Directions: Type your entries right on this form, save it, and attach it to a return email to: Be sure your entries are completely filled out.

MAGIC VALLEY REINED COW HORSE ASSOCIATION

Practice Show—8:00 A.M—June 3, 2017 Minidoka County Fairgrounds—Rupert, Idaho

Registered Name* / Breed* / Reg #* / Year*
Registered Sire Name* / Registered Dam Name*

* Red Asterisk = required information

Owner* / SSN or Tax ID* / NRCHA #*
Address * / City, St * / Zip*
Phone* / Cell* / Email*
Rider* / SSN or Tax ID* / NRCHA #*
Address* / City, St* / Zip*
Phone* / Cell* / Email*

Entry Forms must be completely filled out!!

Snaffle Bit and Derby horses only will work out of the herd.

Please complete one copy of this form for each horse you are showing and email it to Louise Miller. No phone entries this year. We reserve the right to cancel any class at any time and for any reason.

Contact Louise Miller---Preferred method of contact:

PLEASE: DO NOT MAIL ENTRY FORMS FOR THIS SHOW

General Rules:

 Both owners and ridersmustbe NRCHA & MVRCHA members for both shows.

  • A copy of your horse’s registration papers must accompany your entry form.

 AllNRCHA Rules apply. Sign waiver below prior to competing.

  • MVRCHA follows the NRCHA point system.
  • Riders must show at both shows to be eligible for year-end awards.

 All shows will be single point shows.

 Fill out all information on all forms

Class # / Entry
Fees
1 / Snaffle Bit --Open / 95
2 / Snaffle Bit Intermediate Open-Must enter Open / 25
3 / Snaffle Bit Limited Open ($35K) Must Enter Open / 25
4 / Snaffle Bit Limited Open Level 1 ($15,000) / 95
5 / Snaffle Bit --Non Pro / 95
6 / Snaffle Bit-- Amateur ($7500) / 95
7 / Derby--Open / 110
8 / Derby--Intermediate Open--Must enter Open / 25
9 / Derby--Limited Open ($35K) Must enter Open / 110
10 / Derby--Limited Open Level 1 ($15,000) / 110
11 / Derby--Non Pro / 110
12 / Derby--Amateur--($7500) / 110
13 / Derby--Non Pro Limited / 110
14 / Hackamore--Open / 110
15 / Hackamore--Limited Open ($35K) / 80
16 / Hackamore--Non Pro / 80
17 / Two-Rein--Open / 80
18 / Two Rein--Non Pro / 80
19 / Bridle--Open / 80
20 / Bridle--Limited Open / 80
21 / Bridle--Non Pro / 80
22 / Bridle--Intermediate Non Pro / 80
23 / Bridle--Novice Non Pro ($7500) / 80
24 / Youth Bridle / 80
25 / Non Pro Limited / 80
26 / Non Pro Limited (5K) / 80
27 / $1000 Non Pro Limited / 80
28 / Youth Limited / 80
29 / Practice Herd Work (4 Minutes) / 40
30 / 4 Minute Dry Work Schooling Slot / 20
31 / Fence Work Schooling Session—1 cow / 20
Total Entry Fees
MVRCHA Dues $35 Family/$25 Single
Total Amount Due
ALL ENTRIES DUE MAY 26, 2017 AT 8:00 P.M.
If you cross enter a class, you will only need to pay one cattle fee.
ASSUMPTIONOFRISKANDWAIVEROFLIABILITYRELEASE

I, the undersigned, wishing to personally participate (or to have my minor child) participate in this equine event produced by the MVRCHA and in further consideration of the mutual covenants given by other participants, voluntarily give thisAssumptionofRiskandWaiverofLiabilityandRelease. I understand that being around horses and cattle carries certain inherent dangers‐both known and unforeseeable‐and that in order for myself (and/or my minor child) to participate in this event, I must expose the participant to the dangers of actions and events precipitated by horses, people and cattle. I understand that sometimes there is reasonable action or inaction to be undertaken to avoid those risks of injury to persons or animals. Therefore, I willingly assume those risks of injury to myself (or my minor child) and to my property. I waive, release, and in advance, forgo my right to pursue any such claims, causes of action or right to pursue civil damages against the MVRCHA, its agents, volunteers, members, employees, and/or cattle contractors whether for personal injury or for property damage including those alleged to have arisen out of negligent and/or grossly negligent act or omission. Further, I agree to indemnify and to hold harmless the MVRCHA, its agents, volunteers, members, and/or employees from any cost arising out of injury to myself (or my minor child), or to my property.

NRCHAStatementofEligibility:“Bynatureofmysignaturebelow,IherebyacknowledgethatImeetthecriteriaforeligibilitytocompeteintheclassesentered accordingtotheguidelinessetforthintheNRCHARulebook.”

Owner:*______Signature: *______Date: *______

(PleasePrint)

Rider:*______Signature:* ______Date: *______

Alllegal age EVENT PARTICIPANTS and / or parents and / or legal guardians must sign below:

Print Below: The names and ages ofALLminor children or legal ward EVENT PARTICIPANTS for which I / WE the above signed parents and / or legal guardians are legally responsible:

  1. ______Age__

2. ______Age__

3.______Age__

4.______Age___

PARTICIPANT’S Address In Full

Home Phone # *______Bus. Phone # *______Cell Phone#*______

PERSON TO CONTACT IN CASE OF EMERGENCY *______

PHONE NUMBER*______

RELATIONSHIP TO PARTICIPANT* ______ll out