NSQHA Entry Form 2019 Survey

Question Title

* 1. WHICH SHOWS ARE YOU REGISTERING FOR? (click all that apply)

DRYDEN - NORTHERN LIGHTS CLASSIC - JULY 5-7, 2019

EMO - BORDERLAND QUARTER HORSE SHOWS - AUGUST 2-5, 2019

Question Title

* 2. HORSE AND OWNER INFORMATION

NAME OF HORSE (as it appears on papers)

REGISTRATION #

ROM CERTIFICATE Y/N

DATE FOALED (M/D/Y)

GELDING, MARE OR STALLION

OWNER NAME (as it appears on papers)

ADDRESS

CITY

PROV/STATE

PC/ZIP

HOME #

CELL #

Question Title

* 3. EXHIBITOR INFORMATION

EXHIBITOR NAME (as it appears on card)

MEMBERSHIP #

EXPIRY DATE (M/D/Y)

TYPE: YOUTH, AMATEUR OR OPEN

YOUTH OR SELECT DATE OF BIRTH

ADDRESS

CITY

PROV/STATE

PC/ZIP

HOME #

CELL #

Question Title

* 4. OPEN CLASSES

103100 STALLION - YEARLING

103200 STALLION - TWO YEAR OLD

103300 STALLION - THREE YEAR OLD

103400 STALLION - AGED

173000 STALLION - PERFORMANCE (need ROM)

105400 MARE - YEARLING

105500 MARE - TWO YEAR OLD

105600 MARE - THREE YEAR OLD

105700 MARE - AGED

175000 MARE - PERFORMANCE (need ROM)

107400 GELDING - YEARLING

107500 GELDING - TWO YEAR OLD

107600 GELDING - THREE YEAR OLD

107700 GELDING - AGED

177000 GELDING - PERFORMANCE (need ROM)

128000 BARREL RACING

130000 POLE BENDING

134000 REINING

136000 WESTERN RIDING

143000 RANCH RIDING

151000 HUNTER HACK

138100 JUNIOR TRAIL

142100 JUNIOR WESTERN PLEASURE

144100 JUNIOR HUNTER UNDER SADDLE

142300 TWO YEAR OLD WESTERN PLEASURE

138200 SENIOR TRAIL

142200 SENIOR WESTERN PLEASURE

144200 SENIOR HUNTER UNDER SADDLE

136004 GREEN WESTERN RIDING (LEVEL 1)

138004 GREEN TRAIL (LEVEL 1)

142004 GREEN WESTERN PLEASURE (LEVEL 1)

144004 GREEN HUNTER UNDER SADDLE (LEVEL 1)

* GREEN - ATTACH LEVEL 1 HORSE ELIGIBILITY

9420 CHARITY (EMO)

9401 LEAD LINE (DRYDEN)

9401 LEAD LINE (EMO)

9402 WALK/TROT (7 TO 11 YEARS) - (EMO)

9101 YEARLING LUNGE LINE (DRYDEN)

9101 YEARLING LUNGE LINE (EMO)

9001 HUNT SEAT EQUITATION FUTURITY (DRYDEN)

9001 HUNT SEAT EQUITATION FUTURITY (EMO)

9720 SHOWMANSHIP FUTURITY (EMO)

9700 WESTERN PLEASURE FUTURITY (DRYDEN)

9700 WESTERN PLEASURE FUTURITY (EMO)

COMMENTS

Question Title

* 5. AMATEUR CLASSES

203100 STALLION - YEARLING

203200 STALLION - TWO YEAR OLD

203300 STALLION - THREE YEAR OLD

203400 STALLION - AGED

273000 STALLION - PERFORMANCE (need ROM)

205400 MARE - YEARLING

205500 MARE - TWO YEAR OLD

205600 MARE - THREE YEAR OLD

205700 MARE - AGED

275000 MARE - PERFORMANCE (need ROM)

207400 GELDING - YEARLING

207500 GELDING - TWO YEAR OLD

207600 GELDING - THREE YEAR OLD

207700 GELDING - AGED

277000 GELDING - PERFORMANCE (need ROM)

212000 SHOWMANSHIP

228000 BARREL RACING

230000 POLE BENDING

234000 REINING

236000 WESTERN RIDING

238000 TRAIL

240000 WESTERN HORSEMANSHIP

242000 WESTERN PLEASURE

243000 RANCH RIDING

251000 HUNTER HACK

244000 HUNTER UNDER SADDLE

252000 HUNT SEAT EQUITATION

212800 SELECT SHOWMANSHIP

238800 SELECT TRAIL

240800 SELECT WESTERN HORSEMANSHIP

242800 SELECT WESTERN PLEASURE

244800 SELECT HUNTER UNDER SADDLE

252800 SELECT HUNT SEAT EQUITATION

212002 NOVICE AMATEUR SHOWMANSHIP (LEVEL 1)

238002 NOVICE AMATEUR TRAIL (LEVEL 1)

240002 NOVICE AMATEUR WESTERN HORSEMANSHIP (LEVEL 1)

