2018 PHBA WORLD CHAMPIONSHIP HORSE SHOW ENTRY FORM

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1 ENTRY FORM Mail entries to PHBA * East Skelly Dr * Tulsa, OK Horse Name PHBA Registration Number YR Foaled Sex Owners Name Owners PHBA# Owners NSBA# Tax Id # Home Phone Cell Fax Address NO WORLD SHOW REFUNDS * Incomplete entry blanks will not be accepted * US Postmark with US Funds will be used in determining fees. Class Number Class Name Exhibitor Name PHBA # Class Fee 1 $ 2 $ 3 $ 4 $ 5 $ 6 $ 7 $ 8 $ 9 $ 10 $ 11 $ 12 $ 13 $ 14 $ 15 $ 16 $ 17 $ 18 $ 19 $ 20 $ ENTRY FEES Administration Fee (one per horse) 1 $ = $ Open/Amateur Class Entry Fee (postmarked May 15 th ) $ ea = $ Open/Amateur Class Entry Fee (postmarked May 16 th June 15 th ) $ ea = $ Open/Amateur Class Entry Fee (postmarked after June 15 th ) $ ea = $ Open/Amateur NSBA Dual Approved Entry Fee $25.00 ea = $ Youth Class Entry Fee (postmarked on or before May 15) $75.00 ea = $ Youth Class Entry Fee (postmarked May 16 June 15) $90.00 ea = $ Youth Class Entry Fee (postmarked after June 15) $ ea = $ Youth NSBA Dual Approved Class Fee $15.00 ea = $ Amateur Team Tournament Fee (per division) $25.00 = $ Pattern Books $5.00 ea = $ Total = ADDING ADDITIONAL CLASSES TO ENTRY Horses entered by deadline can enter additional classes by 5:00 PM the day proceeding class for an extra $25 per class ALL other requirements must be met. I (we) the owners, exhibitors hereby agree to abide by the PHBA Official Rulebook and the WCHS Rules and hereby release PHBA, its officers, directors and agents form any and all claims, demands, causes of action and expense arising from or related to the W CHS. In the event that the entry form is not signed or presented, appearance on the grounds as an exhibitor, handler, owner, trainer or consignor shall be deemed acceptance of and agreement to this full and fair release. OWNER, TRAINER OR AGENT S SIGNATURE Method of Payment: US Funds, Check payable to PHBA Visa * MasterCard * Discover * American Express (Fees listed are discounted for check/cash paying customers) Credit Card #: Exp Date: SEC Code: Name on Credit Card (Please Print) Signature of Card Holder:

2 INDIVIDUALS ENTERING THE WORLD SHOW ARE RESPONSIBLE TO OBTAIN A COMPLETE COPY OF THE WORLD CHAMPIONSHIP HORSE SHOW RULES REGARDING ADDITIONAL RULES AND THE CREDIT POLICY. US Funds must accompany the entry blank. One entry form per horse. Entries received without funds will not be considered complete. The US postmark on the envelope containing the funds will determine the appropriate entry fees. Postmarks from the US Post Office are used in determining any and all deadline compliance. If an envelope contains a postal meter mark or tape as well as a US Post Office cancellation, PHBA will use the US Post Office cancellation as the final decision in determining any and all deadline compliance. Once an entry has been placed in the mail it will be considered a valid entry and the check will not be held or returned and No Refunds will be allowed. Entries postmarked after the Entry deadline will be accepted under the current Entry deadline fees and will not be refunded. NO WORLD SHOW REFUNDS FOR ANY REASON - PLEASE READ THE PHBA WORLD SHOW RULES FOR MORE INFORMATION All Owners, and Exhibitors must be current members to show. All Amateurs, Novice Amateurs, Youth and Novice Youth must fulfill PHBA requirements. Copies of current NSBA membership cards will be required for all NSBA classes for both the Owner(s) and Exhibitor(s). Copies of current NRHA membership cards will be required as well. All horses must be registered with PHBA in order to show in any class at the PHBA World Show. All horses are subject to PHBA eligibility for registration requirements. If protested, PHBA rules and procedures will be followed. All awards and titles may be revoked. One Stall is required to be purchased for each horse. Stall/Tack reservations will be honored on a first come first serve basis. Stalls may be purchased for the duration of the show or a day stall may be purchased. All owners/exhibitors must present to the PHBA Show Office an Original PHBA Certificate of Registration (PHOTOCOPIES WILL NOT BE ACCEPTED), thirty-day (30) health papers and an Original Negative EIA (Coggins) within twelve months (12) of the horse show date to receive their Back numbers. E I A ( Coggins) and Health Certificates must have the horse s PHBA Registered Name. No barn or nicknames will be allowed. All horses must comply with Mississippi Department of Agriculture requirements for entry into Mississippi borders. E I A ( Coggins) tests are required for equines weanling age and older. Pattern Books will be available for sale but will not be mailed to you; they will be placed in your World Show Packet that is picked up at the World Show. All classes will be held as offered, regardless of the number of entries. This additional information must be completed for each exhibitor per horse if additional room is needed photocopies maybe used HORSE NAME PHBA REGISTRATION# Open Exhibitors Name PHBA ID # Date of Birth Home Phone# Work# Cell# Fax# Address List class numbers to entered by this exhibitor Amateur and/or Novice Exhibitors Name PHBA ID # Relationship to Owner Date of Birth Home Phone# Work# Cell# Fax# Address List class numbers to entered by this exhibitor Youth and/or Novice Exhibitors Name PHBA ID # Date of Birth List class numbers to entered by this exhibitor I (we) the owners, exhibitors hereby agree to abide by the PHBA Official Rulebook and the WCHS Rules and hereby release PHBA, its officers, directors and agents form any and all claims, demands, causes of action and expense arising from or related to the W CHS. In the event that the entry form is not signed or presented, appearance on the grounds as an exhibitor, handler, owner, trainer or consignor shall be deemed acceptance of and agreement t o this full and fair release. Presentation of the Entry form shall be deemed acceptance of the conditions of this rule and of the PHBA TV & Media Rule found under the PHBA General Rules. In the event an Entry form is not signed or presented, appearance on the grounds as an exhibitor, handler, owner or consignor shall be deemed to be acceptance of the conditions of the rule. PHBA World Show management endeavors to promptly announce event results and present awards and titles. However, should it come to the attention of the management that a clerical error affecting a placing and/or title, such error will be reviewed, corrected and officially confirmed by the show management. Any title and/or award that should be presented due to such error are to be returned to PHBA by the recipient immediately upon notification of the corrected error. If tabulation error is suspected, a written inquiry shall be presented to the show office within 24 hours after the completion of the affected class without using the protest procedure. All inquiries must be given before the final Golden Horse award presentation or they shall be deemed waived. PHBA reserves the right to correct such an error without recourse from entrants and revoke any award at any time. After judgment all awards are to be returned to the show office or show secretary as directed within 24 hours of receipt of notice to return. ENTRIES MAY BE CHECKED ONLINE AT FOR CORRECTNESS. IF NOT ALREADY CURRENT, PLEASE INCLUDE MEMBERSHIP DUES ALONG WITH YOUR ENTRY, OWNERS(S) AND EXHIBITOR(S) MUST BE CURRENT MEMBERS IN GOOD STANDING OF PHBA TO COMPETE AT THE WORLD. PARENT, OWNER, TRAINER OR AGENT'S SIGNATURE (REQUIRED) IF PAYING WITH CREDIT CARD AND ENTERED IN CLASSES YOUR PAYMENTS WILL AUTOMATICALLY BE CHARGED WHEN THAT PAYMENT IS DUE UNLESS WE ARE NOTIFIED PRIOR TO THE DEADLINE DATE OF (MAY 15th, JUNE 15th AND JULY 2 nd ) CREDIT CARD ORDERS PLEASE COMPLETE INFORMATION BELOW The fees listed are the discounted price for cash and check paying customers TOTAL AMOUNT FOR THIS ENTRY $ BY SUMITTING THIS ENTRY BLANK IF TOTAL AMOUT IS NOT CALCULATED CORRECTLY, YOU AUTHORIZE PHBA TO CHARGE THE APPROPRIATE FEES. I (we) would like to offer the following PHBA Approved Judge names for consideration to judge the 2019 PHBA World Show. Understanding that this is merely an offering and that these names will be forwarded to the appropriate committee for further consideration.

