2026 Oklahoma Futurity & Derby Nomination Form

Oklahoma Futurity (For 2-year-old foals of 2024)Oklahoma Derby (For 3-year-old foals of 2023)

Please enter horse information in the table below:*

Rows	Horse Name	Foaling Date	Sex	Sire	Dam
1.
2.
3.
4.

Owner:*

Email for submission confirmation:

example@example.com

Phone:*

Please enter a valid phone number.Format: (000) 000-0000.

Address:*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Trainer Name:

First NameLast Name

Trainer Phone:

Please enter a valid phone number.Format: (000) 000-0000.

Signature:*

(Owner or Authorized Agent)

Date:*

Mail a check to OQHRA: PO Box 2907, Edmond, OK 73083 (Please mail separate check for membership)Credit Card (3.5% service charge) - Email card info to mckenzie.l@oqhra.com or call the office at 405-216-0440

EMAIL FOR PAYMENT RECEIPT

example@example.com

CHECK HERE IF YOU WOULD LIKE TO BE SET UP ON AUTOMATIC RECURRING PAYMENTS

If you would like to pay for membership online you can do so at this link: https://form.jotform.com/203096576538061

Race Conditions available upon request and will be provided at the time original nomination is received. Please retain a copy for your records. 13% from payments deducted for A&A. All added money, dates and conditions are subject to OHRC approval.

If you have any questions call OQHRA at 405-216-0440 or oqhraoffice@oqhra.com

For more information visit www.oqhra.com

To receive payment reminders, text "RaceOK" to 405-266-9219