GCPHC/TOVO BREEDERS HIGH STAKES FUTURITIES MARE NOMINATION FORM-2011

Mare Name________________________________________________________________

Stallion bred to: ____________________________________________________________

Owner/Lessee________________________________________________________________

Address_____________________________________________________________________

City_______________________________ State___________________Zip_______________

email_____________________

                                $60   Mare  Fee Due March1^st, 2011

$120 Mare  Fee Due March 2^nd  thru May 1^st  2011

$180 Mare Fee Due May 2^nd  thru August 15^th  2011

The Green Country Paint Horse Club/TOVO Breeders High Stakes Futurities will not be responsible for any

accident that may occur to any exhibitor, equipment, or horses.  Signing of this form waives any and all claims

against the GCPHC/TOVO or the management of any of their sponsored futurities.  In signing this form, the under

signed acknowledges that they have read and agree to abide by the rules and regulations of the GCPHC/TOVO.

Signature of Owner/Lessee____________________________________Date______________

Rec’d By_____________________Amount_________ Check #________Date____________

                               Return to : TOVO–507 N. Sara Road, Mustang, OK  73064

                                                                   405-314-3588

Make checks payable to: GCPHC, TOVO Futurity