PA Palomino Exhibitors Association COMPETITION REPORT FORM

This report covers one (1) horse/rider and one (1) show only, and must be completed in its entirety.
Show class schedule MUST be included with this form. Must be postmarked within 10 days of the show.
Complete & send to    PPEA,   6093 Pleasant Valley Road,   Irwin, PA 15642

To be filled out by exhibitor:

Horse's name_____________________________ PHBA/PHA reg. #_____________

Exhibitor's name___________________________________ Adult or Youth _______

Name of show_____________________________________ Date_________________

Location_____________________ Sponsoring Organization___________________

Judge's name____________________________________________________________

Name of class Category Placing # of entries

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use reverse if needed

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Dear Show Manager, THANK YOU for signing this form so that this PA Palomino Exhibitors Assn. member can receive credit for your show!
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I/we, the undersigned, do hereby certify, that the above horse/rider listed on this report did, in fact, enter and place in the class(s) described above.

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Exhibitor's signature & Date                                                                           Horse Owner's signature & Date

I confirm that the above did compete as stated above and I can and will provide formal verification of placings if requested by the PPEA.

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Show manager/secretary signature Date Phone #

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Show manager/secretary address

****THIS FORM IS TO BE PHOTOCOPIED FOR EACH SHOW****