Holiday Bash Roping
December 6th, 2025 McCook NE
ONE FORM PER HORSE
Stalls contact Robin (402) 649-2342. Once you submit your entry you will receive an email confirmation.
Horse Information
Horse Name
*
Year Foaled
*
AQHA Registration Number
*
Upload AQHA Horse Papers
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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 AQHA Membership #
Is Rider same as Owner
*
Yes
No
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Youth Rider Date of Birth
/
Month
/
Day
Year
Date
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 AQHA Membership #
Upload Membership Cards
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of
Rider 2 Information
Please complete ONLY IF HORSE is ridden by multiple riders
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Rider 2 AQHA Membership #
Rider 2 AQHA Membership Card
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Class Entries
Roping #1
1 Open Tie-Down
2 Amt Tie-Down
3 Youth Tie-Down
4 Open Breakaway
5 Amt Breakaway
6 Youth Breakaway
7 Open Heading L2
8 Open Heading L3
9 Amt Heading L2
10 Amt Heading L3
11 Youth Heading
12 Open Heeling L2
13 Open Heeling L3
14 Amt Heeling L2
15 Amt Heeling L3
16 Youth Heeling
FAST TIME JACKPOT
Roping #2
17 Open Tie-Down
18 Amt Tie-Down
19 Youth Tie-Down
20 Open Breakaway
21 Amt Breakaway
22 Youth Breakaway
23 Open Heading L2
24 Open Heading L3
25 Amt Heading L2
26 Amt Heading L3
27 Youth Heading
28 Open Heeling L2
29 Open Heeling L3
30 Amt Heeling L2
31 Amt Heeling L3
32 Youth Heeling
FAST TIME JACKPOT
Additional Fees (Per Horse Per Show)
AQHA Drug Fee per judge/show $10 - Office Fee $15/horse
Questions please contact Robin at henrichsrl@gmail.com or (402) 649-2342
SUBMIT
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