter in Hand Mares

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Color

N/A

N/A

N/A

N/A

N/A

N/A

Longe Line

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Showmanship

N/A

N/A

Hunter Under Sad. (Sr for Open)

N/A

Hunter Under Sad. Jr.

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Hunt Seat Eq.

N/A

N/A

Road Hack

N/A

N/A

N/A

N/A

N/A

Hunter Hack

N/A

N/A

N/A

N/A

N/A

WP (Sr for Open)

N/A

WP, Jr.

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

2 Yr. Old WP

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Horsemanship

N/A

N/A

Trail (Sr for Open)

N/A

Trail, Jr.

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Western Riding

N/A

N/A

Ranch Horse

N/A

N/A

Reining

N/A

N/A

N/A

Barrels

N/A

N/A

N/A

N/A

N/A

Poles

N/A

N/A

N/A

N/A

N/A

Stakes

N/A

N/A

N/A

N/A

N/A

N/A

Flags

N/A

N/A

N/A

N/A

N/A

 

Halter Only

 

FRI

SAT

SUN

  CLASS

STALLIONS

MARES

GELDINGS

Weanling

Yearling

2 Yr. Old

3 Yr. Old

4 Yr. Old

Aged

Amt. Weanling

Amt. Yearling

Amt. 2 Yr. Old

Amt. 3 Yr. Old

Amt. 4 Yr. Old

Amt. Aged

Youth Weanling

N/A

Youth Yearling

N/A

Youth 2 Yr. Old

N/A

Youth 3 Yr. Old

N/A

Youth 4 Yr. Old

N/A

Youth Aged

N/A

 

Coggins Information Requested

 

Coggins (Lab Name): 

Accession Number:

Reported Date:

 

By submitting this form, I(We), the owner(s) and exhibitor(s), hereby request to enter the event(s) indicated and agree to  abide by the By-laws, Standing Rules, Judging, and Show Rules of the Palomino Horse Breeders of America, which I have read and understand.  I(We) hereby release the PHBA, APEA, and members from any loss to myself, employees, agent, horse and/or guests.  I (We) acknowledge that an equine activity sponsor or equine profession is not liable for an injury or death of a participant in equine activities resulting form the inherent risk of equine activities, pursuant to the Alabama equine activities liability
protection act.

Show Contacts

 

Rick Tielke (281) 655-4952 tielke_rick@att.net

Farryl Holub (979) 543-2222 Farryl Holub (979) 543-2222 farryl@riobravosafaris.com

Hard copy pre-entries should be faxed to 281-257-3312.