NFHR AWARDS PROGRAM REGISTER OF EXCELLENCE AWARD

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1 REGISTER OF EXCELLENCE AWARD This award recognizes outstanding Fjord Horses who have accumulated 100 points in halter and performance classes and gives these animals the formal recognition their achievements deserve. The award will be indicated by means of an E after the horse's name. Winners of the award receive a certificate and a trophy and are permanently listed by the NFHR. Eligibility: In order to be eligible for this award, the Fjord Horse must be registered with the Norwegian Fjord Horse Registry and the owner of the horse must be a member of the Norwegian Fjord Horse Registry. Accumulation of Points: Points are accumulated from the time the horse is eligible for and is entered into the program. Points may be accumulated over a number of years. One hundred (100) points must be accumulated in approved events, including one first place ribbon. No more than 50 points may be accumulated in Halter (conformation) classes. Classes judged primarily on the rider (equitation, reinsmanship, etc.) will not count. Classes in which points may be accumulated include, but are not limited to: Pleasure Riding, Hunter Under Saddle, Hunter and Jumper Over Fences, Western Pleasure, Saddle Seat Trail, Gymkhana, Ridden Dressage, Pleasure/Carriage Driving, Driven Dressage, Obstacle Classes, Marathon Driving, Competitive Endurance Riding & Driving, Draft Hitch, Ride and Drive, Single and Multiple Hitch. If you have questions about any other performance-based class or competition, contact Anne Karns Crandall at (616) to check eligibility. Non-point earning classes include: all equitation classes, Lead Line, Walk-Trot, costume classes, reinsmanship, and groom's classes. Point Scale Number of entries 1st 2nd 3rd 4th 5th 6th No points will be received in classes with fewer than 3 entries. APPLICATIONS: To register a horse in this program, send the accompanying application with a $25 [U.S. dollars] per horse entry fee made out to the Norwegian Fjord Horse Registry to NFHR Awards, 1801 W County Rd 4, Berthoud, CO Contact Anne Karns Crandall at (616) , or to: awards@nfhr.com with any questions. Application must be postmarked within 30 days of meeting the first criterion. Thereafter there is no time limit for completion of criteria for the award. No criterion met more than 30 days before application will be considered. Please remember to make copies of your application before sending to the NFHR. Please submit the points within 30 days of earning them. Thanks for your cooperation Rev7/19/2010

2 REGISTER OF EXCELLENCE AWARD Application for the Register of Excellence Award Program Horses Full Registered Name: NFHR Registration Number: Owner s Name: Owner s Mailing Address: Owner s Telephone: Owner s Owner s Signature: Date: A check for $25 [U.S. dollars] made out to the Norwegian Fjord Horse Registry must accompany this application. Return form to: NFHR Awards, 1801 W County Rd 4, Berthoud, CO Rev7/19/2010

3 REGISTER OF EXCELLENCE AWARD Mailing Address: Record of Performance Phone Number: Horse s Registered Name: Horse s NFHR Registration Number: Address: Class # of Entries Placing Name of Show & Date (office only) Points Signature of Show Secretary: Show Secretary Name: Show Secretary Address: Show Secretary City, St, Zip: Date: Return form with copy of Premium List to: Anne Karns-Crandall, Mile Road, Marshall, MI, awards@nfhr.com Rev7/19/2010