3 2018 PHBA WORLD championship horse show OPEN/AMATEUR class numbers Weanling Stallions Yearling Stallions Two YO Stallions Three YO Stallions 7 Aged Stallions 228 Performance Halter Stallions 408 PB Junior Stallions 409 PB Senior Stallions Weanling Mares Yearling Mares Two YO Mares Three YO Mares 16 Aged Mares 229 Performance Halter Mares 418 PB Junior Mares 419 PB Senior Mares Weanling Geldings Yearling Geldings Two YO Geldings Three YO Geldings 26 Aged Geldings 230 Performance Halter Geldings 427 PB Junior Geldings 428 PB Senior Geldings 31 Color All Ages 41 Junior Western Pleasure 9997 NSBA Jr Western Pleasure 42 Senior Western Pleasure 9042 NSBA Sr Western Pleasure 440 PB O Western Pleasure NSBA PB O Western Pleasure 50 Western Parade Horse ST 61 Junior Trail 610 NSBA Junior Trail 62 Senior Trail 620 NSBA Senior Trail 460 PB O Trail NSBA PB O Trail 71 Junior Western Riding 719 NSBA Junior Western Riding 72 Senior Western Riding 9072 NSBA Senior Western Riding 76 Open Flag Race 476 PB Flag Race 80 Ranch Horse All Aged 83 Ranch Riding All Aged 91 Junior Reining 92 Senior Reining 1100 NRHA Open Reining Open Ranch Rail Pleasure 121 Open Pole Bending 521 PB Pole Bending 131 Junior Hunter Saddle 9131 NSBA Jr Hunter Under Saddle 132 Senior Hunter Under Saddle 1320 NSBA Sr Hunter Under Saddle 530 PB Hunter Under Saddle NSBA PB HUS 135 Junior Barrel Racing 136 Senior Barrel Racing 520 PB O Barrel Racing 141 Junior Road Hack 142 Senior Road Hack 150 Pleasure Driving 232 Hunter In Hand 470 PB Western Riding NSBA PB Western Riding 3400 A Western Horsemanship NSBA A W Horsemanship 3500 PB A W Horsemanship NSBA PB A W Horsemanship 3406 A Ranch Horse 3407 A Barrel Racing 3507 PB A Barrel Racing 3408 A Pole Bending 3508 PB A Pole Bending 3410 A Hunt Seat Equitation NSBA A Hunt Seat Equitation 3510 PB A Hunt Seat Equitation NSBA PB A Hunt Seat Equit 3415 A Pleasure Driving 3416 A Stake Race 3516 PB A Stake Race 3420 A Hunter Under Saddle 9342 NSBA A HUS 3520 PB A Hunter Under Saddle NSBA PB A HUS 3430 A Road Hack 3445 A Color 3450 A Western Pleasure NSBA A Western Pleasure 3550 PB A Western Pleasure NSBA PB A Western Pleasure 3451 A 2018 Weanling Stallions 3452 A 2017 Yearling Stallions 3453 A 2016 Two YO Stallions 3454 A 2015 Three YO Stallions 3456 A Aged Stallions 3441 A Performance Halter Stallions 3533 PB A Junior Stallions 3534 PB A Senior Stallions 3461 A 2018 Weanling Mares 3462 A 2017 Yearling Mares 3463 A 2016 Two YO Mares 3464 A 2015 Three YO Mares 3466 A Aged Mares 3442 A Performance Halter Mares 3536 PB A Junior Mares 3537 PB A Senior Mares 3471 A 2018 Weanling Geldings 3472 A 2017 Yearling Geldings 3473 A 2016 Two YO Geldings 3474 A 2015 Three YO Geldings 3476 A Aged Geldings 3443 A Performance Halter Geldings 3539 PB A Junior Geldings 3540 PB A Senior Geldings 3459 A Flag Race 3559 PB A Flag Race 3460 A Trail 9346 NSBA A Trail 3560 PB A Trail NSBA PB A Trail 3470 A Western Riding 3479 NSBA A Western Riding 3570 PB A Western Riding NSBA PB A Western Riding 3480 A Reining 1400 NRHA Non Pro Reining 3490 A Showmanship NSBA A Showmanship 3590 PB A Showmanship NSBA PB A Showmanship 3494 A Ranch Riding 3501 A Hunter In Hand 3600 A Select W Horsemanship NSBA A S W Horsemanship 3610 A Select Hunt Seat Equitation NSBA A S Hunt Seat Equit 3618 A Select Ranch Riding 3620 A Select Hunter Under Saddle 9362 NSBA A Select HUS 3630 A Select Road Hack 3650 A Select Western Pleasure 9365 NSBA A Select WP 3660 A Select Trail 9366 NSBA A Select Trail 3670 A Select Western Riding 9966 NSBA A Select Western Riding 3680 A Select Reining 3690 A Select Showmanship NSBA A Select Showmanship 4313 Nov Hunter Under Saddle NSBA Nov HUS 4223 Nov Western Horsemanship NSBA Nov W Horsemanship 4224 Nov Hunt Seat Equitation NSBA Nov Hunt Seat Equit 4253 Nov Trail NSBA Nov Trail 4270 Nov Ranch Riding 4447 Nov Western Pleasure NSBA Nov Western Pleasure 4491 Nov Showmanship NSBA Nov Showmanship 6010 A Walk Trot Hunt Seat Equit 6020 A Walk Trot HUS 6030 A Walk Trot Trail 6040 A Walk Trot W Horsemanship 6050 A Walk Trot Western Pleasure 6090 A Walk Trot Showmanship

4 Youth class numbers Youth 6 & Under 501 Costume Stick Horse class $25.00 Proceeds to PHBA Youth Scholarship & Educational Fund 1151 Leadline 3-8 Novice Youth 18 & Under 1610 Nov Showmanship NSBA Nov Showmanship 1620 Nov Western Horsemanship 1629 NSBA Nov Western Horsemanship 1630 Nov Hunt Seat Equitation NSBA Nov Hunt Seat Equitation 1640 Nov Western Pleasure 5420-NSBA Nov Western Pleasure 1650 Nov Trail 5380-NSBA Nov Trail 1710 Nov Hunter Under Saddle 5440-NSBA Nov Hunter Under Saddle 1760 Nov Ranch Riding Youth Walk Trot 1101-W/T 5-9 Showmanship 1102-W/T 5-9 Western Horsemanship 1103-W/T 5-9 Hunter Under Saddle 1104-W/T 5-9 Hunt Seat Equitation 1105-W/T Showmanship 1106 W/T Western Horsemanship 1107-W/T Hunter Under Saddle 1108-W/T Hunt Seat Equitation 1109-W/T Trail 1110-W/T Western Pleasure 1150-W/T 5-9 Trail 1199-W/T 5-9 Western Pleasure Youth 13 & Under 1211 Showmanship at Halter NSBA Showmanship at Halter 1221 Western Horsemanship NSBA Western Horsemanship 1228 Flag Race 1231 Hunt Seat Equitation NSBA Hunt Seat Equitation 1241 Western Pleasure 4427-NSBA Western Pleasure 1251 Trail 4381-NSBA Trail 1301 Barrel Racing 1306 Pole Bending 1311 Hunter Under Saddle NSBA Hunter Under Saddle 1321 Road Hack 1357 Stake Race Youth 14 Thru Showmanship at Halter NSBA Showmanship at Halter 1222 Western Horsemanship NSBA Western Horsemanship 1229 Flag Race 1232 Hunt Seat Equitation NSBA Hunt Seat Equitation 1242 Western Pleasure NSBA Western Pleasure 1252 Trail 4382-NSBA Trail 1302 Barrel Racing 1307 Pole Bending 1312 Hunter Under Saddle 4448-NSBA Hunter Under Saddle 1322 Road Hack 1358 Stake Race Youth 18 & Under 1361 Yearling Mares 1362 Two-Year Old Mares 1363 Three-Year Old Mares 1365 Aged Mares 1367 Yearling Geldings 1368 Two-Year Old Geldings 1369 Three-Year Old Geldings 1371 Aged Geldings 1208 Color Performance Halter Mares 1405 Hunter In Hand (All Mares and Geldings) 1414-Performace Halter Geldings 1260 Western Riding NSBA Western Riding Ranch Horse Reining Ranch Riding Ranch Rail Pleasure Palomino Bred 18 & Under PB Jr Mares PB Sr Mares PB Jr Geldings 1806 PB Sr Geldings 1840 PB Western Pleasure NSBA PB Western Pleasure 1910 PB Hunter Under Saddle NSBA PB Hunter Under Saddle 1850 PB Trail NSBA PB Trail 1810 PB Showmanship NSBA PB Showmanship 1820 PB Western Horsemanship NSBA PB Western Horsemanship 1827 PB Flag Race 1830 PB Hunt Seat Equitation NSBA PB Hunt Seat Equitation 1860 PB Western Riding NSBA PB Western Riding 1900 PB Barrel Racing 1905 PB Pole Bending 1956 PB Stake Race

