Family Registration Form-Reference Sheet For Family Owned Horse Rule

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FAMILY REGISTRATION FORM
An NCHA member may allow certain members of his/her immediate family (as
defined in that rule) to show a horse owned by that member in NCHA amateur and non-
professional events. If the horse owner/member wishes for someone in his/her
immediate family to show the horse owner/member’s horse under the provisions of Rule
51.a.4, it is the responsibility of the horse owner/ member to complete this form and file
it with the NCHA prior to any show in which an immediate family member will be
showing any horse owned by the horse owner/member. Any horse owner/member filing
this form is also responsible for filing with the NCHA any updates necessary to insure
that this form to is accurate and up to date. If this completed form is not on file with
the NCHA, no one other than the horse owner may show that horse in any amateur or
non-pro classes.
Member/Owner Name: ___________________________ Member #:_______ ___
(Please Print)
Horses:
Name as it appears on Breed registry: ____________________________________Reg#____________
Name as it appears on Breed registry: ____________________________________Reg#____________
Name as it appears on Breed registry: ____________________________________Reg#____________
IMMEDIATE FAMILY RELATIONSHIPS:
Name: ______________
Member #: __________
Relationship: _________
Name: ______________
Member #: __________
Relationship: _________
Name: ______________
Member #: __________
Relationship: _________
Name: ______________
Member #: __________
Relationship: _________
Name: ______________
Member #: __________
Relationship: _________
Name: ______________
Member #: __________
Relationship: _________
Name: ______________
Member #: __________
Relationship: _________
Name: ______________
Member #: __________
Relationship: _________
Date:
Signature: ________________________________________________________
RECEIVED BY NCHA:

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