ENTRY FORM
Name:__________________________________________________
 
Address:________________________________________________
 
City/State/Zip____________________________________________
 
______Check here if you prefer to receive your results by Snail mail (Please enclose an SASE).
 
Email___________________________________________
 
Phone(         )                                                                   
 
         Entry Fee (s):
 
 
 
________________Halter only Fee-------$25.00
 
________________Performance only Fee---$25.00
 
________________ Flat Entry Fee------$50.00
 
________________Vendor Only Table Fee---$10.00
                    Proxy and Per model Fee:  If entering 4 or less models per shower in any division only, or If having someone Proxy your models, The Fee is $5.00 per model.   # of models x $5.00  (Example 5 models X $5.00 = $25.00)
TOTAL FEE(S) ENCLOSED                                    
Please make checks and money orders payable to Dawn Clute. Mail completed entries, along with a list of models entered(Name, Breed, Sex, Divisions entered, If this is not followed the model will not place.   And If applicable their Region 1 tag Saver numbers) to:  If you do not have a Tag Saver number please let the showholder know and a number will be given to you for this show.
                                  M5VMHS
 
Attn:  Dawn Clute
       
       31488 Mount Harding ln.
         
         Ronan, MT     59864
 
Phone: (406) 644-2580
 
If you have any Questions, Please Feel Free to Call Me or Email me at  dclute@hughes.net     Thats Why I am Here.
          By signing this form and attending, I hereby release Dawn Clute,  Missoula 5 Valley Model Horse Show, The Tribal Community Center and the City of ST. Ignishis harmless from any loss or damage or theft to my person or my personal property during show activities. The Show holder, The Tribal Community Center, and City of ST. Ignishis are not responsible for lost items, damage of theft to any items. Signed entry form is required from each shower before the show starts.                                                                  Signature                                                                  .Date                                If entrant is a minor, a Parent/Guardian must sign.                                               Please print name signed.                                                                               
IF YOU HAVE SENT IN YOUR ENTRY BUT FIND YOURSELF UNABLE TO ATTEND THE SHOW, A REFUND OF 90% OF THE TOTAL FEES PAID WILL BE GIVEN, IF THE SHOWHOLDER IS NOTIFIED AT LEAST 2 WEEKS PRIOR TO THE DATE OF THE SHOW. CANCELLATIONS AFTER THIS WILL BE GIVEN A 50% REFUND OF ALL FEES PAID. NO EXCEPTIONS!!!!
The entry fee's pay for the show hall rental fees, ribbon/rosette/trophy fee, As well as for some of the other prizes at the show, NAMHSA menbership fee, printing, mailing. and other costs involved in putting on the show.
If you are going to donate to the auction or as a raffle item, Please email me about it. All donators will receive a special prize.