Super Circuit ‘09 Entry Form
Please use one form per horse August 28th, 29th, 30th, 31st, 2009 Prince George, BC Back #__________
Horse:____________________________________ Reg. #______________YOB: _______ Sex: S M G
Owner/Exhibitor ____________________________AQHA #____________ Ph:___________________
Address: ___________________________________________________________________________
PLEASE CIRCLE THE CLASSES YOU WISH TO ENTER:
*if class fees seem high, don’t forget that is for 2 judges. This is a split/combined show.
Novice Youth - $16 per class/day or $40 per day Novice Amateur - $20 per class/day or $50 per day
39 50 72 81 93 102 40 52 73 82 94 103
Class Total: ______ or Weekend Rate: $160 Class Total: ______ or Weekend Rate: $200
Youth 13 & Under - $16 per class/day or $40 per day Youth 14-18 - $16 per class/day or $40 per day
21 22 23 36 37 38 41 55 61 75 83 88 96 104 21 22 23 36 37 38 42 56 61 76 84 88 97 105
Class Total: ______ or Weekend Rate: $160 Class Total: ______ or Weekend Rate: $160
Amateur - $20 per class/day or $50 per day Amateur Select - $20 per class/day or $50 per day
1 2 3 12 13 14 25 26 27 43 1 2 3 12 13 14 25 26 27 44
57 62 77 85 89 98 106 108 111 59 62 79 86 89 100 107 108 111
Class Total: ______ or Weekend Rate: $200 Class Total: ______ or Weekend Rate: $200
Jr & Sr Horse and Halter - $20 per class/day or $50 per day
5 7 8 9 10 11 15 16 17 18 19 20 29 31 32 33 34 35 51 54 58 63 64 74 78 90 95 99 109 112
Class Total: ______ or Weekend Rate: $200
Green Classes & Walk/Jog Class - $20 per class/per day
49 53 71 87 92 Total:______
Futurity & Stake Classes - $75 entry fee per class
4 6 24 28 30 45 46 47 60 65 70 80 101 113 Total: ______
Check all that apply:
110. Cutting Jackpot $40 ____ 114. Green As Grass Cow Horse $40 ____
66. Beginner Non-Pro Reining $25 ____ 67. Intermediate Reining Non-Pro $25 ____
68. Advanced Reining Open $25 ____ 69. Never Won A Buckle $25 ____
Total: ______
I hereby release the Super Circuit Show Committee from any loss or damage Total Entry Fees: __________________
that may occur. And it shall be the condition of entry that each owner/exhibitor Office/Drug Fee $10/horse/judge: ______
shall hold the horse show management blameless of any loss or accident to his Camping $10/weekend: ____________
horse or horse’s equipment which may occur from accident, sickness, fire or AQHA Fee $2/horse/judge: _________
Otherwise. All owners/exhibitors will be held responsible for any damage incurred Cattle Charge $25/horse/run: _________
By them or their agents to barns or properties and will be billed accordingly. Total: ___________
Signature: _______________________________________ Mail entries to: Noni Kerr
Parent/Guardian: __________________________________ Ph: 250-567-2652 goldwayquarterhorses@hotmail.com
Make cheques payable to SUPER CIRCUIT