LIMITED EXHIBITOR ELIGIBILITY CERTIFICATION ENTRY FORM

LIMITED EXHIBITOR ELIGIBILITY CERTIFICATION ENTRY FORM
Exhibitor*
Address*
City Zip*
Phone Number
Please enter a valid phone number.
Youth Birthdate

MonthDayYear
Date
Age
PHCO membership
The exhibitor must be a current member of Paint Horse Club of Oklahoma to be eligible for the APHA Limited Classes. Horse's Registered APHA Name:
Horses Registered APHA Name*
Horses APHA Registration #*
Horses Sex*
Year foaled*

EXHIBITOR ASSOCIATION MEMBERSHIPS*

	APHA	ApHC	AQHA	PHBA	PtHA	OTHER
MEMBER#

Limited Classes*

APHA YA LIMITED HALTER (NO STALLIONS)APHA AM LIMITED HALTER (ALL SEXES)APHA OPEN LIMITED HALTER (ALL SEXES)APHA AM LIMITED YEARLING LONGE LINEAPHA AM LIMITED HUNTER UNDER SADDLEAPHA OPEN LIMITED HUNTER UNDER SADDLEAPHA YA LIMITED HUNTER UNDER SADDLEAPHA AM LIMITED RANCH RAIL PLEASUREAPHA OPEN LIMITED RANCH RAIL PLEASUREAPHA LIMITED LEAD LINEAPHA YA LIMITED RANCH RAIL PLEASUREAPHA OPEN LIMITED WESTERN PLEASUREAPHA YA LIMITED WESTERN PLEASUREAPHA AM LIMITED WESTERN PLEASURE
CERTIFICATION

This is to certify that I am eligible for the Limited Class because I have not won a World or Reserve World title in ANY breed association in the last 5 years.

Signatures by the following certify that the information contained herein is true and correct.
Exhibitor Signature*

Powered by Jotform SignClear
Parent or Guardian Signature for Youth

Powered by Jotform SignClear
Date

MonthDayYear
Date
Should be Empty: