United States Lipizzan Federation
2014 Evaluation Tour
HORSE ENTRY FORM
Location:
Date:
Owner(s) Name:
Farm Name:
Address:
Phone:
Mobile Number?
Email:
Owner Signature:
Date:
Entry Fee: $100.00 for the first horse ($200.00 if not already or becoming a USLF member) and
$75.00 for each additional horse from the same farm. Fee covers owner and handler or groom.
First horse to be evaluated @ $100 (USLF member)/$200 (Non-USLF member) = $
Number of additional horses to be evaluated =
@ $75 each = $
USLF Membership (if also joining USLF, include membership form) @ $64
$
TOTAL FEES:
$
Payment may be made by Paypal to USLFsales@gmail.com or by check. Please mail to:
USLF, 8480 O’Hare Rd., Las Vegas, NV, 89143. Please include owner’s name and date and location
of evaluation attended, number of horses evaluated, and membership form if joining.
PLEASE CONTACT EVALUATION SITE DIRECTLY TO ARRANGE STABLING
Horse(s) To Be Evaluated
(Use continuation sheets for additional horses)
Registered Name of Horse:
USLF Registration Number:
Other Registration Number:
Sex:
Birth Date:
Organization of Alternative Registration?
Note: if this is a 2014 Foal that is not yet registered, please provide the following information:
Sire:
Sire’s USLF Registration Number:
Alternate Registration No. of sire?:
Dam:
Dam’s USLF Registration Number:
Owner:
Alternate Registration No. of dam?:
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Revised 6-25-2014
United States Lipizzan Federation - 2014 Evaluation Tour
Horses To Be Evaluated – Continued
Registered Name of Horse:
USLF Registration Number:
Other Registration Number:
Sex:
Birth Date:
Organization of Alternative Registration?
Note: if this is a 2014 Foal that is not yet registered, please provide the following information:
Sire:
Sire’s USLF Registration Number:
Alternate Registration No. of sire?:
Dam:
Dam’s USLF Registration Number:
Alternate Registration No. of dam?:
Registered Name of Horse:
USLF Registration Number:
Other Registration Number:
Sex:
Birth Date:
Organization of Alternative Registration?
Note: if this is a 2014 Foal that is not yet registered, please provide the following information:
Sire:
Sire’s USLF Registration Number:
Alternate Registration No. of sire?:
Dam:
Dam’s USLF Registration Number:
Alternate Registration No. of dam?:
Registered Name of Horse:
USLF Registration Number:
Other Registration Number:
Sex:
Birth Date:
Organization of Alternative Registration?
Note: if this is a 2014 Foal that is not yet registered, please provide the following information:
Sire:
Sire’s USLF Registration Number:
Alternate Registration No. of sire?:
Dam:
Dam’s USLF Registration Number:
Owner:
Alternate Registration No. of dam?:
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Revised 6-25-2014