NCRHA Futurity & Derby Show
July 29 - Aug 2, 2026 Madison WI
ONE FORM PER HORSE
Once you submit your entry you will receive an email confirmation.
Horse Information
Horse Name
*
Year Foaled
*
Breed
*
AQHA
APHA
Other
Breed Registration Number
*
NRHA License Number
*
NRHA License
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Responsible Party
Person Responsible for this Horse's Show Tab
*
Conformation Email
*
Send Payout To:
*
Owner
Rider
Owner Information
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Owner NRHA Membership #
*
NRHA Membership Exp
/
Month
/
Day
Year
Date
NRHA Membership Card
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Youth Rider Date of Birth
/
Month
/
Day
Year
Date
Owner Breed Membership #
Is Rider same as Owner
*
Yes
No
Rider 1 Information
Please complete only if RIDER 1 is different from OWNER. Thank you
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Rider 1 NRHA Membership #
Type of NRHA Membership
Open
Non Pro
Youth
NRHA Membership Exp
/
Month
/
Day
Year
Date
NRHA Membership Card
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Rider 2 Information
Please complete ONLY if horse is being shown by multiple riders
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Rider 2 NRHA Membership #
Type of NRHA Membership
Open
Non Pro
Youth
NRHA Membership Exp
-
Month
-
Day
Year
Date
NRHA Membership Card
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Class Entries
Class / Entry / Judge / Office
Wednesday's Classes
1 $250 Novice Horse Open L1 25/20/20
2 $500 Novice Horse Open L2 50/30/20
3 $500 Novice Horse Open L3 50/30/20
4 $500 Non Pro 50/30/20
5 $250 Int Non Pro 25/20/20
6 $200 Ltd Non Pro 20/20/20
7 $100 Primetime Non Pro 10/20/20
Thursday's Classes
8 Youth 13 & Under $10
9 Youth 14-18 $10
10 Youth 10 & Under $10
11 Rookie 1 & Run Down Finals Qualifier 20/20/20
12 Rookie 2 & Run Down Finals Qualifier 20/20/20
13 Primetime Rooke 20/20/20
14 $500 Ltd Open 50/30/20
15 $500 Int Open 50/30/20
16 $1000 Open 100/50/20
17 Rookie Pro 20/15/20
18 $6000 Open Derby L4 350/150/20
19 $2500 Open Derby L2 200/150/20
20 $1000 Open Derby L1 100/150/20
Friday's Classes
21 Rookie 1 & Run Down Finals Qualifier 20/20/20
22 Rookie 2 & Run Down Finals Qualifier 20/20/20
23 Primetime Rookie 20/20/20
24 Green Reiner L1 25/20
25 Green Reiner L2 25/20
26 $3000 Non Pro Derby L4 200/100/20
27 $2000 Non Pro Derby L3 120/100/20
28 $1000 Non Pro Derby L2 100/100/20
29 $500 Non Pro Derby L1 50/100/20
Saturday's Classes
30 $12,000 Non Pro Futurity L4 475/150/50
31 $4500 Non Pro Futurity L2
32 $3500 Non Pro Futurity L1
33 $1000 Primetime Non Pro Futurity
34 $20,000 Open Futurity L4 700/200/50
35 $12500 Open Futurity L2
36 $7500 Open Futurity L1
Sunday's Classes
37 Green Reiner 1 25/20
38 Green Reiner 2 25/20
39 $500 Ltd Non Pro 50/25/20
40 $500 Int Non Pro 50/30/20
41 $1000 Non Pro 100/50/20
42 $100 PT Non Pro 10/10/20
43 Masters Non Pro 50/25/20
44 Youth 14-18 $10
45 Youth 13 & Under $10
46 Youth 10 & Under $10
Additional Fees (Per Horse Per Show)
NRHA Drug Fee $10 Video Fee $15 per run
Questions please contact Connie at (402) 741-1660 or whitehorsemgt@cccusa.net
SUBMIT
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