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                                         NMPEA / NMPHC Entry Form
Please Check One:PHBA          APHA             Stall  Yes           No
    PLEASE CHECK ONE OF THE ABOVE IF YOU ARE SHOWING IN BREED APPROVED CLASSES.

PHBA/APHA Reg # Name of Horse                                                                             Year Foaled             Sex

Owner ID#                       Owner                                                                  Responsible Party If Different

Owner's Address                                                                                        Owner's Phone

Exhibitor's ID#                 Exhibitor's Name                                                       Date of Birth          (youth/19&O AB)



Exhibitor's Address                                                                                    Exhibitor's Phone

 Email Addresses

          CLASSES FOR THE ABOVE EXHIBITOR - PLEASE USE CLASS NUMBER ON SHOW FLYER.




Exhibitor's ID#                 Exhibitor's Name                                                       Date of Birth          (youth/19&O AB)




Exhibitor's Address                                                                                    Exhibitor's Phone

          CLASSES FOR THE ABOVE EXHIBITOR - PLEASE USE CLASS NUMBER ON SHOW FLYER.




I (We), the owner's/exhibitors/responsible party, hereby request to enter the event indicated and agree to
abide by the by-laws, standing rules, judging and showing rules of the Palomino Horse Breeder's
Association (NMPEA) and the American Paint Horse Association (NMPHC). We release PHBA, APHA,
NMPEA, NMPHC, their respective members, Rocking Horse Ranch, Expo New Mexico, Valencia County
Fairgrounds and their owner's/operators from any loss to myself, dependants, employees, agents, horses
and/or equipment while attending and/or participating in this show. The provisions contained herein are
hereby made a part of this entry agreement.


Owner/ Exhibitor/Responsible Party Signature ( Must be 21 or Older)                                              Date

                                                                                                                  ##############



Number of Judges                     2                          Pal/Paint All Day Per Div                               $90              $0
                                                                All Breed All Day Per Div                               $45              $0
  Pal. & Paint class fees & assoc. fees are PER Judge           Pal/Paint # of Classes                                  $14              $0
                                                                All Breed # of Classes                                   $7              $0
                                                                Office Fee                                              $20              $0
                                                                Early Registration Discount                             -$5              $0
                                                                4-H Discount                                            -$5              $0
Please          All Breed        All Breed        All Breed     PHBA Assoc.Fee per judge                                 $5              $0
check all     Halter Geldings   Trail OPEN       WP OPEN        APHA Assoc.Fee per judge                                 $2              $0
JACKPOT                                                         Jackpot Fees                                            $10              $0
classes you                                                     Stall Fees Circuit Fri & Sat Night *                    $55              $0
wish to                          *includes 2 bags of shavings   Tack Room Fees                                          $20              $0
enter.

                                                                TOTAL                                                                   $0

				
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