SRCHA Fall Round Up Futurity and Derby October 23, 24 & 25, 2026

Fall Round Up Futurity and Derby October 23, 24 & 26

ALL PAYMENTS DUE NO LATER THEN OCTOBER 22nd.
Registered Name of Horse
Registration # and Breed of Horse
Horse Registration Papers

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Year Foaled
Rider Name

First NameLast Name
Rider Contact Email
example@example.com
Phone Number

Area CodePhone Number
Name of Owner
Do you have a SRCHA Rider Membership (For Non-Member membership will be added to entry fees)
Where entering as family please indicate those entries as part of your family group in Notes for Show Admin below. Entry fees will be adjusted for a family membership (Includes any couple and youth between the age of 10 years and 18 years within one family unit.)

See our website for more details (https://www.reinedcowhorse.net/becomemember).

Note membership form does not need to be completed seperately.
SHF Number (NA if you are showing NRCHA class)
NRCHA Membership Rider
Indicate N/A when only showing SRCHA
Owner Contact Email
example@example.com
NRCHA Membership Owner
Indicate N/A when only showing SRCHA
Do you have a SRCHA Owner Membership (For Non-Member membership will be added to entry fees)
Payouts Payable to Rider or Owner
Invoice Billed to Rider or Owner
Mailing Address (Payouts)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select NRCHA Futurity Class entering
Select NRCHA Derby Class entering
NRCHA Horse Show 1
NRCHA Horse Show 2
SRCHA Horse Show (Friday Herd Work, Horse show 1 and 2)
Other Classes (Saturday and Sunday)
Friday Rein work Practice ($25) *Priority to LAE, other spots pending availability*
Number of Stalls ($100 each)
Includes stall cleaning at end of show.
Stall Near
Number Tack Stalls ($75 each)
Number of Shavings ($10/bag)
Extra Night (Sunday) ($35 each)
Please Indicate Number of Saturday Supper Tickets ($25.00 Each)
Notes for Show Admin
Total Due
When cross-entered Show Secretary will provide an invoice of the show bill to apply cross-entry class discounts.

Send e-transfers to treasurer.srcha@gmail.com

Cheques payable to Saskatchewan Reined Cow Horse Association
Do you Agree to show Terms & Conditions as described in the Fall Round Up Futurity and Derby Show Package
By Signing below you are agreeing to the waiver outlined in the Fall Round Up Futurity and Derby Show Bill
Should be Empty:

Fall Round Up Futurity and Derby October 23, 24 & 26