Rogue Reining Horse Association

Horse Information

Horse's Name *

Year Foaled

Age

Sex

Horse NRHA # / Exp.

Horse License #

Owner Information

Owner's Name *

Phone #

Address

City

State

ZIP

Email Address *

NRHA # / Exp.

RRHA # / Exp.

Exhibitors

EXHIBITOR #1

Name

Relationship to Owner

Address

City

State

ZIP

[] Open [] Non Pro [] Youth Rider DOB

Open Non Pro Youth

NRHA # / Exp.

RRHA # / Exp.

Select Classes for this Exhibitor

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FEES AND CHARGES

Item

Quantity

Amount

Total Class + Judges Fee

Stalls # _____ @ $180 ea $

NRHA Drug Fee $10/horse $10

Haul In $40/day $

Haul In $90/wknd $

Office Fee

$40

Late Entry Fee $30 horse $

Shavings $11/bag (2x Stall# included, only charge for bags above this) $

RRHA Membership

If needed

TOTAL DUE

$50.00

PLEASE STABLE ME WITH [ ] OR NEXT TO [ ]

Mail to: Show Entries

Rogue Reining Horse Association PO Box 423 Shady Cove, OR 97539 Phone: (541) 659-7830 Email to: admin@roguereining.com

POSTMARK DATE: ___/___/____

I hereby enter the above horse at my own risk and subject to all rules and regulations of RRHA, I am aware the Oregon horse Center, NRHA, and all respective directors, officers, agents, successors and assigns, sponsors and suppliers, from and against any and all claims, limitations of injuries or damage to my property which I may incur as a result of my participation or attendance at this event. I agree to abide by the terms and conditions of this Release & Waiver of Liability. I warrant that I am of legal age and that I have read and fully understand the foregoing terms. I hereby acknowledge that I meet the criteria for eligibility to compete in the classes entered according to current NRHA and RRHA guidelines.

SIGNATURE (Must be signed by all entrants. Parent or Guardian to sign for Youth riders)

Sign above

By signing, you agree to the release and waiver.

DATED: ___/___/____