4 VERSATILITY AWARD This award encourages the use of the Norwegian Fjord Horse as a versatile, multipurpose horse by recognizing Fjord Horses who have demonstrated outstanding achievement in riding, driving and agricultural work. The award will be indicated by means of a V after the horse's name. Winners of the award receive a certificate and a trophy and are permanently listed by the NFHR. Eligibility: In order to be eligible for this award, the Fjord Horse must be registered with the Norwegian Fjord Horse Registry and the owner of the horse must be a member of the Norwegian Fjord Horse Registry. Qualifying: An individual horse can earn this award by exceptional performance in all three performance categories (riding, driving, agricultural work). Performance Categories and Criteria: Criteria must be met at breed shows, open shows held by recognized national, state, or regional organizations or at recognized Norwegian Fjord Horse evaluations. Classes must be open or junior classes. Limit classes (novice, walk-trot, leadline, etc.), or classes based on the rider (equitation), will not count. There must be at least 6 competitors in the class. A. Use as a Riding Horse: (One of the following criteria must be met) 1. Receipt of a blue ribbon in the Training Level Ridden Dressage test in current use at a breed or open show. 2. Receipt of a blue ribbon in the Introductory or Advanced Riding test at an NFHR U.S. evaluation. 3. Receipt of a blue ribbon in a cutting or reining horse competition, or in Pleasure Horse (English or western), Hunter Under Saddle, or Hunter Over Fences classes. 4. Completion of the Dutch judged IBOP test for Riding with an A certificate. B. Use as a Driving Horse: (One of the following criteria must be met) 1. Receipt of a blue ribbon in the Training Level Driven Dressage test in current use at a breed or open show. 2. Receipt of a blue ribbon in the Introductory or Advanced Driving test at an NFHR U.S. evaluation. 3. Receipt of a blue ribbon in a Marathon, Obstacle Driving or Pleasure Driving class. 4. Completion of the Dutch judged IBOP test for Driving with an A certificate. C. Use as an Agricultural Horse: (One of the following criteria must be met) 1. Receipt of a blue ribbon in the log pull or draft suitability class at a breed or open show. 2. Receipt of a blue ribbon in the Introductory or Advanced Draft test at an NFHR U.S. evaluation. 3. Receipt of a blue ribbon in any farm class or plowing contest. 4. Completion of the Dutch judged IBOP test for Draft with an A certificate. APPLICATIONS: To register a horse for this program, send the accompanying application with a $25 [U.S. dollars] per horse entry fee made out to the Norwegian Fjord Horse Registry to NFHR Awards, 1801 W County Rd 4, Berthoud, CO Contact Anne Karns-Crandall, Mile Road, Marshall, MI, or to awards@nfhr.com with any questions. Application must be postmarked within 30 days of meeting the first criterion. Thereafter there is no time limit for completion of criteria for the award. No criterion met more than 30 days before application will be considered. Please remember to make copies of your application before sending to the NFHR. Please submit the points within 30 days of earning them. Thanks for your cooperation Rev7/19/2010

5 VERSATILITY AWARD Application for the Versatility Award Program Horses Full Registered Name: NFHR Registration Number: Owner s Name: Owner s Mailing Address: Owner s Telephone: Owner s Owner s Signature: Date: A check for $25 [U.S. dollars] made out to the Norwegian Fjord Horse Registry must accompany this application. Return form to: NFHR Awards, 1801 W County Rd 4, Berthoud, CO Rev7/19/2010

6 VERSATILITY AWARD Record of Performance Mailing Address: Phone Number: Horse s Registered Name: Horse s NFHR Registration Number: Address: Class # of Entries Placing Name of Show & Date (office only) Points Signature of Show Secretary: Show Secretary Name: Show Secretary Address: Show Secretary City, St, Zip: Date: Return form with copy of Premium List to: Anne Karns-Crandall, Mile Road, Marshall, MI, awards@nfhr.com Rev7/19/2010

