10/29/2017 BHSA Hunter Classic Pre-Entry Form
Submit by the pre-entry deadline and receive a reduced entry fee. If you have any questions please contact: Julie Leitch at BHSAjleitch@gmail.com
Email address
Horse/Pony's Name
(Complete one entry form person Horse or Pony)
Your answer
Coggins Accession # (must bring a copy for the secretary) Please attempt to fill this out on your pre-entry for faster processing while checking in.
Your answer
Date of Coggins Blood Draw
MM
/
DD
/
YYYY
Horse or Pony (Choose One)
Owner's Name
Your answer
Rider's Name
Your answer
Rider's Age
Rider's Street Address
Your answer
Rider's City
Your answer
Rider's State
Your answer
Rider's Zip Code
Your answer
Rider's Email Address
Your answer
Rider's Phone Number
Your answer
Owner's Street Address
Your answer
Owner's City
Your answer
Owner's State
Your answer
Owner's Zip Code
Your answer
Owner's Phone Number
Your answer
Trainer's Name
Your answer
Division(s) If you want to only do one or two classes per division, please notate it at the bottom in "other". PLEASE refer to Prize List for division requirements/ages eligible. *
If you ONLY want to do one or two classes in a division and not all 3 classes of the division explain here:
Your answer
A copy of your responses will be emailed to the address you provided.
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