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East Meets West 2012 NRHA, TRHA, & AQHA – Alliance Event

ENTRY # _________

October 5 - 7, 2012 Great Southwest Equestrian Center, Katy, Texas

Check # _______ Open

Closed

Account Name: ________________________________________PAID Check $________ PAID Cash $________ (Person Responsible for Paying) Trainer:

________________________________

NRHA Horse’s Name _____________________________________ Comp Lic # ______________ Horse’s Barn Name _____________________ AQHA # ________________ Negative Coggins Accension # ______________

 S G M  Yr Foaled:_____ JR SR  neg ____/____/____

Owner’s Name ______________________________________ SSN# _____________________

NRHA # ________________ AQHA # ________________

 G NP Y L  O AM N Y L

Owner’s Name ______________________________________ SSN# _____________________

NRHA # ________________ AQHA # ________________

 G NP Y L  O AM N Y L

Rider’s Name ______________________________________ SSN# _____________________

NRHA # ________________ AQHA # ________________

 G NP Y L  O AM N Y L

NO ADDRESS….NO SSN#.....NO PAYCHECK PAYEE: Rider  or Owner  Address_____________________________________________________ City ___________________________ State______ Zip ___________Phone (______)__________________

E-mail _______________________________________________________________ Class Order

Division Class #

Entry Judges Fee Fee

Friday, Oct 5th , Starting at 8:00 am 1st 9003  Ladies (JP) 20 20 9004  Mens (JP) 20 (class may be limited to 20 entries) 1100 1200 1301 1340 1350

    

3rd

5850

4th

10001 10002

2nd

Open ($1000) Int Open ($500) Ltd Open ($250) AQHA Open Rookie Pro (JP)

1700 1750

Office Use Only

Pattern #

________________________ NRHA #__________

2

 G NP Y L

6

 G NP Y

100 50 25 35 25

35 25 20 0 20

________________________ NRHA #__________

 Int Hor NP ($250)

25

20

________________________ NRHA #__________

9

 NP YNP

 Green Level II  Green Level I

20 20

0

________________________ NRHA #__________

4

 GYA

________________________ NRHA #__________

8

 G NP Y L

________________________ NRHA #__________

5

 G NP Y

Saturday, Oct 6th , Starting at 8:00 am 1st 9003  Ladies (JP) 20 20 9004  Mens (JP) 20 (class may be limited to 20 entries) 2nd

Rider (if different from above)

 Nov Hor Op L1($200) 20  Nov Hor Op L2($250) 25

20

 O AM N Y

________________________ AQHA #__________


Horse Name____________________________________ 3rd

1800 1850

 Nov Hor NP L1 ($200) 20  Nov Hor NP L2 ($250) 25

4th

3500

 Yth 10 & < Short Stir

5th

3100 3200 4347 4348

   

9801

6th

ENTRY # _________

________________________ NRHA #__________

6

10

0

________________________ NRHA #__________

12  Y YNP

10 10 10 10

0

________________________ NRHA #__________

2

 TRHA $1000 Rider (JP) 20

20

Yth 13 & < Yth 14–18 AQHA 13 & U AQHA 14 – 18

________________________ TRHA Member

8

 NP TRHA

________________________ NRHA #__________

6

 G NP Y L

 NP only

1400 1500 1600 1650 2340 2348

     

Non Pro ($1000) 100 35 ________________________ NRHA #__________ Int NP ($500) 50 25 Ltd NP ($200) 20 20 PT N Pro ($200) 20 AQHA Am Rein* 35 0 ________________________ AQHA #__________ AQHA Am Select* 35 0 (*AQHA Riders may enter only Amateur or Amateur Select – NOT Both)

8

3rd

3340 5300 5301 5310

   

AQHA Nov Am 35 0 ________________________ AQHA #__________ Rookie I (JP) 20 20 ________________________ NRHA #__________ Prime Time Rookie (JP) 20 Rookie II (JP) 20 (*PT Rookie must also enter Rookie Level 2)

5

4th

5750

 Int Hor OP ($250)

25

20

 Y YNP Y

________________________ AQHA #__________

Sunday, Oct 7th , Starting at 8:00 am 1st 9003  Ladies (JP) 20 20 9004  Mens (JP) 20 (class may be limited to 20 entries) 2nd

 NP Only

20

________________________ NRHA #__________

 AM or AM SEL  Nov AM  NP Y

10  G Y

(Only one Judges Fee for Concurrent Classes – Highest fee applies) Charges

Checks payable to: GSEC

FOR OFFICE USE ONLY

Entry fee total - - - - - - - - - - - - - - - - =________ Judges fee total - - - - - - - - - - - - - - - - =________ Office fee $25 - - - - - - - - - - - - - - - - - - =___25___ (Youth Only Classes-office fee free) Stall _____ X $110 For Show (10/2-10/6) - - - - - =________ Early Arrival (Mon 10/1) $30/stall - - - - - - - - =________ Three night stall _____ X $90 - - - - - - - - - - =________ Two night stall _____ X $60 - - - - - - - - - - - =________ One night stall _____ X $40 - - - - - - - - - - - =________ Stall/Ground Fee____ X $40 Per _____ DAY - - =________ Shavings _____ bag(s) X $11 per bag - - - - - =________

________ ________ ___25___

________ ________ ___25___

________ ________ ________ ________ ________ ________ ________

________ ________ ________ ________ ________ ________ ________

________ ________ ________

________ ________ ________

_________

_________

(must be purchased from GSEC) Paid Warm Ups _____X $25 for 8 min - - - - - - =________ RV Space ______ X $30 per ____ Nights - - - - =________ AQHA Drug Testing $5.00/horse/show - - - - - =________

FINAL TOTAL =

_________

WARNING: Under Texas Law (Chapter 87, Civil Practice and Remedies Code), an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities. I further understand that all horses must be stalled due to facility requirement. Horses are not allowed to be tied to trailers for extended periods or overnight. I will abide by this requirement Signature: ___________________________________________

Date: October_____, 2012

EastWestEntry  

http://www.gswec.com/downloads/2012PrizeLists/OctoberReiningShow/EastWestEntry.pdf

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