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.
Registration is currently closed for all event days.
Please check back when registration opens.
Class #
*
-- Select --
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, $40.00
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