POOKy Youth Challenge Trophy
2011 Nomination Form
Horse:___________________________________ Age_________
Breed (if applicable)________________________ Mare or Gelding
Color_____________________________ Own or Lease__________
Youth Name_________________________________ Age________
Parent/Guardian_________________________________________
Address:_______________________________________________
City_______________________ ST________ Zip_____________
Phone:________________________________
Email__________________________________________________
Youth Signature____________________________________________
Parent/Guardian Signature____________________________________
Date______________________
Please mail this form along with a copy of the horses registration (if not registered, send one clear side photo of the horse), plus a copy of the Youth’s POOKy member to the following address:
Caryn Vecchio, P.O. Box 604, Paris, KY 40361