7 HOURS of FUN with FJORD(S) AWARD This award encourages the use of the Norwegian Fjord Horse as a useful, versatile and pleasurable riding, driving, and/or working horse by recognizing the number of hours that applicants use their horse or horses. Winners of the award receive various prizes depending on the number of hours they log with their horse or horses. Eligibility: In order to be eligible for this award, the Fjord Horse(s) must be registered with the Norwegian Fjord Horse Registry and the applicant must be a member of the Norwegian Fjord Horse Registry for the entire time that hours are logged for this award. Qualifying: A rider/driver with one specific horse can earn this award logging a specific number of hours using that horse. Alternately, a rider/driver with more than one horse can earn this award by logging a specific number of hours using multiple horses. A rider/driver may apply for this award with both a specific horse and with multiple horses providing that two separate applications are submitted (with two separate application fees paid) and that the hours for each application are logged separately. Logging Hours: Hours logged should be only for actual hours of use of the Fjord(s), whether for riding, driving, or for agricultural work or logging. Basic training of the horse should not be included in these hours. Work in or out of an arena is acceptable. Showing, participation in clinics, and trail riding are all acceptable activities that can be applied towards this award, regardless of whether or not the hours in question are also used to apply for another award. Awards: All hours must be logged on the official NFHR form. All logs for a year must be received no later than February 1 st of the following year in order for the hours to be applied toward an award. Prizes will be awarded as follows (Note: the NFHR reserves the right to substitute prizes without notice): A. 100 hours: Certificate, which will include a scanned photo of the horse and rider/driver if a photo is submitted by the applicant. B. 250 hours: Window decal or bumper sticker (NFHR s discretion). C. 500 hours: Lapel pin or patch (NFHR s discretion). D hours: Embroidered hat or T-shirt with transfer of photo provided by the rider/driver (applicant s choice). E hours: Embroidered design on jacket provided by the rider/driver or personalized halter (applicant s choice). Other Acknowledgements: In addition to the prizes, all awards earned will be acknowledged in the Fjord Herald. There will also be special acknowledgement in the Herald for the riders/drivers accumulating the most hours in each of the following age categories: 18 and under, 19-39, and 40 and over. APPLICATIONS: To register in this program, send the accompanying application with a $25 [U.S. dollars] application fee made out to the Norwegian Fjord Horse Registry to NFHR Awards, 1801 W County Rd 4, Berthoud, CO Contact Anne Karns-Crandall, Mile Road, Marshall, MI, or to awards@nfhr.com with any questions. Applications must be postmarked before the first hours can be logged. Thereafter there is no time limit for completion of criteria for the award. All hourly logs for a year must be received no later than February 1 st of the next year to be counted. Please remember to make copies of your application before sending to the NFHR. Please submit the points within 30 days of earning them. Thanks for your cooperation Rev. 7/19/2010

8 HOURS of FUN with FJORD(S) AWARD Application Form Applying for this award with: (Check either Specific Horse or Multiple Horses ) Specific Horse Multiple Horses If Specific Horse, is the horse leased? (If leased, a copy of the lease agreement must accompany this application) Yes No NFHR Registration Number: (Enter the registration number of the Specific Horse, or of at least one of the Multiple Horses) Horse s Full Registered Name: (Enter the name of the horse mentioned above) Applicant s Mailing Address: Applicant s Telephone Number: Applicant s Address: Applicant s Signature: Application Date: Applicant s Age Group: 18 and under and over A check for $25 [U.S. dollars] made out to the Norwegian Fjord Horse Registry must accompany this application form. Return Application Form to: NFHR Awards, 1801 W County Rd 4, Berthoud, CO Rev. 7/19/2010

9 HOURS of FUN with FJORD(S) AWARD Mailing Address: Phone Number: Horse s Registered Name: Horse s NFHR Registration Number: Hours of Fun with Fjord(s) Log (Specific Horse) Address: Date Start Time (use 24- hour clock or mark AM or PM) Stop Time (use 24-hour clock or mark AM or PM) Hours Ridden/ Driven Description of Fun (Describe the activity engaged in and where it was performed please include city and state/province; if an organized event, please briefly describe type of event) Ride, Drive, Agricultural, or Logging ( R, D, A, or L ) I hereby affirm that I have indeed used the horse/horses mentioned above for all of the hours logged on this Hours of Fun with Fjord(s) Log: Signature of Applicant: Date: Return to: Anne Karns-Crandall, Mile Road, Marshall, MI, or to: awards@nfhr.com Rev. 7/19/2010

10 HOURS of FUN with FJORD(S) AWARD Mailing Address: Phone Number: Hours of Fun with Fjord(s) Log (Multiple Horses) Address: Date Start Time (use 24- hour clock or mark AM or PM) Stop Time (use 24- hour clock or mark AM or PM) Hours Ridden/ Driven Description of Fun (Describe the activity engaged in and where it was performed please include city and state/province; if an organized event, please briefly describe type of event) Ride, Drive, Agricultural, or Logging ( R, D, A, or L ) NFHR Registered Name and Number of Horse I hereby affirm that I have indeed ridden and/or driven the horse/horses mentioned above for all of the hours logged on this Hours of Fun with Fjord(s) Log: Signature of Applicant: Date: Return to: Anne Karns-Crandall, Mile Road, Marshall, MI, or to: awards@nfhr.com Rev. 7/19/2010

