ENTRY# OFFICE USE

ONLY

PERSON RESPONSIBLE FOR PAYING THIS BILLNAME

ADDRESS

CITY ST ZIP PH:

2019 NEBRASKA STATE FAIR HORSE SHOW ENTRY FORMDRAFT HORSE SHOW

ONE EXHIBITOR PER ENTRY BLANK (USE SECOND FORM IF REQUIRED)LATE FEES APPLY TO ENTRIES POSTMARKED AFTER JULY 15, 2019

NAMEOWNER

FARM NAME

ADDRESS

EMAIL PHONE

HITCH DRIVING, FARM TEAM, DRAFT RIDING AND YOUTH DRIVING

CITY ST ZIP SSN OR FED ID#

HALTER/GROUP HALTER CLASSES/SHOW FEES ON SECOND PAGE

DRIVER NAME CLASSES ENTERED

OFFICE USE ONLY

ENTRY# OFFICE USE

ONLY DOB CLASS

@ $15.00 =

@ $15.00 =

BELGIANS @ $10.00 =

CLYDESDALES SHIRES @ $35.00 =

@ $35.00 =

@ $5.00 =

@ $25.00 =

SIGNATURE: @ $25.00 =

@ $50.00 =

TOTAL FEES

RETURN THIS FORM WITH PAYMENT TO: NEBRASKA STATE FAIR % RAMONA SCHAFER, PO BOX 1387, GRAND ISLAND, NE 68802-1387

DRAFT SHOW MANAGER (Questions): Deb Peirce 712-310-2230

CHECK # OFFICE USE ONLY

AMOUNT

SHOW FEESNAME

PERCHERONS

NUMBER OF ANIMALS BY BREEDHITCH CLASS ENTRY FEE

CLASSIC 6 HITCH CLASS

HALT/RIDING/FARM /JR ENTRY

STALLS

TACK ROOMS

EXHIB DAY TICKETS EACH

11 DAY EXHIB BADGE EACH

EXHIB PARKING(NEED ONE PER VEHICLE) LATE FEE1 PER FARM AFTER JULY 15TH

BY SIGNING THIS ENTRY FORM THE EXHIBITOR AGREES TO ABIDE BY THE RULES AND REGULATIONS OF THE Nebraska State Fair. Exhibitor also agrees to abide by the International Association of Fairs and Exhibitions National Code of Show Ring Ethics found in the Equine Rules and Regulation Handbook and also in

the front of the premium book.

PLEASE STABLE WITH

HALTER/GROUP HALTER CLASSES ONLY

ANIMAL NAME SIRE & REG # DAM & REG #

2019 NEBRASKA STATE FAIR HORSE SHOW ENTRY FORMDRAFT HORSE SHOW

LATE FEES APPLY TO ENTRIES POSTMARKED AFTER JULY 15, 2019

ONE EXHIBITOR PER ENTRY BLANK (USE SECOND FORM IF REQUIRED)

OFFICE USE ONLY