DailyRoamingRiders-GymkhanaJotEntryForm-TripleCrown

RoamingRiders-GymkhanaJotEntryForm-TripleCrown

*** 1 Jot Form Entry Per Day. ** IF RIDING D49 AND D3 SHOW PLEASE REQUESTS YOUR CAMPING AND STALLS WITH THIS ENTRY!
Show Date*

MonthDayYear
Date
Are you signing up for the lead line buckle? (This will add $75 to total, if you pre-entered and were one of the first 10 deduct $25 from total when you pay.)*

YesNo
Are you a CGA Member?*

YesSigning up or renewing today ($30 individual, $60 Family) A link to the membership form will be available on the thank you page once this form is submitted.
CGA Rider Number?*
You can verify your membership and get your number at the www.calgymkhana.com website under the reports heading.
What type of CGA Membership do you need?

Individual (30)Family (60)
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Mount type*

HorsePony
Mounts Name*
Division you are entering*
Is rider under 18 years old?*

YesNo
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 7 of 8 events be entered.*
Please use "highpoint" for lead liners
What events are you riding in the regular show? (3 event minimum)*
Select all events or use ctrl+ to select multiple events
Every rider is expected to support the show by working an event. It is required to qualify for an award. What would you like to do? (Gate person, arena help, time writer, announcer, or judge) If you have a specific event preference please also note here. If someone is working for you please provide their name as well*
Position to work? Event? Name if different?
Are you requesting any setups? If so please select if you can provide a crew to work them. ctrl+selection for multiples
Are you requesting any set-ups? If so please select.

SpeedballKeyholePoles IISingle StaleBirangleSpeed BarrelsBarrels
Do you need stalls?*

CoveredUncoveredNo
How many nights do you need stalls?*

12
Are you using panels for your horses?*

YesNo
Do you need hookups?*

YesNo
How many nights do you need hookups?*

12
Do you want your hookup spot confirmed by text to the number provided above or by email above? Do you have any special request for hookups?
Do you want to enter the Mystery 4D Jackpot for an additional $5*

YesNo
Do you have any free class coupons or old buyback coupons?*

YesNo
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?*

VenmoCash at showCheck at show
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.*

Agree
Signature*

Clear
Calculation for points
Calculation for time only
Calculation for set ups
Calculation for membership
Calculation for mystery jackpot
Calculation for LL buckle
Calculation for stall
Calculation for hookups
Free Class Calculation
Subtotal
Buyback Calculation
Credit Calculation
Total Calculation
Hidden What events are you riding in the reqular show?

All 7 events in showAll 8 events in showFigure 8 FlagsFigure 8 StakePoles ISpeedballKeyholePoles IIBig TQuadrangleSingle StaleBirangleHurry ScurrySpeed BarrelsBarrels
Should be Empty: