VPHC Online Futurity Entry Form **one horse per entry form** Color Classic Futurity & Virginia Bred Futurity
Email copies of registration papers, coggins, W-9 (https://www.irs.gov/pub/irs-pdf/fw9.pdf) to VPHC Futurity Chair, Stephanie Cash, at: scash1820@gmail.com
Mail entry payments to:
Stephanie Cash, VPHC Futurity Chair
1704 Lee Jackson Hwy,
Staunton, VA 24401

To pay with PayPal use the links available at: http://virginiapainthorseclub.org/futurity.html
To request a PayPal invoice for multiple classes, please email vphconline@gmail.com with the number of classes

VPHC online membership form can be found here: http://tinyurl.com/VPHCmembership

Email address *
By checking this box, owner and exhibitor acknowledge and agree to abide by the VPHC Color Classic Stallion Service Sale, Color Classic Futurity and Virginia Bred Futurity program rules, as applicable. *
Required
Name of Person Receiving Payout Check (completed W-9 required) *
Your answer
Horse Registered Name *
Your answer
Horse Breed & Registration Number *
Your answer
Horse Date of Birth *
MM
/
DD
/
YYYY
Name of Color Classic Eligible Sire (required if entering Color Classic Futurity)
Your answer
Foaled in Virginia? (required if entering Virginia Bred Futurity)
Owner's Name & APHA ID Number *
Your answer
Owner's Mailing Address *
Your answer
Owner's Phone Number *
Your answer
Owner's Email Address *
Your answer
Exhibitor's Name & APHA ID Number *
Your answer
Exhibitor's Mailing Address *
Your answer
Exhibitor's Phone Number
Your answer
Exhibitor's Email Address
Your answer
Color Classic Futurity Classes
Virginia Bred Futurity Classes
A copy of your responses will be emailed to the address you provided.
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