STAKES CLASS ENTRY FORM – EMO Celebration and THE BIG A

SUPER SIRES Entry Form
See website events for Added $$ Super Sires requires a minimum of three (3) entries for added money.

"*" indicates required fields

Venue & Class:*

Please SELECT Super Sires Venue & Class on lines above

ELIGIBILITY REQUIREMENTS FOR STAKES PURSE CLASSES:

*Horse must be sired by any previous or current Super Sires stallion.
*Horse must be nominated to Super Sires

Super Sires Stallions

Horse Name*

Super Sires Nomination*

Not sure if your horse is nominated? Click here to view the Nominated Foals List. Once you click the link, you will be taken to another tab. When you finish checking the nominated foals list, please return to this page to complete your entry.

Please fill all the information requested below to Nominate your Horse

Horse Nomination Form

Foaling Date*

Breed(s):*

Registration #:*

Sex:*

Dam:*

Dam's Sire:*

NOMINATION FEE SCHEDULE - LIFETIME NOMINATION

Fees are based on age of foal at time of nomination. Nominate early to avoid higher nomination fees. ALL nominated foals are eligible to compete for Stakes Purses. Breeders Purse eligibility based on stallion’s year(s) of enrollment. Please choose the applicable nomination fee below based on the age of your Super Sires foal.

Nomination Fee will include 4.5% Bank Fee at checkout:

WEANLING NOMINATION $150 - by December 31 of foaling year: $156.75 with bank fee

YEARLING NOMINATION $250 - December 31 of yearling year: $261.25 with bank fee

TWO & THREE YEAR OLD NOMINATION $350 - by December 31 of 3YO year: $365.75 with bank fee

FOUR YEAR OLD & UP NOMINATION $150 - after January 1 of 4YO year: $156.75 with bank fee

Continue with the Stakes Class information and Owner information

Owner Information

Owner Name*

First Last

Check if Owner Information is same as tab sheet or nomination form.*

Check if Owner Information is same as tab sheet or nomination form.

NSBA #*

Exp

Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone

Email*

Social Security #*

Please upload Form W-9

Accepted file types: jpg, png, jpeg, pdf, Max. file size: 2 MB.

Click here to download the Form W-9. Once you click the link, you will be taken to another tab. When you finish downloading the Form W-9, please return to this window to complete your entry.

EXHIBITOR INFORMATION

Exhibitor Name*

First Last

NSBA #*

Exp

Phone

Relationship to Owner

Back #

Contact at Show

Cell # at Show

CLASS ENTRY FEE:

$250 ENTRY FEE- Pre-Entries must be postmarked by Advertised Pre-Entry Deadline of June 10, 2023. DO NOT MAIL ENTRIES AFTER PRE-ENTRY DEADLINE.
$350 LATE ENTRY/ENTER AT SHOW - Late-Entries may be made at the show. Includes $100 Late-Fee.
REQUIRED DOCUMENTS - Please include copies of the following documents with your entry:

Papers to Include*

• Registration Certificate
• NSBA Papers
• Color Papers (if applicable)
• NSBA Owner Card
• NSBA Exhibitor Card
• Super Sires Nomination Eligibility Certificate (unless you are nominating today)

Drop files here or

Accepted file types: jpg, png, jpeg, pdf, Max. file size: 5 MB, Max. files: 7.

Nomination Fee is included in the total with the 4.5% bank fee.

Class Entry Fee with 4.5% bank fee:

Price:

Late Fee with 4.5% bank fee:

Price:

Total

Credit Card

Cardholder Name

Card Details

Phone

This field is for validation purposes and should be left unchanged.