HORSE ID APPLICATION - AMERICAN ROAD HORSE & PONY ASSOCIATION

1)     HORSE INFORMATION (please print)

Show Name of Horse: _______________________ Breed or combination of Breeds: _____________

Foal Date: ____________    Height:____________________________

Sex:     Stallion        Mare        Gelding

Color:    Bay        Chestnut            Grey        Black        Roan     Brown       Sorrel       Appaloosa     Paint        Pinto

            Dun           Palomino        Buckskin       Cremello      Albino     White

Markings:_______________________________________________________________________

Registered Name: ______________________________________________________

Registration # (If it has one): ___________________________________

Known Previous Show Names:_________________________________________________

Microchip: _____________  Tattoo #: ______________________   Freeze Brand : Y or N

2)    PEDIGREE INFORMATION (if known)

Sire: ______________________________ Breed: ______________ Reg. #:__________

Dam: _____________________________Breed: ______________ Reg. #: __________

Dam’s Sire: _________________________ Breed: ______________ Reg. #: _________

Breeder’s Name: ______________________________________________________

3)    PREVIOUS OWNER’S INFORMATION (if known)

Owner Name: _________________________________________ ARHPA #: _________

Address: ________________________________________

Email: ______________________________________________________

4)    CURRENT OWNER’S INFORMATION

Owner Name: ________________________________________ ARHPA #: __________

Address: ______________________________________________________

Email: ______________________________________________________

 

By Submitting this application, I agree to abide by all ARHPA and USEF rules and verify that all information is correct.

Signature: ________________________________________________          Date: _____________

Select One:    Owner        Trainer        Agent

Send to: ARHPA 2755 Bunten Rd.  Duluth, GA 30096

OFFICE USE ONLY:    Number Issued: ________________     

Certificate Issued:    Yes     No