RSA Competitor HORSE/BIKE SPORTS Nomination

Name

First NameLast Name

Address

Street Address

Street Address Line 2

City/TownState

Postcode

Mobile Number

Format: 0000-000-000.

Email

Date of Birth

Are you a current member?

Member ID

Add Membership Number

Event & Day Membership Categories

STOCKMANS CHALLENGE

Opens

$750 Prize Money (Competitor & Horses name required)

$30.00 AUD Quantity

Novice

$600 Prize Money (Competitor & Horses name required)

$25.00 AUD Quantity

Rookie

$450 Prize Money (Competitor & Horses name required)

$20.00 AUD Quantity

Juvenile

$300 Prize Money (Competitor & Horses name required)

$15.00 AUD Quantity

TEAM PENNING

Team Penning

$1800 Prize Money (All 3 competitor names required + person nomination must advise other competitors they will need to complete a waiver)

$30.00 AUD Quantity

HORSE GYMKHANA

7 & Under LED (Gymkhana)

$225 Prizemoney

$20.00 AUD Quantity

7 & Under (Gymkhana)

$225 Prizemoney

$20.00 AUD Quantity

8-11 yrs (Gymkhana)

$225 Prizemoney

$20.00 AUD Quantity

12-15 yrs (Gymkhana)

$360 Prizemoney

$20.00 AUD Quantity

Opens (Gymkhana)

$800 Prizemoney

$40.00 AUD Quantity

MOTORBIKE GYMKHANA

7yrs & Under (Motorbike)

$225 Prize Money

$20.00 AUD Quantity

8-11yrs (Motorbike)

$240 Prize Money

$20.00 AUD Quantity

12-15yrs (Motorbike)

$360 Prizemoney

$20.00 AUD Quantity

MENS (Motorbike)

$800 Prize Money

$40.00 AUD Quantity

LADIES (Motorbike)

$800 Prize Money

$40.00 AUD Quantity

Feature Event - Double Barrel Race

$2000 Prize Money (1st, 2nd & 3rd)

$20.00 AUD Quantity

Feature Event - Obstacle Wheelstand

$150 Prize Pool

$20.00 AUD Quantity

Day Memberships (If NOT an RSA Member, you MUST also choose one of these options)

Day Member - SENIOR

(Jnrs competing in open events must pay Snr day membership)

$20.00 AUD Quantity

Day Membership - JUNIOR

(Only competing in jnr events)

$5.00 AUD Quantity

Day Member - GYMKHANA/CAMPDRAFT

$5.00 AUD Quantity

Subtotal

Tax

Total

Credit Card

IMPORTANT: The amount you must pay is the TOTAL NOMINATION FEES PAYABLE in the event nomination section above; This total MUST include a Day Membership Fee if you are not a current RSA financial member. Please make sure when choosing your event nominations you also add the applicable day membership to avoid cancellation of your nomination.

Entries Close: 22nd July 2026

STOCKMANS CHALLENGE: If you have nominated to enter this event, please list horses name below

TEAM PENNING: If you have nominated to enter this event, please list all (3) riders & Horses name below

Rows	First Name	Surname	Horses Name
Rider 1
Rider 2
Rider 3

RODEO AND ASSOCIATED EVENTS ARE DANGEROUS RECREATIONAL ACTIVITIES
These activities include, but are not limited to; rodeos, rodeo-related activities, campdrafts, stockman’s challenges, gymkhanas, camel races, western horse sports, bush sprint races, and other equestrian events, livestock-related activities, novelty events, sporting activities, entertainment, and any other public or participant-based activities conducted or authorised by the event organiser.

I understand and accept the following obvious risks:

• That animals can act in sudden, unpredictable, or changeable ways when frightened or hurt

• The dangers of falling from, being trampled or kicked by animals

• The risk of high-speed mounted activity at height

• The risk of equipment failure or unstable, uneven or slippery ground conditions

• Other related dangers inherent in such events

These risks fall under obvious risks as defined by the Civil Liability Laws of all relevant Australian states and territories.

MEDICAL FITNESS & PRE-EXISTING CONDITIONS

I confirm that:

• I am medically and physically fit to participate

• I do not suffer from any pre-existing injuries, illnesses or conditions that could impact my ability to safely participate

• I have not been advised by a medical professional to avoid rodeo or contact sports

• I accept full responsibility for my fitness to participate

CONDUCT & BEHAVIOUR

I agree to:

• Follow all event rules and obey directions from event organisers, officials and stewards

• Not participate if injured or impaired in any way

• Not consume alcohol or illegal drugs before or during participation

• Conduct myself and manage any animal in a safe, controlled and respectful manner

• Notify organisers immediately of any injury to myself or my animal

• I understand that failure to follow rules or directions may result in immediate removal from the event with no refund.

MEDIA & PHOTOGRAPHY CONSENT
I consent to photos or video of me being used by the NRCA and its affiliates for promotional purposes. Consent may be withdrawn in writing to enquire@nationalrodeocouncil.com.au

DECLARATION & ACCEPTANCE

I am the:

Signature

Signed by Participant or Legal Guardian (If under 18yrs)

LEGAL GUARDIAN DETAILS (If participant under 18yrs)

If Legal Guardian ONLY (Please insert Name)

First NameLast Name

If Legal Guardian ONLY (Please add Mobile Number)

.Format: 0000-000-000.

Date

🚨 READ CAREFULLY BEFORE FINALISING YOUR FORM SUBMISSION

All competitors MUST complete the following before submitting:

• ✅ MUST Select the event(s) you wish to nominate in

• ✅ MUST Select the correct day membership option, ONLY if you are not an RSA member (in the events nomination section)

• ✅ MUST Acknowledge Participant Risk Warning & Waiver

This is our standard nomination process and if any of these requirements are not met, your nomination may not be accepted. 

RSA Competitor Nomination

Event & Day Membership Categories

Credit Card

PARTICIPANT RISK WARNING AND WAIVER