Text Box: Name:__________________________________________________ Reg #___________________ Sex:   q  Stallion    q Gelding       q   Filly            Foaling Date____________________ Sire:____________________________________________________ Reg #___________________ Dam:___________________________________________________ Reg #____________________ Owner’s Name____________________________________________________________________ Address_________________________________________________________________ City, State, Zip Code______________________________________________________________ Telephone #_____________________________Email__________________________ Social Security Number______________________________________________    q  IN DAM NOMINATION  q  NON-NOMINATED ENTRY Text Box: Mail Entries & Payments To: Larry Goodale, 3141 320th St., Ellsworth, IA 50075 515-836-4868      www.mahaiowa.com Text Box: ** Entries made after deadline are double the above fees. Text Box: Please print a separate copy of this form for each horse you are entering. Text Box: Reminder:  If you have a 2006 Select Stallion Futurity weanling, please let Larry Goodale        know the sex and date of birth of your foal.  Email to: msgjill@yahoo.com Thanks! Text Box: FLASH! The Second Chance Class is back! ADDED MONEY! $10.00 entry fee—100% payback!

CHECK BOX

CLASS

IN-DAM

NOMINATION

NON-NOMINATED FEE

ENTRY FEE DEADLINE

 

2-YEAR-OLD SNAFFLE BIT WESTERN PLEASURE

$50.00

$ 150.00

JUNE 15 **

 

CHECK BOX

CLASS

IN-DAM

NOMINATION

NON-NOMINATED FEE

ENTRY FEE DEADLINE

 

YEARLING LONGE LINE

$50.00

$ 100.00

JULY 15 **