2015 All American Quarter Horse Congress FUTURITY/ SWEEPSTAKES ENTRY FORM Please pay for Stalls with the Congress Entries on August 25th
Class Name:
HORSE INFORMATION Horse’s Name: Breed : Year Foaled: Sex: Registration #: Sire’s Name: Sire’s AQHA Registration #: Dam’s Name: Dam’s AQHA Registration #:
EXHIBITOR INFORMATION Exhibitor’s Name: Birthdate: Relationship To Owner (Non-Pro Classes Only): AQHA Card #: Expiration Date: NSBA Card #: Expiration Date: NRHA Card #: Expiration Date:
OWNER INFORMATION
Owner’s Name: AQHA Card #: Expiration Date: NSBA Card #: Expiration Date: NRHA Card #: Expiration Date: Address: City. State, Zip: Daytime Phone: Cell Phone: E-mail: Social Security #:
AGENT/TRAINER INFORMATION Agent/Trainer’s Name: Address: City. State, Zip: Daytime Phone: Cell Phone: E-mail:
SEND PAYMENT INFORMATION TO:
Owner Agent
A copy of all cards and papers showing the current owner should accompany each entry (See General Condition #11 for grade horse requirements for Pole and Barrel horses) All classes entered are subject to published General Conditions and Specific Conditions. Please fill in only the information needed for your class.