Platinum P Ranch Horse Show Spring Buckle Series 1/3

Ranch Horse Show Buckle Series Entry Form

September 27, 2025 - Fall Series Show 2/3 - Season Show 8/9
1 FORM PER HORSE/RIDER COMBINATION

Texas Ranch Horse Championship Qualifier

Thank you for registering for the Platinum P Ranch Horse Show Fall Buckle Series 1/3! Registration is open! Gates open at 6:00, office opens at 7. Registration is open throughout the show. However we do encourage preregistering to assist in the office running smoothly. Please be sure your registration is correct to avoid a $20 day of change fee if you have to make major changes on show day!!

We look forward to having you show with us!

Enjoy the Ride!
Owner Name*

First NameLast Name
Business Name
If applicable
Horse Name*
Exhibitor Name*

First NameLast Name
Exhibitor Birth Date*

MonthDayYear
Date
Exhibitor Phone Number*
Exhibitor E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Be sure to double check your entries, there will be a day of $20 day of change fee per horse and rider combination if changes need to be made on show day.
Division (We do not allow Walk/Trot divisions to enter Walk/Trot/Lope divisions and vice versa)*

OpenAmateurYouthNoviceGreen HorseWalk/Trot AdultWalk/Trot YouthLeadline
Classes - $20 per class or $120 per division (Must show in 2 riding classes and conformation to be considered for Division Champion and Grand Champion)*

Ranch RailRanch PleasureRanch RidingRanch HorsemanshipRanch ReiningRanch TrailRanch Trail In-Hand (not a division class)Mechanical FlagRanch ConformationLeadline (FREE)
Please note if classes are different when competing in more than 1 division.
Responsible Party (Paying the bill)*

First NameLast Name
Other Fees (excludes leadline)*

Office Fee (Mandatory) - $10 per formAll Day Division Fee - $120 per divisionLate Fee (Mandatory starting September 4, 2025) - $30 per form
Do you require a printed invoice?*

YesNo
Payment*

Check (mail in/bring check to show)Cash (mail in/bring cash to show)Venmo (@platinumpranch)
Payment Total*
Coggins: Negative Coggins are required. Please upload or bring it to the show

Cancelof
Photo Release*

I grant permission for my photo to be taken and used but not limited to social media, websites, publications, and the like.I do not grant permission for my photo to be taken and used.
UNDER TEXAS LAW, AN EQUINE SPONSOR OR PROFESSIONAL SHALL NOT BE LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES. (CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE)

BY MY SIGNATURE BELOW, I HEREBY ACKNOWLEDGE THAT I UNDERSTAND THAT RISKS INVOLVED IN RIDING HORSES AND VOLUNTARILY ASSUME THOSE RISKS. I AGREE THAT I WILL NOT HOLD PLATINUM P RANCH LLC AND/OR THE SHOW FACILITY (DIAMONDS SPLIT RANCH), NOR ANY OF THEIR DIRECTORS, OFFICERS, EMPLOYEES, VOLUNTEERS, OR PARTICIPANTS, LIABLE FOR ANY INJURY.DIAMONDS SPLIT RANCH IS A WORKING RANCH WITH HORSES, DOGS, LIVESTOCK, MOTOR VEHICLES, CHILDREN PLAYING, ETC AND I TAKE FULL RESPONSIBILITY FOR MY ACTIONS.

DOGS MUST BE ON A LEASH AT ALL TIMES.
I HAVE READ THIS RELEASE, UNDERSTAND AND AGREE TO ITS TERMS.I HAVE READ THIS RELEASE AND DO NOT AGREE TO ITS TERMS.
Signature*

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Date*

MonthDayYear
Date
PARENT / GUARDIAN WAIVER FOR MINORS

In the event that the participant is under the age of consent (18 years of age), then this entry form must be signed by a parent or guardian, as follows:

I HEREBY CERTIFY that I am the parent or guardian of minor , named above, and do hereby give my consent without reservation to the foregoing on behalf of this individual.
Parent/Guardian Name

First NameLast Name
Parent/Guardian Signature

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Relationship
Date

MonthDayYear
Date
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Ranch Horse Show Buckle Series Entry Form