Clone of MRVHA 2025 09-07 Autumn Show Entry Form

MRVHA PLAYDAY GYMKHANNA- Entry Form

3/28/2026 - Gates Opens 7:30 a.m. / Office Opens 8:00 a.m. / Show Starts 9:00 a.m. Horsemen's Center 24320 Highway 18 ...............Apple Valley, CA
Please fill out one entry form per Rider/Horse combination.

Day Fee: $40.00 (All Events in selected Age Division.)

*Indicates Mandatory Entry Field
Rider Information:
Rider's Full Name*

First NameLast Name
Rider's Date of Birth (Used for class entry verification and MRVHA liability insurance)*

MonthDayYear
(ex . 04-21-2003 or use date selector icon )
Rider's Address*

Street Address

Street Address Line 2

CityState

Postal Zip Code
Rider's/Guardian's Phone Number*
Format: 000-000-0000.
Email -- CONFIRMATION WILL BE SENT TO THIS EMAIL ADDRESS
example@example.com
Name of Parent/Guardian:
(If Exhibitor is 17 years old or under )
Horse Information
Horse's Name*
Select Age Division:

(Click in the box for the age division you will be entering. One Rider/Horse combination per entry)
1. In-Hand2. Lead-Line3. 12 & Under4. 13-175. 18 & Over6. 45+ "Wise Crackers"
Payment Information:

Playday Gymkhanna Fees:

Playday Gymkhana - $40.00 + Credit Card Transaction Amount =$41.62

Total $0.00

Credit Card

MRVHA Rules and Regulations
MRVHA Rules and Regulations are available for viewing/printing, off the main menu under the option "By-Laws / Rules & Regulations", please read them and acknowledge by checking the circle below that you have done so.
Please check the circle.
Every entry at a Mojave River Valley Horsemen’s Association (MRVHA) Show/Event shall constitute an agreement and affirmation that the person making it, along with the owner, lessee, trainer, agent, coach, driver, rider, and the horse, or any of their agents or representatives acknowledge that they participate voluntarily in the competition fully aware that horse sports and related competition involve inherent dangerous risks. By participating they expressly assume any and all risks. They release MRVHA, their officers, board of directors, officials, employees, volunteers, MRVHA members, participants, and spectators from any liability for any injury or loss resulted directly or indirectly, from negligent acts or omissions. All exhibitors 17 and under are always required to wear a helmet. If you choose not to wear a helmet a release waiver form must be signed by the parent/guardian of the exhibitor.
Entering your typed name and the date constitutes a written signature and date, agreeing to the above paragraph.*
(Parent or guardian must sign for exhibitor 17 & under.)
Date*

MonthDayYear
Thank you, for registering for our Show/Event....... After pressing the 'Submit' button below, you must close the form in your browser to return to the main MRVHA screen. A copy of your entry form will be emailed to your above-listed email address.
Should be Empty:

MRVHA PLAYDAY GYMKHANNA- Entry Form

Rider Information:

Horse Information

Select Age Division:

Payment Information:

Credit Card

MRVHA Rules and Regulations