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Name of Owner PLEASE PRINT (SAME NAME AS ON REGISTRATION PAPERS & W9) PO Box 250 Blackfoot, ID 83221 Membership Number Exhibitor # (office use only) MONDAY 9/1/14 GAINED HORSE ENTRY FORM ENTRY FEE:

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Proceed to the incident details section. In this section, provide a clear and concise description of the event or incident that occurred on Monday. Include specific details such as the nature of the incident, the individuals involved, and any witnesses if applicable.

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