National Walking Horse Association National Pre-entry Form

2011 National Pre-Entry Form
September 26-October 1, 2011

One Horse Per Form
HORSE, OWNER, RIDER INFORMATION MUST BE COMPLETE
Current Coggins certificate and form of payment
will be required at show office upon check-in
Horses transported from out of state will require 30 day health certificate

Name of Horse
Sex Select One
Registration Number
Select Breed Registration
FOALING DATE	-proof will be required for all Jr Horse classes
OWNER INFORMATION
Owner Name
Owner NWHA Number
Owner's Address
Owner City, State, Zip
Owner Phone
Owner E-mail
TRAINER INFORMATION (If applicable)
Trainer's Name
Trainer's Address
Trainer's City, State, Zip
Trainer's Phone
Trainer's E-mail
Trainer's NWHA Number

Show Premiums Paid to:
If "Other":
Exhibitor #1
NWHA Membership Number
Address
Date of Birth if Youth
Enter Exhibitor #1 Class Numbers:	Example 1, 5 22, 101

Exhibitor #2
Address
Date of Birth if Youth
NWHA Membership Number
Enter Exhibitor #2 Class Numbers:	Example 1, 5 22, 101

Exhibitor #3
Address
Date of Birth if Youth
NWHA Membership Number
Enter Exhibitor #3 Class Numbers:	Example 1, 5 22, 101

Exhibitor #4
Address
Date of Birth if Youth
NWHA Membership Number
Enter Exhibitor #4 Class Numbers:	Example 1, 5 22, 101

Number of Stalls	$100 each Sunday 9/25 - Saturday 10/1
Bedding	$8 each
DQP Fee	Number of days ($12 Per horse per day)
Grounds Fee	$15 per day (horses with no accompanying stall)
Camping	$175/week Sunday - Saturday - Non-refundable after Sept 1
NWHA Membership
Office Fee	$20 per horse
WIN a Free National Ticket	Includes 1 stall, DQP fees and all entry fees Price $25
Exhibitor Party Ticket	$10 per person ($15 at the door)
Sponsorship	Please support your organization with a Sponsorship!
Comments

For more information call Connie Holbrook: 615-207-2754
connie@showhorsemanagement.com

E-mail address for received reply to this form:

CURRENT 12 MONTHS COGGINS REQUIRED FOR ALL HORSES ON SHOW GROUNDS (Copy must be on file in Show Office record) Persons on Federal Suspension shall participate at the show as spectators only. NWHA, its officers, employees, show officials and members are hereby indemnified of any and all claims or liability for injury suffered by rider, horse, and/or property by any cause whatsoever.
Shoes will be removed at the discretion of show management and/or officials for inspection and weighing.
As per NWHA rules – "No shoe can be made from any material heavier than conventional steel." Complete shoeing rules and regulations can be found on page 22 - NWHA Rules. If a horse is found to be non-compliant with these NWHA rules all awards/monies, points and show fees for that exhibitor and horse shall be forfeited.

National Walking Horse Association
At The Kentucky Horse Park
4059 Iron Works Parkway, Suite 4
Lexington, KY 40511
Phone: 859-252-NWHA (6942)
FAX: 859-252-0640
Contact Us