11 TRAIL RIDING and/or DRIVING AWARD This award encourages the use of the Norwegian Fjord Horse as a trail riding and/or driving horse by recognizing the number of hours that applicants trail ride and/or drive their horse or horses. Winners of the award receive various prizes depending on the number of hours they log with their horse or horses. Eligibility: In order to be eligible for this award, the Fjord Horse(s) must be registered with the Norwegian Fjord Horse Registry and the applicant must be a member of the Norwegian Fjord Horse Registry for the entire time that hours are logged for this award. Qualifying: A rider/driver with one specific horse can earn this award logging a specific number of trail hours using that horse. Alternately, a rider/driver with more than one horse can earn this award by logging a specific number of trail hours using multiple horses. A rider/driver may apply for this award with both a specific horse and with multiple horses providing that two separate applications are submitted (with two separate application fees paid) and that the hours for each application are logged separately. Logging Hours: Hours logged should be only for actual hours of trail riding and/or driving. A trail is defined as a road, lane, or path used for riding and/or driving that is not enclosed (i.e. not a pasture or arena). Trail hours may be logged for organized trail rides and/or drives which the applicant participates in (such as poker rides, fox hunts, or endurance rides) as well as for informal rides in which the applicant rides/drives alone or with a small number of other riders/drivers. Awards: All hours must be logged on the official NFHR form. All logs for a year must be received no later than February 1 st of the following year in order for the hours to be applied toward an award. Prizes will be awarded as follows (Note: the NFHR reserves the right to substitute prizes without notice): A. 100 hours: Certificate, which will include a scanned photo of the horse and rider/driver if a photo is submitted by the applicant. B. 250 hours: Window decal or bumper sticker (NFHR s discretion). C. 500 hours: Lapel pin or patch (NFHR s discretion). D hours: Embroidered hat or T-shirt with transfer of photo provided by the rider/driver (applicant s choice). E hours: Embroidered design on jacket provided by the rider/driver or personalized halter (applicant s choice). Other Acknowledgements: In addition to the prizes, all awards earned will be acknowledged in the Fjord Herald. There will also be special acknowledgement in the Herald for the riders/drivers accumulating the most hours in each of the following age categories: 18 and under, 19-39, and 40 and over. APPLICATIONS: To register this program, send the accompanying application with a $25 [U.S. dollars] application fee made out to the Norwegian Fjord Horse Registry to NFHR Awards, 1801 W County Rd 4, Berthoud, CO Contact Anne Karns-Crandall, Mile Road, Marshall, MI, or to awards@nfhr.com with any questions. Applications must be postmarked before the first hours can be logged. Thereafter there is no time limit for completion of criteria for the award. All hourly logs for a year must be received no later than February 1 st of the next year to be counted. Please remember to make copies of your application before sending to the NFHR. Please submit the points within 30 days of earning them. Thanks for your cooperation Rev. 7/19/2010

12 TRAIL RIDING and/or DRIVING AWARD Application Form Applying for this award with: (Check either Specific Horse or Multiple Horses ) Specific Horse Multiple Horses If Specific Horse, is the horse leased? (If leased, a copy of the lease agreement must accompany this application) Yes No NFHR Registration Number: (Enter the registration number of the Specific Horse, or of at least one of the Multiple Horses) Horse s Full Registered Name: (Enter the name of the Horse above) Applicant s Mailing Address: Applicant s Telephone Number: Applicant s Address: Applicant s Signature: Application Date: Applicant s Age Group: 18 and under and over A check for $25 [U.S. dollars] made out to the Norwegian Fjord Horse Registry must accompany this Application Form. Return Application Form to: NFHR Awards, 1801 W County Rd 4, Berthoud, CO Rev. 7/19/2010

13 TRAIL RIDING and/or DRIVING AWARD Mailing Address: Phone Number: Horse s Registered Name: Horse s NFHR Registration Number: Trail Hours Log (Specific Horse) Address: Date Start Time (use 24-hour clock or mark AM or PM) Stop Time (use 24- hour clock or mark AM or PM) Hours Ridden/ Driven Description of Trail (trail name, general description, location please include city and state/province) Ride or Drive ( R or D ) I hereby affirm that I have indeed ridden and/or driven the horse/horses mentioned above for all of the hours logged on this Trail Hours Log: Signature of Applicant: Date: Return to: Anne Karns-Crandall, Mile Road, Marshall, MI, or to: awards@nfhr.com Rev. 7/19/2010

