CoVRHA Fall Gathering

CoVRHA Fall Gathering

October 19 & 20, 2024, Latigo Trails Equestrian Center, Elbert CO
Please complete one form per each horse/rider combo.

If you experience any difficulty with this form, please contact covrha@gmail.com.

Rider Information
Rider Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you an Amateur Rider?*

YesNo
DECLARATION OF AMATEUR STATUS: I am the owner or authorized rider of this horse and hereby certify that I have not shown, judged, trained or assisted in training or instructed another person for remuneration in riding or training a horse for a period of two (2) years. (An Amateur may accept prizes, paybacks, or purses for events and maintain Amateur status.) PLEASE SIGN BELOW.

Powered by Jotform SignClear

Horse Information
Horse's Name*
Horse Age*
NVRHA Horse ID#
NVRHA HORSE ID LIST

*Need to get a Horse ID #? Follow the link below and fill out the Horse ID form. Your Horse ID # will be sent you within a couple of weeks. If you have an event before you receive your ID please bring the form receipt with you to the event.
ONLINE HORSE ID FORM
Is horse owned by the rider named above?*

YesNo
Name of Owner if different from rider.

First NameLast Name
Does the owner have a current membership?

YesNo
NVRHA Owner ID#

2024 Awards Banquet - Saturday October 19, 2024
Will you be attending the awards banquet?*
If attending the banquet how many people will be attending with you?
# of attendees

Clinic Selection
Clinic - Saturday

Adult Clinic Entry Only $220Adult Clinic Entry w/ 5 Class Comp $170Youth Clinic Entry Only $135Youth Clinic Entry w/ 5 Class Comp $110

Stalls & RV Reservations
Check the items you would like to purchase

Stall ($25/night)RV Hook-Up ($20, only select if plug-in is required)
Horse Stall
# of nights
RV Hook-Up
# of nights

Payment Information
Payment is required upon check-in at the event.

Payment Options: Credit Card (3% processing fee), Checks made payable to CoVRHA and Cash

The form now requires credit card details to complete the process. Rest assured, we will not charge your card unless you opt to use it for payment at event check-in, or in case of a last-minute cancellation or no-show.
Name*

First NameLast Name
Card Number*
Exp Date MM/YY*
CVV*

Waiver
Signature of Rider*

Powered by Jotform SignClear
Signature of Parent or Guardian if participant is under 18 years of age.

Powered by Jotform SignClear