2023 Virginia Paint Horse Club Futurity Entry Form (One Horse Per Form)
Find all show information online at: https://virginiapainthorseclub.org/virginia-color-classic-futurity-show/
All required documents (registration papers, membership form & W-9) must be emailed to vphcfuturity@gmail.com or mailed with check to: VPHC, 5713 Honilea Drive, Broad Run, VA 20137. Please bring a copy of coggins certificate to the show office (Virginia state reporting requirement).
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I have read and understand the 2023 VPHC Futurity Rules found in the 2023 VPHC Futurity Entry Packet found here: https://virginiapainthorseclub.org/wp-content/uploads/2023/08/2023-Futurity-Entry-Packet-DRAFT-8.3.23.pdf *
Back Number (will be confirmed by show secretary)
Entry Deadline/Fee (per class) *
Required
If using a Stallion Owner Free Entry, please list the name of the stallion.
Total Number of Classes *
Total Entry Fees *
Method of Payment *
Would you like to be a show sponsor? 
*All sponsorship money will be paid back to exhibitors through added money classes
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Horse Registered Name *
Foaling Year *
Horse Breed *
APHA Registry Status (if applicable)
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Horse Registration Number *
Was this horse foaled in Virginia? *
Sire's Name *
Dam's Name *
Name of Person Receiving Payout Check (must submit a completed W-9) *
Address of Person Receiving Payout Check *
Email of Person Receiving Payout Check *
Phone Number of Person Receiving Payout Check *
Owner Name (if different from person receiving payout check)
Owner Email (if different from the person receiving payout check)
Owner Phone Number (if different from the person receiving payout check)
Open Exhibitor
Non-Pro Exhibitor
Other Exhibitor (please specify classes)
Color Classic Futurity Classes
Virginia Bred Futurity Classes
Please list the corresponding APHA or All-Breed (for AQHA/ApHC/JC horses) class(es) you will enter (including class name & number) *
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