5 NSBA/PHBA ENTRY FORM Mail entries to PHBA * East Skelly Dr * Tulsa, OK Horse Name PHBA Registration Number YR Foaled Sex Owners Name Owners PHBA# Owners NSBA# Owners Tax Id # Home Phone Address Horse s NSBA Certificate of Eligibility Number #L Classes 991, 992, 994 and 996 are open to both Palomino and Palomino Bred registered horses. Classes are 3 payment classes postmarked by the dates below. Entries postmarked after dates will be accepted but will be doubled. May 15 June 15 July 2 $ $75.00 $75.00 Class # Class Name PHBA # NSBA # 990 PHBA/NSBA 2 Year-Old Snaffle Bit Western Pleasure Futurity Exhibitor Name 991 PHBA/NSBA 3 Year-Old Snaffle Bit Western Pleasure Derby 992 PHBA/NSBA 4 Year-Old & Older Western Pleasure Maturity 993 PHBA/NSBA Yearling Longe Line 994 PHBA/NSBA All Ages Hunter Under Saddle Stakes 995 PHBA/NSBA Amateur Yearling Longe Line 996 PHBA/NSBA Non-Pro Western Pleasure Stakes 997 PB/NSBA Open Yearling Longe Line 998 PB/NSBA 2- Year-Old Snaffle Bit Western Pleasure Futurity Cell Administration Fee (one per horse) 1 $ ea Total due for this entry = $ Administration fee due only when horse is not entered in PHBA World Show Class NO WORLD SHOW REFUNDS * Incomplete entry blanks will not be accepted * US Postmark with US Funds will be used in determining fees. I (we) the owners, exhibitors hereby agree to abide by the PHBA Official Rulebook and the WCHS Rules and hereby release PHBA, its officers, directors and agents form any and all claims, demands, causes of action and expense arising from or related to the WCHS. In the event that the entry form is not signed or presented, appearance on the grounds as an exhibitor, handler, owner, trainer or consignor shall be deemed acceptance of and agreement to this full and fair release. OWNER, TRAINER OR AGENT S SIGNATURE (REQUIRED) Method of Payment: US Funds, Check payable to PHBA Visa * MasterCard * Discover * American Express (The fees listed are the discounted price for cash and check paying customers) Credit Card #: Exp Date: SEC Code: Name on Credit Card (Please Print) Signature of Card Holder: IF PAYING WITH CREDIT CARD AND ENTERED IN CLASSES YOUR PAYMENTS WILL AUTOMATICALLY BE CHARGED WHEN THAT PAYMENT IS DUE UNLESS WE ARE NOTIFIED PRIOR TO THE DEADLINE DATE OF (MAY 15 th, JUNE 15 th, AND JULY 2 nd )

6 CHALLENGED HORSEMAN ENTRY FORM JULY 15, 2018 TUNICA, MISSISSIPPI Mail entries to PHBA * East Skelly Dr * Tulsa, OK Horse s Name PLEASE POSTMARK OR FAX ENTRY FORM ON OR BEFORE JUNE 1 ONE FORM PER EXHIBITOR Horses Registration Number PHBA Membership Id # (if member) Exhibitor s Exhibitor s Phone Fax Owner s Name Owner s PHBA Id # (if member) Owner s Owner s Phone Work # Cell # Fax # THERE IS NO ENTRY FEE FOR THESE CLASSES I (WE) HEREBY CERTIFY THAT EVERY HORSE AND EXHIBITOR IS ELIGIBLE AS ENTERED AND AGREE THAT THE OWNER AND ANY OF HIS REPRESENTATIVES, AGENTS, TRAINERS, LESSEE, RIDER, HANDLER, DRIVER AND THE HORSE SHALL BE SUBJECT TO AND BOUND BY THE BY-LAWS AND RULES OF THE PALOMINO HORSE BREEDERS OF AMERICA, INC AND THE RULES OF THE PALOMINO CHAMPIONSHIP WORLD SHOW. PRESENTATION OF THE ENTRY FORM SHALL BE DEEMED ACCEPTANCE OF THE CONDITIONS OF THE RULES AND OF THE PHBA & TV MEDIA RULE FOUND UNDER THE PHBA GENERAL RULES. IN THE EVENT AN ENTRY FORM IS NOT SIGNED OR PRESENTED, APPEARANCE OF THE GROUNDS AS AN EXHIBITOR, HANDLER, OWNER OR CONSIGNOR SHALL BE DEEMED ACCEPTANCE OF THE RULES. I WILL FURNISH A 30-DAY HEALTH CERTIFICATE AND A 12 MONTH