December 12, 2016

QHEAC SPRING BREAK ON-LINE ENTRY

QHEAC SPRING BREAK CIRCUIT - MARCH 21- 24, 2019
ROLLING HILLS EQUESTRIAN CENTER - CORNING, CA

ON-LINE ENTRY - * Required


- HORSE INFORMATION -

Registry*

Is this horse leased?*
YesNo

- OWNER INFORMATION -

Owner/Exhibitor Same?*
YesNo

- STALL & RV RESERVATION -

Will This Horse Be Stalled?*
YesNo

Stall Duration
Deadline 3-8-19 / After 3-8-19
2 or more nights - $145 each/$170 each1 night only - $80 each/$170 eachTack stall (2 or more nights) - $145 each/$170 eachEarly Arrival or Late Departure - $25/night

RV Reservation?* ($40/night) Deadline 3-8-19
YesNo

- DISCLAIMER -

DISCLAIMER: AS A CONDITION OF MY PARTICIPATION AND/OR THE PARTICIPATION OF MY CHILD IN THIS EVENT, I AGREE AS FOLLOWS: I RELEASE QHEAC, THE ROLLING HILLS CASINO, ITS EMPLOYEES, VOLUNTEERS, AGENTS, THE SHOW FACILITY, AND THE MANAGEMENT OF THIS SHOW FROM ANY LOSS OR DAMAGE 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.

- EXHIBITOR #1 -

Type*
NYYNAAmOpen

Select ID Type* (Check all that apply)
AQHAPCQHAAPHANSBANRHANRCHANCHA

**IF YOUR ENTRY IS COMPLETE, CONTINUE TO PAYMENT INFORMATION**

- EXHIBITOR #2 -

Type
NYYNAAmOpen

Select ID Type (Check all that apply)
AQHAPCQHAAPHANSBANRHANRCHANCHA

- PAYMENT INFORMATION -

By providing my credit card information, I am authorizing show management to charge the credit card as listed for any and all charges accrued at the ​QHEAC Spring Break Show.
Agree