CGA Year End Awards Application

CGA Year End Awards Application

Use this form to enter Level 1, Level 2 and Top Rating CGA Year End Award Program
Participant Information

Detailed information can be found in Sections 3 and 4 of the CGA Information Book found on our website www.calgymkhana.com
1. Only CGA members are eligible. This program is explained in sections 3 and 4 of the CGA Information and Regulations.

2. Fees may be transferred to a different mount, but times may not be transferred and Fees are not refundable should you fail to achieve enough rides to earn an award.

3. The CGA Season begins with the first sanctioned show after State Championship Finals and ends with the last ride of State Championship Finals the following year.
Any CGA Year End Awards Application will count only the shows beginning 60 days prior to the payment postmark/received date until the end of the season
Rider Name*

First NameLast Name
CGA Member Number*
Horse/Pony Name*
If this request is for a pony, submit a copy of current CGA Pony Certificate to State Office. This application will be processed as a horse without it.
Is this rider a lead line rider?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Which Award Program do you wish to participate in?*

Year End Award Level 1 ( 3 rides per event) Cost $50Year End Award Level 2 ( 5 rides per event) Cost $55Top Rating plus Level 1 (minimum rides vary-see info manual) Cost $135Top Rating plus Level 2 (minimum rides vary-see info manual) Cost $140Top Rating plus Level 1 and Level 2 (minimum rides vary-see info manual) Cost $155
Level 1 Award Selection - if none selected, Buckle will be default choice:

BuckleCustom Keychain and bell boots
Preferred Bell Boot Size

SmallMediumLarge
Level 2 Award Selection - if none selected, tumbler will be the default choice:

Buckle TumblerSport Boots
Preferred Sport Boot Size

SmallMediumLarge
Top Rating Jacket or Vest Selection - Note if ordering a youth size, Jacket is the only option available.

JacketVest
Jacket Size?
See sizing chart below
Vest Size?
See sizing chart below
How should name appear on top rating award earned?
Do you want first name? First and Last?
Figure on Jacket Back?

Male RiderFemale Rider
Total Due CGA
How would you like to pay for your year end award?*

Mail Check to CGA State Office PO Box 410 Wilton CA 95693Send Via Venmo @CGAStatePay Via Credit Card - and invoice will be emailed within 1 business day via square
I have read the rules as they relate to the year end awards program and I understand my fees are non-refundable for any reason. I understand it is my responsibility as the participant to understand the program and to track my progress throughout the season.
Signature*

Clear
Sizing Charts for Jackets and Vests
Should be Empty:

CGA Year End Awards Application

Participant Information

Sizing Charts for Jackets and Vests