Horse’s Name______ Registration Number_

Owners Name________________

Name of Show________________ Show Date____________________

Judges Name_________________ Show Location________________

Name of Class Placing # of Entries

__________________ _________ __________

__________________ __________ _____________

Exhibitors Signature Date Phone Number

__________________ __________ _____________

Owners Signature Date Phone Number

______________________ __________ _____________

Show Manager/Secretary Date Phone Number

Signature

_______________________________

Show Mngr/Secretaty Printed Name

For points earned to be counted, the Exhibitor Report must be sent to the point’s keeper within one month of the show.

Horse’s Name________________ Registration Number___________