The Liberty Classic
The Liberty Classic United Horse Show
July 2&3, 2004   East Tennessee Agricultural Exposition Center 
outdoor arena at Roane State Comm. College in Harriman, Tennessee just off I-40

Entry Blank    (Use additional Forms for more than two Horses)

Please Type or Print legibly/Only one owner per entry form.  All entries must be complete.
Breed division horses not less than one year must show registration papers.  Open classes have no registry requirement.

Return with fees to:  Victor Stephanini  2707 Old Niles Ferry Rd.  Maryville, TN 37803

 Horse 1   Show # Horse's Name ____________________________
_Breed: 		 Reg #________________
  Registry: 
   Age 
 Sex: M/S/G
   Color 
  Height 
             Show numbers will be issued by show office at check in.  Complete rest of Information. Write class numbers in which you are entering this horse below.
Rider/Driver/Handler #1  Class #s
                                  
Rider/Driver/Handler #2 Class #s
 
 Horse 2 Show #  Horse's Name ____________________________
_Breed: 		 Reg #________________
  Registry: 
   Age 
 Sex: M/S/G
   Color 
  Height 
             Show numbers will be issued by show office at check in.  Complete rest of Information.  Write class numbers in which you are entering this horse below.
Rider/Driver/Handler #1  Class #s
 
Rider/Driver/Handler #2 Class #s
                                  
If you need additional room or have additional horses/handlers please use a second form and staple it to the first.

Entries:        Halter and Performance  $15     Championship $20
Attention exhibitors! Bring in at least 3 sponsorships from family, friends or businesses & get a free stall!
Each person signing this form acknowledges that he/she has read the entry form, class list and terms and agrees to abide by those terms,
conditions, waivers and consents as set forth herein. Each person agrees that the information is accurate to the best of his/her knowledge.

Owner (As appears on Reg. papers or contract)
Name__________________________________   IAHA#______________
Farm/Ranch_____________________________    Morgan# _____________
Address: _______________________________   Morab Asso# __________
City/State/Zip ___________________________   ASA#_______________
Phone #_______________________  E-mail ___________________
Signature______________________________ 		 #__________ Total Class fees           $ _______

#                  Stalls @$30 per night   $ _______
$10  Office Charge                           $ _______
$15   Late Fee (after June 15)             $ _______
$45   Vendors Fee if applicable          $ _____

Enclosed Total Fees _________
Junior Exibitor Consent: (see rules) Trainer & all riders/drivers/handlers must complete information and sign below.
      Trainer Name                                             _______      Address         ____                           ___________                     Ph. _________________
      Signature_______________________________________________________________   Association/Number____________________________________
      Jr. Handler: _____________________________________ Address: _________________________________________________Ph.________________
      Signature: _____________________________________________________________  Parent/Responsible Adult:_________________________________