One-Page Entry Form for ApCHA World Championship Classes - 2011:
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Sorry, we cannot accept credit cards for payment!
Checks, money orders or cashiers checks only.   Cash accepted only at the show office.

Print and mailed in advance or submit at the show grounds no later than 5:00 PM the day BEFORE the class.
Non-Pro rules apply per rule 900(A-M) in the 2011 Official Handbook of the Appaloosa Horse Club.
For a list of class rules and regulations, visit www.appaloosa.com

Horse’s name: __________________________________________________________ Reg #_______________
 

Owner:___________________________________________________________ ApHC Memb  #:_____________

Owner Address: ____________________________________________________________________________

City: _____________________ ZIP _______  Phone: (______)__________   Phone 2: (______)___________
 

Trainer:__________________________________________________________ ApHC Memb  #:_____________
 

Rider:____________________________________________________________ ApHC Memb  #:_____________

Amount Enclosed: $____________________________________________

Be sure to attach a copy of the nominated horse’s registration papers.
Cash accepted only at the show office.
Mail form and Cashier's Check, Personal Check or Money Order by 10-7-2011 payable to ApCHA:
Later payments can be made the day before the class, in cash, with late fee at the show office.

Mail Checks or Money Orders payable to ApCHA to:             Penny Wilson,  ApCHA Treasurer     HC 66 Box 111A     Overbrook. OK. 73453

Appaloosa Horse Club Release Assumption of Risk, Waiver and Indemnification:

This document waives important legal rights. Read it carefully before signing. I (We) hereby certify that every horse, owner and exhibitor is eligible as entered. I have read the Appaloosa Horse Club Entry Agreement and Release. Assumption of Risk, Waiver and Indemnification as printed in this Competition premium book and agree to all of its provisions. I understand and agree that by entering this Competition, the server and any of his representatives, agent, trainer, lessees, rider, driver, handler and the horse shall be subject to and bound by the Appaloosa Horse Club by-laws and rules and the rules of this Competition and will accept as final the decision of the show Protest Committee and/or Disciplinary Committee on any question arising under said rules and agree to indemnify and hold harmless the Appaloosa Horse Club (ApHC), the Competition, officials, officers, directors, employees, independent contractors, agents, personnel, volunteers, the host city Convention & Visitors Bureau, the host facility, trade show vendors, sponsors and /or other sponsoring organizations. If any, for any action taken, I agree that any actions against the ApHC must be brought in the state of Idaho. Presentation of a signed entry form shall be deemed acceptance of these rules and all other rules pertaining to this show. In the event of failure to sign an entry form, the first entry in a class will be deemed acceptance of these rules.

BY SIGNING BELOW, I AGREE to be bound by all applicable Appaloosa Horse Club rules and all terms and provisions of this entry blank and Competition.

    ____________________________________________________________________ Date: ______________
    Signature of owner, parent, guardian or agent.

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