Fall Fling Show
Oct 30 - Nov 1 2026, Winona MN
ONE FORM PER HORSE
Once you submit your entry you will receive an email confirmation.
Horse Information
Horse Name
*
Year Foaled
*
Breed
*
AQHA
APHA
Other
Breed Registration Number
*
NRHA License Number
*
NRHA License Number
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Responsible Party
Person Responsible for this Horse's Show Tab
*
Conformation Email
*
Send Payout To:
*
Owner
Rider
Owner Information
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Owner NRHA Membership #
*
NRHA Membership Exp
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Owner NRHA Membership Card
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Youth Rider Date of Birth
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Owner Breed Membership #
Is Rider same as Owner
*
Yes
No
Rider 1 Information
Please complete only if RIDER is different from OWNER. Thank you
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Rider 1 NRHA Membership #
Rider 1 Membership Type
Open
Non Pro
Youth
NRHA Membership Exp
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Rider 1 NRHA Membership Card
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Rider 2
Please complete if horse is shown by more than 1 person
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Rider 2 Membership #
Rider 2 Membership Type
Open
Non Pro
Youth
NRHA Membership EXP
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Rider 2 Membership Card
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Class Entries
Class / Entry / Judge / Office
Friday's Classes
1 $500 Novice Horse Non Pro L1 $50/$25/$15
2 $500 Novice Horse Non Pro L2 $50/$25/$15
3 Novice Horse Non Pro L3 $50/$25/$15
4 $500 Novice Horse Open L1 $50/$25/$15
5 $500 Novice Horse Open L2 $50/$25/$15
6 Novice Horse Open L3 $50/$25/$15
Saturday's Classes
7 $1000 Non Pro $100/$50/$15
8 $500 Int Non Pro $50/$25/$15
9 $200 Ltd Non Pro $20/$10/$15
10 $100 Primetime Non Pro $10/$10/$15
11 Rookie L1 $20/$10/$15
12 Rookie L2 $20/$10/$15
13 PT Rookie $20/$10/$15
14 Youth 13 & Under $10
15 Youth 14 - 18 $10
16 Youth 10 & Under $10
17 Green Reiner L1 $25/$15
18 Green Reiner L2 $25/$15
19 $2000 Open Futurity L4 $200/$100/$20
20 $1500 Open Futurity L1 $150/$75/$20
21 $1500 Non Pro Futurity L4 $150/$75/$20
22 $1000 Non Pro Futurity L1 $100/$50/$20
Sunday's Classes
23 $1000 Open $100/$50/$15
24 $500 Int Open $50/$25/$15
25 $500 Ltd Open $50/$25/$15
26 Rookie Professional $20/$10/$15
27 Green Reiner L1 $25/$15
28 Green Reiner L2 $25/$15
29 $500 Ltd Non Pro $50/$25/$15
30 Masters Non Pro $50/$25/$15
31 Youth 13 & Under $10
32 Youth 14-18 $10
33 Youth 10 & Under $10
34 Rookie L1 $20/$10/$15
35 Rookie L2 $20/$10/$15
36 PT Rookie $20/$10/$15
Additional Fees (Per Horse Per Show)
NRHA Drug Fee $10 Video Fee $15 per run
Questions please contact Connie at (402) 741-1660 or whitehorsemgt@cccusa.net
SUBMIT
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