2019 March NWHA South Texas Gaited Rumble Show
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Who is responsible for the bill on this horse?
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Owner Name (first and last)
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NWHA Number
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Owner Address
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Owner City, State, Zip
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Owner E-mail
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Owner Phone
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Owner Ranch/Farm/Stable Name
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Person Responsible for Show Bill
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Trainer Name (first and last)
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Trainer Ranch/Farm/Stable Name
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Trainer Address
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Trainer City, State, Zip
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Trainer NWHA Number
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Horse 1 Name
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Horse 1 Breed
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Horse 1 Registration
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Horse 1 Date of Birth (at least year)
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Horse 1 Sex
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Horse 1 Owner's Name on COGGINS
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Horse 1 Horse's Name on COGGINS
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Horse 1 Accession Number on COGGINS
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Horse 1 Date on COGGINS
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Horse 1 Laboratory Name on COGGINS
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Horse 2 Name
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Horse 2 Breed
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Horse 2 Registration
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Horse 2 Date of Birth (at least year)
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Horse 2 Sex
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Horse 2 Owner's Name on COGGINS
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Horse 2 Horse's Name on COGGINS
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Horse 2 Accession Number on COGGINS
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Horse 2 Date on COGGINS
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Horse 2 Laboratory Name on COGGINS
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Horse 3 Name
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Horse 3 Breed
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Horse 3 Registration
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Horse 3 Date of Birth (at least year)
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Horse 3 Sex
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Horse 3 Owner's Name on COGGINS
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Horse 3 Horse's Name on COGGINS
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Horse 3 Accession Number on COGGINS
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Horse 3 Date on COGGINS
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Horse 3 Laboratory Name on COGGINS
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Exhibitor 1 Name (first and last)
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Exhibitor 1 DOB (if youth)
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Exhibitor 1 Address
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Exhibitor 1 City, State, Zip
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Exhibitor 1 NWHA Number (youth does not need card)
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Exhibitor 1 needs a membership or temporary show card (need for any walking horse classes)
Exhibitor 1 E-mail
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Exhibitor 1 Phone Number
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Exhibitor 1 Ranch/Farm/Stable
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Exhibitor 1 Classes for Horse #1 (example 1, 5, 9, 22 ...)
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Exhibitor 1 Classes for Horse #2 (example 1, 5, 9, 22 ...)
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Exhibitor 1 Classes for Horse #3 (example 1, 5, 9, 22 ...)
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Exhibitor 2 Name (first and last)
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Exhibitor 2 DOB (if youth)
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Exhibitor 2 Address
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Exhibitor 2 City, State, Zip
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Exhibitor 2 NWHA Number (youth does not need card)
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Exhibitor 2 needs a membership or temporary show card (need for any walking horse classes)
Exhibitor 2 E-mail
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Exhibitor 2 Phone Number
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Exhibitor 2 Ranch/Farm/Stable
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Exhibitor 2 Classes for Horse #1 (example 1, 5, 9, 22 ...)
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Exhibitor 2 Classes for Horse #2 (example 1, 5, 9, 22 ...)
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Exhibitor 2 Classes for Horse #3 (example 1, 5, 9, 22 ...)
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Exhibitor 3 Name (first and last)
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Exhibitor 3 DOB (if youth)
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Exhibitor 3 Address
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Exhibitor 3 City, State, Zip
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Exhibitor 3 NWHA Number (youth does not need card)
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Exhibitor 3 needs a membership or temporary show card (need for any walking horse classes)
Exhibitor 3 E-mail
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Exhibitor 3 Phone Number
Your answer
Exhibitor 3 Ranch/Farm/Stable
Your answer
Exhibitor 3 Classes for Horse #1 (example 1, 5, 9, 22 ...)
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Exhibitor 3 Classes for Horse #2 (example 1, 5, 9, 22 ...)
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Exhibitor 3 Classes for Horse #3 (example 1, 5, 9, 22 ...)
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Please consider a sponsorship. Any amount will help the show continue.
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$25 will be added to any returned check.
By clicking submit you agree to the following: As owner, agent or guardian, I certify that the information provided on this entry form is correct and I agree to indemnify and hold harmless The NWHA South Texas Gaited Rumble and the Magnolia Arena, the managers and their respective agents, contractors, officers,employees, directors, shareholders and assigns from all responsibility to horses, persons, and/or equipment arising from any connection with this show. It is understood and agreed that participants will be solely responsible for any consequential or other loss, injury, or damage incurred while participating in this event. WARNING; UNDER TEXAS LAW 9 CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE),AN EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES. UNDER TEXAS LAW (CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE), A LIVESTOCK SHOW SPONSOR IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN A LIVESTOCK SHOW RESULTING FROM THE INHERENT RISKS OF LIVESTOCK SHOW ACTIVITIES.
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