Montana Gold Futurity Entry

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Montana Gold Futurity Entry FormSeptember 18, 2010 Circle L Arena, 4350 Spain Bridge Road, Belgrade, MT 8:00 amMail to:  Maria Jerome, MGF Secretary455 Bluegrass Dr.Belgrade, MT 59714 Exhibitors Name_________________________________________________________Owners Name_______________________________________________________Owners Address__________________________________City__________________State____________________Zip____________________Phone_____________________ Please send a copy of card and horses registration, or reg. application and work order # for weanlings only, with entry. Use one form per horse. Horses Registered Name______________________________________________________________ Registration #____________________ Year foaled_________ Sex    Mare    Gelding   StallionSire_____________________________________ Dam____________________________________   Circle Class numbers to be entered:  1    2    3    4    7    8    9    10    14    29     43    45 Make additional copies of entry form for each horse. Make Checks payable to Montana Gold Futurity, LLC $40.00/class X ___________ = __________ $50.00/class late fee (after 9-16-2010 through 9-18-2010) X #__________classes = _______Stall (panel $20.00, panel with cover $25.00 or boxstall $30.00)                              _______Office Charge                                                                                                    $10.00Total                                                                                                              _________ Waiver: In consideration of my participation in the above event, I, my heirs, executors and administrators, hereby release the Montana Gold Futurity, Circle L Arena and any sponsors from any responsibility for injury to me, my stock, or my equipment during any participation or arising out of my participation in the above event and from every collecting damages for the above risks or actions taken in connection with the above event Signature______________________________________________________________Date______________ Guardian Signature if under 18______________________________________________   Montana Gold ApHC Show Entry Form September 18, 2010, Circle L Arena, Bozeman, MT 8:00 am Mail to Maria Jerome, 455 Bluegrass Dr, Belgrade, MT 59714  Exhibitors Name_________________________________________________ Owners Name___________________________________________________ Owners Address_________________________________________City_________________________ State________________________Zip____________________Phone____________________________ Amateur Card #_________________________Novice Am. Card #___________________________ Youth Card #_________________________Date of Birth for youth__________________________  Please send a copy of card and horses registration papers with entry.  Horses Registered Name______________________________________________________________
Registration #____________________ Year foaled_________ Sex Mare Gelding Stallion Circle Class numbers to be entered.  21 22 23 24 36 37 38 39 52 53 54 55 58 59 60 61 65 68 76 77 78 79 80  84 93 94 95 96 97 101 108 109 110 Class Fee: Open $13.00/class includes $2.00 ApHC fee NonPro $12.00/class includes $1.00 ApHC fee  Office Charge $10.00/horse (pay only once if entered in futurity.)  RV Electricity $10 per night.  Call for stall reservations 406-388-0849 Maria  Stalls: Weekend $20.00/night-day for panels and
$25.00/night covered panels, $30.00/night-day for boxstalls   Make additional copies of entry form for each horse    Montana Gold APHA Show Entry Form September 18, 2010, Circle L Arena, Bozeman, MT 8:00 am Mail to Maria Jerome, 455 Bluegrass Dr, Belgrade, MT 59714  Exhibitors Name_________________________________________________ Owners Name___________________________________________________ Owners Address_________________________________________City_________________________ State________________________Zip____________________Phone____________________________ Amateur Card #_________________________Novice Am. Card #___________________________ Youth Card #_________________________Date of Birth for youth__________________________  Please send a copy of card and horses registration papers with entry.  Horses Registered Name______________________________________________________________
Registration #____________________ Year foaled_________ Solid Overo Tobiano Tovero Sex Mare Gelding Stallion  Circle Class numbers to be entered.  5 6 11 12 13 15 16 17 18 19 20 25 26 27 28 30 31 32 33 34  35 40 41 42 44 46 47 48 49 50 51 56 57 62 63 64 66 67 69 70 71  72 73 74 75 81 82 83 85 86 87 88 89 90 91 92 98 99 100 102 103  104 105 106 107 Class Fee: Solid Paint Bred $ 6.00/class Youth $8.00/class Open and Am. $11.00/class Walk Trot 5-9 $6.00/class  APHA fees: One time fee of $ 2.00/horse  Office Charge $10.00/horse (pay only once if entered in futurity.)  RV Electricity $10 per night.  Call for stall reservations 406-388-0849 Maria  Stalls: Weekend $20.00/night-day for panels and
$25.00/night covered panels, $30.00/night-day for
boxstalls    Make additional copies of entry form for each horse     Make Checks payable to Rod Cline  Class fees ____________ APHA Feed __$_2.00____ Stall Fees ___________ Office Charge __$10.00____ RV Electricity ____________ Total ____________  Office Use Only Check #________ Paid _______________