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Event Registration Form

You need to get event pricing from the event flyer before filling this form out.

*Note: You are invited to attend one NVRHA clinic and/or competition without becoming a member

Please Note All Fields are Required

Participant
First Name:

Participant
Last Name:

Email Address:

Mail Address:

City:

State:

Zip:

Home Phone: (include area code)

Cell Phone: (include area code)

Registered Name of Horse

NVRHA Horse ID#

Horse Owners Name

Permanent Division Assignment (Check One)

Youth Division:	Novice Advanced
Amateur Division:	Novice Limited Intermediate Advanced
Professional/Open:	Pro/Open Don't Know

For Rider Classifications by Division refer to the Rules & Regulations on our website: NVRHA.org

PLEASE INDICATE WHAT EVENT YOU'RE ATTENDING AND COMPLETE ONE FORM PER HORSE/RIDER TEAM

Event Name:	Location:	Date(s):

Please ensure that you enter the correct amounts to avoid registration delays You can get the amounts from the Events Flyer.
	Registration Fee: $
Stall Fee: $ X Nights: = $		0 for none
Social Event: $ /person X People: = $		0 for none
Other: $ X = $		0 for none
NVRHA Membership Fee: (click here for prices) $		0 for none
Second Time Participants are required to become a member (Click Here to fill out a Membership Application)		Put Totals for each line in boxes above
		3% Handling Added To all Entries.
Total Amount Due: $

Are you a current Member?

Do you accept remuneration for training horses,
giving riding instructions, or related type activities?

Cancellation Policy: 15 days or more 100% refund; 14 days or less; decision by event manager to transfer fee to another event or partial refund determined by expenses; full refund if rider gets a paid replacement. NVRHA reserves the right to cancel an event within 48 hours prior to the event.

Release: By submitting this form, I/We are waiving our right, if any, to claim against, maintain an action against, or recover from any equine activity sponsors, equine professionals, or any other person for injury, loss, damage, or death resulting from any of the inherent risks of this equine activity. I/We hereby request to enter the event indicated and agree to abide by the bylaws, standing rules, judging, and rules of the respective organizations involved with this event. I/We hereby release NVRHA and other involved organizations and its members and employees from any loss to myself, employees, agents, horses and/or equipment while attending and/or participating in this event. The provisions contained herein are hereby made a part of this entry agreement. In addition, the general understanding of any “publication, video, and internet consent and release agreement” is incorporated in this release including: no monetary considerations; photo, video or verbal statements may be used now and in subsequent years as the program deems fit; is binding upon heirs and/or future legal representatives.

Check this box to acknowledge Release:


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