HORSE RECORDING APPLICATION
HORSE RECORDING APPLICATION
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(In order to print this application, you must click
anywhere on the application before requesting printout)
____________________________
(DO
NOT WRITE IN THIS SPACE)
(This
form must be mailed to the VHSA office with your check; or you may give it to
the show
secretary of any VHSA recognized show.
Sorry credit cards are not accepted.)
Virginia Horse Shows Association, Inc.
32 Ashby Street #204 -
Warrenton, VA 20186 *** (540) 349-0910
HORSE
RECORDING APPLICATION
NAME
OF
HORSE:___________________________________________________________________________
BREED OR DIVISION:_______________________________
REGISTRY NO.:______________________
COLOR: ____________ HEIGHT:
________ SEX: _____
FOALING DATE:________________
SIRE: _________________________________
DAM: _______________________________________
DAM’S
SIRE: __________________________________
BREEDER’S
NAME:__________________________________________________________________________
STREET: _____________________________________ CITY/STATE/ZIP
_________________________
MARKINGS:
_______________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
PLEASE
PRINT ALL INFORMATION
OWNER’S
NAME:__________________________________ LESSEE’S
NAME: ________________________
ADDRESS:
_____________________________________
ADDRESS: ______________________________
ADDRESS:
_____________________________________
ADDRESS: ______________________________
DAY
TELEPHONE NO.:(___) ______________________ DAY
TELEPHONE NO:(___)_________________
OWNER’S VHSA # _______________________________
LESSEE’S
VHSA #________________________
Horses
must be entered at shows exactly as recorded with the VHSA
I
certify that the information listed above is true and that I am the Owner/Agent
of record.
SIGNATURE OF
OWNER/LESSEE:_____________________________________
DATE:________________
(Please Check One:)
HORSE RECORDING FEES (Effective
immediately there is only level of horse recordings)
Lifetime
Recording Fee $35.00
______ In
order for a horse to be able to accrue
Change of Ownership Fee $10.00 ______
points for year-end awards, the owner of
Change
of Name Fee $10.00
______ the
horse must be a current VHSA member.
Record
Lease Fee
$10.00 ______ Only Regular
Members are able to accrue
points at Regular Rated Horse Shows and/or
in VHSA Medal Classes.
In
order for a Lease to be processed,the horse must have been previously recorded
with the
VHSA by the Owner. A copy of the lease agreement must accompany this
application.
FOR
CHANGE OF OWNERSHIP THE VHSA HORSE RECORDING CERTIFICATE OR A COPY OF THE BILL
OF SALE MUST ACCOMPANY THIS APPLICATION.