Check it off:
SLOCQHA Mother’s Day Circuit Entry Form
__ Horses’ Papers
www.MothersDayCircuit.com
__ Owners’ Card
*SAVE $$ - Pre-Register -must be RECEIVED by April 20, 2015*
Mail form, check made out to SLOCQHA copies of horses papers & cards to:
Kathy Davis, P.O. Box 935, Plymouth, CA 95669
Email: [email protected] : (530) 305-0197 (www.teemshows.com)
__ Riders’ Card
__ Open Check to SLOCQHA
Responsible Party_______________________________________________ Email ___________________________________ Phone_________________________
(Name of person paying for this bill.)
HORSE & OWNER INFORMATION: (as it appears on papers)
Name of Horse_________________________________________ Registration #___________________ Year Foaled _________
Sex: M S G
Owner_____________________________________________AQHA #_____________ Exp Date______ PCQHA #____________ Exp_____ Email_______________________________
Address ___________________________________________ City_________________________ State________ Zip___________ Phone______________________
Open Exhibitor_______________________________________ AQHA #_____________ Exp Date______ PCQHA #____________ Exp_____ Email_______________________________
Address ___________________________________________ City_________________________ State________ Zip___________ Phone______________________
Wednesday ClassesThursday ClassesFriday ClassesSaturday ClassesSunday Classes
Amateur Exhibitor__________________________________ AQHA #_____________ Exp Date______ PCQHA #____________ Exp_____ Email_______________________________
Address _______________________________________________
Relationship to Owner_________________
City____________________________ State__________ Zip___________ Wednesday Classes
Thursday Classes
DOB____________
Email__________________________________ Phone__________________________
Friday Classes
Saturday Classes
Sunday Classes
Youth Exhibitor______________________________________ AQHYA #____________________ Exp Date________PCQHA #____________ Exp_____ Relationship ____________
Email______________________________________________________ Phone_________________________ Relationship _________________ DOB____________
Wednesday ClassesThursday ClassesFriday ClassesSaturday ClassesSunday Classes
1) Remember entries must be RECEIVED by April 20th in order for us to process them and guarantee a stall. Stalls sold out last year and we need to order portables by April 21.
2) Entries must have complete information for horses, owners, and riders and be submitted on time to avoid late fees. But......You don’t have to select all your classes if you don’t know what you want to do. You can always add and scratch in the show office
anytime 2 classes before your scheduled class.
3) Classes with * receive a $250 Cash Circuit Award; Classes with ** receive a $250 Gift Certificate from Barbara’s Custom Hats as Circuit Awards; Classes with *** receive a $250
gift certificate from Shorty’s Caboy Hattery; Classes with **** receive a $250 gift certificate from Woods Western as Circuit Award
4) All first place class winners get $10 and second place class winners receive $5