14 TRAIL RIDING and/or DRIVING AWARD Mailing Address: Phone Number: Trail Hours Log (Multiple Horses) Address: Date Start Time (use 24- hour clock or mark AM or PM) Stop Time (use 24-hour clock or mark AM or PM) Hours Ridden/ Driven Description of Trail (trail name, general description, location please include city and state/province) Ride or Drive ( R or D ) NFHR Registered Name and Number of Horse I hereby affirm that I have indeed ridden and/or driven the horse/horses mentioned above for all of the hours logged on this Trail Hours Log: Signature of Applicant: Date: Return to: Anne Karns-Crandall, Mile Road, Marshall, MI, or to: awards@nfhr.com Rev. 7/19/2010

15 STEPPIN OUT with your FJORD(S) AWARD This award encourages the applicants to get their Norwegian Fjord Horse or Horses out into the public eye, by taking them to shows, clinics, fairs and expositions, parades, organized trail rides and drives, and other public events. Events which include various breeds of horses are particularly encouraged. Winners of the award receive various prizes depending on the number of hours they log with their horse or horses. Eligibility: In order to be eligible for this award, the Fjord Horse(s) must be registered with the Norwegian Fjord Horse Registry and the applicant must be a member of the Norwegian Fjord Horse Registry for the entire time that hours are logged for this award. Qualifying: An applicant can earn this award by logging a specific number of hours displaying their horse or horses at public events, whether or not the horses actually perform at that event or are merely on exhibit there. Logging Hours: Hours logged should be only for actual hours the applicant displays their Fjord(s). If the applicant stays overnight at an event, only waking hours when the event is open to the public and when the applicant is physically present at the event. The event must be open to the public in order for hours to be counted, and at least 20 non-fjord Horse owners must attend the event, whether as participants or spectators. Events attended strictly by Fjord Horse owners, such as Evaluation Clinics, do not count because they do not fulfill the mission of getting Fjord Horses out into the public eye; similarly, clinics that are not open to the public cannot have their hours logged. Showing, participation in clinics, and trail riding are all acceptable activities that can be applied towards this award, regardless of whether or not the hours in question are also used to apply for another award. Awards: All hours must be logged on the official NFHR form. All logs for a year must be received no later than February 1 st of the following year in order for the hours to be applied toward an award. Prizes will be awarded as follows (Note: the NFHR reserves the right to substitute prizes without notice): A. 500 hours: Plaque. B hours: Trophy and photo in the Fjord Herald. C hours: Special prize and photo in the Fjord Herald. Applications: To register in this program, send the accompanying application with a $25 [U.S. dollars] application fee made out to the Norwegian Fjord Horse Registry to NFHR Awards, 1801 W County Rd 4, Berthoud, CO Contact Anne Karns-Crandall, Mile Road, Marshall, MI, or to awards@nfhr.com with any questions. Applications must be postmarked before the first hours can be logged. Thereafter there is no time limit for completion of criteria for the award. All hourly logs for a year must be received no later than February 1 st of the next year to be counted. Please remember to make copies of your application before sending to the NFHR. Please submit the points within 30 days of earning them. Thanks for your cooperation Rev. 7/19/2010

16 STEPPIN OUT with your FJORD(S) AWARD NFHR Registration Number: (Enter the registration number of at least one horse displayed at public events) Horse s Full Registered Name: (Enter the name of the horse mentioned above) Applicant s Mailing Address: Applicant s Telephone Number: Applicant s Address: Applicant s Signature: Application Date: Application Form A check for $25 [U.S. dollars] made out to the Norwegian Fjord Horse Registry must accompany this Application Form. Return Application Form to: NFHR Awards, 1801 W County Rd 4, Berthoud, CO Rev. 7/19/2010

17 STEPPIN OUT with your FJORD(S) AWARD Steppin Out with your Fjord(s) Log Mailing Address: Phone Number: Horse s Registered Name: Horse s NFHR Registration Number: Address: Date Start Time (use 24- hour clock or mark AM or PM) Stop Time (use 24-hour clock or mark AM or PM) Hours Displayed Description of Event/Activity Engaged In (Describe the public event or activity engaged in and where it occurred please include city and state/province) Approximate Number of Non-Fjord Owners Present I hereby affirm that I have indeed displayed the horse/horses mentioned above for all of the hours logged on this Steppin Out with your Fjord(s) Log: Signature of Applicant: Date: Return to: Anne Karns-Crandall, Mile Road, Marshall, MI, or to: awards@nfhr.com Rev. 7/19/2010

