Name ________________________________________________________________________________ ____

AQHA ID # ______________________________________________________________________________

Horse's Registered Name ____________________________________ Registration # ___________________

Address _____________________________________ City ____________________ State/Province ________

Telephone Number _____________________________ E-mail Address _______________________________

Please check all classes below in which you wish to nominate for Limited Rider status:

__ Showmanship at Halter		__ Cutting		__ Working Cow Horse
__ Calf Roping		__ Breakaway Roping		__ Dally Team Roping- Heading
__ Dally Team Roping-Heeling		__ Barrel Racing		__ Pole Bending
__ Western Riding		__ Reining		__ Trail
__ Western Horsemanship		__ Western Pleasure		__ Hunter Under Saddle
__ Jumping		__ Working Hunter		__ Hunter Hack
__ Hunt Seat Equitation		__ Equitation Over Fences		__ Team Penning

Limited Rider points are awarded to Amateur exhibitor/horse combination. AQHA Members who currently hold an Amateur membership are eligible to become a Limited Rider. This program allows you to accumulate Limited Rider points in any performance class in which you have not yet earned 10 Open, Amateur or Youth combined lifetime points. The Amateur Limited Rider Program does not recognize any points earned in halter classes. Any Amateur Member who has won a world championship or placed in the top 10 at any AQHA or AQHYA World Championship Show is ineligible to compete as a Limited Rider.

Limited Rider points do not accumulate until you have received written notice of eligibility from AQHA. The High-Point Limited Rider in each class as of December 31, 2001 will win a specially-designed Montana Silversmiths belt buckle. The top 10 point earners in each class will be awarded certificates.

Please return this form to:

AQHA Amateur Department
Attention - Limited Rider Program
P.O. Box 200
Amarillo, Texas 79168
(806) 376-4888, extension 403 . (806) 349-6412 - fax