September Two Day Gymkhana

Bay Area Time Busters

September Two day Gymkhana
Name*

First NameLast Name
CGA Membership*
If new, type NEW. If you have not received a membership number yet, type PENDING. CGA membership is required, you can also become a member the day of the show.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Division*

AAA+AAAAAAFCOpen PonyLead Line
Mount Name*
Mount Type*

HorsePony
Events

Please select which days, what type, and which events you are running.
Which day(s)are your running?*

SaturdaySunday
Saturday 09/07/24

All Day (7 Events)BarrelsQuadrangleBig TPoles 1Single StakeHurry ScurrySpeed Ball
Sunday 09/08/24

All Day (7 events)Single StakeBiranglePoles 2Speed BarrelsFigure 8 StakeFigure 8 FlagsKeyhole
Fees

Regular Events $5.75 each

**All Day Regular - Discount (7 events) $40.00**

Time Only $3.75 each

All Day Time Only (7 events) $26.25

***MANDATORY Grounds Fee $15.00 per horse PER DAY***

Mystery Jackpot Event $5.00 PER DAY - A random event is selected each day. Each rider who enters pay $5. That money is placed into a "pot" and is divided up based on a pre-set 5D format. There will be 5 winners total splitting the "pot".

(Regular events - eligible for ribbons and high points. Times sent to CGA State Office)

(Time Only events - no ribbons or highpoint, times sent to CGA State Office)
Fees

Please calculate your fees below
Saturday Total - Regular Events*

7 (discount for all day) $406 - $34.505 - $28.754 - $23.003 - $17.252 - $11.501 - $5.750 - I'm not running Regular Events
Sunday Total - Regular Events*

7 (discount for all day) $406 - $34.505 - $28.754 - $23.003 - $17.252 - $11.501 - $5.750 - I'm not running Regular Events
Saturday Total - TIME ONLY EVENTS

7 - $26.256 - $22.505 - $18.754 - $15.003 - $11.252 - $7.501 - $3.750 - I'm Running Regular events
Sunday Total - TIME ONLY EVENTS

7 - $26.256 - $22.505 - $18.754 - $15.003 - $11.252 - $7.501 - $3.750 - I'm Running Regular events
Mystery Jackpot

Saturday $5.00Sunday $5.00
Grounds Fee (mandatory for EACH day)*

Saturday $15.00Sunday $15.00
**PLEASE NOTE: by checking the circle below, you understand that you MUST pay your entry fees NO LATER THAN 8:30am the morning of the show. If you have not paid your entry fees by 8:30am, you will be taken out of the first event.*

I understand the above
**PLEASE NOTE: by checking the circle below, you understand that NO DOGS are allowed on the property. They cannot stay in your truck or trailer. If you bring a dog onto the property you will be asked to leave. This is at the wishes of the arena owner, it is their policy.*

I understand the above
**All fees to be paid with CASH or CHECK only the day of the show**
Total due:
- RELEASE OF LIABILITY: The California Gymkhana Association and cosponsoring organization, if any, will not be responsible for any accident that may occur to be caused by any equine competing at any show or for any article of any kind or nature that may be lost or destroyed or in any way damaged. Each competitor will be responsible for any injury that may be occasioned to any person or animal or damage to any property while on the grounds by any equine owned, or in his custody, control and shall indemnify and hold harmless the California Gymkhana Association, it's officials and directors individually and collectively and cosponsoring organization, clubs and arena owners, if any, from and against all charges and expenses of every kind and nature whatsoever arising out of or which may be incurred by reason of any accident, injury, or damage to person or property caused by the ownership, competition or custody or control of any animal competition, In signing this release, please bear in mind that Gymkhana is a contest of speed, that there is a certain element of danger involved and that you will be riding at your own risk. CGA requests that it’s members wear approved safety helmets. If you choose not to wear a safety helmet, then you as an adult rider will accept full responsibility for yourself for any injury which may result from that act when riding in any CGA sanctioned show. Effective March 1, 2003,
  all riders under 18 are REQUIRED to wear a helmet when riding at a CGA sanctioned show.
  CGA DOES NOT PROVIDE MEDICAL INSURANCE FOR IT’S MEMBERS!
  MUST BE SIGNED!!
Signature of Contestant or Legal Guardian if under the age of 18. I certify that I have read, understand and agree to the above. *

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