Southern California Professional Horse Show Association

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Southern California Professional Horseshow Association

Online Preshow Registration ~ February 26, 2012

* = Required Field

Deadline for Online Entry - 2/23/12
Avoid the $20 Post Entry Fee!

Horse Owner : *

Address: *

City: *

State:

Zip: *

Phone: *

Email: *

Name of Horse: *

Gender: *

Stallion Mare Gelding

Trainer:

Copy of Horse AQHA papers and copy of Exhibitor/Owner
AQHA cards required PRIOR to entering AQHA classes

Horse AQHA Reg #:

(required only for AQHA classes - no stallions in AQHA Novice classes)

Reg Owner #:

Rider AQHA #:

Rider's Relationship to Owner:

SIGNATURE REQUIRED: I hereby release the Southern California Professional Horseshow Association (Hereafter referred to as SCPHA) from all liability for any act of negligence or want of ordinary care on the part of SCPHA and or any of its agents. In consideration of my participation in events organized or sponsored by SCPHA I waive, release, and discharge SCPHA and their directors, officers, agents and members, their representatives, heirs, executors and assigns from any and all claims of liability for injury or damage to myself, my animals, or my property arising out of my participation in SCPHA events. This agreement is binding upon my executors, heirs and assigns.
SIGNATURE:*

Please type your name (signature) on the above line
Your signature on this entry form is your acknowledgement that you have read, understand and agree to abide by SCPHA rules.

SCHEDULE OF FEES

Payment in full must accompany entry. SCPHA All Day Fee: After 5th regular class, additional classes are FREE! (per rider) Warm-up, AQHA and SDSEL classes not included. AQHA fee includes AQHA/PCQHA fees.

Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate
Class#, Rider & Birthdate

Warm-up Class Fees	$10 per go
SCPHA/SDSEL Class Fees	$15.00 per class
AQHA Class Fee	$20.00 per class
Post Entry Fee (after 2/23/12)	$20 per horse
CA Drug Fee	$5 per horse
Grounds Fee	$25 per horse
SCPHA Membership Fee	$40 (required for High Pt & EOY Awards)
Pole Fee	$12 per trail horse entry

Enter Total Amount Due Here: