THE AMERICAN HOLSTEINER HORSE ASSOCIATION, INC.

National Holsteiner Awards Program

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Year____________

EVENTING REPORT

NAME OF SHOW OR EVENT:_______________________________________________

LOCATION:________________________________________ Date:__________________

Owner's Name: __________________________________  USA Eques.#______________

Address:__________________________________________________________________

Registered Name of Horse: ___________________________________________________

Show name (If applicable):  __________________________________________________

Horse's USA Eques. # _____________________

Rider:_____________________________________________________________________

LEVEL COMPLETED:_______________________________________________________

COMPLETION SCORE:_____________________________________________________

JUDGE:__________________________________________________________________

This show is rated as:  _____________________________

I hereby attest to the authenticity of the above scores.

Show Secretary:  __________________________________  Date:  ___________________

Return this form to: A.H.H.A. Awards Program, 222 E. Main St., Suite 1, Georgetown,  KY  40324

THIS FORM MUST BE SIGNED BY THE SHOW SECRETARY