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 Youth(s) Exhibiting Horse

_______________________________________________________

Horse's Name

_______________________________________________________

Registration Number

_______________________________________________________

AMHA
Division

AMHR-A
(Under) Division

AMHR-B
(Over) Division

Youth Halter

$_______

$_______

$_______

Youth Country Pleasure Driving

$_______

$_______

$_______

Youth Pleasure Driving

$_______

$_______

$_______

Youth Roadster

$_______

$_______

$_______

Youth Obstacle Halter

$_______

$_______

$_______

Youth Hunter

$_______

$_______

$_______

Youth Jumping

$_______

$_______

$_______

Youth Showmanship

$_______

$_______

$_______

Liberty
Youth must be the exhibitor-
the one to catch & release

$_______

$_______

$_______