Aged Event Entry Form

First Name

Last Name

Horse Owner

Rider ASHA # - Type Pending to Purchase

Phone

Horse Registered Name

Horse ASHA # - Type Pending to Purchase

RIDER DIVISION

Select One

Open
Non-Pro

Horse Foal Date

AGED EVENT - Four Classes ($500)

Select One

4 Year Old Futurity - Foal Date Within Year 2019
5 Year Old Derby - Foal Date Within Year 2018
6 Year Old Maturity - Foal Date Within Year 2017

Additional Classes or Divisions - please type Division and Class signing up for

Clinic - All Four Classes ($75)

Select One

# of T-Shirts ($25) - List size and number Requesting

Arrival Date

Departure Date

# of Stalls Requesting ($25 Per Night)

# of Tack Stalls Requesting ($25 Per Night)

# of Shavings Requesting ($10 Per Bag)

# of RV Hook -Up ($35 Per Night)

Memberships & Horse License may be purchased at the event.

Collegiate Membership ($15)
Adult Membership ($25)
Youth Membership ($15)
Life Membership ($250)
Horse Competition License (One Time Fee of $15)

Division Eligibility

Check the Box to Certify that you meet ASHA Division Eligibility Requirements

Assumption of Risk

Check the Box to Certify that I understand the risks involved in riding horses and/or cow work and voluntarily assume those risks. I agree that I will not hold the American Stock Horse Association, Nolan County Coliseum, nor any of their agents, officers, directors, volunteers, or horse show participants or spectators liable for any injury or property damage to me, my horse, or my property rising out of or caused by this horse competition held April 20-22, 2023. I understand the terms.

Exhibitor Signature

To accept this contract, type your name below

Date

Parent Signature (If under 18 years of age)

To accept this contract, type your name below

Date

Thank you for submitting your form!

We have received your online entry form for the upcoming ASHA Aged Event Championships.

Please let us know if there is anything else we can help you with or if you have any changes to your entry.

Thank you,

Stacy Jo Hartley
ASHA Executive Secretary
(254) 898-0906

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