Bronze Classic Online Entry – Horse Show Secretary

Name of Horse (required)

Year Foaled (required)

Sex (required)
MareStallionGelding

Registry Number (required)

Registry (required)

Is this horse leased? (required)
YesNo

Owner Name (required)

AQHA Number (required)

AQHA Expiration Date (required)

NSBA Number

NSBA Expiration Date

Owner Mailing Street Address (required)

Owner City, State & Zip (required)

Owner Phone Number (required)

Owner Email (required)

Owner/Exhibitor Same? (required)
YesNo

Will this horse be stalled? (DEADLINE 7-7-2026 - $200/Stall - comes with 3 bags of shavings) (required)
YesNo

Stalled with?

Arrival Date

Departure Date

Additional Shavings $15/bag

Tack stall - number needed? ($200 by 7-7-2026)

RV Reservation $50/day

RV Arrival Date

RV Departure Date

Exhibitor #1 Name (required)

Exhibitor #1 Type (required)

Exhibitor #1 Birthdate (required)

Exhibitor #1 Relationship to Owner (required)

Exhibitor #1 ID Number (your Breed membership #) (required)

Exhibitor #1 ID Type (open, amateur, youth) (required)

Exhibitor #1 Expiration Date (required)

Exhibitor #1 Street Address (required)

Exhibitor #1 City, State & Zip (required)

Exhibitor #1 Phone (required)

Exhibitor #1 Class Entry (required)

Exhibitor #2 Name

Exhibitor #2 Type

Exhibitor #2 Birthdate

Exhibitor #2 Relationship to Owner

Exhibitor #2 ID Number (your Breed membership #)

Exhibitor #2 ID Type (open, amateur, youth)

Exhibitor #2 Expiration Date

Exhibitor #2 Street Address

Exhibitor #2 City, State & Zip

Exhibitor #2 Phone

Exhibitor #2 Class Entry

PAYMENT INFORMATION - Please enter name on credit card

Credit Card Number

Credit Card Expiration Date

CVV

Zip Code

CASH OR CHECK
To be mailed to:
Sue Kvern, Show Secretary
CWQHA Spring Show
52094 Sunquist Rd
Milton Freewater, OR 97862

WAIVER RELEASE: As a condition of my participation and/or the participation of my child in this event, I agree as follows: I release CWQHA, the Blue Mt Equestrian Center, its employees, volunteers, agents, the show facility, and the management of this show from any loss, damage or illness that may occur to me, my horse, or my property as a result of my and/or my horse(s) attendance at or participation in this event. I am responsible for any loss or damage caused by me or my agents at this show grounds and I will pay any bill rendered to me for such loss or damage.

PLEASE PRINT NAME (OWNER/AGENT/RESPONSIBLE PARTY) (required)

Today's Date

Message