Nomination Form GOLD BUCKLE Reining Futurity

2024 GOLD BUCKLE FUTURITY ENTRY

(& LATE NOMINATION AMNESTY FORM)
Name of Horse*
Current owner of Horse*
Rider*
Owner RA Number*
Rider RA number*
SEX OF HORSE*

StallionMareGelding
Foal Date*

DayMonthYear
Date
SIRE*
DAM*
COLOUR/MARKINGS*
REINING AUSTRALIA COMPETITION LICENCE NUMBER (if known)
Is horse GB Program nominated?*

Yes, already nominatedNo (complete below)
Please complete this section if NOT currently nominated into Gold Buckle Program
BREED ASSOCIATION
BREED REGISTRATION NUMBER
Breed Certificate OR Veterinary Proof of AGE + 4 PHOTOS (off side, near side front & back)

Cancelof
Please choose your Gold Buckle Program late nomination amnesty fee

Non Pro Only - $440 (was $1650)Open &/or Non Pro - $880 (was $1650)
Person Nominating Horse for Gold Buckle program

First NameLast Name
Contact Phone Number*
E-mail*
Address: (Residential)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Address: (Postal)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please choose your Gold Buckle Class (entry+judge+video)*

Non Pro - $550+$55+$22 = $627Open - $990+$55+$22 = $1067Both - $1,540+$110+$44 = $1694
V.I.P Area invitation for great viewing and seating and a fun evening- Food & Beverages Served - $30 per person Owners/Connections for the Gold Buckle Futurity FINAL Friday Night 9th August 2024 - 5:00pm*

Admit 1 person (no charge)Admit 2 people $30.00Admit 3 people $60.00Admit 4 people $90.00Admit 5 people $120.00No Thank you
TOTAL FEE $
Select rider eligibility*

Open Lvl 4Open Lvl 3Open Lvl 2Non Pro Lvl 4Non Pro Lvl 3Non Pro Lvl 2
Conditions of entry

1. You will be sent an invoice with payment details, please wait for your invoice so your payment can be allocated correctly. Invoice can be part paid and to be paid in full by 20 July 2024. Minimum initial payment $250 (non refundable).

2. The Gold Buckle Futurity Program amnesty is for the 2024 Futurity only.

3. All other class entries, paid times, open pen fee, stabling & camping are to be done via Nominate link when available.

4. Riders & owners must be current financial members of Reining Australia.

5. All horses are required to have a RA Competition Licence.

6. GB Program Nominator receives 5% of prizemoney of all placings paid out.
by ticking the box below you are signing and accepting fully this nomination*

I have read, understood, and accepted the conditions for the Gold Buckle Futurity.
Should be Empty:

2024 GOLD BUCKLE FUTURITY ENTRY