QHAPPY Exhibitors Form
This report covers one (1) horse/rider and one (1) show only, and must be completed in its entirety. Must be postmarked within 10 days of the show. Complete and send to: Lil Peck, 840 Stadel Road, Manhattan, KS 66502.
To be filled out by exhibitor:
Horse’s Name: _______________________________ AQHA Reg. #_________
Exhibitor’s Name:_____________________ DOB__________ Adult or Youth___
Owner’s Name____________________________________________________
Owner’s Address __________________________________________________
Name of show __________________________________ Date _____________
Location ______________________ Sponsoring Organization_______________
Judge’s Name_____________________________________________________
Name of class Division Placing # of entries
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**I/we, the undersigned, do herby certify, that the above horse/rider listed on this report did, in fact, enter and place in the class(s) described above.
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Exhibitor’s
signature Date
Owner’s signature Date
As
show manager/secretary, I confirm the above did compete and place as stated
above and I can and will provide formal verification if requested by QHAPPY.
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Show manger/secretary signature Date Work Phone #
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Show manger/secretary address
Home Phone #
****THIS FORM
MAY BE PHOTO COPIED****