Morgan Gold Cup Horse Show, Inc.
Presents
Morgan Gold Cup Horse Show
An AMHA Regional Championship Show
June 13, 14, 15, 16, 17, 2000
Ohio Expositions Center * Columbus, Ohio |
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PRINT ONE OWNER per entry blank
Owner's Name:________________________
Farm Name:____________________________
Street & #/ P.O.Box:______________________
City:_______________ State:___ Zip:_______
Telephone:________ Social Security #:________
AMHA #:____________ AHSA #:__________
Owner's Signature:___________________________________________________________
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PRINT RIDER/DRIVER/HANDLER
1) Name:______________________ Age:_____
Signature:_____________________________
AMHA #:______________ AHSA #:____________
2) Name:______________________ Age:_____
Signature:_____________________________
AMHA #:______________ AHSA #:____________
3) Name:______________________ Age:_____
Signature:_____________________________
AMHA #:______________ AHSA #:____________
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PRINT TRAINER
Trainer's Name:_____________________________
Street & #/ P.O.Box:______________________
City:_______________ State:___ Zip:_______
Telephone:________ Social Security #:________
AMHA #:____________ AHSA #:__________
Trainer's Signature:___________________________________________________________
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USDF MEMBERSHIP NUMBERS
Horse #:______________________________
Horse Name:___________________________
Owner/Rider #:_________________________
Name (Owner/Rider):______________________
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Additional Info:
Arrival Date:__________ Stable With:________________
Please put my name in nomination for the Bill Marquardt Amateur High Point Award:___
Name (Print):___________________________
___:Please check here if bringing a carriage
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Photostat copies of horse's registration certificate and Owner's, Trainer's and Rider's AHSA and AMHA cards must be included with entries |
Entries Close May 13 - Post Entries 50% Additional |
Word "ENTRY" is Not acceptable. No Substitution of Horses or Classes. |
If Exhibitor feels a conflict could occur, choose most desired event. |
Abbreviations to use: M=Mare, S=Stallion, G=Gelding
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Leave column blank | NAME of HORSE Class Number Under Name, One Class per Square | Total Entry Fees | Color | Sex | Ht. | Age | AMHA Reg. No. | Name of Sire Name of Dam |
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TOTAL ENTRY FEES: | | OFFICE USE ONLY Name:__________ Name:__________ Check #:________ Check #:________ Amount:________ Amount:________ |
STALL FEES MUST BE PAID ON ALL HORSES | |
1. Box Stalls | #____ @ $80.00 | |
One Day (24hr) Stall Fee | #____ @ $40.00 | |
2. Tack Stalls | #____ @ $80.00 | | ___: Check or ___: Money Order Payable to MORGAN GOLD CUP HORSE SHOW
Bill My ___: Mastercard or ___: Visa PRINT Card Holder Name:____________________ Card #:Exp. Date:_____________________ Signature:____________________ |
3. Horse Stalls with Shavings | #____ @ $10.00 | |
4. Drug Fee AHSA per Horse | #____ @ $ 8.00 | |
5. Office Fee per Horse | #____ @ $10.00 | |
6. Non-Membership AHSA Fee | #____ @ $15.00 | |
7. Non-Membership AMHA Fee | #____ @ $20.00 | |
8. Judge Evaluation Program | #____ @ $ 2.00 | | Entry and stall fees must be forwarded with Entry Blank, otherwise entry will be returned.
Any previous indebtedness to the Morgan Gold Cup Show must be paid before entries accepted.
Mail Entries and all Fees to Show Secretary Sherri Hamilton 552 Green Meadows Drive West Powell, OH 43065 (740) 548-4854 |
9. Box Seats | #____ @ $10.00 | |
Name wanted on box: _____________________________ | |
10. Program | #____ @ $ 6.00 | |
11. Voluntary Contribution to Youth Programs | #____ @ $ 5.00 | |
TOTAL FEES | $ |
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Permission for a Minor to Show:
I hereby consent to the entry of (Name and birth date)________________________________ in this horse show and certify that I have read the foregoing representations and statements and that the same may be deemed a part of hereof and accept responsibility thereunder for the participation of said minor.
Signature of Parent or Guardian:________________________________
Telephone Number:__________________________ |
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CAREFULLY READ AGREEMENT BELOW BEFORE SIGNING! ENTRIES NOT SIGNED WILL NOT BE ACCEPTED. All signatures on this form indicate that each person signing has read and understood all of the waivers on this form. |
Every entry at a Recognized Competition shall constitute an agreement and affirmation that all participants (which include without limitation, the owner, lessee, trainer, manager, agent, coach, driver, rider, handler and the horse), for themselves, their principals, representatives, employees, and agents: (1) shall be subject to the constitution and rules of the association and the local rules of the competition: (2) represent that every horse, rider, driver, and handler is eligible as entered: (3) agree to be bound by the constitution and rules of the AHSA and of the competition, and will accept as final the decision of the hearing committee on any questions arising for any action taken: (4) agree that as a condition of entry, they authorize the AHSA and/or the competition management to market, transfer, assign or otherwise make use of any photographs, likenesses, films, broadcasts, between the stabling facility and the event site, in any way they see fit for the promotion, coverage or benefit of the event, sport, or the AHSA, without compensation to any of them, so long as the use neither jeopardizes amateur status nor endorses a specific product or service, and hereby expressively and irrevocably waive any misappropriation; and (5) agree that they participate voluntarily in the competition fully aware that horse sports and the competition involve inherent dangerous risk of serious
injury or death, and by participating they expressly assume any and all risks of injury or loss and they agree to indemnify and hold the AHSA, the competition and their officials, directors, employees and agents harmless from and against all claims including any injury or loss suffered during or in connection with competition, whether or not such claim, injury or loss resulted, directly or indirectly, from the negligent acts or omissions of said officials directors, employees or agents of the AHSA or competition, the construction and application of AHSA rules are governed by the State of New York, and any action instituted against AHSA must be filed in New York State. See Article 1502.4. |
ALL ENTRIES MUST BE SIGNED (AHSA RULE) *OWNERS AND TRAINERS MUST SIGN |
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