CSHA R4 Show 12

Sept 5 th 2026

Event Address: Clements Arena, 19813 Highway 88 Clements, CA

Gates open - 7:30 AM

*** riders who pre enter MUST still check in between 8-8:45

Leadline Starts at - 8:30 AM

Regular Competition starts at - 9:00

Judge : Linda Quattlebaum

***Pre Entry Deadline Sept 3 rd, 2026 at 8PM

Riders Full Name

First NameLast Name

Age of Rider

Name of Parent or Gardian if rider under 18

First NameLast Name

Full Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number with area code

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Mounts Name

Emergency Contact Name

First NameLast Name

Emergency Contact Phone #

Please enter a valid phone number.Format: (000) 000-0000.

Division you will ride in

This is an introduction to the Mystery Jackpot that we have at state. The mystery jackpot is a 4D jackpot (and anyone can really win even if you walk an event). It is $5 per event and we will draw 2 events from the day to run as a 4D style jackpot. This is a cash prize back to each D winner. This is not based on the CSHA time ratings, but rather a time split for the 4D scale. The events will not be announced until the winners are announced at the end of the day. You do not have to run any extra events to enter this (it is based off your time you already run in the events). It is open to all regular riders (not open to leadline or graduate riders).

Mystery Jackpot

RELEASE OF LIABILITY
CSHA Region 4 Gymkhana will not be responsible for any accident that may occur to be caused by any equine competing or present at this show or for any article of any kind or nature that may be lost or destroyed or in any way damaged. Each competitor will be responsible for any injury that may be occasioned to any person or animal or damage to an property while on the grounds by any equine owned, or in his custody, control and shall indemnify and hold harmless CSHA Region 4 Gymkhana, its officials and directors individually and collectively and any co-sponsoring organization, if any, from and against all charges and expenses of every kind and nature whatsoever arising out of or which may be incurred by reason of an accident, injury or damage to person or property caused by the ownership, competition or custody of our control of any animal competition. In signing this release please bear in mind that gymkhana is a contest of speed, that there is a certain element of danger involved and that you will be riding at your own risk, and that CSHA Region 4 Gymkhana will be held harmless. I CERTIFY I HAVE READ AND AGREE TO ALL THE ABOVE.

How to enter - must be done at time of form submission.

****PLEASE ONLY PAY ENTRIES FEES WITH THIS SUBMISSION

- You are welcome to pay entries for mutiple riders with one payment.

- Club membership fees will need to be a speperate payment for accounting purposes. For year end awards or to go to the state CSHA show you will need to be a member of the following clubs as well. If you have any questions please feel free to ask (we are happy to answer). The shows you attend do not count towards your 5 state shows / 9 year end shows until you are a member of the following clubs.

- The Puprose can be joined here

- CSHA R4 Gymkhana program can be joined here

DETAILS

This is not the event order. Event dates/orders are subject to change as deemed necessary by Show Mgmt.

Big T Barrels Birangle Skill Barrels Hurry Scurry

*****

Pre Entry All 5 events - Must pre enter by 9/3/26 by 8 pm. All fees must be paid/Entry form filled out.

Leadline must be pre entered by 9/3/26 by 8 pm. Leadline Prizes are often customized and we need time to submit how many and the names of the riders. By pre-entering you allow for better prizes! Leadline is $25. If you do not pre-enter you risk not having a prize for your leadline rider.

Riders can sign up the day of the event. Day of entries cut off @ 8:45 AM.

Day of entries is $70 for regular riders.

Day of entries for Lead Line is $30.

Date of submission

Date

CSHA REGION 4