Entry Form: Fun Day, August 20, 2022

CSRHA Gillette Fun Day @ KPH Arena

32 Mandy Lane, Gillette, WY Saturday, August 20 @ 8:30 a.m.
Owners Name

First Name Last Name
Owners NRHA # (optional)
Horse's Name
Competition License # (optional)
Owners Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Owners Email Address
example@example.com
Rider's Name

First Name Last Name
Riders NRHA # (optional)
Rider's Email Address
example@example.com
Rider's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
*Entries must be received by August 15, 2022 to avoid a post entry fee of $5.00.
Classes (Entry Fee/Judges Fee)

1. Open Ranch Riding $25/0 2. Novice Ranch Riding $25/0 3. Youth Ranch Riding $10/0 4. Open Ranch Trail $25/0 5. Youth Ranch Trail $10/0 6. Practice Class - Open to Everyone $30/0 7. CSRHA Open $20/$20 8. CSRHA Ltd Open $20/$20 *** Open Classes ran concurrently 9. CSRHA Non Pro $20/$20 10. CSRHA Ltd. Non Pro $20/$20. 11. CSRHA Prime Time Non Pro $20/$20 *** Non Pro Classes ran concurrently 12. CSRHA Green Reiner L2 $30/0 13. CSRHA Youth 13 & Under $10/0 14. CSRHA Youth 14-18 $10/0 15. CSRHA Short Stirrup 10 & Under $10/0 16. CSRHA Novice Horse Open L2 $20/$20 17. CSRHA Novice Horse Non Pro L2 $20/$20 18. CSRHA Rookie L2 $20/$20 19. CSRHA Green Horse $20/$20 ***CLASSES RAN CONCURRENTLY HAVE ONLY ONE JUDGES FEE.
This is a fill in the blanks field. Please add appropriate blank fields and text.
Release of Liability

I agee to be responsible for any damages caused by my entry in this show and that as a condition of my entry I waive any claim for sickness, injury or death to persons or animals or for loss, damage, or destruction of property against Cowboy State Reining Horse Association and/or directors, employees, volunteers. I also waive any claim against the Kluz Performance Horses and/or its employees for sickness, injury, or death to persons or animals or for loss, damage or destruction of property.
E-Signature (required) *

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Name *

First Name Last Name
Parental Consent

I hereby consent to the entry of my child in this show. I certify that I have read and accepted the Responsibility Clause on this form.
Child's Name

First Name Last Name
Parents E-Signature

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Parents Name

First Name Last Name
* Must be completed to summit form.
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CSRHA Gillette Fun Day @ KPH Arena