ONE OWNER PER ENTRY BLANK -

Entries Close June 1st

Enclose copy of registration papers showing proof of current ownership for each entry, plus copy of current USEF membershipcard for each owner/exhibitor/trainer and copy of USEF membership card for each owner/trainer. (Miscellaneous and Walk/Trot classes exempt.) All horses must have negative Coggins test within the past 12 months

$15 CHARGE FOR EACHINCOMPLETE ENTRY

OWNER’S NAMEUSEF#

NAME OF HORSEAgeColorSexHt.Reg # Rider/Driver NameUSEF #ClassFeeClassFeeClassFeeClassFeeTotal Fees

Name of Equitation Rider Name of Equitation HorseName of Equitation Rider Name of Equitation HorseName of Equitation Rider Name of Equitation Horse

Rider’s AgeUSEF#ClassFeeClassFeeClassFeeClassFeeTotal FeesColorReg #Rider’s AgeUSEF#ClassFeeClassFeeClassFeeClassFeeTotal FeesColorReg #

FOR COMPETITION’S USECheck #

Check Amt

Date Recd

Monies over

Monies under

EB#

Make checks payable to:North Star Morgan AmericanaMail Entries to:Carol Hitz14785 County Road 122Watertown, MN 55388Ph: 952-955-2176

TOTAL ENTRY FEES.........................................................................$# Box Stalls @ $90.00 ..............................................................# Tack Stalls @ $90.00 ...............................................................# Shavings @ $7.00 each..........................................................# USEF Fee @$15 per horse

(Drug & Medication $7/USEF $8)

....# USEF Non-Member Fee @$30...........................................#

Ofce Fee @ $20.00 per horse (Mandatory Charge)........

# Tickets Westen Wood Charity Night $2 per exhibitor.......# Ringside Box @ $100.00 (Eight Seats)................................# Post Entries @ $25/Horse .....................................................

TOTAL CHARGES......................

Signatures required on REVERSE side - NO entries will be accepted without required signatures. PLEASE COMPLETE BOTH SIDES OF THIS ENTRY FORM

Stable WithArrival Date (Horses):Emergency Contact Phone Number (cell phone)