Spots Spring on Dixie 2013 Entry form
One entry form per horse
Back Number______________
Horse Information
Registration#____________________
Name of Horse __________________________________________________
Foal Date _________________
Sex: Stallion___ Mare___ Gelding___
Circle if you are the Owner and Exhibitor or Exhibitor.
Owner
Exhibitor
Name
Address
City
State
Zip Code
Phone#
Email
DOB
ApHC #
Card Type
For Office Use
Verify:
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Registration papers
Coggins
Health Certificate
ApHC Membership
Non Pro Card
Youth Card
Foundation Pedigree
Signed Release Form
Continue to the back for more registration information.
Spots Spring on Dixie- June 1&2, 2013
Notices
Current Coggins, Health certificate, registration papers and ApHC membership card are required. You
may apply for membership before the show during registration.
To Cross Point with the Heart of Dixie ApHC you must be a member of the club or join during the show.
To be eligible for Heart of Dixie ApHC Year End Awards you must show at our show and be a member of
the HOD club.
Liability
I agree to follow ApHC and Heart of Dixie ApHC rules while participating in the Spots Spring on Dixie
Show.
Signature______________________________________ Date___________________________
Fee Schedule- for office use only
Category
Fee per Class
Open
$40.00
Open Blanket
$130.00
Non Pro
$40.00
Non Pro Blanket
$130.00
Youth
$40.00
Youth Blanket
$130.00
Cattle Fee
$20.00/run
Ground Fee
$15.00/unstalled
horse/day
Office Fee
$5.00/horse
Show barn stall
$70.00 (2 nights)
Barn Stall
$30/night or $50
weekend
Shavings
$8/bag
Camper Hookup
$25/night
HOD Membership $20/family
$10/single
$5/youth
ApHC
$55.00/single
Membership
$10.00/youth
$80.00/couple
$95.00/family
Grand Total
Amount Paid:
NPF per Class
Quantity
Total
$8.00
$4.00
$4.00
Payment __________________Check #__________ Cash ____________________
Heart of Dixie ApHC Show Management and Clearview Farms will not be held responsible for injury, loss
or damage to person or property.
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Spots Spring on Dixie- June 1&2, 2013
Note: If the horse is not stalled, please clean up around the trailer area where the horse has been tied.
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