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Application for Registry American Gaited Spotted Mountain Horse ® Stallion ____Mare _____Gelding ______ Foal Date__________________________________ Color:_____________ Markings:_________________________________________________ As of January 1, 2014, the following horses are eligible for AGSMH registration: 1) Spotted horses whose parents are both registered AGMH/AGSMH OR 2) Spotted horses, regardless of registry of the parents, that can be shown by credible evidence to have at least 50% Mountain Horse Heritage Ancestry (defined below), with the remaining percentage being gaited stock. Spotted horses that are registered with a gaited registry that requires certification of gait and has passed Certification. Spotted gaited horses that are not currently registered by a registry that requires gait certification must send a video showing a 4 beat lateral gait either at liberty (if too young to be ridden) or under saddle . 1. Registration of a horse currently registered with existing Registries: NAME Requested (if this horse has multiple registered names, please state the preferred name): _____________________________________________________________________________ Enclose copies (front and back) of certificates with all Mountain Horse registries. 2. Registration of horse not currently registered in another registry: Name(s) requested (list three in order of preference): __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Sire’s Name:________________________________________________________________________ RMHA #___________ MPH#____________AGMH#___________ KMSHA#_________SMHA# _______ Other breed registration name and #____________________________________________________ Dam’s Name:_______________________________________________________________________ RMHA #__________ MPH#____________AGMH#___________ KMSHA#__________ SMHA#_______ Other breed registration name and #____________________________________________________ (Enclose proof of sire and dam’s registration(s) with all registries) 4. List all World or International Championships, Superhorse, Sam Tuttle, Versatility, High Point and other similar level awards in all Mountain Horse associations won by the Horse applied for, stating the title, organization and year(s). These awards will appear on the Certificate. __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 5. DNA Requirements: Any horse registered with RMHA or MPHA is not required to provide separate DNA for AGMH registration, but should enclose a copy of the U.K DNA testing results.

American Spotted Mountain Horse Registration

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American Spotted Mountain Horse Registration

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Application for Registry

American Gaited Spotted Mountain Horse ®

Stallion ____Mare _____Gelding ______ Foal Date__________________________________

Color:_____________ Markings:_________________________________________________

As of January 1, 2014, the following horses are eligible for AGSMH registration:

1) Spotted horses whose parents are both registered AGMH/AGSMH

OR

2) Spotted horses, regardless of registry of the parents, that can be shown by credible evidence to

have at least 50% Mountain Horse Heritage Ancestry (defined below), with the remaining

percentage being gaited stock.

Spotted horses that are registered with a gaited registry that requires certification of gait and

has passed Certification.

Spotted gaited horses that are not currently registered by a registry that requires gait

certification must send a video showing a 4 beat lateral gait either at liberty (if too young to be

ridden) or under saddle .

1. Registration of a horse currently registered with existing Registries: NAME Requested (if this horse has multiple registered names, please state the preferred name): _____________________________________________________________________________ Enclose copies (front and back) of certificates with all Mountain Horse registries.

2. Registration of horse not currently registered in another registry: Name(s) requested (list three in order of preference): __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Sire’s Name:________________________________________________________________________ RMHA #___________ MPH#____________AGMH#___________ KMSHA#_________SMHA# _______ Other breed registration name and #____________________________________________________ Dam’s Name:_______________________________________________________________________ RMHA #__________ MPH#____________AGMH#___________ KMSHA#__________ SMHA#_______ Other breed registration name and #____________________________________________________ (Enclose proof of sire and dam’s registration(s) with all registries) 4. List all World or International Championships, Superhorse, Sam Tuttle, Versatility, High Point and

other similar level awards in all Mountain Horse associations won by the Horse applied for, stating the

title, organization and year(s). These awards will appear on the Certificate.

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

5. DNA Requirements: Any horse registered with RMHA or MPHA is not required to provide separate

DNA for AGMH registration, but should enclose a copy of the U.K DNA testing results.

Fillies/Mares or Colts/Stallions not yet registered with a DNA sharing registry, or who are registered

solely with a non-sharing registry, must submit a DNA kit (or hair) and fees with this application.

Geldings must provide DNA for I.D. purposes, and must prove parentage to any Heritage Ancestry

(defined below) that is declared.

Any declared Heritage Ancestry parentage must be proven by DNA before an AGMH® Certificate can be

issued. Proof of parentage to any non-Heritage Ancestry parent is not required.

6. Include four color photos --- front, back, and both sides. A picture will be added to your certificate. If

you have a preferred picture, please mark your choice clearly.

The undersigned hereby certifies the statements on this application are true and complete, and

requests that an AGMH® certificate showing information on all registries be issued.

By signing this application, the owner/applicant agrees to abide by all AGMH®/UMH Rules and

Regulations.

Applicant signature:_____________________________________________Date:__________________

Applicant name printed/typed:___________________ Applicant is owner ____Agent for owner______

How ownership is to be held/shown on papers: ____________________________________________

Owner’s address:_____________________________________________________________________

Owners’s Phone(home):_______________(cell):_______________ E-mail:_______________________

A DNA kit can be purchased from AGMH® for $43.00. Alternatively, applicants may pull 20-30 tail hairs

with root bulbs attached, tape it to a piece of paper with the horse’s name clearly printed, and place in a

paper envelope (not a plastic baggie). Send the sample along with the $43.00 fee to AGMH® at the

address below, and we will submit it with the proper paperwork to UK. All DNA reports obtained

through AGMH®/AGSMH will be made available (upon request) to any other registries. **I just moved

down**

Definition of “Heritage Ancestry”:

At least 50% of the ancestry of the horse presented for registration is comprised of horses either

registered with RMHA or MPHA, or eligible to be registered with RMHA or MPHA, or, if not eligible, they

are not eligible for a technical reason not involving actual lineage, such as the certification of the parent

did not occur until after the offspring was conceived, or the parents were not registered even though

eligible.

Fee Schedule: ($ each)

Each horse ______________ $20.00

Joint registration Sire, Dam and one offspring (submit use separate forms) _________$50.00

Joint registration Sire OR Dam and one offspring (submit separate forms) __________$35.00

DNA kit ($43 each) ________ $43.00

Total fees enclosed: $_________

Send completed application, photos, copies of registrations, DNA, and fees to:

AGMH®, 860 Kiddville Rd, Winchester, KY 40391 Phone: 859-842-0270