WSRHA ENTRY FORM

Western Slope Reining Horse Association

2023 Buckle Bonanza Please Submit Entries on or by October 20th to avoid a $25.00 LATE FEE
Horse Name
NRHA Competition Number
Foal Year
Sex

MareGeldingStallion
Owner's Name

First NameLast Name
Owner's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner's Phone Number
Please enter a valid phone number.
Owner's Email
example@example.com
Riders

See Schedule Below for Classes and Pricing
Rider 1:   First Name   Last Name
NRHA # Exp:   Date
Birthday:   Date  65 Years Old or Older   Yes   No
Professional   Non Pro   Youth
Rider 1's Classes
Rider 2:   First Name   Last Name
NRHA # Exp:   Date
Birthday:   Date  65 Years Old or Older   Yes   No
Professional   Non Pro   Youth
Rider 2's Classes
Trainer
Person Receiving Payout
SS#
Fees

Stalls $150.00 if Applicable

Administrative Fee $35.00/Horse

Video Fee is $25.00/Horse Shown Multiple Times

If Horse Only Shows Once, Video Fee is $15.00

If Horse is Only Shown in Youth Classes NO Video Fee Applied

NRHA Drug Fee if Applicable $10.00/Horse

See Schedule for Class Fees
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Western Slope Reining Horse Association