SunDayRoamingRiders-GymkhanaJotEntryForm-TripleCrown

RoamingRiders-GymkhanaJotEntryForm-TripleCrown

*** 1 Jot Form Entry Per Day. *** This form is for Sunday October 25***
Show Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Are you a CGA Member?
CGA Rider Number?
What type of CGA Membership do you need?
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mount type
Mounts Name
Division you are entering
Is rider under 18 years old?
Riders age if under 18
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Are you riding for highpoint or just time only? Highpoint requires 6 of 7 or 5 of 6 events be entered.
What events are you riding in the regular show? (3 event minimum)
Select all events or use ctrl+ to select multiple events
Are you requesting any setups? If so please select. ctrl+selection for multiples
Do you need any setups with District 4? Select what you need here. You will sign up at the show. There will be an additional arena fee charged.
Do you need stalls?
How many nights do you need stalls?
Are you using panels for your horses?
Do you need hookups?
How many nights do you need hookups?
Do you want to enter the Mystery 4D Jackpot for an additional $5
Do you have any free class coupons or old buyback coupons?
How many free class coupons are you using?
How many buy back coupons are you using?
Your Entry total is:
How are you paying for this entry?
Release of Liability: The California Gymkhana Association, Inc. and cosponsoring organizations, if any, will not be responsible for any accident that may occur to be caused by any horse competing at the 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 caused to any person or animal or damage to any property while on the grounds by any horse owned, or in custody, or control and shall indemnify and hold harmless the California Gymkhana Association, its 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. CALIFORNIA GYMKHANA ASSOCIAION DOES NOT PROVIDE MEDICAL INSURANCE FOR IT'S MEMBERS. In addition, I certify that I'm either an Invididual, or Family Member of the California Gymkhana Association.
Signature
Calculation for points
Calculation for time only
Calculation for set ups
Calculation for membership
Calculation for mystery jackpot
Calculation for stall
Calculation for hookups
Subtotal
Free Class Calculation
Buyback Calculation
Credit Calculation
Total Calculation
Hidden What events are you riding in the reqular show?
Should be Empty: