The American Trakehner Association APPLICATION FOR EXCEPTIONAL/PERFORMANCE HORSE AWARD (Review Rules for Exceptional Designation) Registered Name of Horse: Show Name (if different): Sire: Registration #: Dam: __ Dam’s Sire: ______________ Breeder: ________________________________________________________ Owner(s): Address: City/State/Zip: Phone: E-mail: Applying for: ______ Bronze Performance Designation ______ Silver Performance Designation ______ Gold Performance Designation` ______ Elite Mare Status Please fill this form out online, print it and attach, documentation and/or performance results obtained from an outside source such as US Equestrian Federation, United States Dressage Federation, United States Eventing Association, Canadian Equestrian Federation, etc. Please send results to the ATA central office even if you have already sent them for another ATA program. Signature: __________________________________ Date Send to: American Trakehner Association, 663 Hopewell Dr, Heath, OH 43056 American Trakehner Association 663 Hopewell Dr, Heath, Ohio 43056 TEL: 740-344-1111 FAX: 740-344-3225 email: ata@americantrakehner.com