AK – CMK 2009
August 29, 2009
A Presentation of Al Khamsa and CMK Horses, Deschutes County Fairgrounds & Expo Center
Please Print
Name of Horse________________________Reg #_______Age________Sex___Color__________
Sire _____________________Dam_____________________Al Khamsa?________CMK?________
Owner____________________________Telephone________________Email__________________
Address__________________________________City____________________________________ State/Province, Country, ZIP_________________________________________________________ Handler/Rider_______________________If under 18, parent/guardian must sign consent form below)
DESCRIPTION: On a separate piece of paper, please give a brief, non-commercial description of this horse for use by the announcer. (No sales prices or stud fees). Include information about your breeding program. PLEASE include: WHY I LIKE THIS horse and/or I like this/these bloodlines.
HORSE TO BE PRESENTED (select one):
•In hand with others of same or similar breeding group if available_______________________________
•Performance: __________________(Specify type – supply description and/or your own music, if desired)
•Special exhibit ________________(Time permitting – please provide details and time needed ________)
• At Liberty (supply your own music – time limit 5 minutes) __________________________________
• Will you allow your horse to be used as example in Form & Function Forum? ____________
Handler attire should be neat and clean. Any style of humane halter is permissible. Horses are to be presented in a relaxed manner. Whips may be carried, but must be held in the down position and horses may not be posed using a whip.
Fantasia Eligibility Information
Horses must be either Al Khamsa and/or CMK eligible.
I hereby consent to the entry of my child/ren or ward/s name/s and age/s
_______________________________________________________________________and certify that I have read and agree to the foregoing statements of liability and hereby accept responsibility thereunder for the participation of said minor/s.
TACK STALL FOR THIRD OR SUBSEQUENT NIGHTS FEE US $15.00/night
Robbi Pruitt .......6287 NE 33rd..... Redmond, OR 97756 541-548-2088........robbi@canyonsideranch.com
PLEASE MAKE CHECKS PAYABLE TO: CenPAK, Inc.