2020 Corsicana Charity Horse Show
March 5 - 7, 2020 - Navarro County Expo Center, Corsicana, TX
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Skip any question that does not pertain to you. Or if you do not have the information at this time and will supply the information at the show.
Person Responsible for bill on these horses.
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Horse owner full name:
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Horse owner address:
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Horse owner city, state, zip
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Horse owner NWHA number or RMHA Rider Card number:
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Owner phone:
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Horse owner cell phone:
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Horse owner farm/ranch/stable name:
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Horse owner E-mail
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Trainer full name:
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Trainer full address (include city, state, zip)
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Trainer phone:
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Trainer cell phone:
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Trainer Farm/Stable/Ranch:
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Trainer NWHA number or RMHA Rider Card number
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Trainer E-mail:
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Horse A - Name:
Horse A
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Horse A - Breed
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Horse A - Registraion #
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Horse A - Foal Date
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DD
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YYYY
Horse A - Sex
Horse A - COGGINS - Owner on coggins
MUST SUBMIT COPY OF COGGINS AT CHECK IN!
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Horse A - COGGINS - Horse name on coggins
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Horse A - COGGINS - Accession Number
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Horse A - COGGINS - Date Blood Drawn
MM
/
DD
/
YYYY
Horse A - COGGINS - Laboratory
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Horse B - Name:
Horse B
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Horse B - Breed
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Horse B - Registraion #
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Horse B - Foal Date
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Horse B - Sex
Horse B - COGGINS - Owner on coggins
MUST SUBMIT COPY OF COGGINS AT CHECK IN!
Your answer
Horse B - COGGINS - Horse name on coggins
Your answer
Horse B - COGGINS - Accession Number
Your answer
Horse B - COGGINS - Date Blood Drawn
MM
/
DD
/
YYYY
Horse B - COGGINS - Laboratory
Your answer
Horse C - Name:
Horse C
Your answer
Horse C - Breed
Your answer
Horse C - Registraion #
Your answer
Horse C - Foal Date
Your answer
Horse C - Sex
Horse C - COGGINS - Owner on coggins
MUST SUBMIT COPY OF COGGINS AT CHECK IN!
Your answer
Horse C - COGGINS - Horse name on coggins
Your answer
Horse C - COGGINS - Accession Number
Your answer
Horse C - COGGINS - Date Blood Drawn
MM
/
DD
/
YYYY
Horse C - COGGINS - Laboratory
Your answer
Exhibitor A Full Name
Exhibitor A
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Exhibitor A Full Address (include city, state, zip)
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Exhibitor A Adult or Youth
Exhibitor A DOB (IF YOUTH)
MM
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DD
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YYYY
Exhibitor A NWHA Number or RMHA Rider Card Number:
Your answer
Exhibitor A Phone Number:
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Exhibitor A Classes for HORSE A: (example 1, 5, 22, 96...)
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Exhibitor A Classes for HORSE B: (example 1, 5, 22, 96...)
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Exhibitor A Classes for HORSE C: (example 1, 5, 22, 96...)
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Exhibitor A E-mail:
Your answer
Exhibitor B Full Name:
Exhibitor B
Your answer
Exhibitor B Full Address (include city, state, zip):
Your answer
Exhibitor B Adult or Youth:
Exhibitor B DOB (IF YOUTH)
MM
/
DD
/
YYYY
Exhibitor B NWHA Number or RMHA Rider Card Number
Your answer
Exhibitor B Phone Number
Your answer
Exhibitor B E-mail:
Your answer
Exhibitor B Classes for HORSE A: (example 1, 5, 22, 96...)
Your answer
Exhibitor B Classes for HORSE B: (example 1, 5, 22, 96...)
Your answer
Exhibitor B Classes for HORSE C: (example 1, 5, 22, 96...)
Your answer
Exhibitor C Full Name:
Exhibitor C
Your answer
Exhibitor C Full Address (include city, state, zip):
Your answer
Exhibitor C Adult or Youth:
Exhibitor C DOB (IF YOUTH
MM
/
DD
/
YYYY
Exhibitor C NWHA Number or RMHA Rider Card Number:
Your answer
Exhibitor C Phone Number:
Your answer
Exhibitor C E-mail:
Your answer
Exhibitor C Classes for HORSE A: (example 1, 5, 22, 96...)
Your answer
Exhibitor C Classes for HORSE B: (example 1, 5, 22, 96...)
Your answer
Exhibitor C Classes for HORSE C: (example 1, 5, 22, 96...)
Your answer
Stalls:
Tack Stall:
Bedding $8 Each - number of bags 2 shavings minimum per horse stall Shavings do not need to be purchased at the show, but each horse stall must have a minimum of 2 bags. This will be checked!
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Camper/RV Sites $30 per day
Grounds fee - $15 per horse per day (for horse WITHOUT a stall) Horse name and how many days?
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Arrival Date and Time - so we can have your stall ready.
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How many will be going to the Exhibitor Party?
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Please consider a Sponsorship. Any amount helps us continue the show.
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Comments - Requests - Questions -
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Emergency Information Contact - please list phone number and person to contact
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CURRENT 12 MONTHS COGGINS REQUIRED FOR ALL HORSES ON SHOW GROUNDS
Persons on Federal Suspension shall participate at the show as spectators only. Charity Horse Shows of Texas, RMHA, NWHA, Corsicana Charity Horse Show, andNavarro County Expo Center, its officers, employees, show officials and members are hereby indemnified of any and all claims or liability for injury suffered by rider,horse, and/or property by any cause whatsoever. Shoes will be removed at the discretion of show management and/or officials for inspection and weighing. If ahorse is found to be non-compliantwith these RMHA and NWHA rules all awards/monies, points and show fees for that exhibitor and horse shall be forfeited.I hereby certify that every horse is eligible as entered and sound. I understand and agree to abide by the rules of RMHA, NWHA/ HIO.All decisions of show management, Judge(s) and or DQP’s shall be final. Exhibitor, trainer or agent must sign entry blank. For individuals not signing, the firstentrance into the ring as an exhibitor shall constitute acceptance of this and all other show rules. Owner of Record is subject to verification. *
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