Basic Info:
Name:(First, Last) ___________________
Initials: ______________
Date:______
Address:___________________ City:___________________ State: __________________ Zip: ______________
Phone #: Home: _________________ Cell: ________________
Email Address: ________________________
Person You'd Like to be seated next to: ________________
Entry Fees: (please place an X next to the correct spots)
Half Table: $30 __
Full Table:$50 __
Extra half table: $30 __
Extra Full Table: $50 __
Entries paid/postmarked after January 15, 2014 add $10 late fee __
Proxy Fee: ($1 per model, list amount needed)_____
TOTAL FEE:__________
Return this form with your check or Money Order payable to Nicole Golabi and mail to:
9025 Falls Chapel Way
Potomac, MD 20854
OR email completed form to [email protected] .
Paypal payments must be sent to [email protected] and sent as a gift.
I understand that by signing this completed form that I have read and accept the show rules and
judging criteria of United Hooves Live! Model horse show. I will not hold the showholders, the school, the hotels, the judges and/or any helpers in the show responsible for any loss, theft, damage to any
items or personal injury.
Please sign below:
X___________________________________________________ Date __________
If under 18, parent
or legal guardian must also sign.
X___________________________________________________ Date
__________
Name:(First, Last) ___________________
Initials: ______________
Date:______
Address:___________________ City:___________________ State: __________________ Zip: ______________
Phone #: Home: _________________ Cell: ________________
Email Address: ________________________
Person You'd Like to be seated next to: ________________
Entry Fees: (please place an X next to the correct spots)
Half Table: $30 __
Full Table:$50 __
Extra half table: $30 __
Extra Full Table: $50 __
Entries paid/postmarked after January 15, 2014 add $10 late fee __
Proxy Fee: ($1 per model, list amount needed)_____
TOTAL FEE:__________
Return this form with your check or Money Order payable to Nicole Golabi and mail to:
9025 Falls Chapel Way
Potomac, MD 20854
OR email completed form to [email protected] .
Paypal payments must be sent to [email protected] and sent as a gift.
I understand that by signing this completed form that I have read and accept the show rules and
judging criteria of United Hooves Live! Model horse show. I will not hold the showholders, the school, the hotels, the judges and/or any helpers in the show responsible for any loss, theft, damage to any
items or personal injury.
Please sign below:
X___________________________________________________ Date __________
If under 18, parent
or legal guardian must also sign.
X___________________________________________________ Date
__________