Arizona PHC Online Entry

Summer Celebration
May 7-8, 2022

Westworld of Scottsdale
16601 North Pima Road
Scottsdale, AZ

Name of Horse *

Year Foaled *

SEX *

Reg. # *

Registry *

Upload Registration Papers here

Is this horse leased? *

Yes No

For Leased horses, please enter Leasee as Owner.

Upload Lease here

Owner *

Owner APHA ID # *

Expiration Date *

Month Day Year

Upload Owner Membership Card here

Mailing Address *

City *

State *

Zip Code *

Phone *

Email Address *

Will this horse be stalled? *

Yes No

Grounds Fee applies to un-stalled horses.

Disclaimer: This show is not responsible for accidents that may occur to any rider, horse or equipment. Signing this entry form waives any future claims against the Arizona Paint Horse Club and/or the Hosting Facility. I certify that I am bound by the rules of APHA and this show.

OWNER/AGENT *

PARENT/GUARDIAN OF MINOR

Exhibitor #1

NAME

Type

BIRTH DATE Required if Yth or Ama

Month Day Year

RELATIONSHIP TO OWNER OF HORSE

Please enter APHA ID # and any other applicabale ID # for Exhibitor #1.

ID # *

Select ID Type

Lifetime

Expiration Date

Month Day Year

Upload Exhibitor 1 Membership Card here

ADDRESS if not Owner

City

State

Zip

Are classes the same for both shows? If so, select "Yes" and enter classes one time in the box below. (Class numbers are the same for both shows.) If not, select "No" and enter class numbers for the appropriate show.

Yes No

Enter class # (101, 102, 103) for Exhibitor #1 followed by the "enter" key for each class.

Enter Class #'s for Exhibitor 1 (101, 102, 103) followed by the "enter" key for each class.

If your entry is complete, click Submit Form. If not, continue to next exhibitor.

Exhibitor #2

NAME

Type

BIRTH DATE Required if Yth or Ama

Month Day Year

RELATIONSHIP TO OWNER OF HORSE

Please enter APHA ID # and any other applicable ID # for Exhibitor #2.

ID #

Type

Lifetime

Expiration Date

Month Day Year

ADDRESS if not owner

Upload Exhibitor 2 Membership Card here

City

State

Zip

Are classes the same for both shows? If so, select "Yes" and enter classes one time in the box below. (Class numbers are the same for both shows.) If not, select "No" and enter class numbers for the appropriate show.

Yes No

Enter Class # (101, 102, 103) for Exhibitor #2 followed by the "enter" key for each class

Show 2 - Saturday/Sunday ClassesEnter class # (101, 102,103) for Exhibitor #2 followed by the "enter" key for each class

Message to Show Secretary (optional)

If your entry is complete click Submit Form. If more than 2 exhibitors, use another entry.
Thank you for using online entry! See you at the show!