Each Exhibitor/Horse combination must be nominated. Include all exhibitors’ names including youth and selection for both registries on this form. (1 form per horse) Please enclose copy of registration papers.

Owner Name

_______________________________________________________

Address

_______________________________________________________

City, State, Zip

_______________________________________________________

Phone Number

_______________________________________________________

Name of Person(s) Exhibiting Horse

_______________________________________________________

Horse's Name

_______________________________________________________

Registration Number

_______________________________________________________

AMHA
Division

AMHR-A
(Under) Division

AMHR-B
(Over) Division

Weanling/Yearling Halter

$_______

$_______

$_______

2 Year Old Gelding

$_______

$_______

$_______

Senior 32" & Under

$_______

$_______

$_______

Senior 32"-34"

$_______

$_______

$_______

Senior 34"-34"

$_______

$_______

$_______

Amateur Halter

$_______

$_______

$_______

Open Pleasure Driving

$_______

$_______

$_______

Amateur Pleasure Driving

$_______

$_______

$_______

Open Country Pleasure Driving

$_______

$_______

$_______

Amateur Country Pleasure Driving

$_______

$_______

$_______

Open Roadster

$_______

$_______

$_______

Amateur Roadster

$_______

$_______

$_______

Obstacle Halter

$_______

$_______

$_______

Amateur Obstacle Halter

$_______

$_______

$_______

Open Hunter

$_______

$_______

$_______

Amateur Hunter

$_______

$_______

$_______

Open Jumping

$_______

$_______

$_______

Amateur Jumping

$_______

$_______

$_______

Showmanship

$_______

$_______

$_______

Liberty

$_______

$_______

$_______