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Great Escape 2013 NRHA, TRHA, STRHA

ENTRY # _________

March 1-3, 2013 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 # ______________

 S G M  Yr Foaled:_____JR SR

Horse’s Barn Name _____________________ Negative Coggins Accension # ______________

 neg ____/____/____

Owner’s Name ______________________________________ SSN# _____________________

NRHA # ________________

 G NP Y L

Owner’s Name ______________________________________ SSN# _____________________

NRHA # ________________

 G NP Y L

Rider’s Name ______________________________________ SSN# _____________________

NRHA # ________________

 G NP 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, Mar 1st , Starting at 8:00 am 1st 9003  Ladies (JP) 20 20 9004  Mens (JP) 20 (class may be limited to 20 entries) 2nd

1100 1200 1301 1350

   

3rd

5850

4th

10001 10002

1700 1750

Office Use Only

Pattern #

________________________ NRHA #__________

2

 G NP Y L

100 50 25 25

35 25 20 20

________________________ NRHA #__________

6

 G NP Y

 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

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

Saturday, Mar 2nd , 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


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

 Yth 13 & <  Yth 14–18

6th

9801

ENTRY # _________  NP Only

20

________________________ NRHA #__________

5

10

0

________________________ NRHA #__________

12  Y YNP

10 10

0

________________________ NRHA #__________

2

 Y YNP

 $1000 TRHA/STRHA 20 Novice Rider (JP)

20

________________________ TRHA Member ________________________ STRHA Member

8

 NP TRHA  NP STRHA

________________________ NRHA #__________

6

 G NP Y L

Sunday, Mar 3rd , Starting at 8:00 am 1st 9003  Ladies (JP) 20 20 9004  Mens (JP) 20 (class may be limited to 20 entries) 2nd

1400 1500 1600 1650

   

________________________ NRHA #__________

8

 NP only

3rd

5300 5301 5310

 Rookie I (JP) 20 20 ________________________ NRHA #__________  Prime Time Rookie (JP) 20  Rookie II (JP) 20 (*PT Rookie must also enter Rookie Level 1 or 2)

8

 NP Y

4th

5750

 Int Hor OP ($250)

10  G Y

Non Pro ($1000) Int NP ($500) Ltd NP ($200) PT N Pro ($200)

100 35 50 25 20 20 20

25

20

________________________ NRHA #__________

(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 - - - - - - - - - - - - - - - - - (Youth Only Classes-office fee free) Stall _____ X $110 For Show (2/26-3/2) - - - - Early Arrival (Mon 2/25) $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___

________ ________ ___25___

=________ =________ =________ =________ =________ =________ =________

________ ________ ________ ________ ________ ________ ________

________ ________ ________ ________ ________ ________ ________

Paid Warm Ups _____X $25 for 8 min - - - - - - =________ RV Space ______ X $30 per ____ Nights - - - - =________

________ ________

________ ________

_________

_________

(must be purchased from GSEC)

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: March_____, 2013

Escape-Entry3  

http://www.gswec.com/downloads/2013PrizeLists/March1-3ReiningShow/Escape-Entry3.pdf

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