Run For A Hundred, June 18, 2026

CSRHA Gillette Run For A Hundred @ KPH Arena

32 Mandy Lane, Gillette, WY Saturday, July 18, 2026 @ 9:00 a.m.
PLEASE COMPLETE THE SEPARATE ONLINE FORM FOR STALL/RV RESERVATIONS.

*Entries must be received before JULY 14, 2026 to avoid a post entry fee of $10.00.
Owners Name

First NameLast Name
Owners NRHA # (Must complete if entered in any NRHA class)
Horse's Name
Competition License # (Must complete if entered in any NRHA class)
Owners Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owners Email Address
example@example.com
Rider's Name

First NameLast Name
Riders NRHA # (Must complete if entered in any NRHA class)
Rider's Email Address
example@example.com
Auto response confirmation emails will be sent to this address.
Rider's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number

Area CodePhone Number
*Entries must be received BEFORE JULY 14, 2026 to avoid a post entry fee of $10.00.

***CLASSES RAN CONCURRENTLY HAVE ONLY ONE JUDGES FEE

CSRHA classes have award prizes only, no monetary payback.
Classes (Entry Fee/Judges Fee)
SERIES BUCKLE AWARDS (please check if you will be competing for one of the buckles-MUST BE A CSRHA MEMBER TO BE ELIGIBLE)
Release of Liability

I agee to be responsible for any damages caused by my entry in this show and that as a condition of my entry I waive any claim for sickness, injury or death to persons or animals or for loss, damage, or destruction of property against Cowboy State Reining Horse Association and/or directors, employees, volunteers. I also waive any claim against the Kluz Performance Horses and/or its employees for sickness, injury, or death to persons or animals or for loss, damage or destruction of property.
E-Signature (required)
Name

First NameLast Name
Parental Consent

I hereby consent to the entry of my child in this show. I certify that I have read and accepted the Responsibility Clause on this form.
Child's Name

First NameLast Name
Parents E-Signature
Parents Name

First NameLast Name
* Must be completed to summit form.
Should be Empty:

CSRHA Gillette Run For A Hundred @ KPH Arena

PLEASE COMPLETE THE SEPARATE ONLINE FORM FOR STALL/RV RESERVATIONS.