VRH Reining & RR Clinic August 8, 2026

Please complete one form per rider.

If you experience any difficulty with this form, please contact azvrha.info@gmail.com.
VRH Reining & Ranch Riding Clinic

Saturday August 8, 2026, Double K Breeding, 2600 W Kiltie Lane, Flagstaff AZ 86005
All registrations are due August 5, 2026.

Rider Name

First NameLast Name
AzVRHA / Member #
If not known, leave blank
If you need a AzVRHA membership, please fill out the online form. MEMBERSHIP FORM
Riding Level
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number

AzVRHA Membership Due
Please include the total amount due from your online membership form. (if applicable)
If you need a AzVRHA membership, please fill out the online form. MEMBERSHIP FORM

*Only required if you haven't already paid your membership. If you purchased a membership at the Fall Works show it will also be good for the 2026 season.

IMPORTANT CANCELLATION INFORMATION

Last day to scratch to receive refund on fees is August 5, 2026.

***AN E-MAIL TO AZVRHA.INFO@GMAIL.COM WILL BE THE ONLY RECOGNIZED WAY TO CANCEL. TEXT MESSAGES, FACEBOOK MESSAGES, PHONE CALLS, ETC., WILL RESULT IN NO FEES BEING REFUNDED***
REGISTRATION INFORMATION

All registrations are due August 5, 2026. Online entries are the only accepted forms of entry. For any questions or assistance please email azvrha.info@gmail.com.
- Online entries will require a CC number to be processed.
- Please be aware that there is a 3.5% processing fee + $.30 per transaction fee for all CC charges.
- We are only collecting prepayment for the clinic.
- Stalls and RV can be paid via cash or check at the event to AzVRHA
- Please be aware that if you cancel, we reserve the right to charge your card for any fees due.
PAYMENT INFORMATION

Payment Options: Credit Card (3.5% processing fee + $.30 per transaction fee). We are only collecting prepayment for the clinic. Stalls and RV can be paid via cash or check at the event.

VRH Clinic Entry$233.18

VRH Clinic Entry (price includes cc fees)

Total $0.00

You must check-in at the show office before participating. All entries must be PAID IN FULL.

Release: Under Arizona Law, an equine professional is not liable for injury to or death of a participant in equine activites resulting for the inherent risks of equine activities, pursuant to Arizona Revised Statutes, Title 12, Chapter 5, Article 3. I/We hereby request to enter the event indicated and agree to abide by the bylaws, standing rules, judging and rules of the respective organizations involved with this event. I/We hereby release AzVRHA and any other involved organizations and its members, officers, and employees from any loss to myself, employees, agents, horses and/or equipment while attending and/or participating in this event. The provisions contained herein are hereby made a part of this entry agreement. In addition, the general understanding of any "publication, video, and internet consent and release agreement" is incorporated in this release including: no monetary considerations, photo, video or verbal statments may be used now and in the subsequent years as the program deems fit; is binding upon heirs and/or future legal representatives.
Signature of Rider
Date

MonthDayYear
Date
Signature of parent/guardian (if rider is under 18)
Date

MonthDayYear
Date
CONTACT INFO:

For Information Contact Leigh at 623-910-5046 or azvrha.info@gmail.com
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VRH Reining & Ranch Riding Clinic