FQHR Amateur Card Application

Please Print and Mail to:
Box 230
Sterling, CO. 80751
(970) 522-7822

 By signing below, I verify that:
1.1 have read the rules and regulations that govern the FQHR Amateur and Novice Amateur status card. I hereby affirm and agree by this application, to comply with the rules and regulations of the FQHR as written and contained in the FQHR Official Rule Book, as it is updated by necessity.

2. If for any reason I become ineligible to exhibit in Approved Amateur or Novice Amateur classes, I understand it is my duty to voluntarily and immediately return my card and refrain from further exhibition in those classes.
 

3.1 acknowledge that for violation of FQHR rules, I may be subject to disciplinary action and/or revocation of points and awards both for my horse and myself.
 

4. Select appropriate status and sign below:

                       FEE $10.00 EACH

AMATEUR _________________________________________
                                    signature                                     date      

AMATEUR NOVICE ______________________________________
                                                    signature                                date

Name ______________________________               fqhr#_________
                         print or type
 

Address ______________________ State _________ Zip

Phone .______________________                Credit #_______________________ exp________