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KNGHA

Kentucky Natural Gaited Horse Association

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Registration #: ___________
(office use only)

Application For Inspection or Registration

(Please Print)

Owner’s Name: _________________________________

Name of horse:

_________________________________
Name of person to be registered to: _________________________________
Address: ________________________________________________
City, State Zip: ________________________________________________
Phone: ________________ ________________ ________________
Day Evening Fax
E-Mail: _________________________________
Sex: ________________ Name of Sire: ________________
Color: ________________ Name of Dam: ________________
Height: ________________ *Please complete attached Pedigree Chart.
DOB: ________________
I ________________________________ certify that the undersign is indeed the owner of said horse and has the authority to execute and file this application and has the ability to produce further documents if needed by the association to complete the registration process.  Also certify that the information provided is accurate and complete.  The KNGHA is not liable or responsible for inconsistent data or actions inconsistent with the association’s rules and by laws, which have been provided to all members. 
___________________________________ ________________
Owner Signature Date
___________________________________ ________________
Inspector Signature Date Make Payment To:
KNGHA
Registration Fee: $75.00 P.O. Box 420
Gelding- DNA not required: $40.00 Morehead, KY 40351
Duplicate Papers: $15.00
Transfer-within 30 days: $10.00 For more information:
Non-member Transfer: $15.00 KNGHA Contacts
Please draw in markings on diagram.  Give description of markings at space below diagram.
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Pre-Registration Pedigree
The Undersigned certifies the below information is correct to the best of their knowledge.
(Please Print)

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LastModified: December 21, 2005
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