Ambassador Online Application

Instructions Instructions: Only one horse may be included on each application. Additional copies of this form may be made, as needed. Submit a form for each horse you are registering for the Ambassador Award Program. The Program is free with membership.
Full Registration Name of Horse: *
GHRA Registration # *
Date of Birth *
Sex *
MaleFemale
Member Electronic Signature: *
*
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Phone *
Note: When you click Submit, you will be taken to the Paypal payment screen to make payment. You do NOT have to have a Paypal account to use this service. If you look just below the login box there is a link for you to "Pay with debit or credit card, or with Paypal Credit." Click that link and enter your payment information there. Once you are done, you must confirm payment for your form to be submitted.