NASMDA LogoNASMDA Amateur Application

TYPE your information and PRINT this form and MAIL/FAX  the following form to:
NASMA Amateur Committee, PO Box 207, Griswold, IA 51535
Make checks payable to: 
North American Saddle Mule & Donkey Association

YOUR ANIMAL MUST BE REGISTERED WITH NASMDA BEFORE
APPLYING FOR AN AMATEUR CARD

NASMDA Registered Name of Mule/Donkey exactly as it appears on the papers:

Registration Number

New Membership   Renew Membership:   NASMDA Card Number      

New Amateur Card   Renew Amateur Card:   Amateur Card Number
     Novice Application  Silver (over 50)  Send documentation

Current NASMDA Member Amateur Card fee: $20 • Amateur Card + NASMDA Membership:= $50

(Note:  Cards expire on 12/31 of year of application.  To renew a card, send fee by that date)

Name:  
Farm Name: *
* Extra $10 if you want it registered/listed.  (One time fee).
Address: 
City, State Zip:
Home Phone:

   Work:    Other:

Email:  Fax:
Occupation
Spouse’s name:
Spouse’s occupation:

(Note: NASMDA rule 147.E states “An amateur exhibitor may not show, train or assist in the training of a mule or donkey for which their spouse is accepting any form of remuneration.”)

 Statement of Eligibility – Please Read Carefully and Answer ALL Questions

Yes No   Have you accepted payment, directly or indirectly, for judging, riding, training, exhibiting, schooling, or driving of a horse/mule/donkey at any time during the past 5 years (60 months)?

Yes No   Have you instructed another person, or conducted a seminar in riding, driving, training, or showing a horse/mule/donkey at any time during the past 5 years (60 months)?

Yes No   Have you shown, trained, or assisted in the training of a horse/mule/donkey for which your spouse has accepted any form of payment, either directly or indirectly, for the training, assisting in training, or showing of said animal any time during the past 5 years (60 months)?

Yes No   Have any of your expenses (including but not limited to lodging, transportation, mileage, etc.) been paid by someone else other than family members as listed in Rule 147E?

Yes No   Are you now, or have you ever been approved as a horse show judge by any breed or show association?

Yes No   Have you judged any horse/mule/donkey shows, open, 4-H, or approved breed shows during the past 5 years (60 months)?

If you answered “Yes” to any of the questions above, please explain fully (use additional paper if necessary):


Please list any amateur cards & numbers held by you in any other horse/mule/donkey organization:


In submitting this application for status in the NASMDA Amateur Exhibitor Program I hereby affirm that the information contained herein is true and correct.  I understand that my status in the NASMDA Amateur Program and my NASMDA Amateur card are revocable.  I understand that the animal(s) I will show must meet the recorded owner requirements according to the NASMDA rulebook, must have completed transfer of ownership prior to showing of any animal, and leased or co-owned (other than immediate family) are ineligible.  Should the Association find that, for any reason, I am no longer eligible to compete in NASMDA approved Amateur classes, I agree to surrender said card to the Association immediately upon request.  Furthermore, should I no longer be eligible for Amateur status for any reason, I will refrain from exhibiting in the corresponding classes and I agree to voluntarily surrender my NASMDA card to the Association without request.  Failing to do so, I am subject to possible disciplinary action under the general rules of the Association.  By signing this application, I acknowledge responsibility for knowledge of NASMDA rules regarding the Amateur program.

Date:

 

Signature of Applicant (sign in ink):