Racking Horse Breeders' Association of America 67 Horse Center Road, Suite B
Decatur, AL 35603
(256) 353-7225

Application for RHBAA Apprentice Judges Program

Judges' Committee application.

Office / mailing: RHBAA, 67 Horse Center Road, Suite B, Decatur, AL 35603. Phone and fax (256) 353-7225.

Please do not type credit card numbers anywhere on this form.

Applicant

1 Quick fill: type the number, then last name or ZIP, then press Tab

Membership #

2 Then check or fill in the rest

Name

Address

Home phone

Work phone

Cell phone

Date of birth Tap the calendar to pick the date.

Date of becoming a member of the RHBAA Tap the calendar to pick the date.

Number of horses owned

How many Racking Horses

Primary occupation

Reference 1 name

Phone

Address

Reference 2 name

Phone

Address

Reference 3 name

Phone

Address

Reason(s) why you desire to obtain your Judges License

Signature (type your full name)

Date Tap the calendar to pick the date.

Under the penalties of perjury, I certify that the above information is true and correct.

Next: you check everything, then it is sent.