MTAHA High Point Nomination Form

Please fill out one form per horse. All entries will be checked for membership validation.

Member Information:

First Name

Last Name

Home Phone

E-mail

Address

Check one: Adult Amateur
Youth
Professional

Age
(for youth
members only)

Date:

Horse Information:

Full Name

Registry #

Breed: Arabian Half-Arabian

Divisions (check all that apply):

Western
English/Show Hack
Dressage
Hunter/Jumper
Halter/Showmanship
Competitive Trail/Endurance
Sport Horse
Recreational Trail Rider
Recreational Trail Horse
Miscellaneous

MTAHA/AHA members - FREE
MTAHA Supporting members - $15 Adult, $10 Youth
MTAHA Social members - $15 Adult, $10 Youth

AFTER SUBMITTING FORM PLEASE EMAIL A COPY OF HORSE'S REGISTRATION PAPERS AND/OR CHECKS TO FCZARA@HOTMAIL.COM
OR MAIL TO SHANNON KIMES, 555 SWEETWATER BRANCH RD, WAYNESBORO, TN 38485

*First Name*
*Last Name*
*Home Phone*
*E-mail*
*Address*
*Check one:*	Adult Amateur Youth Professional
Age (for youth members only)
*Date:*

*Full Name*
Registry #

*Breed:*	Arabian Half-Arabian