BACK #

Date of Show: _____________________

ONTARIO PINTO MASTER ENTRY FORM

Only One Horse/Youth or Horse/Amateur Combination per Form

*SEE CLASS LIST FOR ORDER OF GO*

 

 

Horse Name________________________________________ Horse Registration #________________  Foaling Date___________

CIRCLE ONE

Horse  Pony  Miniature

Mare  Stallion  Gelding

Overo  Tobiano  Solid

Stock   Hunter     Saddle    Pleasure

 

Owner PtHA #_______________ Owner Name __________________________________________Phone__________________

 

Address:______________________________________City:_____________________Province:_______ P.Code:____________

Amateur Exhibitor’s Name__________________________ PtHA # _____________                            Amateur Card Shown_____ Address:______________________________________City:__________________________Province:______P.Code:___________

          2. AM Western Showmanship                                        17. AM English Equitation                               30. AM Western Horsemanship

          9. AM English Pleasure                                                   21. AM Trail                                                          33. AM Poles       

        12. AM Hunter Under Saddle                                          24. AM Western Pleasure                                  36. AM Barrels              

Youth Exhibitor’s Name_______________________________ PtHA #______________ Birthdate____________ Card Shown_____ Address:_______________________________________City:___________________________Province:______P.Code:__________

         1. YA Western Showmanship                                         16. YA Discipline Rail English                         28. YA Discipline Rail Western

         7. YA English Showmanship                                          18. YA English Equtation                                  29. YA Western Horsemanship      

        14. YA English Pleasure                                                   22. YA Trail                                                         32. YA Poles             

        15. YA Hunter Under Saddle                                          27. YA Western Pleasure                                   35. YA Barrels

Open Exhibitor’s Name________________________________ PtHA # ___________________                       Card Shown______

       3. Halter Gelding/Stallions                 8. Jr Horse English Pleasure            19. Hunter Hack                                       26. Discipline Rail Western                    

       4. Halter Mares                                   10. Sr Horse English Pleasure          20. Trail                                                       31. Pole

       5. Tobiano Color                                11. Hunter Under Saddle                  23. Jr Horse Western Pleasure             34. Barrels    

       6. Overo Color                                     13. Disipline Rail English                  25. Sr Horse Western Pleasure             37. Flag

	By the act of entering this show, Owners, Lessees and Exhibitors agree that PtHA, Ontario Pinto Association, the Show Grounds and the Show Committee will not be held responsible for any loss, injury, damage or debts in connection with this show. As a charter member of the PtHA, this show will be conducted in accordance with the rules found in the PtHA rule book.                                                                                                                                                                                                                                        ____________________________________________________   _________________________________________________                        Signature of Owner or Exhibitor/Rider/Agent                       Signature of Parent/Guardian of Youth
	ENTRY FEES:                             ***NOTE ALL FEES ARE ON A PER JUDGE BASIS****
CLASS TYPE		COST ( per judge)	# OF CLASSES	# of Judges	TOTAL
Halter Classes		$5.00 per class
Performance Classes		$8.00 per class
Youth Classes		$4.00 per class
All Day Fee		$40.00
Office Fee		$2.00 per judge	-----
Number Deposit		$2.00	-----	-----
ROM fee		$5.00 per judge	------
				Sub-Total:
Pre-Entry Discount (10% of Sub Total)			Qualifies:  Yes  /  No	Pre-Entry Discount:
PtHA Class Fee		$1.00 per class		--------
Payment Method: Cash   /   Cheque			Paid: Yes or No	Total Fee:

*Horse Registration, PtHA Membership card & Amateur card  MUST be shown at entry booth**

Office use only:     Owner - Ontario Member: _____ F /S /Y      Exhibitor – Ontario Member: ______F /S /Y