Name of Exhibitor (one exhibitor per form) 2014 Buckskin National Entry Form Horse Class No. Horse Horse 1 2 Name of Horse Registration Number Sex Date of Birth All Classes $10.00 $10.00 Class No Class No $10.00 Per Class Classes x $10.00 = $ Classes x = Total $ $10.00 42 Class No $10.00 Class No Horse 3 = Total $ Class No $10.00 Classes x Class No = Total $ Juniors Handler, Sire’s/Dam’s Progeny, Breeder’s & Owner’s Group Classes Horse No. 1 2 $10.00 = $ Class No. Name of Handler, Group, Progeny or Breeders All class total =$ All Handler, Sire’s/Dam’s Progeny, Breeders & Owner’s Group Class $10.00 Per Class X =$ Name Stabling & Camping Fees $15.00 each, per night, per stable or site Classes Name No Shavings or Straw will be provided. I would like to book (qty) stable’s X $15.00 per night =$ I would like to book “ Camp site X $15.00 per night =$ Classes Total = $ All Members & Non Members must complete and sign the Liability Declaration form A Competitors must be financial members of the BHA. NSW or pay the $10.00 or $30 Registered Participant fee X PLEASE POST ALL ENTRIES TO: Buckskin Horse Association-NSW PO Box 5712 Windsor South 2756 NSW Please make cheque payable to Buckskin Horse Association-NSW ENTRIES CLOSE 28nd NOVEMBER 2014 Total Classes =$ Total Handler, Progeny, Breeders, Owners Group =$ Total Stabling, Camping =$ Registered Participant Fee {Non Members}=$ 2015 Membership Renewal =$ Total =$