Exhibitor’s Name Daytime Contact Phone #: Email Exhibitor’s Age Exhibitor Address City State Zip Name of Horse Breed Horse’s Age Sex: S M G

1st through 6th place will receive Class Awards Belt Buckles Awarded for High Point - Friday Night High Point / Saturday & Sunday Combined High Point

In your Division(s) please check class numbers you wish to enter.

JACKPOT CLASSES

1 10 53 65

5 - 9 YOUTH “ WALK/TROT ” DIVISION

33 39 44 55 60 66 74

OPEN DIVISION ( ANY AGE )

5 9 14 18 37 43

48 52 59 64 70 78

13 & UNDER DIVISION

2 6 11 15 34 40

45 49 56 61 67 75

HALTER CLASSES

19 20 21 22 23 24 25

26 27 28 29 30 31 32

14 -18 DIVISION

3 7 12 16 35 41

46 50 57 62 68 76

AMATEUR DIVISION ( 19 & OVER )

4 8 13 17 36 42 47

51 58 63 69 77

NON - HIGH POINT CLASSES **

38 54 71 72 73

Pre-Entry Must be Postmarked by

February 20, 2015 Payment does not have to accompany

Pre-Entry, No Phone Entries.

Please Read & Sign the Hold Harmless Agreement 12 MONTH COGGINS IS REQUIRED

Pre-Entry: $14 / Class or $70 Max per division entered ( # of divisions ) =________

At Show: $18 / Class or $90 Max per division entered ( # of divisions ) =________

Jackpot Class X $25 = . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ________

Stall Fee X $65 weekend = . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ________

Grounds Fee ( IF No Stall, A GROUND FEE MUST BE PAID ) $20 . . . . . . . . . . . ________

Office Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20.00

TOTAL FEES ( Checks are to be made payable to: Equine & Livestock Education Committee { ELEC } ) . . . . . . . . . . . . . . . . . . . . . ________

NO REFUNDS !NO REFUNDS !

Cash__________ Check #: ___________

**** Please make Checks out to:

Equine & LivestockEquine & Livestock Education Committee (ELEC) Education Committee (ELEC) Mail to: H-O-R 2015 P.O. Box 1540 Fort Worth, TX 76101-1540

Individuals with disabilities who require an auxiliary aid, service, or accommodation in order to participate in any of our meetings are encouraged to contact our office at 817-884-1945 for assistance. Educational programs of the Texas A&M AgriLife Extension Service are open to all people without regard to race, color, religion, sex, national origin, age, disability, genetic information or veteran status. The Texas A&M University System, U.S. Department of Agriculture, and the County Commissioners Courts of Texas Cooperating

Back # ENTRY FORM • One Horse One Horse -- One Rider Per Entry One Rider Per Entry

March 6 - 8, 2015 JUDGE: Delena Doyle

STALLS WILL BE OPEN at Noon on Friday 03 / 06 / 2015

Horse O’ Rama 2015 General Rules

1. AQHA Rules followed where applicable including but not limited to amateur status. 2. Entrants in 5 - 9 Walk Trot Division cannot cross enter into any class requiring a lope. 3. Cross entry into an eligible division is acceptable with appropriate fees. 4. Shavings must be purchased from Will Rogers Memorial Complex. 5. Class Placings - 1st HOR Award, 2nd thru 6th ribbons. 6. Belt Buckles awarded for Friday High Point, and Saturday/Sunday High Point . { Rider must show Halter or Showmanship and 3 Performance Classes for Saturday/Sunday Hi-Point } 7. The Show Management reserves the right to interpret and adjust the rules as necessary. 8. No stall will be opened before 12 noon on Friday, March 6, 2015. NO EXCEPTIONS

9. 12 MONTH NEGATIVE COGGINS IS REQUIRED, You must have it with you.

10. Pre Entries encouraged. Fees do not have to accompany pre-entry. No Phone Entries. FAX or Email Accepted 11. Added classes at office only, no add-ons at gate. 12. Miniatures cannot cross-enter outside of miniature classes, except for Colored Classes.

HOLD HARMLESS AGREEMENT

For Horse O’ Rama Participants March 6 - 8, 2015

By signing below participant agrees to abide by the Rules and to indemnify and hold harmless Texas A&M AgriLife Extension Service, Tarrant County, City of Fort Worth, Equine & Livestock Education Committee, agent and / or officers and employees from all claims, losses, costs, damage, or expenses resulting or arising from and all injuries to or death of any person or dam-age to any property caused by an act, omission or neglect of participant’s agents, employees, invitees, participator or guest which occur in or about the Will Rogers Equestrian Center at participant’s own risk, and hereby releases Texas A&M AgriLife Extension Service, Tarrant County, City of Fort Worth, Equine & Livestock Education Committee, agent or officers and em-ployees invitees from all claims for any damage, loss or injury to persons or property to the full extent permitted by law occur-ring in or about the Will Rogers Equestrian Center, including, but not limited to damages, resulting from acts of other partici-pants, theft, vandalism, fire and other casualty damage or damage arising from any defects in the premises.

Participants Signature

Signature of Parent or Legal Guardian if Participant is a Minor

Date

Date

For Questions Contact: Pepper Hitchcock, Committee Chair Equine & Livestock Education Committee pepperh09@gmail.com 817-875-4061 Texas A&M AgriLife Extension Service P.O. Box 1540 Fort Worth, TX 76101 - 1540 P: 817-884-1946 F:817-884-1941 http://agrilife.org/urbantarrantag

Texas A&M AgriLife Extension Service Date Stamp/Check #

Educational programs of the Texas A&M AgriLife Extension Service are open to all people without regard to race, color, religion, sex, national origin, age, disability, genetic information or veteran status. The Texas A&M University System, U.S. Department of Agriculture, and the County Commissioners Courts of Texas Cooperating *Individuals with disabilities who require an auxiliary aid, service, or accommodation in order to participate in any of our meetings are encouraged to contact our office at 817-884-1945 for assistance.