Name of Horse: _____________________________________________ 



AHSA# _______________ FEI Passport # ______________ (will be required if selected)



Date of Birth (horse) ______________________________



Name of Rider: _________________________AHSA# _______________



Address: ____________________________________________________



City: __________________________State: ________Zip:__________



Phone:__________________________Fax: ________________E:Mail __________________





Name Of Owner: ___________________________ AHSA#:_____________________



Address: ____________________________________________________



City: __________________________State: ________Zip:__________



Phone:__________________________Fax: ________________E:Mail __________________

1. Copy of Horse's Registration Papers
2. Copy of rider and owner AHSA membership cards
3. Copy of AHSA Recording
4. Copy of the front page of the horse's passport
5. Signed copy of the AHSA Code of Conduct

AND
Five-Year Old Horses
For Five-year old horses please send a minimum of TWO tests ridden at AHSA recognized shows at Second Level Test Three or Second Level Test Four. Additional tests may be submitted and are encouraged to give the committee an idea about the continued, consistent performance of your horse.

Six-Year Old Horses
For six-year-old horses please send a minimum of TWO tests ridden at AHSA recognized shows at Third Level Test Two or Third Level Test Three. Additional tests may be submitted and are encouraged to give the committee an idea about the continued, consistent performance of your horse.

Please note that if you have ridden either preliminary or final FEI Young Horse Tests, these may also be submitted.

IF YOU HAVE NOT SHOWN YOUR HORSES: You must submit a video, taken from "C", of your horse performing the FINAL FEI YOUNG HORSE TEST for the age group in which you would like to have your horses considered.

Any additioanl biographical information would be helpful such as: Was your horse a demo horse for any FEI or AHSA judge's forums? Did your horse compete in any breed show in the US or abroad?

Please sign this agreement, enclose all pertinent information and mail immediately, ( Mail to: AHSA Athlete's Services Desk, P.O. Box 83, Gladstone, NJ 07934, Attention: Cindy Stys, For Fed Ex: AHSA c/0 USET, Attention Cindy Stys, Pottersville Road, Gladstone, NJ 07934, or fax to AHSA Athlete's Services, (908) 719-7588)

I agree to the above conditions and declare all information provided is true and unaltered. I/we agree and understand that all expenses incurred are the responsibility of the competitor.

Rider and owner must sign the AHSA Code of Conduct

Rider:__________________________ Date: ________________________

Owner:__________________________ Date: ________________________