2012 Horse Registration

Reminder: Horses must be registered in order for points to count towards year-end awards.    The horse's owner must be a current ETHJA member for points to count.

Date :_____________

Horse's Name: __________________________________________________________                                                                                                         

Horse:______  Pony:_______   (Check One)


Owner's Name:__________________________________________________________


Address:________________________________________________________________


City:______________________     State:________________  Zip:_____________


Please circle one:      Annual Registration       Owner  Change       Name Change           
                                              $10.00                             N/C                        $10.00                   
               
Lease:   Included in Annual Registration

If this is a name change ($10.00), please indicate name horse was previously registered under:



If this is an owner change, please indicate name of previous owner: ( If horse is leased please indicate owners name) Please Check : Lessee______  Previous Owner______
Lessee must be a member for points to count.


Reminder: $10.00 Horse registration fee is an annual fee and all owner and name changes must be declared for points to count towards year-end awards.

Please return registration form along with check payable to ETHJA to:

John Kearns
3015 West Gallaher Ferry Rd.
Knoxville, TN 37932