Eighty-Dollar Champion

Application: Eighty-Dollar Champion

Thank you for participating in the Eighty-Dollar Champion contest! All participants must submit our Online Application. We will review your application and contact your references, including your veterinary reference, to make sure that the winner is able to provide a suitable home for a horse.

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* 1. Applicant Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Do you ride or train horses professionally?

Yes

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* 3. If you answered "No," to the previous question, please list your current employment.

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* 4. How long have you been riding/involved with horses?

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* 5. Do you currently own or have you previously owned another horse(s)?

Yes

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* 6. If you currently own a horse(s), how many horses do you currently own? If you do not currently own a horse but have owned a horse previously, please explain what happened to this horse(s) (Died of old age, Euthanized for medical reasons, sold, etc.)

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* 7. Where would you keep Pippa if you were to win the Eighty-Dollar Champion?

Personal Farm

Boarding Facility

Other (please specify)

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* 8. Who is/would be your veterinarian?

Name

Practice

Phone Number

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* 9. Please List a Personal Reference

Name

Phone Number

Relationship

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* 10. Please type your name to sign this form. By doing so, you certify that all of your answers are truthful. Falsification or misrepresentation of the above information will result in rejection of this application.