The Premier Entry Form - Premier Sires

HORSE INFORMATION

Horse's Name: *

Dropdown *

Registration #: *

NSBA ID/Certificate #: *

Sire: *

Dam: *

Sex: *

Year Foaled: *

Horse Papers *

Click or drag files to this area to upload. You can upload up to 2 files.

Attach horse papers. *File names cannot contain an apostrophe!

OWNER

Owner’s name must match what is listed on the horse’s registration papers and membership.

Owner: *

NSBA #: *

NSBA Expiration: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Owner's NSBA Membership Card *

Click or drag a file to this area to upload.

Upload membership card

PAYEE

Winnings will be paid to this person. Social Security number or Tax ID must match name of payee.

Payee: *

Social Security Number: *

Payee Address *

Address Line 1

Address Line 2

City

State

Zip Code

Payee Phone: *

EXHIBITOR

Exhibitor *

Division *

Rider Level *

NSBA #: *

NSBA Expiration: *

Exhibitor Address *

Address Line 1

Address Line 2

City

State

Zip Code

Exhibitors's NSBA Membership Card *

Click or drag a file to this area to upload.

Upload membership card

EXHIBITOR #2

If applicable.

Exhibitor #2

Exhibitor #2 Division:

Exhibitor #2 Rider Level:

Exhibitor 2 NSBA #:

Exhibitor 2 NSBA Expiration: (copy)

Exhibitor #2 Address

Address Line 1

Address Line 2

City

State

Zip Code

Exhibitors's #2 Membership Card

Click or drag a file to this area to upload.

Upload membership card

CLASSES

Please select the class you wish to enter. Early entries are due by March 12, 2021. ENTRY FEE IS DOUBLE THE LISTED PRICE AFTER MARCH 12, 2021. Late entries will be accepted up until 5:00 pm the day before the class shows. Absolutely no entries will be accepted after this time. Entry fees are nonrefundable.

IMPORTANT: Horses born in 2018 must be nominated to Premier Sires and have a certificate of eligibility. Horses born in 2017 or earlier must either be nominated to Premier Sires or sired by a stallion currently enrolled in Premier Sires.

3 Year Old Limited Horse Limited Rider Western Pleasure: $350.00

3 Year Old Limited Horse Limited Rider Western Pleasure: $350.00

3 Year Old Limited Horse Limited Rider Western Pleasure Exhibitor: *

Exhibitor One
Exhibitor Two

Is Sire Currently Enrolled? *

Yes
No (Entry Fee $1500 total.)

3 Year Old Limited Horse Limited Rider Hunter Under Saddle: $350.00

3 Year Old Limited Horse Limited Rider Hunter Under Saddle: $350.00

3 Year Old Limited Horse Limited Rider Hunter Under Saddle Exhibitor: *

Exhibitor One
Exhibitor Two

Is Sire Currently Enrolled? *

Yes
No (Entry Fee $1500 total.)

Non Pro Maturity Western Pleasure: $250.00

Non Pro Maturity Western Pleasure: $250.00

$5,000 added

Non Pro Maturity Western Pleasure Exhibitor: *

Exhibitor One
Exhibitor Two

3 YO Open Western Pleasure: $200.00

3 YO Open Western Pleasure: $200.00

$1,000 added

3 YO Open Western Pleasure Exhibitor: *

Exhibitor One
Exhibitor Two

3 YO Non Pro Western Pleasure: $350.00

3 YO Non Pro Western Pleasure: $350.00

$20,000 added

3 YO Non Pro Western Pleasure Exhibitor: *

Exhibitor One
Exhibitor Two

Limited Non Pro Maturity Western Pleasure: $200.00

Limited Non Pro Maturity Western Pleasure: $200.00

$1,000 added

Limited Non Pro Maturity Western Pleasure Exhibitor: *

Exhibitor One
Exhibitor Two

Novice Non Pro Western Pleasure: $200.00

Novice Non Pro Western Pleasure: $200.00

$1,000 added

Novice Non Pro Western Pleasure Exhibitor: *

Exhibitor One
Exhibitor Two

3 Year Old Open Hunter Under Saddle: $200.00

3 Year Old Open Hunter Under Saddle: $200.00

$1,000 added

3 Year Old Open Hunter Under Saddle Exhibitor: *

Exhibitor One
Exhibitor Two

3 Year Old Non Pro Hunter Under Saddle: $350.00

3 Year Old Non Pro Hunter Under Saddle: $350.00

$25,000 added

3 Year Old Non Pro Hunter Under Saddle Exhibitor: *

Exhibitor One
Exhibitor Two

Limited Non Pro Maturity Hunter Under Saddle: $200.00

Limited Non Pro Maturity Hunter Under Saddle: $200.00

$1,000 added

Limited Non Pro Maturity Hunter Under Saddle Exhibitor: *

Exhibitor One
Exhibitor Two

Novice Non Pro Hunter Under Saddle: $200.00

Novice Non Pro Hunter Under Saddle: $200.00

$1,000 added

Novice Non Pro Hunter Under Saddle Exhibitor: *

Exhibitor One
Exhibitor Two

4 & 5 Year Old Open Trail: $250.00

4 & 5 Year Old Open Trail: $250.00

$2,500 added

4 & 5 Year Old Open Trail Exhibitor: *

Exhibitor One
Exhibitor Two

4 & 5 Year Old Non-Pro Trail: $250.00

4 & 5 Year Old Non-Pro Trail: $250.00

$2,500 added

4 & 5 Year Old Non-Pro Trail Exhibitor: *

Exhibitor One
Exhibitor Two

Total

Entry fees plus 4% credit card processing fee

Total

$ 0.00

Credit Card Payment *

Card

Name on Card