Membership Form

Bluegrass State ApHC Membership Renewal 2006

Name________________________________ApHC #______________

Address______________________________PH: (____)___________

City_________________________________State_____Zip_________

Other Family Members

Spouse______________________________ ApHC #______________

Children______________________________ApHC #______________

______________________________ApHC #______________

email address:_________________________Publish? yes____no____ If you have a web site, would you like it listed in our annual directory &

on our web site? yes___no___

Web site address:__________________________________________

Membership Fee

Family & Single $20.00

Regional Point Nomination

Includes all horses $10.00

Open Show Division

Per Horse $5.00

#________Show, #________Saddle Log,

#________Trail / Endurance.

Check #_________Total Paid $___________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

RECEIPT (Please keep returned receipt for your records.)

NAME: ___________________________________________

ADDRESS:_________________________________________________________

PAID:_________________ MEMBERSHIP: ________________

REGIONAL POINT FEE: ________________

OPEN NOMINATION TOTAL:_________________

TOTAL PAID:_________________

SECRETARY______________________________DATE__________________

Bluegrass State ApHC

1660 Bondsmill Rd

Lawrenceburg, KY 40342

BLUEGRASS STATE ApHC

2006 YEAR END & WORLD POINT ENROLLMENT FORM

This form must be completed and submitted to the Point Keeper ( Terri Crabtree )

before any points will be tabulated for the World Qualifying Tickets and Year End Awards.

Registered Owner must be Current BGSApHC Member.

Horses Name:______________________________________________________________________ ApHC #_______________

Reg. Owner Name: __________________________________________________________________

Address____________________________________________________________________________________________________

Phone #________________________

Mail To: TERRI CRABTREE

790 HOWSER ROAD

SMITHS GROVE KY 4217

SEND RESULTS WITH ATTACHED SHOW BILL WITHIN 10 DAYS OF SHOW TO:

BGSApHC POINT KEEPER

Terri Crabtree

790 Howser Road

Smiths Grove KY 42171

Bluegrass State ApHC Exhibitors Report

Horses Name___________________________________________________________ Reg #_______________________

Owner Address:______________________________________________________________________________________

Exhibitor: Address:____________________________________________________________________________________

Show Name _____________________________________________________________________Date _________

Show Location:______________________________________________________________________

Judges: A)__________________________________ B)__________________________________________

C)__________________________________ D)__________________________________________

Placings

Class # Class Name # In Class A B C D

______ _______________________________ _______ _____ _____ _____ _____

This form has been completed to the best of my ability. As the owner or exhibitor I realize that these points are just a report and will be cross checked with the show secretary and the final show report.

________________________ __________________ __________________________

exhibitor/owner date show secretary