Kansas Quarter Horse Association Kounts
Show Summary for Points Tabulation

Your Name: _______________________________________________________
Age Division:______________________________________________________
Name of Open Show or Circuit: ________________________________________
Location: ________________________________________ Date: ____________

  Class Name Your Placing Number in Class
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Show Secretary Printed Name: _________________________________________________
Show Secretary Signature: ____________________________________________________
Show Secretary Phone Number: ___________________________________

Use one form per day of showing. Must have all blanks filled in to receive credit.

Mail to:

David Mellott - 14815 Stefkes - Wichita, KS 67230

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