| Entry Blank - Front and Back |
Please complete both front and back of this form. Show Dates: May 22-25, 2008
ONE HORSE PER ENTRY FORM ENTRIES CLOSE MAY 17, 2008
2008 NORTH HILLS HUNT CHARITY HORSE SHOW Christensen Field, Fremont, Nebraska
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Name of Horse CIRCLE EITHER REC # or ID # Color Sex Height Age 1st/2nd Yr Green MeasCard AmatCard
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Owner Name
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Trainer Name
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Address
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Address
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City, State, Zip
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City, State, Zip
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Phone # USEF# USHJA # |
Barn Trainer ASPCA #
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Rider #1
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Rider #2
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Age: ASPCA #
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Age: ASPCA #
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USEF # USHJA #
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USEF # USHJA #
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In Classes:
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In Classes:
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TO ENTER CLASS, CIRCLE OR HIGHLIGHT CLASS NUMBERS.
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EQUITATION
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C RATED HUNTER SECTIONS
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EQ – Junior/Adult Am
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1 2 3 4 5 6 9 10
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Hunter Breeding
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200 201 202 203
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EQ – Short Stirrup
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11 12 13
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Children Hunter Pony
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206 207 208 209 210
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EQ – Long Stirrup
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17 18 19
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Low Pre-Green Hunter
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211 212 213 214 215
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EQ – Leadline
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23
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Children Hunter Horse
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216 217 218 219 220
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EQ - Medals
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24 25 26 27 28 29 30
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Adult Amateur Hunter
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221 222 223 224 225
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NON RATED HUNTER SECTIONS
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A RATED HUNTER SECTIONS
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Warm Up All Day outdoor
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40 41 42 43
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Small Pony Hunter
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300 301 302 303
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Warm Up All Day indoor
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44 45 46 47
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Medium Pony Hunter
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304 305 306 307
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Maiden Hunter/Rider
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50 51 52 53 54
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Large Pony Hunter
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308 309 310 311
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Non Pro Hunter
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55 56 57 58 59
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Small Junior Hunter
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315 316 317 318 319
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Short Stirrup Hunter
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60 61 62 63
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Large Junior Hunter
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320 321 322 323 324
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Long Stirrup Hunter
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64 65 66 67
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Amateur Owner Hunter 35/U
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325 326 327 328 329
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Nebraska Hunter
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68 69 70 71
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Amateur Owner Hunter 36/O
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330 331 332 333 334
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Baby Green Hunter
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72 73 74 75 76
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Green Working 1st 2nd
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335 336 337 338 339
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Limit Hunter/Rider
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77 78 79 80
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Regular Working
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345 346 347 348 349
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Limit Children Hunter
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81 82 83 84
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HUNTER CLASSICS
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Qualified Field Hunter
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85 86 87 88 89
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Grass Roots Hunter Classic
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350
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Limit Adult Hunter
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90 91 92 93
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Children/Adult Am Classic
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351
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Modified Hunter
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94 95 96 97
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Junior/Am Owner Classic
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352
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Include Payment for Below Items with Entry Blank
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JUMPER SECTIONS
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$100 Show Stall $50 Daily Stall $100 Tack Stall
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Jump Start Jumper
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400 401
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$250 Tent Table
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Beginner Jumper
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403 404 405
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$ 30 Non Showing Horse
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Fremont Jumper
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406 407 408
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$ 40 Jumper Nomination Fee (level four and above)
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Level One
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409 410 411
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$ 30 Late Fee (if postmarked after 5/17/08)
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Level Two
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412 413 414
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$ 30 Office/Facility Fee, Per Horse
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30.00
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Level Three
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415 416 417
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$ 12 USEF Fee, Per Horse (Drug $7-USEF $5)
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12.00
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Level Four
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418 419 420
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$ 5 USEF Breed Discipline Fee (for Seniors)
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Level Five
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421 422 423
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$ 5 USEF Affidavit Fee, Per Person
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Children/Adult Amateur Low
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424 425 426
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$ 20 USEF Non Member Fee
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Children/Adult Amateur High
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427 428 429
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$ 20 USHJA Non Member Fee
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Modified Junior Am Owner
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430 431 432
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Online Entry available at: www.TheHuntShow.com
Fax entries to: 815 361 7553 or Mail entries to
Sherma Seitzinger, 7300 Northland Drive, Omaha, NE 68122
Check No: Amount:
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Jr/Amateur Owner Jumper
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433 434 435
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Jr/Am Owner Jumper Classic
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436
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