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PLTA EVENT ENTRY FORM One Form Per Llama - Duplicate as Needed - Please Print Entries are on a first come- first served basis. |
Name of Event: _______________________________________________ Date: ________
Check all that apply for this llama:o PLTA Pack Trial o PLTA Packer's Primer training seminar
Full Name
of Llama: __________________________________________ DOB: __________
PLTA Llama #: ________ Sex: Male Female Gelding/Altered ILR #: ___________
(PLTA's Registry) (Circle one)
(International Llama Registry)
o Llamas must be registered with PLTA to document results in trials. Check box to register this llama at this time. If your llama is already registered, the PLTA Llama # will be listed at www.packllama.org or contact the PLTA's Trial Database Manager by phone: (607) 674-9488 or e-mail at bvfulton@frontiernet.net
Owner's Name: _______________________________________ PLTA
Member #: _______
(Owner of Trial entries must be a PLTA Full Member; Packer's Primer entry owner may be either a Full or Associate
Member)
Farm/Ranch: _______________________________________________________________
Address: __________________________________________________________________
City: __________________________________ State: ___________ Zip: _____________
Phone: ___________________________ Email: __________________________________
I certify that all information on this entire form is correct and appropriate to the
llama listed:
Owner or Owner Agent Signature: ______________________________________________
Enter Date(s) of Packer's Primer(s) Entered: Primer 1: _________ Primer 2:__________
For Trials:Llama MUST be weighed at event OR no more than 15 days prior
to date of trial.
Weight measured by tape is not acceptable unless signed off by veterinarian.
Llama Weight (lbs) : _______ Date weighed: ________ Method used: _______________
Veterinarian Signature (if applicable) : ___________________________________________
Trial Level(s) Entered(Basic,Adv.,Master,Extreme):Trial 1: __________Trial 2: _____________
Date of Trial(s): Trial 1:__________ Trial 2: _____________
Age of Llama (in months:Trial 1: __________Trial 2: _____________
Basic: Minimum age 24 months; Advanced: Min.
age 36 months; Master & Extreme: Min. age 48 months.
Total Weight (lbs) to be carried in trial(s): Trial 1: _____________Trial
2: ______________
Basic: 24-30 months carry no added weight but must have filled out panniers.Over 30 months must carry10% of body
weight. Advanced: must carry 15% of body weight. Master & Extreme: must carry 25% of body weight.
Handler's Name: _______________________________________Age
(if under 18): ______
[Handler Must be a PLTA Full or Associate member for insurance purposes. For safety purposes, if
the Handler is under the age of 18, they MUST be accompanied by an adult (their Associate or Full Membership also required by insurance) in
the same group as the youth.]
Name of Accompanying Adult: _________________________________________________
Custodial Parent or
Legal Guardian Signature: _____________________________________
Signature of Parent or Guardian required if the handler is under
the age of 18 at the time of the event.
Handler's Address: __________________________________________________________
City: __________________________________ State: ___________ Zip: _____________
Phone: ___________________________ Email: __________________________________