Gold Coast Arabian Horse Association 10/17/26 Entry Form

Gold Coast Arabian Horse Association 10/17/26 Entry Form

LETS ROCK OCTOBER! BRING YOUR COSTUMES!
NEED AOTHER LOOK AT OUR CLASS LIST? OCTOBER CLASS LIST
Exhibitor & Rider Information
Rider/Handler Name

First NameMiddle NameLast Name
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Address
City
Zip
E-mail Address
example@example.com
Rider Category
Rider Age Category
Green Rider
Fees & Tickets
Number of Class Tickets
Class Ticket Rate
Class Ticket Total ($)
Office Fees ($10 per entry)
CA Drug Fees ($0 per horse)
Ground Fee ($20)
Jackpot Class(es) Quantity
Jackpot Class(es) Total ($10 each)
New Associate Member / Open Check / Additional Tickets Description
New Associate Member / Open Check / Additional Tickets Total ($)
Payment Information
Sub Total
Payment Amount

prevnext( X )
USDDescription
Releases & Signatures
RELEASE: IN CONSIDERATION OF THE ACCEPTANCE OF THIS ENTRY, I HEREBY ENTER THE ABOVE HORSE AT MY OWN RISKAND AGREE TO BE SUBJECT TO THE SHOW RULES AND REGULATIONS OF BOTH GOLD COAST AHA AND THE SHOW FACILITY. I HEREBY RELEASE GOLD COAST AHA AND THEIR AGENTS AND THE SHOW FACILITY FROM ANY CLAIM OR LOSS TO MYSELF, AGENT, EMPLOYEES, HORSES, AND EQUIPMENT, NOR WILL I MAKE ANY CLAIM AGAINST THEM.

ADDITIONAL SIGNATURE REQUIRED FOR HORSE PLAY, INC LIABILITY WAIVER. PLEASE BRING THIS FORM WITH YOU ON THE SHOW DAY.

GCAHA SHOW RULES- PLEASE REVIEW AND ACCEPT
Release - Initials (confirmation of rules)
Signature of Rider (or parent/guardian of minor)
Date (Rider/Parent/Guardian)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature of Horse Owner
Date (Horse Owner)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Emergency Contact
Emergency Contact Name

First NameMiddle NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Gold Coast Arabian Horse Association 10/17/26 Entry Form

Exhibitor & Rider Information

Rider Category

Fees & Tickets

Payment Information

Payment Amount

Releases & Signatures

Emergency Contact