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2015 Scholarship Registration Form
SPONSORED BY MARKEL INSURANCE COMPANY
Youth National Arabian & Half-Arabian Championship Horse Show,
Markel Scholarship Declaration Form
Champion Receives $3,500 • Reserve Champion Receives $1,500*
*REGION 7, REGION 10 & REGION 15 SHOW CHAMPIONS RECEIVE $750 • RESERVE CHAMPIONS RECEIVE $250
The form must be completed and submitted to the show office up until the day of the show
or sent in with your show entries. Eligibility requires one horse/rider combination and will be
based upon points won in three classes with that same horse/rider combination.
NO SUBSTITUTIONS OF HORSES/RIDERS/CLASSES WILL BE ALLOWED.
NAME OF HORSE____________________________________________________________________________________________________________________________________________________
NAME OF RIDER_____________________________________________________________________________________________________________________________________________________
ADDRESS________________________________________________________________________________________________________________________________________________________________
CITY_______________________________________________________________________________________ STATE_____________________________ ZIP___________________________________
PHONE NUMBER___________________________________________________________________________________________________________________________________________
SHOW ENTERED:
CLASS ENTERED:
SHOWMANSHIP CLASS #
EQUITATION CLASS #
PLEASURE CLASS #
_________________________
_________________________
_________________________
_________________________
Contact:
Kimberly Douglas
[email protected]
More information: arabianhorseinsurance.com
Please note:
Classes must be designated
at times of entry into the
scholarship program, once
you have designated your
classes, you may not change.
Office Use Only:
HORSE #____________