INSTRUCTIONS: One horse, rider, show per form.  Please fill in all blanks- make sure we have all pertinent information.  Abbreviations: SS= Saddle Seat, HS= Hunt Seat, WP= Western Pleasure, EP= English Pleasure, PD= Pleasure Driving, CS= Classic Saddle, CD= Classic Driving, PS= Park Saddle, PH= Park Harness, EQ= Equitation.
OWNER/ LESSEE INFORMATION: NAME:_________________________________________________________________ ADDRESS:______________________________________________________________                      ______________________________________________________________                               ______________________________________________________________ PHONE:___________________________    FAX:_______________________________ E-MAIL:________________________________________________________________ JUNIOR EXHIBITOR:_________________________________ D.O.B._____________
HORSE INFORMATION: NAME OF HORSE:_______________________________________________________ D.O.B.:___________________ AMHA REGISTRATION #:_______________________                            Stallion        Mare      Gelding
SHOW INFORMATION: NAME OF SHOW/ACTIVITY:______________________________________________ DATE:_______________   LOCATION:______________________________________
CLASS OR ACTIVITY DESCRIPTION	CATEGORY	PLACING	POINTS