NEGATIVE COGGINS FOR EACH HORSE ENTERED IN THE SHOW. I ASSUME ALL LIABILITY AND RESPONSIBILITY FOR ANY ACCIDENTS, INJURY OR DAMAGES SUSTAINED OR CAUSED BY MYSELF, MY HELPERS, MY STOCK/EQUIPMENT, AND AGREE TO INDEMNIFY AND HOLD HARMLESS THE SPONSORS OF THE SHOW, THE OWNER OF THE GROUNDS IN USE AND THEIR REPRESENTATIVES AND EMPLOYEES. I (we) the owners, exhibitors hereby agree to abide by the PHBA Official Rulebook and the WCHS Rules and hereby release PHBA, its officers, directors and agents form any and all claims, demands, causes of acti on and expense arising from or related to the WCHS. In the event that the entry form is not signed or presented, appearance on the grounds as an exhibitor, handler, owner, trainer or consignor shall be deemed acceptance of and agreement to this full and fair release. Signature of Owner, Parent or Guardian Please circle the class (es), above named exhibitor will be entering Assisted Challenged Horseman Lead In Assisted Challenged Horseman Trail Unassisted Challenged Horseman W/T Showmanship* Unassisted Challenged Horseman W/T/L Showmanship Unassisted Challenged Horseman W/T Hunt Seat Equitation* Unassisted Challenged Horseman W/T/L Hunt Seat Equitation Unassisted Challenged Horseman W/T Hunter Under Saddle* Unassisted Challenged Horseman W/T/L Hunter Under Saddle Unassisted Challenged Horseman W/T Trail* Unassisted Challenged Horseman W/T/L Trail Unassisted Challenged Horseman W/T Western* Unassisted Challenged Horseman W/T/L Western Unassisted Challenged Horseman W/T Western Horsemanship* Unassisted Challenged Horseman W/T/L Western Horsemanship NSBA Dual Approved* Class (es), each class requires a $3 entry fee (owner and exhibitors must be NSBA members) NSBA Unassisted Challenged Horseman W/T Western Owners NSBA Id # Riders NSBA Id # NSBA Unassisted Challenged Horseman W/T Western Horsemanship Owners NSBA Id # Riders NSBA Id # NSBA Unassisted Challenged Horseman W/T Hunt Seat Equitation Owners NSBA Id # Riders NSBA Id # NSBA Unassisted Challenged Horseman W/T Hunter Under Saddle Owners NSBA Id # Riders NSBA Id # NSBA Unassisted Challenged Horseman W/T Showmanship Owners NSBA Id # Riders NSBA Id # NSBA Unassisted Challenged Horseman W/T Trail Owners NSBA Id # Riders NSBA Id # CHALLENGED HORSEMAN RULES AND GUIDELINES: Open to challenged riders of any age. Open to all breeds of horses. Horses do not have to be registered with the PHBA or any other breed registry. All horses must have a current 12-month negative Coggins, 30-day health certificate. Owners/Exhibitors must report to the stalling office upon arriving to the Horse show to have their health papers and coggins papers checked. At that time they will be given paperwork to present to the show office to receive the official back number will be given to the Exhibitor to wear into the arena while exhibiting their horse. There are no entry fees for these classes. Exception: NSBA Dual Approved Classes Attire should be as described in the Challenged Horseman Rules in the PHBA Handbook. Protective headgear is optional, but recommended by PHBA. The adult handler does not have to wear matching attire or headgear. Each exhibitor must complete and return the Special Diagnosis Form to the PHBA office prior to showing in a Challenged Horseman s class. PLEASE SEE PHBA HANDBOOK FOR COMPLETE CHALLENGED HORSEMAN'S RULES AND GUIDELINES

