Regional Race Nomination / Sustaining Form

FOR OVERNIGHT DELIVERY TO AQHA: 1600 QUARTER HORSE DR, AMARILLO, TX 79104 • MAILING ADDRESS: P.O. BOX 32892, AMARILLO, TX 79120

806 - 349-6402

EMAIL TO: •

✆

877-222-7223 •

FAX:

MAKE CHECKS PAYABLE TO: BANK OF AMERICA RACING CHALLENGE

$200

$2,500

NOMINATION FEE

Late Penalty Fee –

Due on the same date as the sustaining fee if you

missed the nomination deadline.

$600

SUSTAINING FEE FOR CHAMPIONSHIP, DERBY, DISTAFF AND DISTANCE

$5,000

Time of Entry –

(Payment taken at track if the Nomination, Sustaining or

$100

NOMINATION FEE

Late payment was not received)

$400

SUSTAINING FEE FOR JUVENILE CHALLENGE

See current Bank of America Challenge race schedule for payment deadlines. Always verify entry procedures with the host track.

Regional race schedule is subject to change without advance notice.

AQHA REGISTRATION NUMBER

HORSE’S NAME

Foal Year _____________________ Dam’s Name ______________________________________________________________________________________________________________

TRACK

RACE

●

03,11 AJAX DOWNS

06 REMINGTON PARK

●

1 BANK OF AMERICA CHAMPIONSHIP CHALLENGE

3-year-olds and up; 440 yards

●

04 ALBUQUERQUE

03 RETAMA PARK

●

2 ADEQUAN DERBY CHALLENGE

●

08 ARAPAHOE PARK

04 RUIDOSO DOWNS

3-year-olds; 400 yards

●

22,99 CANTERBURY PARK

07 SAM HOUSTON

4 JOHN DEERE JUVENILE CHALLENGE

●

05 EMERALD DOWNS

04 SANDY DOWNS

2-year-olds; 350 yards

●

09 EVERGREEN PARK

05 SUN DOWNS

●

10 HIPODROMO

04 SUNLAND PARK

●

5 MERIAL DISTAFF CHALLENGE

Fillies/Mares 3-year-olds and up; 400 yards

●

03 LONE STAR PARK

08 TURF PARADISE

●

01 LOS ALAMITOS

01,06 WILL ROGERS DOWNS

●

6 DISTANCE CHALLENGE

02 PRAIRIE MEADOWS

●

3-year-olds and up; 870 yards

You must be an AQHA member in good standing to enroll a horse in the Bank of America Racing Challenge, or to nominate a horse to any Racing Challenge,

Bonus Challenge or Maiden Challenge race. If you are not a member, you may include your membership with this nomination to join now.

CHAMPIONSHIP • DERBY • DISTAFF • DISTANCE

JUVENILE

AQHA MEMBERSHIP (REQUIRED)

●

$200

●

$600

●

$2,500

●

$100

●

$400

●

$2,500

●

$40

●

$85

●

$750

Select Fee:

(1 yr)

(3 yrs)

(Lifetime)

TOTAL $ ___________________________________________

Owner ________________________________________________________________________________________

AQHA ID#

Owner’s Street Address ____________________________________________________________________________ City/State/Zip ___________________________________________

Daytime Phone __________________________________________________________________________________ Fax ___________________________________________________

Email Address ___________________________________________________________________________________________________________________________________________

Trainer’s Name __________________________________________________________________________________________________________________________________________

I hereby request that the above described horse be accepted as

●

IF PAYING BY CREDIT CARD, PLEASE COMPLETE THE FOLLOWING:

CHECK

MONEY ORDER

eligible for participation in the American Quarter Horse Association’s

AMERICAN EXPRESS

MASTERCARD

VISA

Racing Challenge, and agree to be bound by all rules and conditions

of the program, together with amendments thereto, and AQHA’s

decisions regarding the programs’s implementation.