Racking Horse Breeders' Association of America
67 Horse Center Road, Decatur, AL. 35603
(256)353-7225
RHBAA CELEBRATION ENTRY FORM
ALL INFORMATION MUST BE COMPLETED AND CORRECT.
ONLINE ENTRIES CLOSE AT 1:00PM CST ON THE DAY OF YOUR CLASS.
Class #
*
-- Select --
1. Country Speed Amateur/Juvenile Male Rider
2. Show Pleasure Amateur/Juvenile Rider
3. Trail Pleasure Lite Shod Amateur/Juvenile Rider
4. Specialty Action Mare & Gelding Open
5. Speed Flat Shod
6. Pleasure Racking Amateur/Juvenile Male Rider
7. Specialty Action 4 Year Old Open
8. Amateur Racking
9. Country Pleasure Amateur/Juvenile Male Rider
10. Specialty Action Amateur/Juvenile Rider
11. Trail Pleasure Amateur Rider
12. Speed Novice Amateur/Juvenile Rider
13. Specialty Action Park Performance Amateur/Juvenile Rider
14. Western Pleasure Amateur/Juvenile Rider
15. Specialty Action 15.2 & Under Amateur/Juvenile Rider
16. Speed Open Shod Juvenile Rider 12 & Under
17. Specialty Action Amateur/Juvenile Owned & Trained
18. Trail Pleasure Western Amateur/Juvenile Rider
19. 4 Year Old & Under Open
20. Country Speed Juvenile Rider 17 & Under
21. Specialty Action Style Open
22. Speed Open Shod Juvenile Rider
23. Pleasure Racking Amateur/Juvenile Female Rider
24. Specialty Action Juvenile Rider 13-17
25. Speed Keg Shod
26. Trail Pleasure Juvenile Auxiliary
27. Juvenile Rider 17 & Under
28. Amateur/Juvenile Owned & Trained
29. Specialty Action Juvenile Rider 12 & Under
30. Trail Pleasure 5 Year Old & Under Amateur/Juvenile Rider
31. Speed 3 & 4 Year Old Open
32. 4 Year Old & Under Amateur/Juvenile Rider
33. Specialty Action, Ponies 60" & Under Amateur/Juvenile Rider
34. Trail Pleasure Juvenile Rider 17 & Under
35. Specialty Action Style Amateur/Juvenile Rider
36. Specialty Action 2 & 3 Year Old Open
37. Pleasure Racking Western Amateur/Juvenile Rider
38. Specialty Action 4 Year Old & Under Amateur/Juvenile Rider
39. Speed Open Shod
40. Country Pleasure Amateur/Juvenile Female Rider
41. Trail Pleasure Amateur Owned & Trained
42. Country Speed Amateur/Juvenile Female Rider
43. Specialty Action Open
44. Stick Horse
45. Lead Line Juvenile Rider 6 & Under
46. Specialty Action Park Performance Open
47. Style Pleasure Amateur/Juvenile Rider
48. Specialty Action Ladies Auxiliary
49. Flat Shod Open
50. Specialty Action 15.2 & Under Open
51. Trail Pleasure Juvenile Rider STAKE
52. Pleasure Racking Amateur/Juvenile Rider STAKE
53. Speed Juvenile Rider STAKE
54. Juvenile Rider STAKE
55. Specialty Action Amateur Rider STAKE
56. Trail Pleasure Amateur Rider STAKE
57. Country Speed STAKE
58. Amateur Rider STAKE
59. Specialty Action Juvenile Rider STAKE
60. Country Pleasure Amateur/Juvenile Rider STAKE
61. Specialty Action STAKE
62. Speed STAKE
63. RACKING STAKE
Name of
RHBAA Registered Horse
*
Exhibitor's Complete Name /
*
Exhibitor's Complete Address
Owner's Complete Name /
*
Owner's Complete Address
Trainer's Complete Name /
*
Trainer's Complete Address
Entry
Fee
--
Stick Horse Entry, Free
Line Class Entry, $35.00
Stake Class Entry, $80.00
Championship Class Entry, $200.00
$
Entry #
Horse's RHBAA Registration #:
Exhibitor's RHBAA #:
Owner's RHBAA #:
Trainer's RHBAA #:
Inspection
Fee
Stick Horse Entry, Free — Class 44 Only
Flat Shod Entry, Additional Entry — $5.00
Performance Entry or Flat Shod First Entry — $15.00
$
Must be signed by an Exhibitor or Agent: I, the undersigned, on my own behalf of any principal for whom I may be an agent, actual or apparent, enter the above name horses subject to all the rules and regulations of the show and of any organization with whom the show is affiliated. I/We hereby waive all claims against the Racking Horse Breeders' Association of America of any type whatsoever, whether the same be for damages, loss, loss of value or reputation or any claim of any type for loss to myself/ourselves, the horse exhibited, any vehicle, any other article, or any other person under my/our supervision and control. I/We specifically waive any claim that may arise from exclusion of any horse from showing because of compliance or attempted compliance with any State or Federal law, any regulations there under, or any regulations issued by any affiliating organization. I/We also waive any claims arising out errors involving book or record keeping. If not signed, the first entrance into the ring as an exhibitor shall be construed as acceptance of this and all other Racking Horse Celebration rules.
INDIVIDUAL MAKING ENTRIES
Trainer, Agent, or Exhibitor:
*
(Please Print)
Signature of Individual Making Entries:
(Please Sign)
Physical Address:
Contact Phone Number:
Horse is Stalled In Barn:
INDIVIDUAL PAYING FOR ENTRIES
(Required by HPA Regulations)
Individual Paying for Entries:
*
(Please Print)
Physical Address:
Contact Phone Number:
(Please Sign)
Paid By:
VISIT ENTRY OFFICE FOR PAYMENT
Check / Check #
Cash
Credit/Debit Card
Tab
INDIVIDUAL COLLECTING WINNINGS/PRIZE MONEY
Individual Collecting Winnings/Prize Money:
(Must be an Adult 18 year of age or older.)
Social Security Number:
On File
(In order to receive winnings. If on file with RHBAA, please check "On File")
Physical Address:
Contact Phone Number:
Total Due:
$0.00
SUBMIT ENTRY