UVRHA Registration Form

UVRHA Show Entry

Show #5 Fall Bash Tooele UT
Owner Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Horse Name
Please use the same name throughout the year. Points are tracked off of the horses name.
Rider One Name

First NameLast Name
Rider 1 Is eligible for the College Division
Rider 1 UVRHA
Rider 1 UVRHA Classes
Rider 1 UVRHA (YOUTH ONLY)
Please Note:

Youth and Green Rancher will work reworked cattle for the reduced cattle fee
Rider 2 Name

First NameLast Name
Rider 2 is Eligible for the College Division
Rider 2 UVRHA Classes
Rider 2 UVRHA Division
Rider 2 UVRHA Classes (YOUTH ONLY)
Birth Date (Youth Only)

MonthDayYear
Additional Fees
Prefer to be stalled with:
Stall will be reserved through Tooele County

Call 435-843-4004 to reserve.
You must include the office and ground fee in your entry. These fees are not optional
Late Fee $15.00 After 9/29/2025
Total
Paying Via (CHECK, VENMO, PAYPAL, SQUARE)
VENMO Link: https://Venmo.com/Maegan-Davis-4 Paypal Link: https://www.paypal.me/utahversatility?locale.x_US Checks Make Payable to UVRHA
Payouts Go to:

First NameLast Name
Method of Payment preferred for Payout
Please Note:
Should be Empty:

UVRHA Show Entry