Central Carolina Western Horseman Association

Horse Registration Form 2008 Season

Current Neg. Coggins Required For Each Horse to be Shown

Name of Horse:_________________________________________________________
(It is very important that you always use the same name as noted above through out the show season on all entry cards) *Failure can result in no points being given for a class*
Breed:__________________________ Year Foaled:____________________________
Mare ( ) Stallion ( ) Gelding ( )
Color and Markings: ________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Owner's Name: _________________________________________________________
Owner's Address: _______________________________________________________
Owner's Telephone Home____________________Work____________________
(Please include area codes for both numbers)
Exhibitor's Name (s) _____________________________________________________
Address if different from owner: _____________________________________________
_____________________________________________
Email address in case we need to contact you:__________________________________
Signature: ___________________________
Date: ___________________________

!! Important!! Both owner and all exhibitors must be paid members of the Association for points to count toward year end awards. See official handbook for additional rules on point accumulation and horse ownership.

**** Please return to Points Secretary****

Paula Murray Date membership paid: ___________________

2120 Gills Mountain Rd.

Virgilina, Va. 24598 Exhibitors date paid: ____________________

(If different from owner)

Secretary initials ______

Treasurer initials ______

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