BLUE EYED HORSE TRACKING REGISTRY
REGISTRATION APPLICATION
Owner Name: _______________________________________
Owner Address: _____________________________________
City: _____________________ State: ________ Zip: ____________
Phone: ______________________________
Horse Information
Name Choices must be 25 characters max.
First Name Choice: ___________________________________________
Second Name Choice: __________________________________________
Third Name Choice: ___________________________________________
*Note if horse is previously registered please put their registered name
in the first name choice. Attach a copy of registration papers.*
Date of Birth: _____________________
Sex (circle one) Mare
Stallion
Gelding
Breed of Horse: __________________________________________
Name of Breeder if known: ____________________________________
Is the horse registered with a breed registry? Yes
No
Please indicate registry. (i.e. AQHA, NSSHA, SSHBEA, APHA…)
Horses Dam: ____________________________________
Registration Number: _______________________
Does the Dam have blue eye/s? Yes No
Horses Sire: _____________________________________
Registration Number: _______________________
Does the Sire have blue eyes? Yes No
Body Color of Horse: _________________________________
Pattern: _________________________________________________
(Tobiano, Overo, Sabino, Appaloosa, Tovero, etc…)
Markings: _________________________________________________
(Scars or brands)
To be eligible for registration the horse MUST have one of the
following. Please check the appropriate line.
__Right Eye Blue
__Left Eye Blue
__Right Eye Partial Blue
__Left Eye Partial Blue
Please attach 4 photographs.
1st should be a head shot showing the blue eye/s.
2nd should be of the near side of the horse.
3rd should be of the far side of the horse.
4th should be a close up of the blue eye or eyes.
By signing below I state that I am the legal owner of said horse and have
represented this horse to the best of my ability.
Signed: ________________________________________________
Date: _________________
Membership $20.00
Registration is $20.00 for first horse $10.00 additional horses if
applications are submitted at the same time.
Please make all checks payable to:
BEHTR
619 Raiford Rd
Erwin, NC 28339
You may contact us at:
blue_eyed_horse_tracking_registry@embarqmail.com