THE AMERICAN HOLSTEINER HORSE ASSOCIATION, INC.

National Holsteiner Awards Program

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Year_______

 JUMPER SHOW REPORT

NAME OF SHOW OR EVENT:_________________________________________________

LOCATION:_________________________________________Date:___________________

Owner's Name:________________________________   USA Eque.#___________________

Address:____________________________________________________________________

Registered Name of Horse: _____________________________________________________

Show name (If applicable):  ____________________________________________________

Horse's USA Eques.# _____________________

Rider:_______________________________________________________________________

CLASS                            LEVEL                    PLACING                            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