GCPHC/TOVO BREEDERS HIGH STAKES FUTURITIES–STALLION LISTING FORM–2011

Stallion Name________________________________________________________________

Owner/Lessee________________________________________________________________

Address_____________________________________________________________________

City_______________________________ State___________________Zip_______________

email____________________________

                                $125  Stallion Listing Fee Due December 31^st, 2010

$250 Stallion Listing Fee Due January 1^st thru 31^st 2011

$375 Stallion Listing Fee Due February 1^st thru 28^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.

STALLION LISTING FEE PAID BY ANYONE OTHER THAN THE STALLION

OWNER/LESSEE REQUIRES STALLION OWNER/LESSEE PERMISSION IN WRITING.

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