eRegistration Form

Application for which registry?*
- Palomino
- Palomino Bred
Color*
Horse's Name*
Foal Date*
MM slash DD slash YYYY
Sex*
State Foaled In*
Breed Associations*
Select the other breed association(s) this horse is registered with. (Hold down your shift key to select multiple Breeds if more than one registry applies.)
Body Markings, Tattoo, or Brand (if any):
Enroll this horse in the PIP?*
- Yes
- No
Select yes, if you would like to enroll this horse in the Palomino Incentive Program. For more information on PIP, go to: Palomino Incentive Program

Owner's Information
Now enter information about the owner of the horse to be registered.
Owner's PHBA ID#*
Enter you PHBA Member ID. If you don't have one yet, enter PENDING. You must be a current PHBA Member to register a horse.
APA*
(Affiliate Palomino Association)
Owner's Name*
Enter the Owner's name as it should appear on the registration certificate.
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Alternate Phone
Email*
Enter Email Confirm Email

Sire Information