PRE-ENTRY FORM
2016
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1
2
4
5
6
7
8
9
11
12
13
15
20
21
23
24
25
30
31
33
34
35
16
36
17
18
19
27
28
29
37
38
39
40
_____ @ 3.00
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Walk Trot ~ horse/pony and exhibitor combination eligible for Walk Trot only and may not enter
canter performance classes, but can show in Halter, Trail, Costume, Egg & Spoon, Musical
Sacks and speed at a trot. Will go first in speed classes.
$________
OR
WALK TROT
WALK TROT - Can go in the following classes:
3
4
5
6
7
8
26
32
34
35
39
40
9
10
14
22
WALK TROT MUST TROT:
36
37
38
_____ @ 3.00
$________
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TOTAL AMOUNT DUE ON ENTRIES
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$________
MAILING INFORMATION
INSURANCE FEE
$
_______________________________________
NAME
================================
___________________________________________________
TOTAL AMOUNT DUE
2.00
$________
ADDRESS
CHECKS PAYABLE TO:
_______________________________________
CITY
STATE
ZIP
______________________________________
PARENT NAME
PHONE NO.
OGLE COUNTY 4-H HORSE DRILL TEAM
_____________________________
4-H COUNTY
ALSO SEE ENTRY #(S)
______________________________________ _________
EMAIL ADDRESS
______________________
______________________________________
NAME OF HORSE #1
ENTRY #
______________________
______________________________________
NAME OF HORSE #2
CHECK #_______ CASH _______