The National Morgan Reining Horse Association!

(affiliate of the National Reining Horse Association)

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NMRHA Extravaganza 2010 Entry Form. One Entry Form per Horse.

 

 

 

Owner: _____________________________________________________________________________________

 

Address: _________________________________ City ____________________ State ______ Zip ____________

 

Phone: _______________________ Email: ________________________________________________________

 

Owner Social Security Number: ____________________________ NRHA #: ___________________ (if applicable)

                                                                                                                           NRCHA #: __________________

                                                                                                                           AQHA #: ___________________

 I agree to not hold NMRHA or the Lancaster Event Center  liable for any reason.

 

Owner’s  or designate’s Signature: ______________________________________________________________

 

 

Horse: ______________________________________ Breed _____________ Reg # ____________ (if applicable)

 

NRHA Competition License: ________________________ (if applicable)

 

 

Rider: ______________________________________________________________________________________ 

 

Address: ____________________________________ City _____________________ State _____ Zip _________

 

Phone: _________________________________ Email: ______________________________________________

 

Rider  Social Security Number: ____________________________ NRHA #: ___________________ (if applicable)

                                                                                                                          NRCHA #: __________________

                                                                                                                          AQHA #: ___________________

I agree to not hold NMRHA or the Lancaster Event Center  liable for any reason.

 

Rider’s Signature:   _________________________________________________________________________________

(Parent or Guardian if not of legal age)

Make check payable to: Owner     or    Rider  (circle one)

 

 

 

 

Rider: ______________________________________________________________________________________ 

 

Address: ___________________________________ City ___________________ State ______ Zip ___________

 

Phone: _________________________________ Email: ______________________________________________

 

Riders Social Security Number: ____________________________ NRHA #: ___________________ (if applicable)

                                                                                                                           NRCHA #: __________________

                                                                                                                           AQHA #: ___________________

I agree to not hold NMRHA or the Lancaster Event Center  liable for any reason.

 

Rider’s Signature:   _________________________________________________________________________________

(Parent or Guardian if not of legal age)

 

Make check payable to: Owner     or    Rider  (circle one)

 

Negative Coggins within last 12 months required. All animals must be free of disease and in good health. The management of this show and/or owners of show grounds are not responsible for injury to any person attending this event or any livestock. They assume no responsibility for loss or theft.