18 NORWEGIAN FJORD HORSE REGISTRY 1801 W County Rd 4 Berthoud, CO (303) registrar@nfhr.com Hall of Fame Award Application Form Name of Owner Mailing Address City, State, Zip, Country Phone ( ) Horse to be Entered in Hall of Fame Medallion Winning Offspring of Horse to be Entered in Hall of Fame NFHR Registered Name of Horse NFHR Reg. No. NFHR Registered Name of Horse NFHR Reg. No Complete a separate form for EACH horse to be entered in the Hall of Fame. Please Print or Type all information neatly. Un-readable forms will be returned. Revised 7/19/2010

19 NFHR Hall of Fame Award The NFHR Evaluation process also qualifies horses to receive an offspring award for recognition of the quality of a horse's offspring. A Ribbon will be awarded & the award will be noted on the pedigree. To qualify the horse must meet the following requirements: 1. The horse must have offspring that are evaluated in the NFHR evaluation system. These offspring must be evaluated in Conformation/Movement and in Performance and have received a Medallion of Quality. For a Mare or Dam to qualify, a minimum of two (2) offspring must have received Medallions. For a Stallion or Sire to qualify, a minimum of five (5) offspring must have received Medallions. 2. Sires and Dams of this horse are not required to have been evaluated within the NFHR Evaluation system. 3. The qualifying horse's owner must be a member of the NFHR and in good standing with the Registry. 4. The owner of the horse must notify the NFHR Registrar if they have a horse that qualifies for this award. Revised 7/19/2010

20 DRIVING PARTICIPATION AWARD This award encourages the use of the Norwegian Fjord Horse as a driving horse for participation in organized driving activities. Winners of the award receive prizes depending on the number of years they achieve the award. Eligibility: In order to be eligible for this award, the Fjord Horse(s) must be registered with the Norwegian Fjord Horse Registry and the applicant must be a member of the Norwegian Fjord Horse Registry for the entire time that hours are logged for this award. Qualifying: A driver with one or more horses can earn this award by participating in ten organized driving activities with no specific time period. Qualifying activities include any ADS recognized event as well as events run by local driving or Fjord clubs; i.e., fun shows, pleasure shows, trail drives and picnic drives. Verifying Activities: A driver should fill out the form for each organized driving activity and have it signed by the organizer, secretary or registrar of the event. Awards: All events must be recorded on the official NFHR form. Other Acknowledgements: In addition to certificates and prizes, all awards earned will be acknowledged in the Fjord Herald. APPLICATIONS: To register for this award, send the accompanying application with a $25 [U.S. dollars] application fee made out to the Norwegian Fjord Horse Registry to NFHR Awards, 1801 W County Rd 4, Berthoud, CO Contact Anne Karns-Crandall, awards@nfhr.com with any questions. Applications must be postmarked before the first events can be logged. Thereafter there is no time limit for completion of criteria for the award. Please remember to make copies of your application before sending to the NFHR. Please submit the forms within 30 days of earning them. Thanks for your cooperation. Rev. 3/02/2012

21 DRIVING PARTICIPATION AWARD Application Form Applying for this award with: (Check either Specific Horse or Multiple Horses ) Specific Horse Multiple Horses If Specific Horse, is the horse leased? (If leased, a copy of the lease agreement must accompany this application) Yes No NFHR Registration Number: (Enter the registration number of the Specific Horse, or of at least one of the Multiple Horses) Horse s Full Registered Name: (Enter the name of the Horse above) Applicant s Mailing Address: Applicant s Telephone Number: Applicant s Address: Applicant s Signature: Application Date: Applicant s Age Group: 18 and under and over A check for $25 [U.S. dollars] made out to the Norwegian Fjord Horse Registry must accompany this Application Form. Return Application Form to: NFHR Awards, 1801 W County Rd 4, Berthoud, CO Rev. 3/02/2012

22 DRIVING PARTICIPATION AWARD Mailing Address: Phone Number: Horse s Registered Name: Horse s NFHR Registration Number: Driving Show Log (Specific Horse) Address: Date Description of Organized Driving Activity Signature of organizer, secretary or registrar of event I hereby affirm that I have participated in four organized driving activities within a calendar year: Signature of Applicant: Date: Return to: Anne Karns-Crandall, Mile Road, Marshall, MI, Rev. 3/02/2012