242002 NOVICE AMATEUR WESTERN PLEASURE (LEVEL 1)

244002 NOVICE AMATEUR HUNTER UNDER SADDLE (LEVEL 1)

252002 NOVICE AMATEUR HUNT SEAT EQUITATION (LEVEL 1)

007120 OPEN WALK TROT SHOWMANSHIP 19 & OVER (DRYDEN ONLY)

007380 OPEN WALK TROT TRAIL 19 & OVER (DRYDEN ONLY)

238102 NOVICE AMATEUR WALK/TROT TRAIL (LEVEL 1) (EMO ONLY)

007420 OPEN WALK TROT WESTERN PLEASURE 19 & OVER (DRYDEN ONLY)

242102 NOVICE AMATEUR WALK/TROT WESTERN PLEASURE (LEVEL 1) (EMO ONLY)

007400 OPEN WALK TROT HORSEMANSHIP 19 & OVER (DRYDEN ONLY)

240102 NOVICE AMATEUR WALK/TROT WESTERN HORSEMANSHIP (LEVEL 1) (EMO ONLY)

007440 OPEN WALK TROT HUNTER UNDER SADDLE 19 & OVER (DRYDEN ONLY)

244102 NOVICE AMATEUR WALK/TROT HUNTER UNDER SADDLE (LEVEL 1) (EMO ONLY)

007520 OPEN WALK TROT HUNT SEAT EQUITATION 19 & OVER (DRYDEN ONLY)

252102 NOVICE AMATEUR WALK/TROT HUNT SEAT EQUITATION (LEVEL 1) (EMO ONLY)

* NOVICE - ATTACH LEVEL 1 EXHIBITOR ELIGIBILITY

* WALK/TROT - NO CROSS ENTRY INTO LOPING CLASSES (EMO ONLY)

COMMENTS

Question Title

* 6. YOUTH CLASSES

405400 MARE - YEARLING

405500 MARE - TWO YEAR OLD

405600 MARE - THREE YEAR OLD

405700 MARE - AGED

475000 MARE - PERFORMANCE (need ROM)

407400 GELDING - YEARLING

407500 GELDING - TWO YEAR OLD

407600 GELDING - THREE YEAR OLD

407700 GELDING - AGED

477000 GELDING - PERFORMANCE (need ROM)

428000 BARREL RACING

430000 POLE BENDING

436000 WESTERN RIDING

443000 RANCH RIDING

434000 REINING

438000 TRAIL

451000 HUNTER HACK

412700 SHOWMANSHIP 13 & UNDER

442700 WESTERN PLEASURE 13 & UNDER

440700 WESTERN HORSEMANSHIP 13 & UNDER

444700 HUNTER UNDER SADDLE 13 & UNDER

452700 HUNT SEAT EQUITATION 13 & UNDER

412800 SHOWMANSHIP 14-18 YEARS

440800 WESTERN HORSEMANSHIP 14-18 YEARS

442800 WESTERN PLEASURE 14-18 YEARS

444800 HUNTER UNDER SADDLE 14-18 YEARS

452800 HUNT SEAT EQUITATION 14-18 YEARS

412002 NOVICE YOUTH SHOWMANSHIP (LEVEL 1)

438002 NOVICE YOUTH TRAIL (LEVEL 1)

440002 NOVICE YOUTH WESTERN HORSEMANSHIP (LEVEL 1)

442002 NOVICE YOUTH WESTERN PLEASURE (LEVEL 1)

444002 NOVICE YOUTH HUNTER UNDER SADDLE (LEVEL 1)

452002 NOVICE YOUTH HUNT SEAT EQUITATION (LEVEL 1)

008120 OPEN WALK TROT SHOWMANSHIP 18 & UNDER (DRYDEN ONLY)

009202 NOVICE YOUTH WALK/TROT SHOWMANSHIP (EMO ONLY)

008380 OPEN WALK TROT TRAIL 18 & UNDER (DRYDEN ONLY)

438102 NOVICE YOUTH WALK/TROT TRAIL (LEVEL 1) (EMO ONLY)

008420 OPEN WALK TROT WESTERN PLEASURE 18 & UNDER (DRYDEN ONLY)

442102 NOVICE YOUTH WALK/TROT WESTERN PLEASURE (LEVEL 1) (EMO ONLY)

008400 OPEN WALK TROT WESTERN HORSEMANSHIP 18 & UNDER (DRYDEN ONLY)

440102 NOVICE YOUTH WALK/TROT WESTERN HORSEMANSHIP (LEVEL 1) (EMO ONLY)

008440 OPEN WALK TROT HUNTER UNDER SADDLE 18 & UNDER (DRYDEN ONLY)

444102 NOVICE YOUTH WALK/TROT HUNTER UNDER SADDLE (LEVEL 1) (EMO ONLY)

008520 OPEN WALK TROT HUNT SEAT EQUITATION 18 & UNDER (DRYDEN ONLY)

452102 NOVICE YOUTH WALK/TROT HUNT SEAT EQUITATION (LEVEL 1) (EMO ONLY)

* NOVICE - ATTACH LEVEL 1 EXHIBITOR ELIGIBILITY

* WALK/TROT - NO CROSS ENTRY INTO LOPING CLASSES (EMO ONLY)

COMMENTS

Question Title

* 7. FEE STRUCTURE IS OUTLINED ON THE NSQHA.COM WEBSITE. HOW WILL YOU BE PAYING?

CASH

CHEQUE

ETRANSFER

Other (please specify)