7 Yellow Rose Futurity ENTRY FORM Tunica, Mississippi Mail entries to PHBA * East Skelly Dr * Tulsa, OK Horse Name Breed Registration Number YR Foaled Sex Owners Name Owners PHBA# Owners WCHA# Tax Id # Home Phone Cell Fax Address NO WORLD SHOW REFUNDS * Incomplete entry blanks will not be accepted * US Postmark with US Funds will be used in determining fees. RULES WCHA approved event. Open to all breeds; horses must be registered. Exhibitor and Owner must be current members of Palomino Horse Breeders of America. Three (3) WCHA and/or PHBA Judges. Classes will be judged according to current WCHA rules on conformation, soundness and PHBA drug policies. Pre entries accepted only. US Postmark will determine date. Classes will be held regardless of # of entries, 70% payback & 30% held back to be used to produce these classes and future classes at the discretion of the WCHS Management. No PHBA points or world show titles awarded for these classes. Horses entered in this futurity may be entered in the respective World Show class if eligible. A stall and administration fees must be paid. Class # Class Name WCHA ID #/PHBA ID # 903 Yearling Mares 904 Yearling Stallions Exhibitor Name 905 Yearling Geldings 908 Two-Year-Old Mares 909 Two-Year-Old Geldings 910 Two-Year-Old Stallions 906 Yth All Age Mares 907 Yth All Age Geldings CLASS FEES Administration Fee (one per horse; only if not entered in other PHBA WS classes) $ ea = $ Youth Class Entry Fee (postmarked on or before May 15 th ) $ ea = $ Youth Class Entry Fee (postmarked May 16 th June 15 th ) $ ea = $ Youth Class Entry Fee (postmarked after June 15 th ) $ ea = $ Class Entry Fee (postmarked on or before May 15th) $ ea = $ Class Entry Fee (postmarked May 16th June 15th) $ ea = $ Class Entry Fee (postmarked after June 15 th ) $ ea = $ Total amount $ Additional classes added to previous entries the day before class by 5:00 PM at the World Show is an extra $25.00 per class. Method of Payment: US Funds, Check payable to PHBA Visa * Mastercard * Discover * American Express (The fees listed are the discounted price for cash and check paying customers) Credit Card #: Exp Date: SEC Code: Name on Credit Card (Please Print) Signature of Card Holder:

8 Stall reservation form JULY 11-21, 2018 TUNICA< MISSISSIPPI Mail forms to PHBA * East Skelly Dr * Tulsa, OK Stall Agents Name Owners Name Home Phone Cell Fax Address Emergency Contact Information Hotel Phone Room# NO WORLD SHOW REFUNDS * Incomplete entry blanks will not be accepted * US Postmark with US Funds will be used in determining fees. Arrival Date Departure Date HORSES MAY MOVE INTO STALLS ON MONDAY; JULY 9 AT 8 AM On or before 5/15/2018 On or after 5/16 to 6/1/2018 Youth Stalls (July 9-15) $ ea $ ea = $ Youth Tack Stall $ ea $ ea = $ Open/Amateur/Youth Stalls (July 9-21) $ ea $ ea = $ Open/Amateur/Youth Tack Stall $ ea $ ea = $ Day Stall $85.00 ea $ ea = $ Total amount due = $ Please stall me with Complete stall payments MUST accompany stall reservation form. Absolutely no reservations without payment Method of Payment: US Funds, Check payable to PHBA Visa * Mastercard * Discover * American Express (Fees above are discounted for cash or check paying customers) Credit Card #: Exp Date: SEC Code: Name on Credit Card (Please Print) Signature of Card Holder:

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